just curious what are your thoughts on anesthesia vs dermatology

[amherstguy]

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[Planktonmd]

Dermatology is definitely a better option.

 

[badasshairday]

Dermatology is definitely a better option.

Fo sho. No annoying AANA to worry about, nor the fact the medicare reimburses you 30% what private insurance does. Also you can have your own clinic and own hours. No emergencies. It is the life.... if that is what you are looking for.

 

[mcgreen]

Dermatology is definitely a better option.

No Call

No emergences

High percentage of self pay patients.

May be immune for the inevitable pay cut with Obama Care.

The patient goes to see you not the surgeon and you happened to be there to give him another bill.

You don't have to work in the hospital and be at the whim of the obnoxious hospital adminisrators or arrogant surgeons.

You can slap your name on generic vitamins and lotion and sell them in your office for big bucks.

.

 

[seinfeld]

So basically youre looking to get paid above average Doc salary and have a reasonable lifestyle.

You need to decide whether you are a clinic person or not
Whether you like acute medicine with little pt f/u or like chronic disease and interesting medical minutia.
Whether you would rather freeze a wart/ prescribe topical steroids or intubate and push IV drugs.
Did you like taking care of patients better during your ICU rotations or during you family med rotation

I have had the unfortunate opportunity to work with anesthesia residents who are in it for the money and hours. They tend to be annoyed/frustrated by their job, and lack the motivation to put the necessary hard work in. Basically their expectations of a "ROAD" to a good life are not met.

Remember that when a surgeon is operating an anesthesiologist is working.

However if by doing Derm you will miss the enjoyment of providing life sustaining medical treatment then anesthesia may be a reasonable choice.

 

[Bertelman]

McGreen, I wasn't aware the Supreme Court was responsible for my reimbursement.


...ohh that's right, your cartoon has no relevance to this thread.

I can appreciate your amazement that a minority president just missed his first opportunity to make the Supreme Court a little more white and a little more male.

...............not white..not male
.......................|...........|

 

[2win]

McGreen, I wasn't aware the Supreme Court was responsible for my reimbursement.


...ohh that's right, your cartoon has no relevance to this thread.

I can appreciate your amazement that a minority president just missed his first opportunity to make the Supreme Court a little more white and a little more male.

...............not white..not male
.......................|...........|

Yep - a supreme court judge can affect your reimbursement, the quality of life and your future. Going back to derm versus anesthesia - derm is giving you the independence to make your own schedule. If you have business skills definitely derm is better. Regarding the financial view - who knows??? So far derm is better but the future is clouded for everybody with the commies in charge.

 

[Bertelman]

Yep - a supreme court judge can affect your reimbursement, the quality of life and your future. Going back to derm versus anesthesia - derm is giving you the independence to make your own schedule. If you have business skills definitely derm is better. Regarding the financial view - who knows??? So far derm is better but the future is clouded for everybody with the commies in charge.

I would like to hear more about the Court's recent rulings on Medicare reimbursement and Anesthesiology.


~ nevermind...McGreen pulled the plug.

 

[Antigunner]

I think anesthesia has a good stand up game, nice striker with a long reach, but that once it goes to the ground dermatology displays its superior jiu-jitsu skills and anesthesia taps out...

...wait... what are we talking about? 😕

 

[pgg]

?

I personally believe, that dermatologists,
are unable to do so,
because uh,
some, people out there, in our nation don’t have acne.
and uh…
I believe that our education like such as in clinics,
and the hospital,
everywhere like such as…
and, I believe they should uh,
our education over here,
in the hospital should help the anesthesiologists
or should help dermatologists,
and should help the dermatologists and anesthesiologists so we will be able to build up our future,
for us.


There, that ought to recalibrate this thread's level of discourse to what the OP intended. And such.

 

[zrxtypxxszk]

I personally believe, that dermatologists,
are unable to do so,
because uh,
some, people out there, in our nation don’t have acne.
and uh…
I believe that our education like such as in clinics,
and the hospital,
everywhere like such as…
and, I believe they should uh,
our education over here,
in the hospital should help the anesthesiologists
or should help dermatologists,
and should help the dermatologists and anesthesiologists so we will be able to build up our future,
for us.


There, that ought to recalibrate this thread's level of discourse to what the OP intended. And such.

With the amount of "uh"s in there, you sound just like Owebama.

 

[abcxyz0123]

I think anesthesia has a good stand up game, nice striker with a long reach, but that once it goes to the ground dermatology displays its superior jiu-jitsu skills and anesthesia taps out...

...wait... what are we talking about? 😕

that was so unfunny i couldnt even manage a pity chuckle

 

[jetproppilot]

that was so unfunny i couldnt even manage a pity chuckle

i thought it was great.

 

[Gern Blansten]

I personally believe, that dermatologists,
are unable to do so,
because uh,
some, people out there, in our nation don’t have acne.
and uh…
I believe that our education like such as in clinics,
and the hospital,
everywhere like such as…
and, I believe they should uh,
our education over here,
in the hospital should help the anesthesiologists
or should help dermatologists,
and should help the dermatologists and anesthesiologists so we will be able to build up our future,
for us.


