Can't decide!! Dental School or Medical School?

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Denta1986

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First of all this isn't about money or prestige; this is about enjoying my work. I am currently a seventh grade science teacher who wants to pursue a more analytically driven profession. I have had a passion for science and contemplated this endeavor for quite sometime. One of the main factors in my decision is what profession offers more interaction with people/coworkers and more excitement.

For example, I would like to work at a hospital with a large staff, instead of working with a small business filled with assistants and admins, but I do want to have a regular lifestyle. Are any medical specialties or dental specialties that allow for this type of lifestyle?

Can an Oral Surgeon own his own practice and work as a contractor at a hospital?

I do know that I would want to work with the teeth/face/heart/pulmonology.

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For example, I would like to work at a hospital with a large staff, instead of working with a small business filled with assistants and admins, but I do want to have a regular lifestyle. Are any medical specialties or dental specialties that allow for this type of lifestyle?

Basically all dental specialties offer a better lifestyle than medical specialties. As far as physicians with good lifestyle, follow the ROAD to sucess:

Radiology
Opthalmology
Anesthesiology
Dermatology
(+ some other less popular specialties)
Can an Oral Surgeon own his own practice and work as a contractor at a hospital?

An oral surgon would probably better answer this however....I believe so. But it is extremely difficult to become an oral surgeon. From what I've been told, if you have your heart set on working in a hospital and having as much responsibility as an OS, just go to medical school.


Dental School or Medical School?

My suggestion: go out and shadow both. I thought medicine was my future for the longest time until I actually saw how terrible of a career choice that would have been for me. Now I'm super excited about my to-be career as a dentist.


GL!
 
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+1 to shadowing. I thought for a while about doing medicine; however, I was being a romantic. At the end of the day I saw that it was the dentists that had the most autonomy and didn't need to deal with self empowered RN's, admins, and politics.

Being a physician is not all bad - just make sure to tease out weather you like the education of medicine VS the practice of medicine. You will be in practice alot longer than going through med school where you have intellectual freedoms and not under the pressure of work demands > time.

On second thought, an area that you may really enjoy, is academic medicine. I did some shadowing under an ER physician and trauma surgeon at a large academic hospital and there was alot of teaching/learning/case presentations/ research going on. You may really enjoy that as a student and attending.

GL
 
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If your goal is to have a "regular lifestyle" (which I'm assuming means working 35-45 hours a week without taking call), I'd seriously recommend dentistry as a career choice. For most specialties of medicine, a lifestyle like this is not a realistic option for the majority. The few medical specialties for which it is an option tend to be highly competitive, and many of them are not primarily hospital based in the way you may be looking for.

Still, do some shadowing (It will be a necessary part of your application for either professional school) and ask lots of questions about work and lifestyle.
 
If your goal is to have a "regular lifestyle" (which I'm assuming means working 35-45 hours a week without taking call), I'd seriously recommend dentistry as a career choice. For most specialties of medicine, a lifestyle like this is not a realistic option for the majority. The few medical specialties for which it is an option tend to be highly competitive, and many of them are not primarily hospital based in the way you may be looking for.

Still, do some shadowing (It will be a necessary part of your application for either professional school) and ask lots of questions about work and lifestyle.

:thumbup::thumbup::thumbup::thumbup:

Dentists are not under COMPLETE control of the govt. like physicians. Let's face it, physicians lost all good will of patients when they expect insurance to pay for every single thing that happens. I could go on for hours, but just trust me, dentistry is the better field if you want ANY autonomy. Physicians will slave away for years in school just to get a mediocre paying job given the committments. Look here: http://benbrownmd.wordpress.com/
and you can see that the cost of medical school is simply outrageous given the time it takes to actually start working. Please do yourself a favor and know what you are getting into before you go to medical school.

Dental school is absolutely tough, but the results are worth it and the opportunities for autonomy are so much better. Physicians will never have autonomy unless you live in a small town.
 
