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Medicine

Discussion in 'Surgery and Surgical Subspecialties' started by mdfirst, Dec 11, 2008.

  1. mdfirst

    2+ Year Member

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    Ok, in your opinions, which surgical specialty involves the most medicine (other than transplants)? I was thinking maybe ENT or GU maybe?
     
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  3. dr.evil

    dr.evil Senior Member
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    Critical Care/Trauma. Most of it is medicine. Just very quick and agressive medicine. Most things general surgery depend more on medicine than other surgical specialties, I think.
     
  4. SocialistMD

    SocialistMD Resident Objectivist
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    I agree; critical care/acute care surgery is as much medicine as it is surgery.
     
  5. anxietypeaker

    anxietypeaker Senior Member
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    Was wondering what surgical specialty has the largest medical component (in addition to surgery, meaning it rules out surgical critical care)?

    Transplant? Oncological? ENT? Uro/Gyn? Neuro?

    As an aside, this question is just out of curiosity... thanks.
     
  6. ESU_MD

    ESU_MD Old School
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    Cardiac surgery involves knowing alot of medicine as well as truly understanding complex physiology & hemodynamics- especially if it involves a congenital problem.

    I think surg critical care/trauma involves alot of medicine too, but a different kind- shock, sepsis etc...
     
  7. core0

    core0 Which way is the windmill
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    Transplant or Trauma

    David Carpenter, PA-C
     
  8. Winged Scapula

    Winged Scapula Cougariffic!
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    Agree with the above...trauma, transplant, ENT and Uro have a fair bit of medicine.

    And with that I am merging the two nearly identical threads on this topic posted in the last two days...
     
  9. Trinity12

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    I used to think uro had a fair amount of medicine but it doesn't, really. It basically comes down to:

    BPH = alpha-blocker +/- 5-alpha-reductase inhibitor
    OAB = anti-cholinergic
    prostatitis = long course of cipro (and a huge pain if it's chronic)

    ...etc... not exactly the most exciting medicine.

    I agree that trauma and transplant have a lot of medicine. So, I guess if you do kidney transplants, as a urologist you MIGHT deal with some more medicine, but at my institution uro does the surgery and nephro does the immunosuppression and routine transplant followup.
     
  10. sponch

    sponch Senior Member
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    if you want medicine, do medicine. if you want to operate, do surgery.

    the whole "ent or uro or ophtho has a good mix of medicine and surgery" is garbage. what that really means is that you can have more of an office practice so your lifestyle will be more controllable. you can do lots of smaller procedures, see patients in clinic 3 days a week, and maybe a big case once or twice a month.

    the myth that surgeons don't know medicine is just not true. there is a ton of medical management in general surgery training. most of the time, i ask for medicine consults because i don't WANT to deal with something rather than because i CAN'T deal with it. most of the time, the medicine resident looks in that pocket medicine book they tote around or uptodate anyway.

    it's the same reason why medicine asks us to I&D abscesses or put in lines or stupid little things that they could totally do themselves. they're too busy writing long notes, calling consults for each failing organ system, and figuring out which SNF to send their patients to.
     
  11. ddmo

    ddmo BMF
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    Asking which surgical field has the most medicine is like asking which soyburger tastes the most like meat.
     
  12. VincentAdultman

    VincentAdultman Senior Member
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    Wow you sure have the book down on Internal Medicine :rolleyes:

    And the correct ancer for the OP is ortho.
     
  13. mdfirst

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    I would have to disagree with the previous post. I think Ortho has the least medicine than anyother specialty besides rads im assuming.
     
  14. Hoooba

    Hoooba Masrawy 100 100
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    I sensed some sarcasim
     
  15. Winged Scapula

    Winged Scapula Cougariffic!
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    Since the person who posted that is (or already is) trying to get into Ortho, I would take the post with sarcasm/grain of salt. Ortho could have lots of medicine but they choose to consult almost all of it out.
     
  16. VincentAdultman

    VincentAdultman Senior Member
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    omg you got the joke hi-five!
     

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