- Joined
- Jan 9, 2002
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TomOD-
As a fourth year medical student and future otolaryngologist, I'd like to set a few things straight.
Ophthalmology (along with ENT, orthopedics, plastic surgery, and dermatology) is a career that only the highest performing medical students even have a shot to enter. It is extremely difficult to get into.
To become an ophthalmologist is a privelege. Ophthalmology is a surgical subspecialty, as is ortho, ENT, urology, plastic surgery, vascular surgery, colorectal surgery, etc.
You commented that it is a "waste of four years to learn general medicine in med school" in becoming an ophthalmologist. Do you feel the same way about the cosmetic plastic surgeon? The urologist? The colorectal surgeon? The orthopedic surgeon? How about myself, who plans on doing an otolaryngology residency and specializing in otology? Have I wasted time learning general medicine?? I think not. Rather, over time I will have the educational base and privelege, as ophthalmologists do, of performing, elegant, high stakes precise surgery on vital sensory structures. Patients want someone doing these sorts of operations to be able to keep their cool when complications arise. Med school makes this sort of person.
Only the most advanced of fourth year medical students ever have the privelege of suturing a lid laceration or assisting in tympanostomy tube placement, or throwing a conjunctival or corneal suture, and it is the basic surgical skills learned on surgical clerkships in med school that provide the foundation for ophthalmic surgery. You don't seem to understand the idea of "medical specialists", otherwise you wouldn't make the comment about specialized MD's "wasting time with years of general medicine".
You also stated that you rarely refer patients to general ophthalmologists and thus "optometry and ophthalmology" are merging. Consider this--people go to you for glasses and rarely a SERIOUS health related eye condition(I'm not referring to the trivial cases of pink eye here--I know you treat those--so do acupuncturist and chiropractors). Thus, you don't do much referring to general ophthalmologists!! The heart of your field is and will always be glasses/contacts--ophthalmologists derive the love of what they do not from trivial refractions, but rather from elegant ophthalmic surgical procedures and from treating eye disease and eye disease as it relates to systemic disease.
Take call just one day with an ophthalmology resident, and after you are done repairing an orbital blowout fracture with plate fixation of the orbital floor, resecting an adenoma of the lacrimal gland, reparing a full-thickness lid laceration through the tarsal plate, performing a blepharoplasty, evacuating a retrobulbar hematoma, repairing an open globe, admitting a case of endophthalmitis or orbital cellulitis for IV antibiotics,etc., I guarantee you will forever understand the difference between an ophthalmologist(MD) and yourself, a visual expert(OD), and why the vast distinction between the two fields, in both the training required and the perception of the public.
You are in a field that must be monitored. The "doctorate" you receive is of no greater worth or legitamacy than that of a chiropractor,i.e. you are self-proclaimed "docs" and this is the perception of the public and the medical community--simply ask around.
Thus, the reason that you can't wield a blade or a needle is because you didn't earn the privelege. You didn't graduate in the top 5% of your college class and get accepted to med school. Since you never went to med school, you never graduated in the top 10% of your med school class to have that shot of becoming an eye surgeon/ophthalmologist.
Good to clear the air-- Medicine 101 for optom TOM
There is nothing wrong with fitting people for glasses--I go to an optometrist for my contacts!!
medstud721
As a fourth year medical student and future otolaryngologist, I'd like to set a few things straight.
Ophthalmology (along with ENT, orthopedics, plastic surgery, and dermatology) is a career that only the highest performing medical students even have a shot to enter. It is extremely difficult to get into.
To become an ophthalmologist is a privelege. Ophthalmology is a surgical subspecialty, as is ortho, ENT, urology, plastic surgery, vascular surgery, colorectal surgery, etc.
You commented that it is a "waste of four years to learn general medicine in med school" in becoming an ophthalmologist. Do you feel the same way about the cosmetic plastic surgeon? The urologist? The colorectal surgeon? The orthopedic surgeon? How about myself, who plans on doing an otolaryngology residency and specializing in otology? Have I wasted time learning general medicine?? I think not. Rather, over time I will have the educational base and privelege, as ophthalmologists do, of performing, elegant, high stakes precise surgery on vital sensory structures. Patients want someone doing these sorts of operations to be able to keep their cool when complications arise. Med school makes this sort of person.
Only the most advanced of fourth year medical students ever have the privelege of suturing a lid laceration or assisting in tympanostomy tube placement, or throwing a conjunctival or corneal suture, and it is the basic surgical skills learned on surgical clerkships in med school that provide the foundation for ophthalmic surgery. You don't seem to understand the idea of "medical specialists", otherwise you wouldn't make the comment about specialized MD's "wasting time with years of general medicine".
You also stated that you rarely refer patients to general ophthalmologists and thus "optometry and ophthalmology" are merging. Consider this--people go to you for glasses and rarely a SERIOUS health related eye condition(I'm not referring to the trivial cases of pink eye here--I know you treat those--so do acupuncturist and chiropractors). Thus, you don't do much referring to general ophthalmologists!! The heart of your field is and will always be glasses/contacts--ophthalmologists derive the love of what they do not from trivial refractions, but rather from elegant ophthalmic surgical procedures and from treating eye disease and eye disease as it relates to systemic disease.
Take call just one day with an ophthalmology resident, and after you are done repairing an orbital blowout fracture with plate fixation of the orbital floor, resecting an adenoma of the lacrimal gland, reparing a full-thickness lid laceration through the tarsal plate, performing a blepharoplasty, evacuating a retrobulbar hematoma, repairing an open globe, admitting a case of endophthalmitis or orbital cellulitis for IV antibiotics,etc., I guarantee you will forever understand the difference between an ophthalmologist(MD) and yourself, a visual expert(OD), and why the vast distinction between the two fields, in both the training required and the perception of the public.
You are in a field that must be monitored. The "doctorate" you receive is of no greater worth or legitamacy than that of a chiropractor,i.e. you are self-proclaimed "docs" and this is the perception of the public and the medical community--simply ask around.
Thus, the reason that you can't wield a blade or a needle is because you didn't earn the privelege. You didn't graduate in the top 5% of your college class and get accepted to med school. Since you never went to med school, you never graduated in the top 10% of your med school class to have that shot of becoming an eye surgeon/ophthalmologist.
Good to clear the air-- Medicine 101 for optom TOM
There is nothing wrong with fitting people for glasses--I go to an optometrist for my contacts!!
medstud721