Internal medicine subspecialty?

[UBCvan]

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hey guys,

I wanna know what the difference is between the following two:

1) go into IM residency and subspecialize in let's say cardiology
2) get into cardiology residency right after 4 years of med school (no IM)

or one has to get into IM first in order to do cardiology, oncology, nephrology......?

if there are really two paths to do cardiology, what's the difference in salary for both?

would the internist who subspecialized in cardiology be called an internist or cardiologist?

thanks,

 

[beanbean]

There is one path to general cardiology: 3 year Internal Medicine residency and then a 3year Cardiology Fellowship
The other subspecialties you mention follow the same path of IM residency and then a fellowship.

 

[howelljolly]

oh bother.

Option 2 does not exist. Cardiology is a fellowship, not a residency.

An internist must do a fellowship (in laymans terms "specialize") in cardiology.

You can not be a specialist unless you are first a generalist.

lemmie draw you a diagram:
Internal Med residency (internist) ---> cardio fellowship (cardiologist)

OK... heres the advanced class. There are two ways to become a cardiologist. Traditional, and Research.

Traditional - med school - Internal Med residency - cardiology fellowship

Research - med school - shortened IM residency - cardio research - shortened cardio fellowship

Both pathways take about the same time.... but the research one is if you want to do research instead of just clinical.

 

[MossPoh]

Seriously? I find this question somewhat concerning.

 

[Dral]

The OP's pre-med? Man, cut some slack. I didn't even know what AOA and Step 1 were for the first month or two of med school.

 

[howelljolly]

The OP's pre-med? Man, cut some slack. I didn't even know what AOA and Step 1 were for the first month or two of med school.

Why does every premed want to be an interventional cardiologist, and why do they insist on not completing an Internal Medicine residency and Cardiovascular Disease fellowship - looking for a direct route from med school to Intv. Cardio?

 

[MossPoh]

Every premed want pediatric oncology, cardiology, orthopedic surgery, dermatology, pediatrics (because they love kids) or plastic surgery.

 

[howelljolly]

Every premed want pediatric oncology, cardiology, orthopedic surgery, dermatology, pediatrics (because they love kids) or plastic surgery.

Yup, and then they figure out that dying babies are not so much fun.

 

[vin5cent0]

Why does every premed want to be an interventional cardiologist, and why do they insist on not completing an Internal Medicine residency and Cardiovascular Disease fellowship - looking for a direct route from med school to Intv. Cardio?

Because all we see are "OMG half million a year salary" without thinking about the 8 years of post-med school work that needs to be done. Frankly, I'll worry about specialties if and when I make it into med school

 

[J ROD]

I just want EM or Anes....or I may just do basic IM and then decide what to do after working as a hospitalist.

I will figure it out as I go!!

 

[deuce924]

While the OP was answered by many posts, it does pose an interesting question. Why do some IM subspecialties such as neurology have a straight residency while most others require a residency followed by a fellowship? It seems as though you could make the whole thing into a 5 year residency with 2 yrs of IM and 3 yrs of Cards.

 

[UBCvan]

thanks for the great replies.

well when I got the first reply i was so disturbed that what the hell did I just ask? now people think i'm a fool.

ok seriously, most of the times people compare cardiology, neurology with residencies like IM,pediatrics, psych....so my understanding was that they are all residencies since they are compared together. Then i saw somewhere that you can do a cardiology fellowship after internal medicine and I was like wait a minute....

this fellowship think actually kinda sucks because let's say one wants to do cardiology eventually. so they do IM and live a miserable life not knowing whether or not they can get in their dream fellowship. so if they don't get in to their dream fellowship they have to stick to general IM which not a lot of people would want. SO I ASSUME med students applying to residencies are hesitant about choosing IM path (to fellowship) over other competitive residencies without fellowships.

again thanks for all the great replies

 

[Ativanigans]

thanks for the great replies.

