Private practice vs Academics: the level of cases and complexity

[PhillyMed777]

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I often hear, and see in real life, that academics tends to get the most complex and highest level of cases. Is there a specialty where the level of practice is very similar in private and academic?

 

[Stagg737]

I often hear, and see in real life, that academics tends to get the most complex and highest level of cases. Is there a specialty where the level of practice is very similar in private and academic?

I'd go out on a limb and say EM. When there's an emergency, the patient is going to the nearest facility with the capability to handle them, I doubt they'll care if it's academic or not.

 

[Pacna]

Genetics? I have no evidence to back this up, but I would think so.

 

[PhillyMed777]

Genetics? I have no evidence to back this up, but I would think so.

I always thought that medical genetics was academic?!

 

[deleted564680]

Radiology. Anything can show up on an image in the community.

 

[Pacna]

I always thought that medical genetics was academic?!

I think there's a good amount of academic... but I was under the impression that ~3/4 of medical geneticists were not.

Again, I have nothing to support this. Just my impression. :x

 

[themockjock]

A lot of it depends on the bravado of the community surgeon, in my field. Most places will ship complex stuff to us, but on the other hand, we frequently get to clean up after really complex cases that were attempted in the community and end in disaster. There was one particularly memorable case where a patient got flown to us from St. Elsewhere on ECMO after a redo multiple-valve extravaganza went south. We peeled back the ioban in the OR and there were multiple hemostats and right angles clamped to various, mostly unidentifiable structures. There was even a side-biting clamp left on the aorta.

Fools rush in...

 

[PhillyMed777]

Radiology. Anything can show up on an image in the community.

Does the pace of pp make it difficult to make cases "academic?" by that i mean, does a radiologist haul a** if reading faster in pp and have less time to think things through?