Check out hospital dentistry. If you like working in a hospital setting this is a great choice. Every hospital dentist I've met is extremely enthusiastic about their job. They don't make as much money as private practice guys, but they have the opportunity to work with medically compromised patients and special needs patients. This means they have extra training in some medical specialties and are working together with other physicians to manage these cases. They do a lot of their procedures in an OR with a full team of anesthesiologists, nurses, etc. You would need an additional 1-2 years of residency training for this called a General Practice Residency (GPR). It seems very rewarding because you will be trained to treat many patient's who can't receive treatment anywhere else because of their condition. Also, unlike OMFS, you dont have to be in the top 10% of your class, ace your boards, and do a grueling 4-6 year residency to do this, and it's usually more of a 9-5 job. you could take call, but i think the residents usually do that. go shadow one of these guys to see if you like it.
 
Apply to Nova Southeastern, they offer DO/DMD degree:idea::thumbup:
 
Ya, reality is a lot different than the perception of Dentists in a movie like "The Hangover". If I didn't love eyes I'd do dentistry hands down. Also would be nice if I got into Stony Brook Dental, amazing tuition but 3.71 average GPA. Mucho competitive.
 
Dentistry is a lot better than being an MD nowadays. Less hours, higher per hour salary, higher chance to be in private practice, and better insurance reimbursements. The only other thing that I think is better is a PA program, its cheaper faster and gets you 100K in 2 years time.
 
This is incorrect - unless you want to be an employee and income potential isn't important.

For most ambitious people MD> PA



Dentistry is a lot better than being an MD nowadays. Less hours, higher per hour salary, higher chance to be in private practice, and better insurance reimbursements. The only other thing that I think is better is a PA program, its cheaper faster and gets you 100K in 2 years time.
 
This is incorrect - unless you want to be an employee and income potential isn't important.

For most ambitious people MD> PA

How can this be incorrect? Its an opinion? I didnt say that PA's out earn MDs, but the matter of fact is its financially an easier choice to attend PA school over med school. MD requires 4 years of schooling (excluding ugrad) + 4 years of residency = 8 years + 300K in tuition with a 150K to 250K job upon completion of residency, meanwhile PA school is 2 years + 60K to 75K in tuition with a $100K job after graduation. Of course, MDs out earn PAs. But PAs are never on call, work multiple jobs with different schedules and benefits, and don't have to worry about the headache of running their own businesses.

10 years ago I would say go to an MD school, now I say either DDS or PA, both jobs offer enough $$$ to be comfortable and offer better work schedules than any MD profession. I
 
First of all this isn't about money or prestige; this is about enjoying my work. I am currently a seventh grade science teacher who wants to pursue a more analytically driven profession. I have had a passion for science and contemplated this endeavor for quite sometime. One of the main factors in my decision is what profession offers more interaction with people/coworkers and more excitement.

For example, I would like to work at a hospital with a large staff, instead of working with a small business filled with assistants and admins, but I do want to have a regular lifestyle. Are any medical specialties or dental specialties that allow for this type of lifestyle?

Can an Oral Surgeon own his own practice and work as a contractor at a hospital?

I do know that I would want to work with the teeth/face/heart/pulmonology.

From my understanding, what you want in a career is of three categories: 1) intellectually stimulation, 2) interpersonal interaction, and 3) variety or "excitement."

I feel that there are far more complex and interesting cases in medicine than in dentistry. The cases you encounter in medicine are presented in a set of symptoms that you analyze with diagnostics that you preform on your own or refer to others specialists or labs for more detailed tests and from this information you would ultimately match to a diagnosis and then follow protocol. I believe that the only form of pleasure that I would find in this process, aside from developing doctor-patient trust and getting a "feel-good" feeling from racking up karma points, is the sense of accomplishment upon reaching a diagnosis. To me the feeling that I would get would be similar to the one I get immediately after solving sudoku, math, or crosswords puzzles. This is a terrible analogy and probably an incorrect one because reaching a diagnosis can also be extremely stressful at times because you're dealing with peoples lives and not trivial games and after years of experience, various clinical aspects will become very remedial and look more like paperwork than medicine.
Dentistry is at the other spectrum of hitting pleasure centers. In this field, you are not given ambiguous symptoms left for you to organize, interpret, and diagnose as in medicine. Instead, you are limited to the oral cavity and most of the problems you encounter in patients are visual and aside from X-rays do not require other diagnostics and have relatively straight-forward solutions. But these straight-forward solutions may be very "technical" and require difficult surgical operations. These solutions are generally more rapid and more visually drastic and apparent than the solutions you would generally achieve in internal medicine where weeks may go by before patients appear any better (not OB/GYN, surgery, EM, etc.). By building an improved smile, you are able to hit pleasure centers that are similar to the ones you get from playing tetris or fixing a car. :laugh: Sorry for these terrible analogies but I'm trying to find things relate-able to most people.
I enjoy both pleasures that I would receive from medicine and dentistry but I know that ever since I was child I loved playing with legos, watching my dad fix cars as an auto-body mechanic, and building the most random things in my garage. Since I really enjoyed these things as a child and still do, I think practicing dentistry would translate into the same pleasures I received as a build o' maniac as a child. As an aside, I began my fascination with science with a story about my fallen baby tooth and a milk commercial which I won't get into.

