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Road?
Started by Pegasus82
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You try fitting the "P" and "E" into the already awesome ROAD acronym, I dare you!!
Seriously though, there are a few other specialties off the top of my head that seem to fit into the ROAD concept (rad onc, PMR, urology) that aren't included. ROAD is such an established acronym that it now represents more than the sum of its parts.
I think you have misinterpreted the ROAD acronym.
The ROAD specialties are specialties that are generally considered lifestyle specialties in medicine. Lifestyle specialties are those that offer good pay with minimum work hours, low patient loads, above average working conditions, and typically low on-call time.
So no surgical specialty has ever been included and while ENT may have better work hours than General Surgery, the training, the call and the long cases make it less appealing.
Psych may have good hours, but the pay isn't so hot in most cases.
Its not just about lifestyle but the perceived difficulty in getting to that lifestyle and how much reimbursement there is for the lower work hours. I agree that Rad Onc is probably missing from the acronym but would not include any surgical specialties.
The ROAD specialties are specialties that are generally considered lifestyle specialties in medicine. Lifestyle specialties are those that offer good pay with minimum work hours, low patient loads, above average working conditions, and typically low on-call time.
So no surgical specialty has ever been included and while ENT may have better work hours than General Surgery, the training, the call and the long cases make it less appealing.
Psych may have good hours, but the pay isn't so hot in most cases.
Its not just about lifestyle but the perceived difficulty in getting to that lifestyle and how much reimbursement there is for the lower work hours. I agree that Rad Onc is probably missing from the acronym but would not include any surgical specialties.
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I see. But isn´t ophto considered a surgical spec. in the US (it does here in Sweden?).
Totally unrelated to this thread, but I just had to say that your avatar's friggen hilarious. Made me lol...
Yes and No.
Ophtho is a surgical specialty in the sense that they are eye surgeons.
However, the hours worked during residency and after are nowhere near (in most cases) those worked by other surgical subspecialties.In addition, they are not required to do a surgical Intern year like all other surgical subspecialties, do not rotate on general surgery, trauma, etc. like the Ortho, ENT, Uro, Plastics, Neurosurg guys do, so most do not include Ophtho when classifying surgical subspecialties.
At any rate, really semantics - as I know that Optho do consider themselves surgeons (which they are) - but for classification purposes, no they generally aren't included in surgical subspecialties (which, IMHO, implies some general surgery training).
Give it time. Obama will either anhilate the other specialties salaries or increase psych's. Or both?
Psychiatry recently filled out an application for the ROAD club. It is currently under review.
In Sweden psych is the most well payed speciality. It is also the one with least prestige/status.
I think people tend to think of ROAD specialties as low-stress. Psych is not necessarily low-stress. I think one reason psychiatrists tend to work less hours than other docs is because you need time for yourself to recharge when you are dealing with other people's emotional problems on a daily basis.
I think most would consider having to evaluate the seriousness of suicidal gestures by borderline personality patients or having random obscenities screamed at you by a very psychotic patient to be a bit more stressful than doing cosmetic derm or cataract surgeries for patients who actually want your help.
I think most would consider having to evaluate the seriousness of suicidal gestures by borderline personality patients or having random obscenities screamed at you by a very psychotic patient to be a bit more stressful than doing cosmetic derm or cataract surgeries for patients who actually want your help.
Gracias. khalid sheikh mohammed + MSPaint + internet = Priceless
Now that sleep medicine is becoming more of an established subspecialty, I think it should be added; that would make the acronym "ROADS"
Same idea goes for Ob/Gyn, they think they are surgeons but they really aren't - unless they are gyn-onc.
I tend to disagree with this. Surgeries like pelvic reconstruction, even hysterectomies, or ex-laps for tubal pregnancy or endometriosis are surgeries... more technically difficult than some "general" surgery procedures (eg Lipomas, excisional biopsies, some hernias (like umbilical/ventral), lumpectomies, etc). What I disagree with is when some gastroenterologists refer to themselves as doing surgery
I would put ent into the "lifestyle" specialties. Anesthesiology is not only very high stress, but we take in house call as attendings, and generally have very busy and frequent calls as attendings.
