Which specialties are overtrained?

[TheSeanieB]

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[Doctor Bob]

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I'm not sure the point of this poll. Can you elaborate on the question you are trying to answer with this, or the hypothesis you are testing?

 

[TheSeanieB]

I just don't understand how dermatology is beating orthadontics??

 

[jdh71]

How can you ever be "too trained" in an area of expertise.

 

[ActionFigure]

I just don't understand how dermatology is beating orthadontics??

overtrained or overpaid?

 

[TheSeanieB]

overtrained or overpaid?

Overtrained. The reason I put control next to it was a joke bc I thought everyone would select it.

 

[Top Gun]

I'm not sure how you can judge whether any specialty is overtrained. Every specialty is different. They each have their own skill set, and the amount of time it takes to master that particular skill set is what determines the length of the residency.

 

[TheSeanieB]

So as not to bias the votes, (ie) does a orthadontist really need to go thru dental school and learn all kinds of dental surgery, anesthesia, etc to then spend three years learning to straighten teeth to ultimately order invisaline?

 

[Doctor Bob]

So as not to bias the votes, (ie) does a orthadontist really need to go thru dental school and learn all kinds of dental surgery, anesthesia, etc to then spend three years learning to straighten teeth to ultimately order invisaline?

I am starting to question your understanding of what a specialist or any other medical professional does.

Yes, 95% of my job as an EM physician could be done by a PA, or a nurse, or even a tech. But my training is structured so that when that other 5% of patients come in I have the fund of knowledge to treat them appropriately.

The training length of all of these programs is set to allow for the time needed to become content experts in that field. For your orthodonist example, they learn to handle the bread and butter cases fairly early on in training... then they spend the rest of the time learning to recognize and properly intervene on the zebras that other specialties will send to them for treatment.

And I'm starting to wonder if you have an axe to grind with orthodontists... first they're your "control", then they just "straighten teeth and order invisaline".

 

[TheSeanieB]

I am starting to question your understanding of what a specialist or any other medical professional does.

Yes, 95% of my job as an EM physician could be done by a PA, or a nurse, or even a tech. But my training is structured so that when that other 5% of patients come in I have the fund of knowledge to treat them appropriately.

The training length of all of these programs is set to allow for the time needed to become content experts in that field. For your orthodonist example, they learn to handle the bread and butter cases fairly early on in training... then they spend the rest of the time learning to recognize and properly intervene on the zebras that other specialties will send to them for treatment.

And I'm starting to wonder if you have an axe to grind with orthodontists... first they're your "control", then they just "straighten teeth and order invisaline".

Well Dr. Bob.... The first part was just condescending and completely baseless^999. I am not even going to address.

Then you make some absurd assumptions. If you read the poll results, you would see that very few hold the opinion that ER docs are overtrained including myself. I happen to think that ER docs are some of the least replacable. Are nurses and PAs trained on electrolytes imbalance physiology and drug mechisms?

You are just wrong in your statement, "you have an axe to grind with orthodontists." This has never crossed my mind. In my opinion, I think your opinion on training is wrong also.

Everyone is entitled to their own opinion, that is the what opinion polls are about. I you don't like it, don't participate.

 

[Dral]

Do you mean a person is individually overstrained or the specialy trains too many people?

Derms see a lot of patients, which is why they make decent money.

 

[J-Rad]

This doesn't belong in the Gen Res forum. Moving to TIH.

 

[Johnista]

Are nurses and PAs trained on electrolytes imbalance physiology and drug mechisms?

Yes, I think Nurses are trained in electrolytes imbalance and drug mechanisms. My dad is a nurse and knows this stuff. He knows drugs very well, and in many cases better than the doctors. And this is very helpful when doctors make mistakes, or just don't know any better. My dad often brings up problems to the doctors and pointing out why the patient is having trouble. Many patients out there would be dead without a good nurse. He spends much more time with the patients and can detect problems (ie drug reactions, over dose, and so on).

He reads drug and medical books a lot too though. Takes his job seriously.

A bit off topic, but ENT's are under trained and don't understand or treat some ear conditions, and as a result give out horrible advice that can have dire consequences to peoples hearing and even there whole lives.

Psychiatrists are just drug pushers in many instances and wreck peoples lives, causing them bigger problems than they started with ... practically killed a friend of mine. Don't know if they are over or under trained trained, but idea that drugs are the best or only solution to many psychological or neurophysiological problems is a joke.

John

 

[MedicineDoc]

How can you ever be "too trained" in an area of expertise.

Where is critical care medicine? Give me pulmonolgy and I don't need an intensivist at all. Also very rarely do I wish for infectious disease. Mostly seem to drive up length of stay by recommending antibiotic therapy insurance drags feet on paying for despite any resistance pattern or culture results. Endocrinology a specialty that when they can be helpful can be very helpful but not scarey when not available and often over used when present for things that don't truly require endocrinology. Can be some of the brightest docs including one shining example in residency who was a great teacher with endocrinology and nephrology board certified.

 

[EtherBunny]

This has got to be one of the most ******ed SDN posts of all time. Overtrained? What the hell does that even mean? Every specialty in medicine requires a lifelong commitment to learning, and even then none of us (as physicians) will know everything in our respective fields. There is a massive amount of research in every field.

Orthodontics as the "control" for overtrained? C'mon man. Do you know anything about orthodontics? Did you go to dental school? Did you complete an orthodontics residency?

This is a really stupid thread. All specialties are needed and all specialties require many years of training and studying to become an expert.

 

[Johnista]

Every specialty in medicine requires a lifelong commitment to learning, and even then none of us (as physicians) will know everything in our respective fields. There is a massive amount of research in every field.

Very true, wish more doctors practiced that philosophy, "lifelong commitment to learning."

 

[TheSeanieB]

Just to clarify. Training refers to medical school, residency, and fellowship years. Put another way, is the amount of medical school, residency, and fellowship years too much for a given specialty.

This poll has nothing to do with lifelong learning.

One last point, this is an opinion poll. Opinions can be different but should be presented in a respectful manner. Even if you are certain that your view is correct, it is still an opinion.

 

[MOHS_01]

 

[Instatewaiter]

Where is critical care medicine? Give me pulmonolgy and I don't need an intensivist at all. .

Perhaps that's because almost all pulmonary fellowships are pulm/critical care fellowships... so they are intensivists.

 

[Staradmiral]

Family Medicine, Radiology, Pathology, Anesthesiology. Opthalmology. All should be 1 year shorter than they currently are.

For example. Family medicine is only 2 years in canada, and 3 in the US. If Canada can do it in 2, so can the US.

The prelim year for radio, anes, opthal, etc, is just a joke. It's nothing more than a year of cheap labour they make you do before starting your speciality.

 

[deleted87716]

Family medicine is only 2 years in canada, and 3 in the US. If Canada can do it in 2, so can the US.

Nobody is talking about shortening the length of FM training. In fact, many are talking about lengthening it...especially in Canada.

http://www.cfp.ca/content/58/9/1045

http://www.cfp.ca/content/56/5/410.full

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2668992/

 

[Dharma]

For example. Family medicine is only 2 years in canada, and 3 in the US. If Canada can do it in 2, so can the US.

Hmm... shorten training in a field that requires an intimidatingly large breadth of knowledge and experience in order to gain competence...

Not sure that's such a good idea. Then again, I'm not sure because I'm only a medical student and not a resident or attending in any of the aforementioned fields who would actually understand what kind of training would suffice...