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High and low status specialities.

Discussion in 'Medical Students - MD' started by Singh, Dec 1, 2005.

  1. Singh

    Singh Senior Member
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    Hello,

    Which specialities are considered high and low status specialities respectively?

    I've heard many say that Psychiatry and Family medicine belong to the lower end, while Thoraxsurgery, Neurosurgery, Plasticsurgery and Anaesthesiology belong to the high end. Would you agree?

    This so-called "status-list" doesn't really affect my choice of speciality, but it's interesting to read how my fellow students rate different specialities.
     
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  3. skypilot

    skypilot 2K Member
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    I think if you talked to the general public they would put Emergency Medicine and Neurosurgery as high status. I don't think they would put Plastic Surgery or Derm as high status because they think they only do boob jobs and Botox.

    Family medicine can be very high status if you are one of a few doctors in a town. Or if you are everybody's favorite doctor with a long list of patients waiting for appointments. Or if you saved someone from diabetes complications or caught their cancer in time.

    Anesthesiologists- the general public doesn't understand the job. Radiologists they think are technicians.

    Most doctors would not put Emergency Med or Anesthesia as high status.
     
  4. Law2Doc

    Law2Doc 5K+ Member
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    Nobody in the profession talks of high versus low status. They may divide specialties into degrees of competitiveness, or years of training, and salary often follows these distinctions, but certainly as a prior poster has indicated, the public would not have a clue as to such competitiveness distinctions. If you want to impress people at large (outside the medical community) with status, it matters little what specialty you have, but what toys you buy. Drive a porsche, get yourself a trophy wife, wear armani, and people will regard you as a status symbol (and a pretentious SOB). You can achieve this outward form of "status" just as easilly as a FP as you can as a dermatologist. Not sure if you would want to, but if it rocks your boat, super.
     
  5. quideam

    quideam Too tired to complain
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    *groan* Can't this sort of silliness be reserved for the pre-allo forum? Come on, there must be better things to start threads about.... how about: "Opinions on cheese: choosing the better taste or texture?" <rolls eyes>
     
  6. Law2Doc

    Law2Doc 5K+ Member
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    I say texture.
     
  7. quideam

    quideam Too tired to complain
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    Texture?? that's just silly. Clearly your MCAT/SAT/USMLE scores weren't very good or else you'd know that taste is way better.
     
  8. Law2Doc

    Law2Doc 5K+ Member
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    Darn multiple choice tests... :mad:
     
  9. skypilot

    skypilot 2K Member
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    You can't beat the texture of a good Leiderkranz as it rolls off your tongue. Both the cost and the smell of that cheese confer high status.
     
  10. quideam

    quideam Too tired to complain
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    I agree, the smellier the better... but then again, most people seem to like the basic american/ swiss/ cheddar families of cheeses. So should i choose a simpler cheese or go for the smelly ones?? I want to make sure that people really respect my cheese choice.
     
  11. skypilot

    skypilot 2K Member
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    I would go for imported and smelly so when you cut the cheese everyone will know that you are a connoisseur of fine cheeses.
     
  12. Simonster

    Simonster Member
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    They just don't know what they're missing. I think we are missing a vital piece of the question, though - what wine are we drinking with said cheese?
     
  13. Law2Doc

    Law2Doc 5K+ Member
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    Kiwi flavored Mogen David.
     
  14. quideam

    quideam Too tired to complain
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    oooh... fancy :D
     
  15. Law2Doc

    Law2Doc 5K+ Member
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    It's a "status" thing. :D
     
  16. OwnageMobile

    OwnageMobile is just a moniker.
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    There is probably a close correlation between "status" and comptetittion for residency slots imho. Now in the public's eye, things may be skewed a bit.

    mmm blue cheese...
     
  17. blkkd

    blkkd Electrically relaxing
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    To Law2Doc and guideam "Much RESPECK"- Dylan...i haven't seen a thread jacking this well orchestrated since the ice cream fiasco of '42....
     
  18. quideam

    quideam Too tired to complain
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    that's quideam, with a "Q" as in Dairy "Q"ueen... as in mmm... ice cream did you say???

    And what's this about blue cheese?? Next thing you know, they'll be out there like the family medicine guys eating their low-prestige mozz string cheese and thinking they're all 'cool' or something! Sheesh ;)

    Q
     
  19. Simonster

    Simonster Member
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    :confused: I thought they ate that kraft powder cheddar. Or is that peds? Well, back to the OP's question: I'm thinking about psychiatry because I think it will be an awesome field to get into. And if I had the choice of doing something massively more competitive, like derm, I wouldn't take it. Because when I look at skin, I get bored. And yes I know that dermatologists have to know a lot...but I still just get bored when i think about it. When I think about the brain & behavior and working with crazies like myself, I get excited. So why are you concerned about status? Who would you like to impress? I don't mean that in a negative way, but it would be interesting to know.