For interpersonal interactions, I think you are afforded more time with patients as a dentist not only because dental patients have been conditioned to visit the dentist at least twice a year but because dentists tend to have more time to spend with the patient than most hospital physicians do (not family physicians) who are subjected to a rigid schedule provided by the hospital and not by the physician. Dentist also have rigid schedules but at least dentists have more control and can decide how many patient they want to a receive in a given day.

As far as excitement goes, this will vary from person to person but generally, medicine offers more excitement just due to the variety of cases, the existence of emergency medicine, and maybe the lack of control. I know some psychiatrists believe that the rush you get from emergency medicine wears off after a while: skip to 1:37 in this video http://www.youtube.com/watch?v=qZO4...DvjVQa1PpcFMlXGcxRCQ2MMeQg7HTX62dEkAsa1aevhg=.
With dentistry there are less areas where one might get excited. You might get something as interesting (more funny than interesting) as this case, http://www.ncbi.nlm.nih.gov/pubmed/1080847.

In my interpretation of medicine, medicine aims to prolong life-spans and save lives.
Dentistry generally improves one's lifestyle either by restoring oral function or enhancing smiles and other features that are intimately related to one's face and self-esteem. The good kind of arousal is rejuvenation and creativity. Creativity is one of the cores in dentistry and may only be found in medicine if you conduct research or perform superficial reconstruction.

Anyways, I think OMFS is a good conglomerate of medicine and dentistry. It even says so after OMFS' surgeon's names with DDS + MD. I can't imagine how awesome it would be to fix a little girl's cleft palate and see her smile.
 
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I think everything gets boring after a while. I think doing fillings all day gets boring...and I think being an internist and spending all day treating diabetes and hypertension would get boring.

There are some specialties of medicine that could probably remain exciting for a long time...but they're also the most time demanding and harshest on one's lifestyle (ED docs, neuro/cardio/ortho surgeons)

As an oral surgeon you certainly can maintain active privileges at the hospital and do consultations for all things dental, treat facial pathology, take trauma call and so on...but it's a long road to become an Oral Surgeon, and about 90% finish and do nothing but 3rds and Implants (and get pissed if they take call). And I think that there are very few hospitals where oral surgeons get the professional respect they deserve.

Dentistry can remain interesting if you want it to, simply because you are doing procedures all day everyday. By keeping your scope of practice broad (implants, upper level cosmetics, RCTs) you can def. keep things challenging for yourself. In my GPR I had mini-adventures almost everyday...you get a patient that won't stop bleeding, you get a sinus opening, you try a new cosmetic technique, you see oral path...so, if that stuff interests you, one def. could maintain excitement

In the end, I think there are very few health professions that don't become routine after a while. I've spent a lot of time since dental school in the hospital, and lay people really tend to glorify what physicians do...it's not house where you're sitting in a conference room bringing up rare diseases no one else remembers and the patient's life hangs in the balance...you're getting consults from cardiologists...and adjusting diuretics...and listening to patients describe there bowel movements for 20 minutes...

I think you have to go out there and shadow shadow shadow...if you're a non-traditional student you may want to jump on that right away tho, because you have a long path ahead of you regardless of the route you choose, and that debt is getting higher and higher
 
The best career choice is the one that satisfies you as much as possible on all levels i.e. curiosity, financial stability, hours per week and lifestyle choice. Its too easy to say that this one pays a lot but you work too hard or this one doesnt pay enough and you work too little. All the factors have to fall in places and allow a balance to exist. That's what I liked about dentistry the most. While I know the MD route is better in some ways, it wasn't the best for me, in all the ways that I wanted. So look at all the factors and pick the career that provides a better overall balance.
 
