residency

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Lisochka

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Guys, could you help me out and give some information.
I am still trying to figure out if I should go to a med school and see how much time it will occupy.
So, I was looking at some specialities that I might like, so could you please let me know if fellowships are required for those specialities.
So, 2 questions: What kind of residency- and how long. Is fellowship required- and how long.

1) radiology
2) anasteziology
3) oncology
4) gastrointerology
5) emergency
6) lung (forgot the official name) medicine

Thank you very much in advance
 
Guys, could you help me out and give some information.
I am still trying to figure out if I should go to a med school and see how much time it will occupy.
So, I was looking at some specialities that I might like, so could you please let me know if fellowships are required for those specialities.
So, 2 questions: What kind of residency- and how long. Is fellowship required- and how long.

1) radiology

Diagnostic rads is 5 years for residency. Fellowships are not required but popular and include things like Interventional Radiology, Body Imaging, Women's Diagnostic Imaging, Neuroradiology etc. Most are 1 year in length after a DR residency.

2) anasteziology

Anesthesiology is 4 years of residency. All fellowships are optional and may include Pediatric, CT, Critical Care, Pain Mgt.

3) oncology

There are several different types of oncology: medical, radiation and surgical. However, since you've listed no surgical specialties, I'll assume the first two.

Radiation Oncology is its own residency, 5 years in length, and I'm sure there are fellowships, I just don't know any off the top of my head.

Medical Oncology is a fellowship completed after a full 3 year Internal Medicine residency. It is usually combined with Heme and is 3 more years in fellowship training.

4) gastrointerology

Gastroenterology is also a fellowship completed after an IM residency; also 3 years in length as a fellowship.

5) emergency

4 years of residency; there may be fellowships after that if interested (ie, toxicology, critical care, pediatric EM, trauma) of various lengths.

6) lung (forgot the official name) medicine

Pulmonology or pulmonary medicine is a fellowship completed after 3 years of internal medicine or pediatrics. It can be combined with critical care for 3 years of fellowship, or as stand alone for 2 years.

See http://www.ama-assn.org/vapp/freida/spcindx/0,,TR,00.html for more information
 
2 things:

Kim - What is heck is "Body Imaging?" That sounds like saying you're going to do a residency in Pediatrics and then a fellowship in Child Care.

For the sake of the OP - Fellowships after EM are not really like fellowships after other specialties. If you do an ultrasound fellowship you don't become an "Ultrasound Physician." You are more like an EM doc with special skills in U/s. This is in contrast to other specialties, if you do IM and then GI you are a gastroenterologist. If you do Anesth and then Pain you are a pain doctor.
 
body imaging can mean several things. if you want to do GI or MSK rads, then right now you will do a body fellowship, concentrating on your area of interest. alternatively, some people do a CT fellowship and end up doing GI radiology. this whole system is in the process of being formalized, complete with accreditation, societies, etc, so by the time a pre-med or medical student gets that far it will hopefully be more clear.
 
guys, thank you so much, and special big thanks to Kimberly!

Are those residencies very competitive? Especially I am interested in radiology and anastesiology.
 
guys, thank you so much, and special big thanks to Kimberly!

Are those residencies very competitive? Especially I am interested in radiology and anastesiology.

Rads is, anesthesia less so. It depends on the program - some will be more competitive than others, but in general these have been popular and fairly competitive (but not THE most competitive) over the last few years.
 
Rads is, anesthesia less so. It depends on the program - some will be more competitive than others, but in general these have been popular and fairly competitive (but not THE most competitive) over the last few years.


So to get into Rads and anesthesia a person would have to have a good profile? (I mean good Med school GPA, and good grades on the USMLE... )
 
yes, as it currently stands, but some programs are less competitive than others. But these are two very popular specialties.



Thank you so much Kimberly.
May I ask you why those are so popular?
Is it because no patient contact in case of Rads and still pretty good pay check?
Anastesiology, I think it pays well (almost like a surgeon, but less responsibility than a surgeon would have), and that is the only reason- right?
 
May I ask you why those are so popular?
The same folks who are trying to solve the mystery of how many licks it takes to get to the center of a tootsie roll pop are also working on this question; but as it stands, nobody knows.
 
Thank you so much Kimberly.
May I ask you why those are so popular?
Is it because no patient contact in case of Rads and still pretty good pay check?

I suppose some choose rads because they prefer not to have patient contact, but most I've met are pretty congenial. Every radiologist will have a different answer, but it does tend to attract those who like being the "doctor's doctor" (ie, working with other physicians), who like being a "diagnostician" and excellent pay. Those who like procedures can choose Interventional fellowships or do things like CT guided drainage or placement as a generalist and you can focus on different areas of the body rather than just doing general diagnostic rads. It is a very complex area of medicine with lots of reasons to attract people to it. Since it wasn't my choice, I suggest you look at the Radiology forum for the inside scoop from those who did.

Anastesiology, I think it pays well (almost like a surgeon, but less responsibility than a surgeon would have), and that is the only reason- right?

Ouch...you're going to get us in trouble with the Anesthesia group!

First, of all, despite my chosen field of practice, in most instances the anesthesiologist has just as much responsibility for the patient as the surgeon does, and in some - more. Well-practiced anesthesiology is an art as much as a science and very much appreciated by surgeons when its done right. Being in tune with the surgeon's and the patient's needs is very important and I can tell you how much better my surgery is when the patient is kept comfortable and relaxed (in cases using local with MAC). Many patients will tell you that choosing your anesthesiologist is just as, if not more important, as choosing your surgeon. Perhaps an overstatement, but recognition of the danger and discomfort bad anesthesia can supply.

Secondly, in many cases, anesthesiologists make more money than surgeons. Obviously this is a draw for the field. But there are many other reasons why someone would choose Anesthesiology - and again, I would direct you to that forum.

In short, anesthesiology is popular because of the good mix of medicine and procedures (besides intubations, there are central lines, epidural and other pain catheter placements, regional blocks,etc.), lots of critical care knowledge, the ability to choose from a variety of subspecialties (pain, peds, etc.) and a good lifestyle with good reimbursement.
 
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