FP or specialize?How much OMM?

[FutureFemmeDoc]

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Hi to the future DOs out there! Granted that about 60% of DOs go into Family Practice, I was wondering if you guys already know if you go the FP route or specialize? In addition, to what degree do you think you will use OMM in your practice?? Personally, I have worked at a Children's Hospital for the last 4 years and would love to go into Peds but I don't see a lot of the DOs use OMM on their pediatric patients.... 🙄

 

[medic170]

Hi to the future DOs out there! Granted that about 60% of DOs go into Family Practice, I was wondering if you guys already know if you go the FP route or specialize? In addition, to what degree do you think you will use OMM in your practice?? Personally, I have worked at a Children's Hospital for the last 4 years and would love to go into Peds but I don't see a lot of the DOs use OMM on their pediatric patients.... 🙄

I think its very hard to say, at least for me, until I have been on some rotations and experienced the different specialties.

 

[OSUdoc08]

Hi to the future DOs out there! Granted that about 60% of DOs go into Family Practice, I was wondering if you guys already know if you go the FP route or specialize? In addition, to what degree do you think you will use OMM in your practice?? Personally, I have worked at a Children's Hospital for the last 4 years and would love to go into Peds but I don't see a lot of the DOs use OMM on their pediatric patients.... 🙄

OMM is used on pediatric patients just as much as it is used on adult patients. We have a pediatrician who taught one of our OMM classes who thinks OMM works better on young children than even adults.

I'm sure you know, but to the others who read this, keep in mind that Family Practice IS a specialty. You don't just become one by default---you have to do a residency just like pediatrics or internal medicine. It is a common misconception, believe it or not.

Some of the specialties my close MS-I classmates have already decided on include Emergency Medicine, Family Practice, Pediatrics, Internal Medicine, Orthopedic Surgery, Colon & Rectal Surgery, Urology, and Sports Medicine.

 

[FutureFemmeDoc]

OMM is used on pediatric patients just as much as it is used on adult patients. We have a pediatrician who taught one of our OMM classes who thinks OMM works better on young children than even adults.

I'm sure you know, but to the others who read this, keep in mind that Family Practice IS a specialty. You don't just become one by default---you have to do a residency just like pediatrics or internal medicine. It is a common misconception, believe it or not.

Some of the specialties my close MS-I classmates have already decided on include Emergency Medicine, Family Practice, Pediatrics, Internal Medicine, Orthopedic Surgery, Colon & Rectal Surgery, Urology, and Sports Medicine.

Yeah I should have referred to Primary Care in general... Hmmmm, I was under the impression that orthopedic surg was a super hard residency for DOs to get into... It is hard enough for MD grads to get into derm, anesth, ortho to begin with.. but I may be wrong.

 

[medic170]

Yeah I should have referred to Primary Care in general... Hmmmm, I was under the impression that orthopedic surg was a super hard residency for DOs to get into... It is hard enough for MD grads to get into derm, anesth, ortho to begin with.. but I may be wrong.

there are a lot of DO orthos because, in addition to the allopathic residencies, there are also a lot of AOA and dual residencies in ortho.

 

[OSUdoc08]

Yeah I should have referred to Primary Care in general... Hmmmm, I was under the impression that orthopedic surg was a super hard residency for DOs to get into... It is hard enough for MD grads to get into derm, anesth, ortho to begin with.. but I may be wrong.

There are many osteopathic orthopedic residencies, including a couple in my state alone, even though we have only one osteopathic school. Obviously the MD's can't compete for these spots. Those other residencies you list are also available with the AOA.

As a result, DO's can apply to quite a few more spots than MD's, since they can apply to as many ACGME & AOA residencies as they want to.

 

[FutureFemmeDoc]

I have to admit, I wasn't aware of the advantage DOs have when applying for ortho residencies. Mainly because I don't want to go into ortho so I hadn't looked into it. Good to know though. Thanks.

I still don't see how OMM can be amply used in pediatric patients... The majority of Peds DOs I have talked to claim they hardly use it. But then again, I work in a peds ICU so it is completely different than general peds.

What about you OSUdoc? You are going into ER medicine, right? Are you worried about the 15 year burnout??

 

[stoic]

I still don't see how OMM can be amply used in pediatric patients... The majority of Peds DOs I have talked to claim they hardly use it. But then again, I work in a peds ICU so it is completely different than general peds.

Your statement doesn't make any sense. Most DO's don't use much OMT, but that doesn't mean it isn't indicated in the majority of patients (including children). In fact, some of the newest research on OMT efficacy has shown that it's useful for treating otis media.

The bottom line is that if you want to use OMT on every patient that walks through the door, you probably can.

 

[OSUdoc08]

I have to admit, I wasn't aware of the advantage DOs have when applying for ortho residencies. Mainly because I don't want to go into ortho so I hadn't looked into it. Good to know though. Thanks.

I still don't see how OMM can be amply used in pediatric patients... The majority of Peds DOs I have talked to claim they hardly use it. But then again, I work in a peds ICU so it is completely different than general peds.

What about you OSUdoc? You are going into ER medicine, right? Are you worried about the 15 year burnout??

"Burnout" in Emergency Medicine as a common reason for changing professions is a myth. Most Emergency Physicians I talk to disagree with the existence of the "burnout" phenomenon. The longevity in the specialty is similar to that with other specialties.

What that being said, I plan on doing a fellowship in sports medicine. It is a one-year fellowship if you previously have done a residency in EM, IM, FP, or PEDS. Of those, most easily in emergency medicine can you work multiple jobs, since you have no commitments outside of your shift to patients or to being "on-call." As a result, I will likely phase out the full-time EM to part-time, to focus on my sports medicine job later on. I of course will hit the EM as hard as I can as long as I can.

15 years of practice would put me at 44, and that would not be long enough at all.

 

[FutureFemmeDoc]

Back to OMT... Stoic, I heard about treating kids with ear infections using OMT. OMT was even used on kids with asthma..!! That's pretty cool as long as the kids don't fight it too much..

Guys take a look at the following article (it's not too long.. 🙂 )

http://news.bbc.co.uk/1/hi/health/4022963.stm

I don't know if the stats have changed but supposedly 9 out of 10 people in the US don't know about DOs. I hope the word about them gets out there a lot more..Maybe some PSAs, shows on TLC? 🙄

"Burnout" in Emergency Medicine as a common reason for changing professions is a myth. Most Emergency Physicians I talk to disagree with the existence of the "burnout" phenomenon. The longevity in the specialty is similar to that with other specialties.
15 years of practice would put me at 44, and that would not be long enough at all.

OSUdoc, sounds like you have a good plan. I don't think the notorious 'burnout' is a complete myth... Some of the ER docs I talked to say it is bull, some say they don't plan on practising ER med past the age of 50...I don't think this is just isolated in ER med. There are burned out docs in all fields.. BTW does Dr. Mills teach any of your classes at OSU?

 

[DrMom]

Dr Mills teaches once or twice during MS1 and is a regular weekly instructor in the MS2 OMM lab. I think she lectured once or twice during MS2, too.

Some people rotate with her during MS3/4, but she's a hard one to get in with.

 

[OSUdoc08]

Dr Mills teaches once or twice during MS1 and is a regular weekly instructor in the MS2 OMM lab. I think she lectured once or twice during MS2, too.

Some people rotate with her during MS3/4, but she's a hard one to get in with.

Thanks DrMom, you've always got my back

 

[DrMom]

Thanks DrMom, you've always got my back

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