The Future of Private Practice OMFS in My Opinion

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Xigris14

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Sit back and get ready for me to unload on my thoughts. Some may agree others may disagree. Only time will tell, but its trending now.

1) OMFS will be dropping plans and will stop accepting most insurance. Including dental and medical, also Medicare.

The amount of money I get back from dental and medical insurances is laughable. This is a business not a charity practice. Sure I do charity but I run a business also. Insurance reimbursement is low and getting lower. Most of my oral surgery friends stop taking insurance and are fee for service. Others are slowly eliminating the bad insurance plans. As time goes on the bad ones increase and thus more plans will get eliminated. Cigna Medical slashes each wisdom tooth in half. By the time you get to the last wisdom tooth your making 50 bucks maybe. Other plans deny payment even after you do the surgery. Lets talk about TMJ and Ortho Surg. Its rare to find plans that cover this. Hell, I find it hard to find a plan to cover a bone graft after a maxillofacial trauma. The case numbers within this field will reduce because of this. Its easier to not accept insurance and thus most surgeons are following. The public needs to get ready for this. I have patients driving 40--50 miles to see me because I am the only idiot to still accept their insurance plan.

2) The amount of pedo oral surgery cases I do is almost zero. This is a change from years ago.

Most pediatric dentist are now bringing in an anesthesiologist to sedate these patients in their office, thus making our ability to sedate patients useless. Come on. Most ped dentist can take out primary teeth and do a frenectomy. They send them to us due to behavioral issues. Now with the advent of an anesthesia doc coming to their office with all the equipement needed, these procedures can stay in house, and thus the lack of these referrals. Sure some complex stuff still will be referred out, but compared to years ago. Its dry my friends and only going to get worse. If you dont have this in your town, just wait.

3) The referrals from a GP is on the decline and will continue as younger dentist enter the work force.

This pertains to younger dentist not the older established ones. Younger dentist are in debt, hungry to do cases and learning implant dentistry or oral surgery within their program. If not they are taking CE courses for these skills and YES also IV sedation. This scarres me because all it takes is a couple of GP sedation deaths and the whole field of dentistry is screwed, mainly the OMFS who will now need a anesthesia doc in their office. But to get to the point. GP are now placing implants, ext, doing all on 4, IV sed, biopsies, bone grafts, etc. Some are even doing wisdom teeth. If you dont see it in your community yet, just wait.....Or the dentist are having multi-specialist enter their office to treat their patients and getting a cut of the money. I see it happening now and only increasing as economic times continue to decline.



The change is slowly coming and will affect our speciality. This is all without the mention of Obama Care. Who the hell knows how thats going to affect us, but I can assure you it wont be for the good. Stay tuned because things are changing.

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Are there really that many pedo bringing in anesthesia?
What region of the country are you in?
 
Are there really that many pedo bringing in anesthesia?
What region of the country are you in?

I don't understand the anesthesia thing either. Aren't there something like a handful of anesthesia programs in the US compared to like 50+ OMS programs? There can't possibly be that many anesthesia graduates out there to make a dent in anyone's practices.
 
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I don't understand the anesthesia thing either. Aren't there something like a handful of anesthesia programs in the US compared to like 50+ OMS programs? There can't possibly be that many anesthesia graduates out there to make a dent in anyone's practices.

There are 9 programs and 27 produced each year. I think in very specific areas it's big... But def wont be an issue for 10+ years if at all.

The areas where DAs primarily work as anesthetists only are cali, zona, and texas.
 
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Sit back and get ready for me to unload on my thoughts. Some may agree others may disagree. Only time will tell, but its trending now.

1) OMFS will be dropping plans and will stop accepting most insurance. Including dental and medical, also Medicare.

The amount of money I get back from dental and medical insurances is laughable. This is a business not a charity practice. Sure I do charity but I run a business also. Insurance reimbursement is low and getting lower. Most of my oral surgery friends stop taking insurance and are fee for service. Others are slowly eliminating the bad insurance plans. As time goes on the bad ones increase and thus more plans will get eliminated. Cigna Medical slashes each wisdom tooth in half. By the time you get to the last wisdom tooth your making 50 bucks maybe. Other plans deny payment even after you do the surgery. Lets talk about TMJ and Ortho Surg. Its rare to find plans that cover this. Hell, I find it hard to find a plan to cover a bone graft after a maxillofacial trauma. The case numbers within this field will reduce because of this. Its easier to not accept insurance and thus most surgeons are following. The public needs to get ready for this. I have patients driving 40--50 miles to see me because I am the only idiot to still accept their insurance plan.