well when I got the first reply i was so disturbed that what the hell did I just ask? now people think i'm a fool.

ok seriously, most of the times people compare cardiology, neurology with residencies like IM,pediatrics, psych....so my understanding was that they are all residencies since they are compared together. Then i saw somewhere that you can do a cardiology fellowship after internal medicine and I was like wait a minute....

this fellowship think actually kinda sucks because let's say one wants to do cardiology eventually. so they do IM and live a miserable life not knowing whether or not they can get in their dream fellowship. so if they don't get in to their dream fellowship they have to stick to general IM which not a lot of people would want. SO I ASSUME med students applying to residencies are hesitant about choosing IM path (to fellowship) over other competitive residencies without fellowships.

again thanks for all the great replies

No I think most people actually still apply ti IM, under teh assumption they'll get in somewhere for their fellowship of choice.

You should really read up on how the residency system works, just in case you blurt something out during an interview that makes you seem not so informed

 

[Law2Doc]

...Why do some IM subspecialties such as neurology have a straight residency while most others require a residency followed by a fellowship?...

Because neurology is not an IM subspecialty, it's a stand alone specialty. You do a prelim year in medicine in most cases, just like you'd do in derm, rads, gas or PM&R, but you don't do 3 years of IM like you do for the subspecialties. If you define things wrong, then you end up with questions like the above.

 

[howelljolly]

While the OP was answered by many posts, it does pose an interesting question. Why do some IM subspecialties such as neurology have a straight residency while most others require a residency followed by a fellowship? It seems as though you could make the whole thing into a 5 year residency with 2 yrs of IM and 3 yrs of Cards.

Simple.

Because Neurology (and dermatology, and some others) is not an Internal Medicine subspecialty. Neurology is its own specialty. Neurologists have to know something about hypertension, liver disease, and general IM... and thats what their prelim IM year is for. Neurologists sit for the Board exam of the American Board of Psychiatry and Neurology (i think), not the American Board of Internal Medicine (ABIM) as Internists and Cardiologists do.

The ABIM gives the exam for the subspecialties - Cardiology, Pulmonology, Nephrology, Endocrinology... And again, you can not be a good cardiologist, or pulmonologist, or nephrologist, or endocrinologist, if you arent a good internist. Do you think there should be that nonsensical 2 year IM, 2 year endo path for people who want to be an endocrinologist? How is cardiology any different?

Yes there are very specific things that Cardiologists do, that noone else does (eg. cath) but thats in every single field. Only nephrologists do dialysis and plasmapheresis. Should there be a direct pathway for people that want to do those things?

To be a specialist, you must first be a generalist. The notion that one thinks otherwise shows the lack of understanding of medicine.

 

[howelljolly]

thanks for the great replies.

well when I got the first reply i was so disturbed that what the hell did I just ask? now people think i'm a fool.

ok seriously, most of the times people compare cardiology, neurology with residencies like IM,pediatrics, psych....so my understanding was that they are all residencies since they are compared together. Then i saw somewhere that you can do a cardiology fellowship after internal medicine and I was like wait a minute....

this fellowship think actually kinda sucks because let's say one wants to do cardiology eventually. so they do IM and live a miserable life not knowing whether or not they can get in their dream fellowship. so if they don't get in to their dream fellowship they have to stick to general IM which not a lot of people would want. SO I ASSUME med students applying to residencies are hesitant about choosing IM path (to fellowship) over other competitive residencies without fellowships.

again thanks for all the great replies

Sometimes. Students who are so fed up with the match process do sometimes choose an "dead-end" residency lke Emergency, Pathology, etc.

What you aren't understanding (being a premed) is that as you progress in med school, clinicals, internship, and residency.... unless you really arent fit to be a physician, you enjoy most of what you do. We dont go through the motions of our Nephro and ID electives while daydreaming about a Cardio fellowship. Most people choose their fellowship based on MANY factors - not just a dream. They factor in: what they felt "natural" at doing, what they liked, their board scores and competitiveness, lifestyle/family obligations, call schedule, physical stress of standing all day in a lead dress....

