Why is this a thing for endo, but not ortho or oral surgery or ped or perio, many fresh graduates get into these programs without any gpr or years of experience, right out of dental school. Why Endo makes it hard for dental graduates to get into it? Why do we have to be 100% sure, meanwhile other specialties, dental graduates don't have to be 100% sure by working for years before applying. Is there a reason for this?
2 reasons. Fresh graduates are better prepared for those worlds. Those specialties are based on a good bit of didactic knowledge you get in dental school and not in the real world. Practicing as a GP for several years will get you away from core knowledge you can apply to those specialties. You don’t do sinus lifts, tissues grafting, maxillo-facial surgery, brackets, special needs Pedo patients in your first several years as a GP. You may do implants. But that’s about it. So you aren’t gaining too much by practicing.
2) As a GP you are dealing with endo concepts every day. Diagnosing or trying to diagnose tooth pain. Dealing with proximity to pulp. Understanding caries and microbiomes in caries. You do pulpectomies or pulpotomies to relieve pain. You do endo, whether it’s anterior only or everything. So you are getting comfortable with the concepts. You are getting experience communicating with patients which is important in endo because everyone is scared, nervous, and a lot are tricky to manage. GP world is just much more similar to Endo than the others.
I mean, you don’t have to be 100% sure you want endo to get into Endo. I would just recommend being 100% sure before you try and specialize in anything.