This has definitely been helpful, but what would be other degrees that go hand and hand with Dentistry? MBA MPH? Can you run for political office as a dentist?
 
This has definitely been helpful, but what would be other degrees that go hand and hand with Dentistry? MBA MPH? Can you run for political office as a dentist?

MPH and MBA would be very helpful depending on what you want to do. MPH if you want to do public health and MBA if the business side of dentistry is more your thing.

Anyone can run for political office, you're not restricted by your title or degree.
 
This has definitely been helpful, but what would be other degrees that go hand and hand with Dentistry? MBA MPH? Can you run for political office as a dentist?

There have been several congressman who were/are dentists. If you like politics and policy making, organized dentistry offers plenty of opportunities. The ADA as well as its state branches are a very strong (unlike the AMA currently) and you could be working in Washington if you chose this route. Public health could lead to something like this as well. You could also get a PhD be an academic and one day work at the NIH or be a dean. There are lots of ways to apply and MBA to the business/industry side, but you may not even need the extra degree, same goes for an MPH. The point is that Dentistry can be WAY more than just clinical stuff.
 
id recommend mba if you really want another degree, though its a bit overkill. Also dentist and physician do drastically different things during the day - time to shadow and find out.

source - in dental school and have an mba. also considered medicine.
 
One other thing I wanted to point out....

I've noticed a trend towards physicians becoming employees rather than independent contractors or group members. This is bad (to me, maybe not to everyone) because I dont want to become a doctor just to be an employee (which is a line item on a CEO's budget). Imagine being a doctor and answering to some non-clincial-prick who comes up with inane working policies you must follow and is always looking for ways to cut your pay.

You want to be the guy who owns the place. Or a solo/group member (the way many physicans are now) who doens't need to answer to a boss. It is actually a little annoying to see how many hospital admins there are... taking up resources....
 
http://www.bls.gov/oes/current/oes291071.htm

PAs don't always make 100k.

I had a similar situation with pharmacy. I loved pharmacy. I really wanted to work in pharmacy. pharmacology is way more interesting than dentistry, but pharmacy is becoming over-saturated. The lifestyle of a dentist is better, the pay is better, the entrepreneurship really appeals to me, the patient contact really appeals, and the actual dental practice is more appealing than the more behind the scenes take of pharmDs.
 
As much as i loved my career, i would not recommend my son to be a dentist.
i think dentistry is very saturated (well i am in Southern California) and stressful.... you have to be good with your skill and a great salesman. you deal with all of kinds of people and need to convinced them to commit with treatments, educate them in shortest time. Dentistry is fun that you feel a great accomplishments and on your own schedule, but if you ever injure your hand, back, and neck (or got a stroke), you are done. you are consider as disabled in this career. unlike physicians, you can still practice with some kind of physical disability.

i think my best advise to you is to shadow around different kind of doctors and see what suits you better.
 
What if he was geographically flexible?

Also, most strokes will put people out of work. I imagine he would have license restrictions for memory loss or slower processing speed even if he had no physical deficits as a physician.

As much as i loved my career, i would not recommend my son to be a dentist.
i think dentistry is very saturated (well i am in Southern California) and stressful.... you have to be good with your skill and a great salesman. you deal with all of kinds of people and need to convinced them to commit with treatments, educate them in shortest time. Dentistry is fun that you feel a great accomplishments and on your own schedule, but if you ever injure your hand, back, and neck (or got a stroke), you are done. you are consider as disabled in this career. unlike physicians, you can still practice with some kind of physical disability.

i think my best advise to you is to shadow around different kind of doctors and see what suits you better.

I've been researching some of these issues and I'm starting to think the situation may be brighter for dentists than medicine. It seems like: more regulation, more law suites, compensation targeting (ACO's, bundling, etc.), mid-level encroachment, and a trend towards employment rather than group/solo practice in medicine is making dentistry seem like a better career if you're on the fence and like dentistry.

It's actually a little annoying to me how physicians seem to be accepting these trends yet their services are in increasing demand. The populus is living it up at their expense.

Full disclosure: I've realized medicine is not for me. It's just too much to go through to put my future in the hands of the american voter. It's too political of a career field. In part, I also just dont have it in me to do 4 years of medical school (this alone wouldn't be bad) then four more years of a residency at a lower pay. I would feel like I was giving up way too much control of my life without ANY assurance that it would pay off or that I would have control when I was finished.
 
