Advice with Ped/Derm/ER

[gary5]

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Hi.

These are specialties that I'm interested in:

Pediatrics - I like working with children

Dermatology - I like the light, casual, superficialness (no pun intended), and, of course, lifestyle, $$

Emergency - I like the variety, the uncertainty, the challenge, the excitement

Instead of having to choose between these, perhaps I could combine them. Any recommendations or ideas of specialties that have a good combination of my desirables from above?

Thanks in advance for any and all insight.....


😛 😍 😛

 

[wick215]

There are Ped/EM residencies ! I am sure you will see an occassional derm case , parents are pretty paranoid about their children (a good thing for Peds).

 

[ny skindoc]

You could do pediatric dermatology.These fellowships require a three year dermatology residency first.Many have done a peds internship as well.

 

[gary5]

Originally posted by wick215
There are Ped/EM residencies ! I am sure you will see an occassional derm case , parents are pretty paranoid about their children (a good thing for Peds).

Thanks wick215! 😀

 

[gary5]

Originally posted by ny skindoc
You could do pediatric dermatology.These fellowships require a three year dermatology residency first.Many have done a peds internship as well.

Hi ny skindoc,

I feel a little naive here. Would it work like this?:

1 year - peds internship
3 years - dermatology residency
1? year - peds derm fellowship

Thanks,
Gary

 

[DrQuinn]

A pedi derm would probably be like:

Pedi 3 yrs or Pedi/IM 4 yrs
Dermatology 3-4 yrs.

Ugh!

Just stick with EM, you'll see enough pedi patients, and if REALLY like the pedi patients, you can always specialize in Pedi EM.

Q, DO

 

[ny skindoc]

Yes Peds Derm is usually 1 year peds,3 Derm,1 Peds Derm fellowship.the most difficult part is getting the Derm. http://www.pedsderm.net/ABDcertification.htm http://www.pedsderm.net/news_fellowships.htm

 

[gary5]

Originally posted by ny skindoc
Yes Peds Derm is usually 1 year peds,3 Derm,1 Peds Derm fellowship.the most difficult part is getting the Derm. http://www.pedsderm.net/ABDcertification.htm http://www.pedsderm.net/news_fellowships.htm

Thanks!

😛 😛

 

[roja]

I agree with QuinnNSU. (except the part about loving peds...) You can do EM with a peds fellowship and you definately see a lot of derm in peds....

 

[edmadison]

Originally posted by gary5
Hi.

These are specialties that I'm interested in:

Pediatrics - I like working with children

Dermatology - I like the light, casual, superficialness (no pun intended), and, of course, lifestyle, $$

Emergency - I like the variety, the uncertainty, the challenge, the excitement

I'm confused. You like light, casual and superficial work which is uncertain, challenging and exciting? I think you have to decide what is most important to you. Lifestyle and money are almost mutually exclusive of Pediatrics and most Pediatric sub specialties. ED has a good lifestyle since its shift work, and you can certainly do Peds ED. One other area which fits the uncertain, challenging exciting aspect is critical care medicine. It's shift work like ED, but all the people are really sick.

Ed

 

[Homunculus]

Originally posted by edmadison
One other area which fits the uncertain, challenging exciting aspect is critical care medicine. It's shift work like ED, but all the people are really sick.

Ed

at the moment that's my goal-- peds intensivist. good stuff. 🙂

 

[DocWagner]

I see more crazy rashes on people in their most acute stage than ANY dermatologist...I see far too many carbuncles, furuncles, and vessicular, scaly, seeping, pruritic, eruptive rashes for my own liking as it is! If a patient gets a crazy rash...they flip out and see a EM doctor, not a dermatologist (they don't have the time to wait 2 weeks for the appointment)

Dermatologists see rich girls with zits.
EM doctors see sick people that are flipping out.

 

[ny skindoc]

I have great respect for EM physicians and their ability to handle acute problems and get people over crises but "seeing more people' with "crazy" rashes is not the same thing as being an expert in the subject.I routinely see patients who have been to the ER, and the signed out diagnosis and treatment is often far removed from what it should be.But thanks for taking care of the tough derm cases so we can concentrate on the rich girls!

 

[DocWagner]

HA!😉


Part of my point was that most times the "rash" is rather a dermatological manifestation of a bigger problem...the bigger problem is what I am more interested in.

Sure I have seen my fair share of drug eruptions, scabies, flea bites, tinea, and roseola than you can shake a stick at. Each of those cases are usually more acute than the Dermatologists patients. Hey, I love it!

 

[Apollyon]

I still laugh at the age-old derm joke:

If it's wet, dry it.
If it's dry, wet it.
If they're on steroids, stop them.
If they're not on steroids, start them.
If none of this works, biopsy!