Combined with the militant nurse threat, I would take anesthesiology out of the lifestyle section.
Combined with the militant nurse threat, I would take anesthesiology out of the lifestyle section.
I had actually heard the acronym "UPROAD" before the ROAD one. It included Urology and Pathology (not Psych).
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Looks like everyone whose not ROAD wants to add their specialty to the acronym.
I think the fact that rad onc has so few people is the reason why it was never included in ROAD. Also, the ROAD acronym may have taken hold well before rad onc became more well known.
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deleted87716
Dont matter what ROAD you chose....as long as you like the lifestyle....
some people like to work hard...some dont
some people care about the money...some dont
some people just want whatever.....find what works for you and be happy!! 🙂
And that is the ROAD to success.....whether you ADORE it or not.
some people like to work hard...some dont
some people care about the money...some dont
some people just want whatever.....find what works for you and be happy!! 🙂
And that is the ROAD to success.....whether you ADORE it or not.
We need a specialty beginning with the letter k
I'm enjoying the new acronyms. Keep 'em coming. Ultimately though, I hope you guys find a specialty that provides you with Plenty of Money & Relaxation. 😎
Tongue in cheek, of course. 😉
Tongue in cheek, of course. 😉
I LOVE your avatar!
Anyway, I keep seeing how a bunch of people in anesthesia seem to want anesthesia out of ROAD, and if we take it out, among my favorite permutations of a new acronym could be FRODO (keeping family just because and adding ENT as asked about).
kidney doc.....best i got.
Maybe I'm thrown off by the time shift today, or maybe it's because I'm a doctor of little brain, but for the life of me I can't figure out what acronym you're proposing.
Mahalo.
Actually, when the ROAD acronym was developed, rad onc was still a part of radiology, so it technically is included in the R...
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Urology is not a lifestyle field -- in many practices, residents are going to be calling you at 3am for emergency cystos. Neither is ENT. These are surgical fields. Optho is too but was less surgical when the ROAD acronym was developed.
You guys have to realize that ROAD is historic, not something you can just add to or subtract from. It was created at a time when these fields had a lot in common -- good lifestyle, high pay, and a high degree of competitiveness to entry. Most of the ones suggested on this thread lack in one of these categories. Either folks are raising surgical fields which have worse lifestyle, or folks are floating things like path, family or EM which haven't yet risen to the same level of competitiveness. Sure rad onc fits the pattern, but it already was part of ROAD when ROAD was coined -- it was a subspecialty of radiology that later broke off. ROAD works because these 4 fields meet the above 3 criteria than any of the others.
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deleted87716
I thought we were just kidding around. I know I was.
Sure, but in a week you are going to read a post on pre-allo where somebody is throwing one of these new terms like it's actually part of the physician vernacular. Happened last time this discussion came up. Folks who don't know the history often get confused.
L2D has arrived, the time for joking is over!
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deleted87716
How 'bout an acronym for the best fields to go into if you enjoy whining on SDN? 😉
Dermatology
Internal Medicine
Anesthesiology
Pathology
Emergency Medicine
Radiology
Dermatology
Internal Medicine
Anesthesiology
Pathology
Emergency Medicine
Radiology
I like it but don't think IM fits...
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deleted87716
I was thinking of specialists, not general IM.
Dermatology
Allergy & Immunology
Anesthesiology
Plastics
Emergency Medicine
Radiology
Better. 😀
Or maybe,
Dermatology
Allergy & Immunology
Anesthesiology
Plastics
Emergency Medicine
Radiology
R A diation Oncology
Sleep Medicine
Hematology
Dermatology
Allergy & Immunology
Anesthesiology
Plastics
Emergency Medicine
Radiology
R A diation Oncology
Sleep Medicine
Hematology
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deleted87716
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