Dual specialty

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
P

PEDOtoothfairy

Full Member
2+ Year Member
Joined
Jul 19, 2023
Messages
24
Reaction score
4
Points
76
Advertisement - Members don't see this ad
Hi,
What are some dual specialties that go well together after pedo for someone interested in continuing their education? Ortho and Pedo or OS and Pedo? I have a strong interest in the medical aspects of dentistry and also ortho.
 
Is your plan to go into academics?
 
Silver_arrow said:
The only specialty that would even make remote sense for pedo to do (as well as some others) would be to do dental anesthesia.

It makes zero sense to even suggest pedo/OS.
Click to expand...
You are right!
I missed the PEDO part of the original post!!!!
(That what happens when I read this stuff between patients.)
 
Silver_arrow said:
The only specialty that would even make remote sense for pedo to do (as well as some others) would be to do dental anesthesia.

It makes zero sense to even suggest pedo/OS.
Click to expand...
Thank you! Why does ortho not make sense?
 
Advertisement - Members don't see this ad
I have a great professor who did endo and peds! Not sure how practical that is - obviously they are in academics
 
Last edited:
PEDOtoothfairy said:
Thank you! Why does ortho not make sense?
Click to expand...
Most orthodontists choose the field bc they don’t ever want to pick up a handpiece or perform any invasive procedure the rest of their lives. The beauty of ortho lies in the lack of liability. I’m not saying there isn’t any liability, but it’s significantly reduced. They sleep well at night knowing they didn’t fill a nerve canal with endo sealer etc.

From a business standpoint you’d be stocking your office with a ton supplies that would effectively raise your overhead. That’s not good.

Cost of tuition to specialize in both areas would be high. Loss of opportunity cost.

Assistants. The bane of all providers. Most assistants don’t like to do everything. And hate doing multiple specialties. At least the high productive and good ones say this. They are very skilled in one particular field.
 
PEDOtoothfairy said:
I am considering it, but I am still not too sure.
Click to expand...

I think anesthesia makes the most sense. My wife is a pediatric dentist and she doesn’t want to do any anesthesia at all, personal preference of course. She’d rather hire a DA or an MD anesthesiologist to come in and do it.

None of the other specialties really make a lot of sense in my opinion. I personally don’t believe the time you take to do another specialty is worth it in the long run and you’re losing out on at least 2-3 years of private practice or academic based income.
 
OS and peds would be pointless. If you wanted to work with kids just do an additional year of peds craniomaxillofacial. Just a weird pairing. I’m not even sure what your clinical practice would look like with peds/OS.

People do peds ortho, but talking to enough people in both specialties most would discourage it. If you’re doing primarily peds then your ortho patient base will basically only be your peds patients, I’m not sure anyone would refer to you. Like someone above said, this means you’re stocking things that you won’t use all the time, training assistants, etc. it’s just not efficient. Most would recommend focusing on one.
 
Last edited:
I don’t think peds pairs well with other specialties. What are your career goals?
 
Doing pedo and anesthesia can work, but in all reality it also doesn’t make sense.
Not because one can’t do it effectively, or safely. Doing your own anesthesia will slow you down.

The pediatric patient will generally be intubated with a secure airway. Having to extubate and recover the patient on your own etc, will require a lot of time. That’s time you could have been treating other patients.

In OMFS we typically perform intravenous deep sedation/GA which has a rapid onset and rapid recovery. This does not slow us down and we are able to maintain a high volume template. It makes sense for us to utilize our anesthesia team model.
 
Advertisement - Members don't see this ad
Silver_arrow said:
The only specialty that would even make remote sense for pedo to do (as well as some others) would be to do dental anesthesia.

It makes zero sense to even suggest pedo/OS.
Click to expand...
Now DA requires CBSE. Gotta grind to get in.
 
re2pect said:
Now DA requires CBSE. Gotta grind to get in.
Click to expand...
With the amount of money dental anesthesiologists get in private practice, their fully paid residency, and a truly fun rewarding job, it should easily become the second most hardest specialty to get into. Getting a competitive top score on the cbse is a no brainer for this specialty.
 
Silver_arrow said:
With the amount of money dental anesthesiologists get in private practice, their fully paid residency, and a truly fun rewarding job, it should easily become the second most hardest specialty to get into. Getting a competitive top score on the cbse is a no brainer for this specialty.
Click to expand...
How much $?
 
Gustavo dos Santos said:
OS and peds would be pointless. If you wanted to work with kids just do an additional year of peds craniomaxillofacial. Just a weird pairing. I’m not even sure what your clinical practice would look like with peds/OS.

People do peds ortho, but talking to enough people in both specialties most would discourage it. If you’re doing primarily peds then your ortho patient base will basically only be your peds patients, I’m not sure anyone would refer to you. Like someone above said, this means you’re stocking things that you won’t use all the time, training assistants, etc. it’s just not efficient. Most would recommend focusing on one.
Click to expand...
Thanks! What programs offer peds craniomaxillofacial without MD/Ortho training?
 
