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Dihydrotestosterone

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Hi
I want to apply for medical/dental school*, and I need some advice**.

I know I really want to specialize in surgical specialties *** , I did some research on different medical and dental specialties, read many topics here, watched some of the procedures on youtube etc, and I came up with two specialties, OMFS and orthopedics, one is dental specialty and one medical, so I have to choose between dental and medical school ... .

here are some of my perceptions (please correct me if I'm wrong and add what I'm missing)



medical path pros:
1- I like being a physician (and in my country OMFS programs are 5 years long, without a MD. and I don't want to make the path to my goals depending on whether I can get accepted into OMFS programs at USA/UK/... or not, as I know OMFS is most hard dental specialty to match in these countries, let alone the fact that I would be a foreign student ... )
2- as a GP physician even if I lose an entire arm (someone diagnoses me with paranoia right now :rolleyes:) I can still do most of what people usually do in private practice. but for a dentist, even losing few fingers is a big trouble. (as a side-note, I do some sports)
3- from my understanding ortho is a lot less micro scale and is not really concerned with cosmetics, OMFS on the other hand (not counting 3rd molar extractions etc :rolleyes:) is much more micro scale and complex; and procedures happen on the face and the neck, areas with so many nerves and blood vessels and small tendons/muscles etc, thus it's more stressful and has a higher risk.
4- OMFS traumas are often an emergency, where as many orthopedic traumas can often wait until morning (call wise. and I know many OMFS people actually don't do much trauma after residency, but I like to work with a relatively larger team and in hospital setting).
5- as i said above, I like to work with a relatively larger team and in hospital setting, dental practices (and even clinics) seem a bit lonely to me ..., one or maybe two assistants, and almost no teamwork.
6- as both specialties involve bones, joints and muscles etc, they use lots of cool tools and involve lots of bio-mechanics, but I guess it's much more on the ortho side. I have a background in electronic engineering (and also mechanic/robotics), so I'm very interested in these stuff.
7- more variety.
8- ENTs and PRs can't steal your cases and call you a dentist?! :p



dental path pros:
1- I can work from 3rd/4th year in private practices (it's illegal though. dental school in my country is 6 years)
2- if I couldn't match into residency, I could still do some sort of surgical procedures (and I like the hand work and creativity, hence my interest in ortho and OMFS, more on macro scale though)
3- GP dentists have a bit more prestige (and monetary compensation) compared to GP physicians.
4- dentists can have a better lifestyle, school is also a bit easier. OMFS also has much more flexibility in lifestyle, than ortho does. your bread and butter cases are actually those which get done in 30 min in your practice; if involving in hospital setting, getting calls and doing (maxillofacial) trauma cases hurts your life, you can quit it, do 3rd molars and implants all day long in your practice and still lose nothing ... . (again I do some sports and I want to maintain it, I do some (science-unrelated) readings/writings, and I want to have time for my future family)



Thanks






* I'm not from USA, I'm from Middle east, and for getting into university, in my country we have a big national exam each year called konkur (from old french conquerre), who ever has the highest score (lowest rating) has the highest priority in choosing his/her field and school, and so on ... . and based on my score I know I can get accepted in both medical school and dental school.
** I know it's best to shadow people in either field in real life but as I'm from a small city and our doctors are a bit too serious :yeahright: that's not easy; but I will definitely try to find someone who let me to do so and I will do it. but I also wanted to get some insights from you guys.
*** and I know getting accepted into programs isn't easy, but I'm just pointing out my goals and personal interests (and again in my country for getting into residency programs there is a national exam each year, the highest score (lowest rating) has the highest priority in choosing her/his field and school).
 
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Ismet

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Moving to the International Forums - Africa and Middle East, as there may be more people there who are more familiar with schools and careers in your country.
 
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Ismet

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Dihydrotestosterone

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Educational systems might be different, but at the end, an OMFS is an OMFS and an Orthopod is an Orthopod ... it's not like in Iran orthopods doing heart transplant and OMFSs are doing knee joint replacement ...
the scope of practice is pretty much the same as USA/UK/... and (I guess because cosmetic surgery is very popular here* and plastic is still a general surgery fellowship) OMFSs here are doing lots of rhinoplasties and orthognathic surgeries (I don't like cosmetics very much though ...); and general dentists are doing implants themselves more these days (and from what I heard it's the same in USA)

MD is 7 years here
DDS is 6
Orthopedics is 4 years
and OMFS is 5 years long

I will attach official English description of the OMFS and orthopedics programs in Iran






* and actually many american models, actors and p*rnstars are coming each year here, for different cosmetic surgeries :smuggrin: (maybe it's cheaper, the doctors have more experience (Persian girls do lots of unnecessary surgeries ...), or both ...)
 

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gyngyn

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The problem is that many of the points of comparison you are using have no relevance here.
Do you want to be a dentist or a physician? Either can be a path to your goals.
Neither path is similar to ours in the US.
 
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Dihydrotestosterone

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TBH there are things I like in both.

I like having the knowledge of a physician.

and i like the the fact that your job as GP (in PP of course) doesn't really depend on your physical ability and manual dexterity (thus getting some sort of hand/... injury is not a danger to your career), as (at least here) GP physicians in PP mostly write prescriptions for cold and flu or write referrals to specialists and sub-specialists (as with some insurance companies it's obligatory for you to visit your GP first and get referral if it's really needed), they rarely do anything manual as most people will directly go to specialists (even for very simple problems, especially if it's their kid's problem ...)

compensation for GP physicians was bad in the past, something like 140k USD for GP dentists with their own practice, and 35k USD for GP physicians, but new health minister implemented some changes and the difference is now much less.

but i also like the surgical aspects of general dentistry, cool tools, equipment and procedures, interacting more actively with an assistant, and I like the manual work and creativity, much more *interesting* than what a GP physician does ...; you have a problem, you plan a treatment, and you fix it (like orthopedics :smuggrin:).


Thanks
 
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AnatomyGrey12

I know I really want to specialize in surgical specialties

You and everyone else. I would first decide if you would rather be a general practitioner of dentistry or medicine, make your decision based on that. People who go into either field with the mindset of "super competitive field or bust" generally end up unhappy.
 
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Dihydrotestosterone

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You and everyone else. I would first decide if you would rather be a general practitioner of dentistry or medicine, make your decision based on that. People who go into either field with the mindset of "super competitive field or bust" generally end up unhappy.

for sure the surgical nature of GP dentistry is more interesting to me than sitting behind a desk and writing a prescription for common cold, or filling a referral form for a patient who asks for a referral to an internist without even letting me know what's the problem ...!
but overall, I won't really be unhappy doing that ..., as I said I like the knowledge you gain as a physician, and I like solving complex problems, I like the relatively more safe (in regard to disability), less stressful and less risky career you will have (compared to dentistry).
in other words:
if I go into dentistry, thinking about the fact that I'm not a physician, and the fact that some people don't even consider me a "doctor" could make me unhappy sometimes ....
but if I go into medicine, not doing surgical procedures, mechanical works, and using cool tools and equipment, won't really make me unhappy ... at the end, a job is a job, I don't really think bus drivers drive a bus everyday because it makes them happy ... (not to say I don't have passion for healthcare field, but, i wouldn't mind doing a job that is not also a hobby to me, and the knowledge you gain as a physician worth more than the coolness of dental procedures to me)

but this is all based on my limited exposure to these fields; I think I can't really decide without shadowing people in each field for some time ... .

Thanks
 
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VincentAdultman

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