So, if we dont get our "dream" specialty, a) we arent cut out for it in the first place b) we build up our credentials and try again the following year. c) we change our "plan" and do something else we wholeheartedly enjoy. Whatever happens, we arent doomed to misery.

 

[RySerr21]

pre meds say they want to go in to cardiology? I havent heard that very often.... im getting more and more interested in cardiology as i go along in school. The heart is friken awesome. Just did a day of shadowing with the cardiology fellow team yesterady, it was pretty sweet.

 

[Law2Doc]

...

What you aren't understanding (being a premed) is that as you progress in med school, clinicals, internship, and residency.... unless you really arent fit to be a physician, you enjoy most of what you do. ...

So, if we dont get our "dream" specialty, a) we arent cut out for it in the first place b) we build up our credentials and try again the following year. c) we change our "plan" and do something else we wholeheartedly enjoy. Whatever happens, we arent doomed to misery.

Yeah, I think apart from intern year, which most feel is simply too many hours to be enjoyable even if the tasks themselves aren't so bad, most people in residency actually enjoy the path. It's not like college or med school where you are simply putting in the time to get to the next path, it sort of morphs into actually being in a career you find interesting. The fact that you are a physician, that they pay you a salary, and that in many cases your opinion is valued definitely changes your perspective. You are no longer simply serving time until you get "released" into your ultimate job -- you are a practicing doctor.

And the above poster is right -- it's hugely important to be a generalist first, and a specialist after. You are going to find yourself facing an extremely steep learning curve in residency, and the more general experience you have the less you are going to miss the big picture things. In medicine you don't get to be so myopic that you can only know your specialty. If you are a cardiologist and you mismanage a patient's kidney issues, you still get sued into oblivion. This isn't wasted effort -- stuff you don't need to know, like perhaps you feel some of the med school courses might be. The whole patient is going to be your patient, not just one organ. You may have to consult other specialties if you need specific expertise, but knowing when you need help itself is something much easier if you have some general expertise.

 

[howelljolly]

thanks for the great replies.

well when I got the first reply i was so disturbed that what the hell did I just ask? now people think i'm a fool.

ok seriously, most of the times people compare cardiology, neurology with residencies like IM,pediatrics, psych....so my understanding was that they are all residencies since they are compared together. Then i saw somewhere that you can do a cardiology fellowship after internal medicine and I was like wait a minute....

again thanks for all the great replies

Only lay-people make those comparisons (and yes you should know a bit about this for your med school interviews)

Theres something like 14 residencies, and a zillion fellowships. The residencies (specialties) are in IM, Surgery, Peds, OB/Gyn, Psych, etc.

You do one of these first, and become a general Internist, Pediatrician, Surgeon, etc.

Afterwards, you do a fellowship and become a specialist. Any one of these specialties has major subspecialties. As I said before, there are some that dont, like Emergency... but thats not entirely true, because some Emergency docs specialize in Sports Medicine.

You are only thinking of the Adult Cardiologist. What about Pediatric Cardiology? They have to complete a general Pediatrics residency before a Cardiology fellowship. Similarly, you can be an Oncologist having done a residency in Medicine, Pediatrics, or OB/Gyn - and treat the adult tumors, pediatric tumors (theyre very different types), and gynecologic tumors respectively.

Get it? Thats how it works. You need to fully understand Adult medicine, Pediatric medicine, General Surgery - before you can specialize in Adult Cardiology, Pediatric Oncology, or Trauma Surgery, for instance.

 

[michaelrack]

Why do some IM subspecialties such as neurology have a straight residency while most others require a residency followed by a fellowship?

There's no good reason; that's just the way things historically developed.

Why do psychiatrists go to medical school and then residency, and podiatrists go to DPM schools? Podiatry seems closer to the rest of "medicine" than psychiatry. That's just the way things are.