2) The amount of pedo oral surgery cases I do is almost zero. This is a change from years ago.

Most pediatric dentist are now bringing in an anesthesiologist to sedate these patients in their office, thus making our ability to sedate patients useless. Come on. Most ped dentist can take out primary teeth and do a frenectomy. They send them to us due to behavioral issues. Now with the advent of an anesthesia doc coming to their office with all the equipement needed, these procedures can stay in house, and thus the lack of these referrals. Sure some complex stuff still will be referred out, but compared to years ago. Its dry my friends and only going to get worse. If you dont have this in your town, just wait.

3) The referrals from a GP is on the decline and will continue as younger dentist enter the work force.

This pertains to younger dentist not the older established ones. Younger dentist are in debt, hungry to do cases and learning implant dentistry or oral surgery within their program. If not they are taking CE courses for these skills and YES also IV sedation. This scarres me because all it takes is a couple of GP sedation deaths and the whole field of dentistry is screwed, mainly the OMFS who will now need a anesthesia doc in their office. But to get to the point. GP are now placing implants, ext, doing all on 4, IV sed, biopsies, bone grafts, etc. Some are even doing wisdom teeth. If you dont see it in your community yet, just wait.....Or the dentist are having multi-specialist enter their office to treat their patients and getting a cut of the money. I see it happening now and only increasing as economic times continue to decline.



The change is slowly coming and will affect our speciality. This is all without the mention of Obama Care. Who the hell knows how thats going to affect us, but I can assure you it wont be for the good. Stay tuned because things are changing.

I can a be a bit of a doomsday-er at times but DAMN!
 
Based purely on my own speculation i def think that oral surgeons are gonna lose their stranglehold on implants. Due to:
1. Increased training comfort amongst young dentists w implants
2. Ease of placement from cbct imaging, surgical guides, and easier systems from the companies
3. Every specialty is now entrenched in implant placement and implant fellowships are poppin up mo and mo

How long in the future b4 a patient comes in for their firsr visit with a missing tooth, gets a cbct, cad/cam surgical guide, cad/cam crown, immediate load implant and leaves that same day with a brand new toof
 
Based purely on my own speculation i def think that oral surgeons are gonna lose their stranglehold on implants. Due to:
1. Increased training comfort amongst young dentists w implants
2. Ease of placement from cbct imaging, surgical guides, and easier systems from the companies
3. Every specialty is now entrenched in implant placement and implant fellowships are poppin up mo and mo

How long in the future b4 a patient comes in for their firsr visit with a missing tooth, gets a cbct, cad/cam surgical guide, cad/cam crown, immediate load implant and leaves that same day with a brand new toof
What if the implant fails? I think it is safer to let the implant fully integrate and then restore it with a crown a few months later. This way, you lose less money when you have to re-do the whole thing at no charge for the patient.

One more thing, placing and restoring missing upper anterior teeth are not as simple as you think. Sometimes, bone graft is required to achieve good esthetic result. And even with bone graft and ideal implant placement, you still may not get satisfactory result. Sometimes, doing an anterior bridge is easier than doing a single anterior tooth implant because it is easier for you to control the contour of the crown(s) with a bridge. This is why many general dentists, who place implants in their practices, still have to refer difficult implant cases to specialists.
 
What if the implant fails? I think it is safer to let the implant fully integrate and then restore it with a crown a few months later. This way, you lose less money when you have to re-do the whole thing at no charge for the patient.

One more thing, placing and restoring missing upper anterior teeth are not as simple as you think. Sometimes, bone graft is required to achieve good esthetic result. And even with bone graft and ideal implant placement, you still may not get satisfactory result. Sometimes, doing an anterior bridge is easier than doing a single anterior tooth implant because it is easier for you to control the contour of the crown(s) with a bridge. This is why many general dentists, who place implants in their practices, still have to refer difficult implant cases to specialists.

I'm not a general dentist. Nor was I trying to argue in favor of the trend I predicted. And I didn't say omfs wouldn't do implants anymore, I said they'd lose their stranglehold...of course tough cases are gonna go to specialists.
 