There, that ought to recalibrate this thread's level of discourse to what the OP intended. And such.

Nice beauty queen reference! If you have never seen Jimmy Kimmel dissect her answer, look it upon youtube. Hilarious.

 

[cfdavid]

?

Dude, I need to call a spade a spade. Let me preface, I've PRINTED and tacked JPPs lifestyle post to the f..ing wall in my office.

HOWEVER, WTF?? These two professions can't be any different. I agree that lifestyle and monetary rewards ARE important, but so is what the f..ck you get up and do every morning! Derm vs Anes???

cf

 

[jetproppilot]

?

Alright, Slick.

Heres the lowdown.

Wanna my best friends is a derm dude in Florida.

Dude works his ASS off....routinely working til 8pm on weekdays since he reads his own slides and keeps his ancillary staff to a minimum...

He prolly works 60 hours a week.

Maybe a little more.

BUTCHA KNOW WHAT?

He almost NEVER gets outta bed in the middle of the night.

He almost NEVER works weekends/holidays.

He is efficient... sees alotta patients, does alotta procedures inhis office....

SO...

MY BUDDY

works his ass off Mon-Fri

no Sat/Sun/Nights/Holidays

HIS 1099 IS NEARLY TWICE MY W2.

😱😱😱

Theres youre answer.

Ya gotta be a med student stud(ette) to get into derm, tho.

 

[doctor712]

Yeah, but what LINE on your W2. Gross or Net?!? 😀😀 JUST KIDDING.

I'm shocked. So much so that I'll politely wave at the Department of Dermatology's signage the next time I pass it on the way to observe Anesthesia. 😀

D712

Alright, Slick.

Heres the lowdown.

Wanna my best friends is a derm dude in Florida.

Just moved for the benefit of his kids education (jewish dude, lived in small town, you get the picture)

Dude works his ASS off....routinely working til 8pm on weekdays since he reads his own slides and keeps his ancillary staff to a minimum...

He prolly works 60 hours a week.

Maybe a little more.

BUTCHA KNOW WHAT?

He almost NEVER gets outta bed in the middle of the night.

He almost NEVER works weekends/holidays.

He is efficient... sees alotta patients, does alotta procedures inhis office....

SO...

MY BUDDY

works his ass off Mon-Fri

no Sat/Sun/Nights/Holidays

HIS 1099 IS NEARLY TWICE MY W2.

😱😱😱

Theres youre answer.

Ya gotta be a med student stud(ette) to get into derm, tho.

 

[pillowhead]

If you're asking which has the better lifestyle/compensation package, obviously derm. But I know I (and many here might agree) would rather not spend all day in clinic freezing off warts and prescribing steroid creams and moisturizing lotions and treating acne 😴

I actually ran over to the derm clinic in my hospital a few weeks ago to have the residents eyeball something (the eye and derm clinics are awesome like that where I work and always willing to help) and just listening to the things they were discussing made me so glad I didn't go into derm just for the better lifestyle/$$$. Though if you enjoy derm to begin with, more power to you. Better get working though.....very very competitive.

 

[Coastie]

Nobody cares about white and male, except the judge he just put up for the court: She said that as a latina woman, she is better able to judge than a white man. She's also a member of La Raza, a racist group known as "The Race". She also claims that she makes laws from the bench.

Yeah...what a great pick by Chairman Maobama...

McGreen, I wasn't aware the Supreme Court was responsible for my reimbursement.


...ohh that's right, your cartoon has no relevance to this thread.

I can appreciate your amazement that a minority president just missed his first opportunity to make the Supreme Court a little more white and a little more male.

...............not white..not male
.......................|...........|

 

[cfdavid]

Nobody cares about white and male, except the judge he just put up for the court: She said that as a latina woman, she is better able to judge than a white man. She's also a member of La Raza, a racist group known as "The Race". She also claims that she makes laws from the bench.

Yeah...what a great pick by Chairman Maobama...

Is she REALLY a member of La Raza???😱 If so.....👎thumbdown

Coastie, can you verify this?

 

[Coastie]

Is she REALLY a member of La Raza???😱 If so.....👎thumbdown

Coastie, can you verify this?

http://www.abanet.org/publiced/hispanic_s.html

According to a bio from the american bar association, yes, she is a member of La Raza.

Seeing as what she has said about being a latina female making her superior to white men as a judge, is anyone surprised?

 

[Jeff05]

"she joined the National Council of La Raza and the board of the Puerto Rican Legal Defense Fund, two Hispanic civil rights groups that advocate for vigorous affirmative action."



from article on front page of new york times.

 

[cfdavid]

wow. this chick can NOT be appointed to the SP.......

 

[ProRealDoc]

Nobody cares about white and male, except the judge he just put up for the court: She said that as a latina woman, she is better able to judge than a white man. She's also a member of La Raza, a racist group known as "The Race". She also claims that she makes laws from the bench.

Yeah...what a great pick by Chairman Maobama...