Although neurology is not a IM specialty for board certification purposes, at many hospitals, neurologists are credentialed under the dept/division of Internal Medicine.

 

[howelljolly]

In medicine you don't get to be so myopic that you can only know your specialty. If you are a cardiologist and you mismanage a patient's kidney issues, you still get sued into oblivion. This isn't wasted effort -- stuff you don't need to know, like perhaps you feel some of the med school courses might be. The whole patient is going to be your patient, not just one organ. You may have to consult other specialties if you need specific expertise, but knowing when you need help itself is something much easier if you have some general expertise.

Perfect example L2D, JD,MD 🙂

As a cardiologist you must have the general internist's understanding of kidney disease. You must asses the patients renal function and risk factors for renal disease... yourself. Then you need to modify your cardiology treatment so you don't destroy the kidneys. Because that's exactly what your cardiac treatment can do.

You can't consult a nephrologist for something as "basic" as estimating renal function and determining risk factors. You'd consult them for a specific problem that needs expert advice.

 

[UBCvan]

Only lay-people make those comparisons (and yes you should know a bit about this for your med school interviews)

Theres something like 14 residencies, and a zillion fellowships. The residencies (specialties) are in IM, Surgery, Peds, OB/Gyn, Psych, etc.

You do one of these first, and become a general Internist, Pediatrician, Surgeon, etc.

Afterwards, you do a fellowship and become a specialist. Any one of these specialties has major subspecialties. As I said before, there are some that dont, like Emergency... but thats not entirely true, because some Emergency docs specialize in Sports Medicine.

You are only thinking of the Adult Cardiologist. What about Pediatric Cardiology? They have to complete a general Pediatrics residency before a Cardiology fellowship. Similarly, you can be an Oncologist having done a residency in Medicine, Pediatrics, or OB/Gyn - and treat the adult tumors, pediatric tumors (theyre very different types), and gynecologic tumors respectively.

Get it? Thats how it works. You need to fully understand Adult medicine, Pediatric medicine, General Surgery - before you can specialize in Adult Cardiology, Pediatric Oncology, or Trauma Surgery, for instance.

do you know any websites or anything that lists all the fellowships that each residency will end up to? that will be really helpful to get the bigger picture.

 

[UBCvan]

pre meds say they want to go in to cardiology? I havent heard that very often.... im getting more and more interested in cardiology as i go along in school. The heart is friken awesome. Just did a day of shadowing with the cardiology fellow team yesterady, it was pretty sweet.

I think that people (mostly premeds) don't want to go into cards just because it sounds really cool and people will respect you. seriously heart is one of those organs which a lot of people love to study. it's very interesting.

 

[Droopy Snoopy]

do you know any websites or anything that lists all the fellowships that each residency will end up to? that will be really helpful to get the bigger picture.

There's lots of overlap, so it doesn't exactly work like that. Pain fellowships are usually s/p an anesthesia residency but can be obtained after training in neurology, PM&R, neurosurgery, probably others. Additionally it's not really requisite to have been fellowship-trained in order to practice aspects of a subspecialty. Anyway, FREIDA is a site lots of people find useful as they move through med school to residency.

 

[RySerr21]

I think that people (mostly premeds) don't want to go into cards just because it sounds really cool and people will respect you. seriously heart is one of those organs which a lot of people love to study. it's very interesting.

yea it is. i know a lot of people are interested in endig up in interventional cards, but if i did cardio i would just do the general cardio fellowship. im interested in behavioral modfiication and lifestyle changes in the progression/treatment of chronic disease, especially heart disease. A cardio fellowship would give me a solid foundation for that, altho im not sure what the steps would be after the fellowship. thats something i have to look into.

 

[howelljolly]

do you know any websites or anything that lists all the fellowships that each residency will end up to? that will be really helpful to get the bigger picture.