\it does not matter where I live, but I live in midwest. The point is that anesthesia docs (MD) that are somewhat privatized, in that they have contracts to work at surgi-centers for example will on a side job or with their large private group market these pediatric dentist and dentist. Its easy money for them. Trust me if it is not in your town it will. May take some time but this little money maker will be catching on with anesthesia docs within a type of private group. They market themselves well, I have seen it and lost cases because of it to dentist and ped dentist. Be happy its not going on in your city. Also this is not a every day event. The dentist or ped dentist will pick a day a week or month and make it a huge sedation day for their patients. There are plenty of anesthesa docs and CRNA, now anesthesia assistants out there to do this type of work. I am not talking about dental anesthesia docs. Dont know about them. Not worried at this time about that. Maybe I should?

As it pertains to other aspects I spoke about. As OMFS we will always have business. Difficult cases and medical compromised patients will continue our way. Our hospital based surgery will continue but will decrease based on insurance. i think the days of numerous ortho surg cases are on the decline unless you get cash paying patients or lucky to have a patient who has insurance that covers these cases. When I was in residency this was never a issue. Everyone that had insurance had coverage. Times are changing.

The person who commented on implants are being done and will be on the decline by OMFS is completely correct. The systems are easier and some marketed to dentist. Courses are out there for dentist. A friend of mine just finished a course and is placing implants. He is a dentist. Used to refer to a local oral surgeon, not anymore. See what I mean. In that course there were prosth guys, endodontist as well. Training is starting in dental school. There are dentist I bone graft for so they can place the implants. Aint lying wish i was,
 
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As it pertains to other aspects I spoke about. As OMFS we will always have business. Difficult cases and medical compromised patients will continue our way. Our hospital based surgery will continue but will decrease based on insurance. i think the days of numerous ortho surg cases are on the decline unless you get cash paying patients or lucky to have a patient who has insurance that covers these cases. When I was in residency this was never a issue. Everyone that had insurance had coverage. Times are changing.

Where did you train that you were doing "numerous" ortho surgery cases? I thought those days were long gone with the 80s. Surgery is nearly non-existent in some parts of the country. Even when I was an ortho resident, the medical insurance offered by our medical center put in the "No coverage for Orthognathic Surgery" clause and our cases in ortho and OMS dwindled overnight.
 
\it does not matter where I live, but I live in midwest. The point is that anesthesia docs (MD) that are somewhat privatized, in that they have contracts to work at surgi-centers for example will on a side job or with their large private group market these pediatric dentist and dentist. Its easy money for them. Trust me if it is not in your town it will. May take some time but this little money maker will be catching on with anesthesia docs within a type of private group. They market themselves well, I have seen it and lost cases because of it to dentist and ped dentist. Be happy its not going on in your city. Also this is not a every day event. The dentist or ped dentist will pick a day a week or month and make it a huge sedation day for their patients. There are plenty of anesthesa docs and CRNA, now anesthesia assistants out there to do this type of work. I am not talking about dental anesthesia docs. Dont know about them. Not worried at this time about that. Maybe I should?

As it pertains to other aspects I spoke about. As OMFS we will always have business. Difficult cases and medical compromised patients will continue our way. Our hospital based surgery will continue but will decrease based on insurance. i think the days of numerous ortho surg cases are on the decline unless you get cash paying patients or lucky to have a patient who has insurance that covers these cases. When I was in residency this was never a issue. Everyone that had insurance had coverage. Times are changing.

The person who commented on implants are being done and will be on the decline by OMFS is completely correct. The systems are easier and some marketed to dentist. Courses are out there for dentist. A friend of mine just finished a course and is placing implants. He is a dentist. Used to refer to a local oral surgeon, not anymore. See what I mean. In that course there were prosth guys, endodontist as well. Training is starting in dental school. There are dentist I bone graft for so they can place the implants. Aint lying wish i was,

Dude, glass half-empty much?

I am only a resident, but there will always be work for us. Will it be as lucrative as it currently is? Who knows, but I'm excited about my career decision and people pay us because we are specialists.

I asked my mentor if he was worried that GD will start taking all of our business. He just smiled and said, "Nope, there's still gotta be someone there when they F*** it up, then they'll learn why I went to an extra 4 years instead of a weekend course"

But again, I'm a first year resident, my glass hasn't been destroyed/pissed in/repoured with alcohol yet...........I'll repost in 3 years.
 
