CYA medicine

[Pembleton]

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I'm thinking of future specialties and I was wondering which field has the least CYA (cover your a**) medicine involved. I'm a fairly idealistic person and I don't want to be the cynic medicine seems to make of people. My autonomy is also very important to me. The ability to practice as I see fit without a fear of lawsuit or being guided by the whims of health insurance companies is very critical to me. I was wondering if pathology fits this criteria?

 

[Tired]

I'm thinking of future specialties and I was wondering which field has the least CYA (cover your a**) medicine involved. I'm a fairly idealistic person and I don't want to be the cynic medicine seems to make of people. My autonomy is also very important to me. The ability to practice as I see fit without a fear of lawsuit or being guided by the whims of health insurance companies is very critical to me. I was wondering if pathology fits this criteria?

Um . . . ASCUS.

'nuff said.

 

[Pembleton]

Um . . . ASCUS.

'nuff said.

hunh???

 

[naegleria brain]

i thought the thread title meant "see ya, medicine". if that's your worry, you should say see ya to medicine. what is this acus thing?

 

[Tired]

hunh???

I'm not really being totally fair, but it seems like Pathology and Radiology both have a number of "diagnoses" that are really code for "Do more tests, I don't want to make a hard call." ie - ASCUS, or "clinical correlation required". It's the ulimate defensive medicine.

 

[Tired]

i thought the thread title meant "see ya, medicine". if that's your worry, you should say see ya to medicine. what is this acus thing?

Pap smear interpretation. "Atypical Squamous Cells of Undetermined Significance".

ie - do a PCR for HPV, and maybe end up getting a colpo

 

[deleted77919]

In the alternative find another health system (read: another country) with less CYA medicine. Note that this will involve a serious enough pay cut debt from a US allopathic school might be oppressive.

 

[Critical Mass]

Some would say (perhaps unfairly) that there are career paths that have little CYA because they just refer out if they're unsure of something.