culture of OMFS

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sosnoncat

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Hello,

I am a current noncat admittedly struggling with the particular role I am in, but had a thought today.
I was wondering what the point of OMFS culture is. How is it supposed to benefit the resident? Everyone who has been through it says you need a thick skin, or this is how it is we've all had to do it, but I genuinely don't understand what the value of having a thick skin is after graduating. Does it make you a better, more capable surgeon? I have seen attendings make fun of crying patients, asleep patients, fat patients, residents. The culture just seems like it makes everyone jaded and compassionless. What am I missing?
 
Sounds like a lack of professionalism at that program. Not all programs are like that. My attendings did not do that. Try not to become jaded or compassionless. Your patients will really appreciate your kindness.
 
Hello,

I am a current noncat admittedly struggling with the particular role I am in, but had a thought today.
I was wondering what the point of OMFS culture is. How is it supposed to benefit the resident? Everyone who has been through it says you need a thick skin, or this is how it is we've all had to do it, but I genuinely don't understand what the value of having a thick skin is after graduating. Does it make you a better, more capable surgeon? I have seen attendings make fun of crying patients, asleep patients, fat patients, residents. The culture just seems like it makes everyone jaded and compassionless. What am I missing?
Millions of dollars changes people often not for the better.
 
Surgery is a challenging field and everybody has complications. Having “thick skin” or the ability to not be easy rattle is crucial. The old school way works in that sense but the downside is it often leaves you jaded and compassionless especially for your patient.

So the trick is to help resident develop a thick chin without making them into monster.

Yesterday I got called out for not being read up on a case as I should have been. I was also on hour 36. Was it fair? No but he was right and he was very respectful about it. The gig is hard and you have to be able to do hard things.
 
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lol from my experiences and referrals OMFS is challenging exo and 3rd molar cases. I NEVER EVER refer implants to OMS because I always have restorative issues. my latest one was an anterior that was placed so facially that it could not be restored with a screw-retained and required a cement-retained. Again, in my experience OMS treat implants as a surgical procedure and not a restorative procedure with a surgical component. I always refer to Perio (ESPECIALLY if it’s anterior if I don’t feel comfortable doing myself), or if it’s a tough case all around, I refer to prosth.
 
lol from my experiences and referrals OMFS is challenging exo and 3rd molar cases. I NEVER EVER refer implants to OMS because I always have restorative issues. my latest one was an anterior that was placed so facially that it could not be restored with a screw-retained and required a cement-retained. Again, in my experience OMS treat implants as a surgical procedure and not a restorative procedure with a surgical component. I always refer to Perio (ESPECIALLY if it’s anterior if I don’t feel comfortable doing myself), or if it’s a tough case all around, I refer to prosth.
Honestly, it’s disheartening to hear that previous surgeons have let you down. Fortunately, I believe things are changing. There's a growing emphasis amongst residents on placing implants that are not only functionally sound but also aesthetically ideal. The outdated mindset of "place the implant where the bone is" is quickly fading, and changing to a guided approach rooted in prior planning. I think this will be evident with the new generation of residents graduating from programs nowadays.

But just like any practitioner, we can also have bad cases and are not immune to complications 🤷‍♂️
 
Ignore the schmoob's post above. They are gaslighting.

For culture in OMS: That depends, how many families have you had to tell that their child was brain dead, or that the cancer they patient had was terminal. At this point in your career I am going to assume this has not been a scenario you have been placed into, but I have been in these situations. The seriousness and severity of parts of the OMS resident training unfortunately can lead to a "gallows humor" type of mentality. I can see that from time to time I fall into that mindset. Should you have thick skin....well it will help to be able to disengage from the emotional aspect of some of what OMS training involves. Does that bleed over into other areas, for sure. Its not great and difficult for some to understand, but those who have not been through the gauntlet (see schmoob above) really have not idea what OMS residency involves. I equate OMS residency, most surgical residencies for that matter, to be similar to the shared trauma and bond that military people feel toward colleagues.

Now, does that excuse the behavior of faculty and staff, NO. Compassion and patient centered care is always the goal. Do certain patients make me regret my choice, yup, from time to time. But there are also great, appreciative patients who are so thankful for the care that OMS's provide. I always try to be conscious of the patient experience as best I can but it can be difficult working with the public and some of the levels of expectations patients have.

Culture is variable and not static, keep your eye on the prize because if you match and complete residency, the financial, personal and professional rewards are great. Just imagine a point in your life where you don't even need to look at your bank account except every 4-6 months , your day to day life is rewarding yet not-overly stressful, and you get to choose where and how ofter to vacation. etc. That's what results on the backside of OMS residency. As a academic and PP OMS, its a great job and lifestyle. The work life balance can be tough, but not all the time, as with any job there are downsides and upsides. The upsides far outweigh the downsides, I have several trips planned over the next 12 months including, Hawaii, Ireland, DC, Finland, Florida, Atlanta, and others. This is what OMS allows, as do other specialities, but I really like mine. I make a real difference help people. Sometimes its a painful tooth, sometimes its a malformed/developed jaw, sometimes it is a Lyme scooter accident. But I feel that I am making a difference in peoples lives daily.

Stay the course and if you get down, PM me. Let me pump you up for a great career.
 
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