This is the FREIDA website.
https://freida.ama-assn.org/Freida/user/viewProgramSearch.do

1. click on "choose specialty" in the middle of the page
2. click "subspecalty selection" about 1/4 of the way down

This takes you to their subspecialty/fellowship page. Each fellowship has the corresponding residency listed in parentheses. E.g. Abdominal Radiology fellowship (DR) requires a Diagnostic Radiology residency; Addiction Psychiatry (P) requires a Psychiatry residency. So, you can work backwards to see where each residency can take you.

You'll see that some fellowships listed multiple times. Hand Surgery is listed three times, as (GS), (ORS), and (PS). Meaning, you can do a Hand Surgery fellowship after residencies in General Surgery, Orthopedic Surgery, or Plastic Surgery. On the other hand, Pain Medicine doesn't indicate the prerequisite residency because there really isn't one. These fellowship accept people from Neurology, Psychiatry, PM&R, Anesthesiology... any residency which pays special attention to the nervous system and pain pathways.

This should give you a basic idea. But as with everything in medicine, there are exceptions to what's on this list.

 

[howelljolly]

I think that people (mostly premeds) don't want to go into cards just because it sounds really cool and people will respect you. seriously heart is one of those organs which a lot of people love to study. it's very interesting.

I think its both. Cardiology has a lot of media exposure, so premeds know about it. Rheumatology doesnt get a whole lot of media exposure. And, dealing with the heart, which lay-people may consider the most vital organ, sounds cool.

Yes, the heart is very interesting and lots of people love to study it. I think that's really because its totally logical, and people can get their heads around it. The anatomy is fairly simple, compared to say... the brain. The physiology is logical - circuits, valves closing and opening allowing pressure to increase and decrease to match the adjacent compartment, ions going in or out. Lots of pictures and diagrams to visualize. No hormones (besides ANP) to cram, no complicated feedback loops and autoregulatory mechanisms to understand. On the clinical side, you can see on the patient what you read in the textbook. You can actually see and feel where pressures are backing up and increasing, and see the heart and its electrical activity. Its "easy" to understand how it works, and correlate that to what is happening to the patient. Other organ systems are not so clear-cut.

With every organ system, and many things in life, once you fully understand it you begin to appreciate it. The heart just seems to be one of the first systems that med students totally grasp. The last thing that people fully understand is the kidney. Thats why all the brainiacs go for Nephrology.

 

[LadyWolverine]

With every organ system, and many things in life, once you fully understand it you begin to appreciate it. The heart just seems to be one of the first systems that med students totally grasp. The last thing that people fully understand is the kidney. Thats why all the brainiacs go for Nephrology.

No kidding. Some of the smartest people I have met have been nephrologists. As a matter of fact, I have witnessed both surgeons and intensivists calling up their "nephro buddies" when they have a physiology question stumping them.

Also, and correct me if I'm wrong, but I'm pretty sure that now stand-alone residencies like neurology and dermatology were traditionally subspecialties out of internal medicine. There's nothing to say that, as time/technology/skillsets/physician roles/etc progresses, that now-medicine subspecialties like cardiology, ID, and so on won't break off and become their own 4-5-year tracks, much in the way that plastics, ortho, and now vascular and CT surg have separated from gen surg.

 

[Taurus]

During a class meeting during my MSIV year, we were told that they are creating a direct cardiology pathway where you do like 2 years of IM and 3 years of cards. They should be rolling this out in a few years.

 

[howelljolly]

During a class meeting during my MSIV year, we were told that they are creating a direct cardiology pathway where you do like 2 years of IM and 3 years of cards. They should be rolling this out in a few years.

You sure that isnt just the ABIM Research Pathway? I find it hard to believe that the ABIM would allow someone to do a fellowship without being BE/BC in IM? Especially after they went through so much trouble in defining the pathway, and keeping Emergency Physicians and Anesthesiologists out of their fellowship by requiring the fellowships to take only BE/BC IM docs.