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What if he was geographically flexible?

Also, most strokes will put people out of work. I imagine he would have license restrictions for memory loss or slower processing speed even if he had no physical deficits as a physician.



I've been researching some of these issues and I'm starting to think the situation may be brighter for dentists than medicine. It seems like: more regulation, more law suites, compensation targeting (ACO's, bundling, etc.), mid-level encroachment, and a trend towards employment rather than group/solo practice in medicine is making dentistry seem like a better career if you're on the fence and like dentistry.

It's actually a little annoying to me how physicians are taking these trends and their is such a great demand for their services. The populus is living it up at their expense.

Full disclosure: I've realized medicine is not for me. It's just too much to go through to put my future in the hands of the american voter. It's too political of a career field. In part, I also just dont have it in me to do 4 years of medical school (this alone wouldn't be bad) then four more years of a residency at a lower pay. I would feel like I was giving up way too much control of my life without ANY assurance that it would pay off or that I would have control when I was finished.

Truth..
 
Hi, I was hoping someone here may be able to help me with a query I have. I am British but also an American citizen, (married to an American). I would potentially like to study Medicine on mainland Europe but I'm not sure how difficult it is to secure residency on graduating abroad in the States. I have read a few articles about the prejudice against foreign trained MD's consequently have become discouraged. Given the difficulty in attaining a license as an MD I am now opting to study Dentistry. However I am not confident on how difficult it is to gain a license to practise in the States for that profession either. From what I understand a foreign qualified dentist must pass the NBDE 1 and 2 and also do a conversion course which could take up to 1-3 years depending on the college. I am not aware if there is anything else after that and how difficult it is to then secure work.

I was therefore hoping if someone could kindly offer some information on what the prescribed routes are for each field post graduation to become fully licensed and the potential job market for respective fields. Thank you kindly.
 
If you have a particular interest in one field of study, obviously go that route. Otherwise, if you're just comparison shopping, here are my thoughts:

I agree with Sublimazing that anything gets boring after a while. Or you could say, every job becomes a job. I knew a PhD in psychology who traveled around the world coaching businesses on management skills -- he's got the life, multiple vacation homes, all clients on retainer, etc. And I still heard him sit down in his living room and lament the fact that he travels all around doing the same thing watching people make the same mistakes over and over his whole life.

As far as medical specialties that are intellectually stimulating -- I don't know. My dad is an orthopedic and I don't think he gets much intellectual stimulation. There will be tons of opportunities to learn whatever health profession you go into, but if you want intellectual stimulation, get a PhD and do research.

Otherwise my take on medicine is that every specialty has its grind, and if you come across something that is new or different, you're probably going to be referring it out to another specialist for whom it's their grind.

When I told my dad I was considering dentistry, he told me about being in medical school and all the kids making jokes about dentists and suicide. Now, he says, all the dentists he knows are so happy they could kill themselves. His last words on that subject were, "wish I'd known."

And both the dentists I've shadowed told me unsolicited "dentistry over medicine any day," for what it's worth.
 
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Dental would be so boring...you are limited to the teeth of all places. Yawn.
 
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Medical all the way doc
 
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I went through this process and ultimenlty choose dentistry for a few reasons. At first I wanted to be a PA , and I do think it's a great career choice ,for some people ,but not for me. The reason being you will never be autonomous , and you will always be the doctors servent to some degree. I got tired of watching the pas I shadowed make their doctor coffee in the morning and stop talking anytime the doc said anything for fear of being yelled at. It can be a highly subordinate job.
For an physician I think there is a lot of romanticism involved as someone else said, but at the end of the day most of the doctors just wanted to go home to their kids at night, and very few recommended the profession. If you look at the hardest residencies to get they are the ones with the normal hours(derm,radiology,ophthalmology ) not the super exciting ones. I think as a surgeon or er doc to you also have to be ok with a lot of people dieing on you, and then having to go tell their family. It's not all saving lives( pessimistic view but true) .
With dentistry you can have the ability to do what you want, you can screw up and not kill someone , and you can have the lifestyle of a "top " medical specialty. If dentistry was a specialty out of med school instead of its own thing I think it would be right up there with derm etc
 
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Medical school !

Dental is only about teeth!

Medical is the whole body !
 
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