Specialties where you don't have to do rounds

[deleted263296]

Just wondering. The early morning panic is not my cup of tea.

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[nlax30]

Um.... Basically any field where you aren't following hospital patients? And nothing says you have to round early in the morning as an attending.

 

[footcloud]

Omg my exact question. I can't stand rounding at all, can't stand it. Negative to inpatient population.

 

[cartoondoc]

Keep in mind that rounds in an academic center are totally different than rounds in the rest of the world.

My memory of rounding in IM at the university hospital involved hours of discussing every patient until my feel felt like they were going to fall off and I wanted to shoot myself in the head.

Rounding outside of that setting is nowhere near as unpleasant, especially when you don't have an attending to slow you down. It's actually kind of nice to have a list of patients you know well and follow day to day at your own pace, rather than have a clinic list of brand new problems and a time crunch.

 

[BigRedBeta]

As noted, once out in private practice things are different. However, to limit your rounds as a resident, ER, Anesthesia, radiology, and pathology would all be choices that would be low on the rounding side. I don't know much about what a path residency is like, but the others definitely are not completely devoid of rounding. Obviously anesthesia and radiology require PGY1 years so there will be lots of rounding there unless you get into the gentlest of transitional year programs. Anesthesia will also require months in the ICU which will mean rounds. Same thing with ER - they'll include wards months as well as rotations through the adult and (if available) pediatric ICU's. A month on the trauma service is also likely to be a requirement.

And it's okay that you don't like the morning rush. Outpatient vs inpatient medicine have very different rhythms to the day and some people greatly favor one over the other, often to the disbelief of those who prefer the opposite.

 

[FutureCTDoc]

Ophthalmology and derm.This is my thousandth post balling.

 

[DOCTORSAIB]

Easy. Anything out-patient -- ophtho, derm, rads, etc. I see patients in the clinic 8am-4pm, M-F. That's it. No pre/post-rounding nonsense. Love it.

As others have said, you only round on people in the hospital. So avoid the hospital if you hate rounding!

 

[Doctor Bob]

Emergency medicine.

With any office specialty there's the possibility of rounds (unless you don't get privileges at the local hospitals), even if it's just to see consults. With EM, there are no rounds.

But as people above have mentioned, with other specialties, the rounding vs not rounding depends a lot on how you structure your practice and is not something inherent to the specialty.

 

[Jolie South]

Emergency medicine.

With any office specialty there's the possibility of rounds (unless you don't get privileges at the local hospitals), even if it's just to see consults. With EM, there are no rounds.

But as people above have mentioned, with other specialties, the rounding vs not rounding depends a lot on how you structure your practice and is not something inherent to the specialty.

There are rounds though. When I was down in the ED, we'd run the board several times a shift. Also, handoffs are pretty much equivalent to rounds.

 

[C5toC9]

path and rads

 

[bcat85]

and anesthesiology.

 

[TrojanGopher]

Anesthesiology has basically no rounds, no notes, and no reason to wear a tie (scrubs everyday!).

 

[Smurfette]

Anesthesiology has basically no rounds, no notes, and no reason to wear a tie (scrubs everyday!).

...except when on ICU rotations (ICU rounds can be LONG!) or the pain service (rounds may be quick for each patient, but can be a LOT of patients depending on the hospital, and the pages asking to adjust epidurals and meds for chronic pain patients can get old really fast!)

 

[CyberKnife19]

Just wondering. The early morning panic is not my cup of tea.

Radiation Oncology, which in my humble (and biased) opinion is the best field in medicine.

 

[danielmd06]

Sleep medicine. Strictly outpatient.

But you'll have to do a residency with inpatient responsibilities to get there...