 

[Taurus]

You sure that isnt just the ABIM Research Pathway? I find it hard to believe that the ABIM would allow someone to do a fellowship without being BE/BC in IM? Especially after they went through so much trouble in defining the pathway, and keeping Emergency Physicians and Anesthesiologists out of their fellowship by requiring the fellowships to take only BE/BC IM docs.

I believe that neurology and dermatology were once subspecialties from IM. The fellowships from IM are arbitrary and definitely not fixed. Don't be surprised if GI breaks off either. I wouldn't be surprised if nearly all IM fellowships create their own direct pathways. This may be especially true if Obama elevates PA's and NP's to the same level as primary care physicians, which is what they are proposing in the health reform bills. In the future, people who match into IM may end up doing primary care because matching into a fellowship will be very difficult because of the direct pathways. Who knows.

 

[UBCvan]

This is the FREIDA website.
https://freida.ama-assn.org/Freida/user/viewProgramSearch.do

1. click on "choose specialty" in the middle of the page
2. click "subspecalty selection" about 1/4 of the way down

This takes you to their subspecialty/fellowship page. Each fellowship has the corresponding residency listed in parentheses. E.g. Abdominal Radiology fellowship (DR) requires a Diagnostic Radiology residency; Addiction Psychiatry (P) requires a Psychiatry residency. So, you can work backwards to see where each residency can take you.

You'll see that some fellowships listed multiple times. Hand Surgery is listed three times, as (GS), (ORS), and (PS). Meaning, you can do a Hand Surgery fellowship after residencies in General Surgery, Orthopedic Surgery, or Plastic Surgery. On the other hand, Pain Medicine doesn't indicate the prerequisite residency because there really isn't one. These fellowship accept people from Neurology, Psychiatry, PM&R, Anesthesiology... any residency which pays special attention to the nervous system and pain pathways.

This should give you a basic idea. But as with everything in medicine, there are exceptions to what's on this list.

thanks for the website👍

 

[UBCvan]

I think its both. Cardiology has a lot of media exposure, so premeds know about it. Rheumatology doesnt get a whole lot of media exposure. And, dealing with the heart, which lay-people may consider the most vital organ, sounds cool.

Yes, the heart is very interesting and lots of people love to study it. I think that's really because its totally logical, and people can get their heads around it. The anatomy is fairly simple, compared to say... the brain. The physiology is logical - circuits, valves closing and opening allowing pressure to increase and decrease to match the adjacent compartment, ions going in or out. Lots of pictures and diagrams to visualize. No hormones (besides ANP) to cram, no complicated feedback loops and autoregulatory mechanisms to understand. On the clinical side, you can see on the patient what you read in the textbook. You can actually see and feel where pressures are backing up and increasing, and see the heart and its electrical activity. Its "easy" to understand how it works, and correlate that to what is happening to the patient. Other organ systems are not so clear-cut.

With every organ system, and many things in life, once you fully understand it you begin to appreciate it. The heart just seems to be one of the first systems that med students totally grasp. The last thing that people fully understand is the kidney. Thats why all the brainiacs go for Nephrology.

now that you are mentioning, I can see why...I never noticed how easy (compared to others) the heart is and everything about it is pure logic.

 

[howelljolly]

Don't forget that all of the subspecialties are also available through pediatrics.

 

[gluon999]

Yes, the heart is very interesting and lots of people love to study it. I think that's really because its totally logical, and people can get their heads around it. The anatomy is fairly simple, compared to say... the brain. The physiology is logical - circuits, valves closing and opening allowing pressure to increase and decrease to match the adjacent compartment, ions going in or out. Lots of pictures and diagrams to visualize. No hormones (besides ANP) to cram, no complicated feedback loops and autoregulatory mechanisms to understand. On the clinical side, you can see on the patient what you read in the textbook. You can actually see and feel where pressures are backing up and increasing, and see the heart and its electrical activity. Its "easy" to understand how it works, and correlate that to what is happening to the patient. Other organ systems are not so clear-cut.

