inpatient otolaryngology

[nacholibre]

I'm on internal medicine and am really loving the whole inpatient thing more than I thought I would (I know it's crazy) I like taking care of these people with complicated problem lists and trying to balance those problems with medication/therapy effects.

Outside of H&NS what options are there for inpatient ENT work and how often is ENT the primary team vs consulting??

Thanks.

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[Pir8DeacDoc]

I'm on internal medicine and am really loving the whole inpatient thing more than I thought I would (I know it's crazy) I like taking care of these people with complicated problem lists and trying to balance those problems with medication/therapy effects.

Outside of H&NS what options are there for inpatient ENT work and how often is ENT the primary team vs consulting??

Thanks.

Choose another speciality Go into IM

I'll speak for my experience in training and now in private practice. We manage our own post op patients frequently. We manage problems of the head and neck routinely. I.e. complicated sinusitis, angioedema, etc etc. I enjoy mixing it up and taking care of folks in the clinic with allergies, LPR, etc. But I don't have any desire for a long problem list and surely have no interest in managing it. If an inpatient on my service has more than a wound issue, you can imagine that IM is getting consulted. I'm not interested in DM, new onset A fib, difficult HTN. I'll manage hyponatremia, hypokalemia, etc. We are surgical subspecialists. We have an almost free reign in managing things above the clavicles but not intracranially. But my experience is we don't do a lot of "medical" things in the sense you might be thinking of it.

 

[resxn]

ENT's don't manage complex inpt issues. Sure, you'll be competent to do so after residency so you could if you wanted, but you'll quickly find that you'll not make enough money and can't support your overhead going that route. If you want to try that and still want to be surgical, go into gen surgery (even better, trauma surgery) and don't let medicine take your patients. However, even general surgeons punt their complex medical issues to the hospitalists for the same reasons.

If you want inpt medicine, go into IM.