But again, I'm a first year resident, my glass hasn't been destroyed/pissed in/repoured with alcohol yet...........I'll repost in 3 years.

There is a world of difference how you view the world when you were a dental student, a resident and then as a new specialist... after practicing for two years, you would come to realize that the glass you thought you had belonged to someone else!! :scared:
 
There is a world of difference how you view the world when you were a dental student, a resident and then as a new specialist... after practicing for two years, you would come to realize that the glass you thought you had belonged to someone else!! :scared:

So do you wish you went into another speciality? or stayed a GP?
 
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Original poster, you see a problem, this is your opportunity to make a change.
 
Is it just what I've heard or does the "GP's keeping things outside of traditional scope" tend to wax and wane with the economy?

I would image that if there are not enough procedures to do and there are openings in the schedule, you will begin to see GPs starting to perform LeFort III osteotomies. Joking aside, with more grads, less work, and a blurring of the traditional scope between specialties, I would imagine that referral patterns will change for OMFS in private practice. I would imagine this is already happening.
 
Ok now that we all want to go take a bath with a toaster.....How about you put your pricey education to the test, and come up with some solutions to this problem. I mean honestly it cant be THAT bad.....can it?
 
I recently hear from a very reliable source that a brand new resident was offered a base Salary of $700K as an associate right out of residency. I also saw on an Aspen dental site that their typical OMS earn about $750K. Those are pretty good numbers. I think overall things are OK if those kind of earnings are being advertised.
 
I've heard that the academic packages offered to newly graduated surgeons are getting better every year. Is there any truth to this? Can anybody support/refute this claim?

With the broadened scope of practice in a hospital setting and steady patient turnover, it seems like a good option, especially if there is any truth to what the OP said about private practice.
 
I've heard that the academic packages offered to newly graduated surgeons are getting better every year. Is there any truth to this? Can anybody support/refute this claim?

With the broadened scope of practice in a hospital setting and steady patient turnover, it seems like a good option, especially if there is any truth to what the OP said about private practice.

What broadened scope?
And what steady turnover?
 
Don't surgeons in academics typically perform a wider array of procedures versus a private practice guy who mainly does dentoalveolar stuff, implants, benign path, and orthognathics?

And by steady patients I meant you don't have to do any marketing - the hospital kinda does that for you, no?

Obviously I have limited experience. Just here to get some insights.
 
I recently hear from a very reliable source that a brand new resident was offered a base Salary of $700K as an associate right out of residency. I also saw on an Aspen dental site that their typical OMS earn about $750K. Those are pretty good numbers. I think overall things are OK if those kind of earnings are being advertised.

Post like this piss me off. That is wonderful that from your anecdotal study with n=2 you have concluded that "overall things are OK". :rolleyes:
 
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Post like this piss me off. That is wonderful that from your anecdotal study with n=2 you have concluded that "overall things are OK". :rolleyes:

:thumbup: true dat


oral surgeons will always be needed and will always be busy. this is one of the "safest" specialties in dentistry.
 
Post like this piss me off. That is wonderful that from your anecdotal study with n=2 you have concluded that "overall things are OK". :rolleyes:

It's funny bc if u go to the website it literally says "based off of 3 locations"
 
And by steady patients I meant you don't have to do any marketing - the hospital kinda does that for you, no?

Better to take marketing in your own hands. Most hospitals don't provide the kind of SEO needed to make you stand out above the competition in your niche/city.
 
Senpai, I am sorry to offend you so badly with some encouraging news. I think you probably need to chill out a little bit. Are you still a dental student or are you a resident now? Or are you a dental student about to be a resident? Or, are you a dental student hoping to be a resident? Or, are you a dental student who wanted to be a resident but didn't get in? Just trying to get a handle on the context of your anger. Have you ever followed an OMS in private practice? Have you seen what is capable? Those numbers are really not that far out of reach for a reasonably busy private practice.
 