    Also, what is your favorite cheese?
    If you like brie, you may also want to consider psychiatry. I consider brie medium status, but if you pair it with the right fruit it is wonderful.
     
  20. yellowcat322

    yellowcat322 Senior Member
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    What if you like Kraft American singles -- you know, the ones that say "processed cheese food" -( still trying to figure out what that's all about.) I guess if you're eating that, you should be in chiropractor college -no?
     
  21. quideam

    quideam Too tired to complain
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    Well, technically yes, but if you just make it a point to have a little high-end cheese during public appearances, then you should be able to pass yourself off as a "real" doctor. Maybe even as a plastic surgeon, if you throw in a little Marlot and bring a cute blonde chick with you ;)
     
  22. ShyRem

    ShyRem I need more coffee.
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    dang.. the really sad part about this thread is I grew up in a house where we regularly had wine and cheese tasting parties. I have still never had cheeze-whiz. Or blue-box macaroni and cheese. Gimme my gruyere, irish cheddar, and triple-cream brie.
     
  23. Immolatis

    Immolatis MUO 2009
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    mmm, a nice pinot noir or red zin and a slice of epoisse!

    Talk about smelly cheese, imagine walking into the animal section of the county fair, taking a biiiig inhalation (you know the kind where you can taste the smells - think day 1 of gross lab)

    THAT is one of God's good foods :)
     
  24. surrender903

    Physician Classifieds Approved 10+ Year Member

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    people people... we are missing the IMPORTANT FACT HERE :

    do you say centimeter or ceauntemeter!??!?!!!

    "honey id like another ceauntemter of chese" ( neuro)

    "wench, cut me off another hunk of that shiznit" (FP,psych)
     
  25. blkkd

    blkkd Electrically relaxing
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    Sorry I can barely read because well i'm a future gastro...we rock kraft singles...
     
  26. Sustiva

    Sustiva Member
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    By "high status," do you mean most competitive residencies/fellowships???
     
  27. Sustiva

    Sustiva Member
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    By "high status," do you mean most competitive residencies/fellowships???
     
  28. Law2Doc

    Law2Doc 5K+ Member
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    I think we decided they were talking about cheese.
     
  29. lnn2

    lnn2 Oral Fixation
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    it depends on what you do with it! ;)
     
  30. Singh

    Singh Senior Member
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    Yes you can say that.
     
  31. PiccoloPlaya82

    PiccoloPlaya82 Membership Revoked
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    How about a Porsche with a jacuzzi in the back along with a trophy husband? :D
     
  32. Pollicis

    Pollicis Member
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    I'd much rather have the respect of my peers any day over the respect of my neighbor, who almost invariably happens to be a bit of an idiot.
     
  33. MSHell

    MSHell Deranged User
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    re: status
    do what you like, and do it well.

    re: cheese
    depends on what it is being consummed with and my mood, but my favorites are brie, camembert and emmenthal
     
  34. run4boston

    run4boston formerly Run
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    Sure, I think in general, med students may put neurosurgeon into a 'higher status' than family practice because of the relative difficulty of entry, time commitment, and apparent 'stress-level'. But, I don't think a neurosurgeon is any more important to society than a family practice physician. After all, who does the average person go to more often when they are sick? (assuming he/she don't have a neurological disorder). :)
     
  35. run4boston

    run4boston formerly Run
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    Sure, I think in general, med students may put neurosurgeon into a 'higher status' than family practice because of the relative difficulty of entry, time commitment, and apparent 'stress-level'. But, I don't think a neurosurgeon is any more important to society than a family practice physician. After all, who does the average person go to more often when they are sick? (assuming he/she doesn't have a neurological disorder). :)
     
  36. OwnageMobile

    OwnageMobile is just a moniker.
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    :rolleyes:
     
  37. ddmo

    ddmo BMF
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    In no specific order.

    Lay Person:
    Neurosurgery
    Cardiothoracic Surgeon
    Transplant Surgeon
    Orthopaedics
    Other surgical specialties
    ER doc

    Competitive Residencies:
    Dermotology
    Opthamology
    Neurosurgery
    ENT
    Orthopaedics
    Radiology
    Integrated Plastics

    Just to name a few. :oops:
     
  38. DrBowtie

    DrBowtie Final Countdown
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    Off topic but one of your posts is used in the about section as an example of how to report a post with the red triangle.
     
  39. Paws

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    Well, I think about family practice and I would say it is all in how you play it. I mean, you could be a NS in a big city and have all the flash and whatever. Is that prestigous? maybe, depends on your outlook. Is this person happy with their mindnumbing residency requirements, their lack of time (=life?) and that maybe they can't seem to hold onto a spouse? Ok, you know what I mean.

    As a family practitioner, I can practice in a rural area and have a small farm. Raise my kids in the big fields out back and have my friendly neighbor down the street watch them when I am at work. I can do: radiology, surgery, peds, geriatrics,a little hematology, and whatever else happens to walk in that day. Oh yes! ER trauma, and house calls.

