Originally posted by seanjohn
Thanks for your informative post Bill, as always. I know it's difficult to gain admission to specialty programs, but is ortho the most difficult to enter? Can you rank the difficulty of getting into specialty programs by each specialty? What exactly do orthodontists do besides putting braces in? What do endodontists do? What else do oral and maxillofacial surgeons do besides extracting wisdom teeth? I know there's lots more that they do but what exactly?
Well, my usual disclaimer applies (I'm a first-year student, so don't take what I say as the final word on anything), but here's a quick fly-by:
1) Ranking admissions difficulty is impossible, because the trends change with time and each new class. A few trends do exist, though. You can count on having stiff competition if you apply to OMS, ortho, or endo out of school. Pros and pedo tend to be more forgiving, but believe me when I say there's no such critter as a sure-thing specialty program.
2) OMS are trained in extractions, but they also do orthognathic surgery (operations to correct skeletal malformations in a patient's bite), tumor excisions, and a few even make their living doing mostly cosmetic facial surgery. In addition, while they don't continue this in practice, OMS are typically residency-trained to do general surgery in addition to the orofacial stuff. It's just like any other profession: there are any number of paths your career can take, but most people will gravitate to the easy money (3rd extractions).
3) Orthodontists are extensively trained in craniofacial growth patterns, both normal and abnormal; it doesn't do much good to slap a kid with braces unless you know what's wrong with his cranial development and where you're trying to go with treatment. Also, they do more than just braces; any sort of non-prosthodontic mouth appliance generally falls under their bailiwick, and sometimes they work in conjunction with craniofacial surgical teams to treat childhood development disorders.
4) Yeah, endodontists just do root canals all day, but they get damned good at them, and when you're doing 3 RCT's an hour at $800 a pop, you can afford to get your therapy on the golf course 3 days a week
😀