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I don't really think we can signal the demise of OMFS just yet. Yes, I have met a whole crew of general dentists who place implants recently at the AAID national conference in Las Vegas this past October, and they are a pretty formidable group. And yes I am aware that insurance does not pay well. And yes, I have seen many new dental anesthesiology programs pop up since they became eligible for GME money ( I wrote the self study for the one in my hospital). With all of that said, I am familiar with many newly trained OMFS grads in the NY metro area (out under 6 years) and all I can say is that they are all doing well, holding down good incomes, and seem to have no lack of work, and this is in NY where expanded scope is not as prevalent as other parts of the country. I think like any other area of dentistry, there will always be economic challenges to face and evolution of the way we practice, but that is the nature of this field. Somehow we have always found a way to go on, and lets face it, dentists, oral surgeons, or whatever name you want to call yourself do pretty well. Some will always be more successful than others, like any other business
 
Senpai, I am sorry to offend you so badly with some encouraging news. I think you probably need to chill out a little bit. Are you still a dental student or are you a resident now? Or are you a dental student about to be a resident? Or, are you a dental student hoping to be a resident? Or, are you a dental student who wanted to be a resident but didn't get in? Just trying to get a handle on the context of your anger. Have you ever followed an OMS in private practice? Have you seen what is capable? Those numbers are really not that far out of reach for a reasonably busy private practice.


Agreed.
 
setdoc7....thanks for giving some balance to this issue....as much as I appreciate OP's honesty and thoughts, a different perspective helps.
 
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Sit back and get ready for me to unload on my thoughts. Some may agree others may disagree. Only time will tell, but its trending now.

1) OMFS will be dropping plans and will stop accepting most insurance. Including dental and medical, also Medicare.

The amount of money I get back from dental and medical insurances is laughable. This is a business not a charity practice. Sure I do charity but I run a business also. Insurance reimbursement is low and getting lower. Most of my oral surgery friends stop taking insurance and are fee for service. Others are slowly eliminating the bad insurance plans. This is always a good idea. As time goes on the bad ones increase and thus more plans will get eliminated. Cigna Medical slashes each wisdom tooth in half. By the time you get to the last wisdom tooth your making 50 bucks maybe. Other plans deny payment even after you do the surgery. Lets talk about TMJ and Ortho Surg. Its rare to find plans that cover this. Hell, I find it hard to find a plan to cover a bone graft after a maxillofacial trauma. The case numbers within this field will reduce because of this. Its easier to not accept insurance and thus most surgeons are following. The public needs to get ready for this. I don't think the public has to get ready for this. If you are going to drop insurances, then you need to get ready to lose patients and possibly lose referrals. As long as one OMFS continues to take insurance plans within a reasonable distance, people will make the drive to get their surgery done. You still may be better by dropping the low paying insurances. I would recommend that before you do this, that you have someone try to negotiate your fees such as Lisa Webber from www.droptheppo. She was able to get me 14% fee increase with Metlife. .


Most patients will continue to go to the OMFS that is on their plan.
I have patients driving 40--50 miles to see me because I am the only idiot to still accept their insurance plan.

2) The amount of pedo oral surgery cases I do is almost zero. This is a change from years ago.

Most pediatric dentist are now bringing in an anesthesiologist to sedate these patients in their office, thus making our ability to sedate patients useless. Come on. Most ped dentist can take out primary teeth and do a frenectomy. They send them to us due to behavioral issues. Now with the advent of an anesthesia doc coming to their office with all the equipement needed, these procedures can stay in house, and thus the lack of these referrals. I am a pediatric dentist and I have a an anesthesiologist who comes to my office once a month. That does not mean that I am planning on doing OMFS procedures. The pedo guys are up to their elbows in early childhood caries. If I have a anesthesiologist come to my office I plan on scheduling full mouth rehabilation cases. He does not have a great turn over time between cases, so I schedule the big Pulps/ SSC cases. If a kid needs multiple teeth extracted, I refer them to OMFS. OMFS also gets all the 3rd molar extraction cases, and supernumaries, etc... Sure some complex stuff still will be referred out, but compared to years ago. Its dry my friends and only going to get worse. If you dont have this in your town, just wait.

3) The referrals from a GP is on the decline and will continue as younger dentist enter the work force.

This pertains to younger dentist not the older established ones. Younger dentist are in debt, hungry to do cases and learning implant dentistry or oral surgery within their program. If not they are taking CE courses for these skills and YES also IV sedation. This scarres me because all it takes is a couple of GP sedation deaths and the whole field of dentistry is screwed, mainly the OMFS who will now need a anesthesia doc in their office. But to get to the point. GP are now placing implants, ext, doing all on 4, IV sed, biopsies, bone grafts, etc. Some are even doing wisdom teeth. If you dont see it in your community yet, just wait.....Or the dentist are having multi-specialist enter their office to treat their patients and getting a cut of the money. This is certainly happening and all specialists are being affected. OMFS has done a good job in limiting the available residency positions and this you guys a solid job security. Ortho on the other hand is out of control and many of the pedo programs are expanding the number of residents they take. I see it happening now and only increasing as economic times continue to decline.