Her nomination by Obama is a political move by the democrats to ensure widespread support (i.e., votes) by the ever increasing hispanic population whose numbers continue to grow. In the last election 65-70% of hispanics voted for Obama. The democrats want to capitalize on this strong show of support by returning the favor. They also want this level of support to continue for decades thereby effectively taking away the moderate hispanic support (44%) Bush enjoyed.

As the hispanic population continues to grow (and they grow so fast even blacks can't keep up) their political power will do as well. Couple the numbers of hispanics along with blacks, asians and other supporters of the democratic party and you have the perfect recipe to ensure republicans become relegated to a party of the few, wealthy, eventual caucasian minority.

It is all politics, my friend, designed to remove the current powers that be (caucasians) and allow others to rule.

Will this be possible? Well if we take into account that 1 in 5 children is hispanic or has roots and the hispanic population is slated to be 100 million by mid century (it's 40 million now), you might as well get used to saying, 'Una cerveza por favor'.

If the republicans played their cards right, proposed a reasonable immigration agenda (Mc Cain) and toned down their anti-immigrant rhetoric they can turn the tables. Otherwise, I don't see how they will ever be able to rule again.

If I had a suggestion for you is to learn spanish. You'll need it. When you have kids, make sure they learn English, Spanish and Chinese. Otherwise, they will be the gardeners, maids and babysitters of tomorrow.

I love humor so here it is directly from the horse's mouth.

[YOUTUBE]http://www.youtube.com/watch?v=GZv8CIgnUIY[/YOUTUBE]

 

[Bertelman]

Nobody cares about white and male, except the judge he just put up for the court: She said that as a latina woman, she is better able to judge than a white man. She's also a member of La Raza, a racist group known as "The Race". She also claims that she makes laws from the bench.

Yeah...what a great pick by Chairman Maobama...

You missed McGreen's original cartoon. (hint- it wasn't that crazy plane landing in the water.) Without it, my comments seem out of context.

Likewise, your paraphrase of her commentary paints a different picture.

What she really said: “I would hope that a wise Latina woman with the richness of her experiences would more often than not reach a better conclusion than a white male who hasn’t lived that life.”

A little more open to interpretation. Furthermore, it was delivered during a symposium entitled "Raising the Bar: Latino and Latina Presence in the Judiciary and the Struggle for Representation,".

"Whether born from experience or inherent physiological or cultural differences, a possibility I abhor less or discount less than my colleague Judge Cedarbaum, our gender and national origins may and will make a difference in our judging. Justice O'Connor has often been cited as saying that a wise old man and wise old woman will reach the same conclusion in deciding cases. I am not so sure Justice O'Connor is the author of that line since Professor Resnik attributes that line to Supreme Court Justice Coyle. I am also not so sure that I agree with the statement. First, as Professor Martha Minnow has noted, there can never be a universal definition of wise. Second, I would hope that a wise Latina woman with the richness of her experiences would more often than not reach a better conclusion than a white male who hasn't lived that life."

If you're interested in a more balanced idea of what her statement represents, read this.

That's it for me. If someone wants to open a different thread on the latest Socialist affront to our country, feel free. I'll leave this thread to the tired Gas V. Derm debate. Sorry for the hijack.

 

[asmallchild]

Dude, I need to call a spade a spade. Let me preface, I've PRINTED and tacked JPPs lifestyle post to the f..ing wall in my office.

HOWEVER, WTF?? These two professions can't be any different. I agree that lifestyle and monetary rewards ARE important, but so is what the f..ck you get up and do every morning! Derm vs Anes???

cf

I have to agree with cf here. Money and lifestyle are nice but anes and derm are as different as 2 fields could possibly be.

 

[anesthesiadoc]

?

Good to see Amherst is still sending folks to med school. 🙂 Myself and a couple of my anesthesia co-residents (as well as several of our attendings) are like-minded enemies of the purple cows. What I can tell you is this... spend elective time in both. The two fields are extremely different when it comes to your clinical responsibilities. Don't pick based on hearsay. I think it boils down to whether you're an OR guy or a clinic guy.

good luck,
chris
Amherst '02
Columbia P&S '06

 

[surftheiop]

I have to agree with cf here. Money and lifestyle are nice but anes and derm are as different as 2 fields could possibly be.

They are pretty similar in the fact they both get to do alot of procedures w/o doing a surgical residency.

 

[Bertelman]

They are pretty similar in the fact they both get to do alot of procedures w/o doing a surgical residency.

I shadowed an FP that did "alot of procedures in the office". I can verify that his daily routine, procedures or not, was nothing at all like anesthesia.

 

[surftheiop]

I shadowed an FP that did "alot of procedures in the office". I can verify that his daily routine, procedures or not, was nothing at all like anesthesia.

I was just saying that if your someone who is looking to do procedures both anethesia/dermatology will probably be considered at somepoint.

Some people would like to do alot of work with their hands, but not neccesarily go through a general surgery residency. These people will probably consider things like derm/ophto/anethesia and probably not consider things like psych, diagnostic rads.

It happens that doing procedures pays better than not doing procedure so while it might look like that person is chasing the money he might actually be more interested in getting to do procedures.