That is just a broad generalization. The heart isn't as simple as you make it out to be. If it was, it wouldn't take 6-8 years to be a cardiologist. For ex, back in the day, beta-blockers were contraindicated in chronic heart failure because it was only 'logical' that they would be counter-productive. Tons of research has changed that simpleton thinking. Cardiology is nice field with lots of gadgets but be prepared to work like a beast throughout fellowship and beyond.

 

[howelljolly]

That is just a broad generalization. The heart isn't as simple as you make it out to be. If it was, it wouldn't take 6-8 years to be a cardiologist. For ex, back in the day, beta-blockers were contraindicated in chronic heart failure because it was only 'logical' that they would be counter-productive. Tons of research has changed that simpleton thinking. Cardiology is nice field with lots of gadgets but be prepared to work like a beast throughout fellowship and beyond.

Of course its a generalization. I didn't say it was simple (I typed "easy" in quotes), I said it was logical. It appeals to the way most med students think. In fact, your example of the contraindication of beta-blockers was based on the application of pure logic. Cardio problems involve the pump, the container, or the fluid. Thats basically it.

Other systems, like GI, Endo, and nephro, require you to memorize enzymes, and hormones, where they act, and on what receptor, what the feedback inhibition is to the secretion of the substance. You have to know what receptors and channels are located where. Then you have to know if one hormone decreases, which hormone increases.....Then on the exam they give you an incomplete chart with arrows going up or down or sideways.... Its requires a ton of memorization of minutia which you have to regurgitate to know what happens where. Endo can be logical, once you memorize the hormones, and what stimulates them, and what shuts them off.... and thats a lot of memorization.

Cardio? Close the valves so the volume remains the same, then contract the pump. Isovolumetric Contraction Huzzah.

 

[greg1184]

No kidding. Some of the smartest people I have met have been nephrologists. As a matter of fact, I have witnessed both surgeons and intensivists calling up their "nephro buddies" when they have a physiology question stumping them.

Agreed. I am really falling in love with Nephrology. Not only was the renal module at my school incredibly well taught, but I have gone to a post-kidney transplant clinic and had a blast there. I love how integrated the physiology is with the pathology. I am planning on doing rounds and going to the clinic some more to further explore my interest in the field. And this is before I am even a 3rd year.

 

[WNT Signaling]

Every premed want pediatric oncology, cardiology, orthopedic surgery, dermatology, pediatrics (because they love kids) or plastic surgery.

I think you forgot pediatric cardiology, and the BIG one: infectious disease. I always find it funny listening to people talk about how badly they want to do ID, that is until they find out that ID does not involve dealing with ebola on a daily basis, and that most ID people get paid in highfives and thumbs-up

 

[deleted77919]

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[Simmy]

Every premed want pediatric oncology, cardiology, orthopedic surgery, dermatology, pediatrics (because they love kids) or plastic surgery.

Are u cereal? advanced lotion-applicator!!!










I kiiid I kiiid!

 

[Simmy]

now that you are mentioning, I can see why...I never noticed how easy (compared to others) the heart is and everything about it is pure logic.

Belive me he his right!
Im having my neuroanatomy exam next week wich in our school is cut down from a 110 hour cours to a 36 hour cours just because the university found that practical. But we still need to know everything (10x more to learn on your own) and the details and pathways in the brains are enough to kill a person. Pathways, funtions, xx number of nuclei, gyri, sucli, lobes, hemispheres, tracts, Broadmanareas, vascularity, inervations, the cerebral cortex, ventricles, peducles, mesencephalon, diencephalon, cerebellum, telencephalon... AND everything that can go wrong with EVERYTHING....I could go on... Give me 4 chambers and a a bunch of valves instead and I will kiss you...

As I said to my friends today: Now I REALLY know the meaning behinde the expression "Its not like its brain-surgery"