The change is slowly coming and will affect our speciality. This is all without the mention of Obama Care. Who the hell knows how thats going to affect us, but I can assu
 
I didn't know that Obama care effected dentistry. However, I can see the bleeding heat liberal crap saying that everyone should get 3rd molar extraction for free because they were "born that way". And in this utopia of a country we dont let anyone face the challanges that life hands them; instead, those who work hard will work hard for others.
 
You're absolutely right, I retract my statement JDIZNEY.
 
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I don't know what stage you are in your career, but if you're treating patients then you've undoubtedly experienced the helpless look of an individual in pain who absolutely cannot afford treatment. Regardless of their life decisions, I want to live in a country where there is a route to alleviate suffering. The masses will always make the irresponsible decision, they won't have health insurance or savings, its the reality of the world we live in. I work hard not so that I can "handle the challenges that life hands me", but so that I can develop the knowledge and skills necessary to help those who can't help themselves. Call me a bleeding heart liberal if you want, I call myself a doctor. Obamacare, despite not being anything close to the universal health care necessary to fix our broken system, is at least a step in the right direction. It needs to be adjusted, new legislation needs to be drafted, and it will. But the status quo is unacceptable. No oral surgeon is going to be out on the street because of universal health care, don't worry. You can continue to hate the idea of helping someone who made irresponsible decisions while you worked hard your whole life, but I find your rant on a public forum offensive. You're the type of doctor that makes the working poor scared to seek help. So work hard, charge a lot and deny those that can't afford you. You will most certainly be more wealthy then I will. Or will you?

If that was a "rant" then you my friend have just written a novel. Come on now, lets not turn this into a pollitical pissing contest.
 
"In response to the First Year Resident who responded earlier to this post"

Your a first year resident. What do you know? Not to be ignorant in my statement but again you have ZERO experience in the real world. Talking to different people about OMFS helps but living the life is another story. I was once like you in my residency cloud. Never knew what I was about to get myself into once I completed my program. Allow me to summarize some things:

I love what I do and would do it again.
I dont see our speciality being eliminated by GP and other specialist
We will be able to make a comfortable income

The whole part of my write up is to show the changes that are coming to our speciality that will affect most of us some sooner than later. Not to be made as a scare tactic and half glass empty. Just a honest view of OMFS that I see daily.
 
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Dude, glass half-empty much?

I am only a resident, but there will always be work for us. Will it be as lucrative as it currently is? Who knows, but I'm excited about my career decision and people pay us because we are specialists.

I asked my mentor if he was worried that GD will start taking all of our business. He just smiled and said, "Nope, there's still gotta be someone there when they F*** it up, then they'll learn why I went to an extra 4 years instead of a weekend course"

But again, I'm a first year resident, my glass hasn't been destroyed/pissed in/repoured with alcohol yet...........I'll repost in 3 years.

"In response to the First Year Resident who responded earlier to this post"

Your a first year resident. What do you know? Not to be ignorant in my statement but again you have ZERO experience in the real world. Talking to different people about OMFS helps but living the life is another story. I was once like you in my residency cloud. Never knew what I was about to get myself into once I completed my program. Allow me to summarize some things:

I love what I do and would do it again.
I dont see our speciality being eliminated by GP and other specialist
We will be able to make a comfortable income

The whole part of my write up is to show the changes that are coming to our speciality that will affect most of us some sooner than later. Not to be made as a scare tactic and half glass empty. Just a honest view of OMFS that I see daily.

Damn, you're right, I just wish in my post I would have admitted that I don't know much because I'm only a first-year resident. Thanks for making me realize that your original post wasn't a negative view, I must be really negative. I just wish there was a place on the internet for me to give my opinion...like a board that you could leave messages on.....we could call it.....ah, forget it, this whole internet thing will never take off.
 
Damn, you're right, I just wish in my post I would have admitted that I don't know much because I'm only a first-year resident. Thanks for making me realize that your original post wasn't a negative view, I must be really negative. I just wish there was a place on the internet for me to give my opinion...like a board that you could leave messages on.....we could call it.....ah, forget it, this whole internet thing will never take off.


Funny:laugh:!
 
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