    So I think I get to have a pretty fulfilling career and still have my little family raised in a nice environment. That seems pretty prestigous to me, how can you look down on that? :)
     
  40. Poety

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    I'm going into psych and thats "wench, cut me off another hunk of that landolakes white american" if you want to know how its REALLY done :laugh:
     
  41. run4boston

    run4boston formerly Run
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    sounds like a plan! ;)
     
  42. kryptokal

    kryptokal Junior Member
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    Status is not only a ridiculous measure of a specialty's worth, but these kinds of labels often change with the times.

    10-15 years ago, tell someone you're an anesthesiologist or ER doc, people wouldn't have "ooh'd" and "aaah'd" like they do now. But supply and demand changed. 20 years ago, say you're an obstetrician or general surgeon, people thought you were the begin-all and end-all of medicine. Now? People feel sorry for you if you're in those fields.

    The moral of the story?

    Internal Medicine is the pits, no matter when or where you are...

    :) just kidding.
     
  43. rpkall

    rpkall Darwin Award Winner
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    Some specialties ARE more difficult to get into, they DO require an increased time commitment, and they ARE higher stress. More power to my peers who want to be neurosurgeons. The problem is that when you spend your entire life working towards a goal that begins to define your humanity, you start looking down at other people with a more well-rounded, realistic approach to a fulfilling life not entirely focused on career achievement. Medical students and residents are especially good at this, since most are type-A folks who are goal-oriented, reward-focused, and competitive by nature. :thumbup: That's the road to happiness, I hear.
     
  44. Elysium

    Elysium Not Really An Old Beaver
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    Some of this sounds like the typical sort of pollyanna pre-med bullsh1t. If you don't think that other doctors preceive prestige b/w specialities, you're being niave. Every speciality sh1ts on every other specialty (med thinks surg are not intellectual and do nothing besides cut, surg thinks med can't do anything and just round endlessly, ortho can't do anything besides play with powertools and can't manage hypertension p a consult, etc. etc. etc. And everyone sh1ts on FP). I think there are certainly docs that other docs respect (grudgingly, perhaps): neurosurg, CT surg, cards/IV cards, IV rads, hand surgeons, peds surgeons, etc. Most of this is born out of the sheer tenacity it takes to complete training in these fields (I would guess), but also out of the intellectual and/or manual dexterity required to do these jobs.

    There are certainly some great FPs, but it would be remiss to think that they garner the slavish respect of the medical community. I think if you took a poll of residents/attendings/4th years they would fall towards the bottom of the "respect" meter. Maybe because their jobs are being edged out by NPs and PAs who have 2 years of post grad training (and seem to be just as competent).
     
  45. run4boston

    run4boston formerly Run
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    it's probably this way for all professions.
     
  46. MedStar

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    People are so cool! Wow you are special in that you wasted time and space turning one's posting into a conversation of cheese. Man that is cool!

    To the OP I hope you got an answer to your query.
    I apologize on behalf of my colleagues for their immaturity. Unfortunately this event took place on your post however it is a good example of what happens in real life.

    There are people out there that will behave this way towards you, show you no respect, complete disregard for your questions or opinions.
    I guess if you didnt get any answers, you at least may have learned a life lesson.

    Cheers
     
  47. freshity

    freshity Senior Member
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    well i'd say if you are primarily learning such "important life lessons" related to how people interact in the real world (emphasis on real) via an internet forum, then 1)that's really unfortunate, but 2)let it wash over and envelop you like the glow of the computer screen against your skin. what else have you got?

    another important lesson: don't take yourself too seriously.
    you're a unique individual...just like everybody else.
     
  48. monstermatch

    monstermatch Senior Member
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    You can get some very fragrant cheeze from between the folds of a 400 pound diabetic. Just reach in and scoop it out onto a cracker. Then sneak a swig of rye from your hip flask in the med room. Thats classy
     
  49. liveandlearn

    liveandlearn Senior Member
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    hahaha. i LOVE this thread. nice to see some people take responsibility for changing stupid questions into wonderfully amusing reads.

    good job guys.
     
  50. 1Path

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    I'm voting for Halloumi for both taste and texture. And in the southern tradition of doing things, you can fry it as well!!!
     
  51. KHE

    KHE Senior Member
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    In not a physician, a med student, or even a pre med student. But I just stumbled accross this thread.

    If you choose a specialty, or a career based on the perceived "respect" value, then you are going to be very unhappy no matter what you pick.

    Half the country has no respect for the current president. Half the country has no respect for the president we had before this one. Half the country has no respect for the chief justice of the supreme court. Millions of people have no respect for the pope.

    So if you can barely muster "respect" from 50% of the people out there by being the President, Chief Justice of the Supreme Court, or the Pope, it just goes to show you that if "respect" is what you crave, you're going to be pretty miserable.

     

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