Originally Posted by howelljolly

Yeah, Im a NYC Paramedic also. EM is NOT a team sport. Each EM doc does their own thing in parallel. They take a chart from the rack see the patient, write orders, and follow them. Lather, rinse repeat. Ina trauma, everyone has their own little piece of the action. Its algorithmic, everyone does their choreographed job on autopilot. Much the same with ACLS. Nobody really works "with" each other.

I think we all have different definitions of what "team oriented" means.

With my definition...
On one end of the continuum, theres inpatient psychiatry (MDs have to collaborate with PsyDs for therapy and (sadly) diagnosis... LCSWs for placement and F/U... OT/PT....nursing). Theres Oncology (surgery, rad-onc, for treatment, Pulm, Psych, Pain, and hospice for paliation, medicine for F/U....)

On the other end of the continuum... Radiologists and Pathologists can sit in their rooms and do their own thing. They can call a colleague for advice if they want. But mostly, they have a stack of studies to interpret... and they submit their reports. They dont need other services or even other people to get their job done.

However, I'd argue that just a bit more midline from the Rads/Path side of things is OB/Gyn and Urology. These fields really are on a bit of an island. They rarely need to consult surgery - they can go to the OR on their own. They rarely need to consult Medicine. OB/Gyn has their own guidelines for the management of DM and HTN. OB/Gyn has their own urology specialists, and their own oncologists. The garden variety urologst or OB/gyn handles the total diagnosis and total treatment of everything in their organ system.

Thats my 2 euros.