Silver_arrow said:
Doing pedo and anesthesia can work, but in all reality it also doesn’t make sense.
Not because one can’t do it effectively, or safely. Doing your own anesthesia will slow you down.

The pediatric patient will generally be intubated with a secure airway. Having to extubate and recover the patient on your own etc, will require a lot of time. That’s time you could have been treating other patients.

In OMFS we typically perform intravenous deep sedation/GA which has a rapid onset and rapid recovery. This does not slow us down and we are able to maintain a high volume template. It makes sense for us to utilize our anesthesia team model.
Click to expand...
Thanks! The only problem is that there are no anesthesiology programs on the West Coast. Some programs, like UCLA, offer dental anesthesiology under OMFS.
 
PEDOtoothfairy said:
Thanks! The only problem is that there are no anesthesiology programs on the West Coast. Some programs, like UCLA, offer dental anesthesiology under OMFS.
Click to expand...
I didn’t think UCLA trained residents in DA. It wasn’t on the match list
 
PEDOtoothfairy said:
Thanks! What programs offer peds craniomaxillofacial without MD/Ortho training?
Click to expand...
The MD is just an added credential, but fellowships accept single degree surgeons, most people applying just happen to be dual degree. Ortho training would be a complete waste since craniofacial fellowships are based on what you learned in your OMFS residency.
 
(Late to the show-just saw thread). Years back UTSA had a Peds/MD combo program like OMS/MD. It did not last long and not sure how many went through the program. It combine Pediatric Dentistry with formal MD degree and pediatric medicine. still don’t know why that never took off. Seems a pediatric dentist with combined MD would work well.
 
bcwilliamson said:
(Late to the show-just saw thread). Years back UTSA had a Peds/MD combo program like OMS/MD. It did not last long and not sure how many went through the program. It combine Pediatric Dentistry with formal MD degree and pediatric medicine. still don’t know why that never took off. Seems a pediatric dentist with combined MD would work well.
Click to expand...
Interesting concept. It seems that many specialties could crossover into incorporating an MD. But why need it? Why not just incorporate more medicine into the pediatric dentistry residency and expand scope of practice? This isn't to say they should be able to take over the pediatric physicians scope at all, but just an expanded residency and maybe a few more abilities
 
Advertisement - Members don't see this ad
D1Bound said:
Interesting concept. It seems that many specialties could crossover into incorporating an MD. But why need it? Why not just incorporate more medicine into the pediatric dentistry residency and expand scope of practice? This isn't to say they should be able to take over the pediatric physicians scope at all, but just an expanded residency and maybe a few more abilities
Click to expand...

That may be why the program did not last long. Too many logistical problems. I believe the program was not to create a pediatric dentist & pediatrician, but to allow more medical training. Maybe a third year option/requirement to allow more anesthesia rotations and more pediatric medicine rotations. Just a thought.
 
2TH MVR said:
Dental anesthesia .... Truly fun rewarding? Really?
Click to expand...
What’s not rewarding about being able to use magic potion to make people sleep and then bring them back to consciousness? It is an awesome service to people with crippling anxiety.
 
2TH MVR said:
Dental anesthesia .... Truly fun rewarding? Really?
Click to expand...
Rewarding to provide a service that allows some of the most underserved, vulnerable patients to receive dental care they desperately need, all while being intellectually stimulating and highly compensated
 
SuxDrugs&Rocuronium said:
Rewarding to provide a service that allows some of the most underserved, vulnerable patients to receive dental care they desperately need, all while being intellectually stimulating and highly compensated
Click to expand...
This this this
 
Interesting thread. Dual specialty, hmmm, I always thought that Peds was sort of stand alone. I knew of a Peds/DA dual practitioner but he ended up practicing DA specifically even though he did Peds second. Perio/Pros, Rads/Path, those always seemed similar and I think that Oral Med/OMS might be a good combination or OMS/TMD/Facial Pain. But thats just my two cents.
 
nade0016 said:
Interesting thread. Dual specialty, hmmm, I always thought that Peds was sort of stand alone. I knew of a Peds/DA dual practitioner but he ended up practicing DA specifically even though he did Peds second. Perio/Pros, Rads/Path, those always seemed similar and I think that Oral Med/OMS might be a good combination or OMS/TMD/Facial Pain. But thats just my two cents.
Click to expand...
how would you, as a PD, see an applicant if they are applying from a different specialty to OMS?
 
You must log in or register to reply here.

Similar threads

Balancedocclusion
Dual Specializing Pros-Ortho
Replies
11
Views
2K
Pickle Dental
Pickle Dental
I
Surgical prosthodontic specialty
Replies
6
Views
2K
DentalProsthAspirant
D
D1Bound
Serious post: Why dual degree OMS residency?
2 3
Replies
110
Views
12K
D1Bound
D1Bound
P
  • Poll Poll
Choosing a Dental Specialty Career!
Replies
0
Views
932
PGP Dental Consultancy
P
Schindlerelactobaciloma
Is Case Western the Only 5-Year Dual Degree OMFS Program?
Replies
1
Views
3K
Jaa_
Jaa_
Top Bottom