What are the Less Competetive Areas of Specialization?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
delicious said:
What does a dental anesthesiologist do? Is that just an academic position?
I've seen on some group endo practices that they have anesthesiologists come in, but they are MD anesthesiologists.

Dental Anesthetists are trained in dental anesthesiology residencies. These residencies often train DAs along side by side with anesthesiology residents and/or CRNAs in hospital settings, but their scope of practice after training is mainly tailored to the dental profession. During training, these DAs are treated just like a CRNA and an anesthesiology resident. You'll be in the OR for all kinds of surgeries. I believe the training is two years after dental school. Often they do not have a private office/practice of their own, but they travel from office to office to adminster light IV sedations and general anesthesia (intubation, etc.). Their clients may include Pediatric dentists, general dentists, OMFSs, etc.

DA are not MDs, they're dental graduates. How much they make is uncertain. Is there a demand for a DA, that is also uncertain. I would think that they are able to be affliated with a hospital for some work if they wish. It's a very small avenue for dental graduates. It would not surprise me if these DAs make similar income as CRNAs, which would be amazing (I don't know if they do or not)! No one that I know personally is able to live and tell about this mysterious career route!
 
About the Dental Anesthesiologist, they're equivalent to a MD anesthesiologist. It's a 3yrs program post-grad at U Pitt, arguably, one of the best programs in the nation. They can legally do what a MD anesthesiologist does, so I think that the salary should be the same. My classmate is in a dental anesthesiology program. He/she will be working for his/her dad, a MD surgeon. I heard the pay is about $500 per dental sedation, more or less.
I think that a dental anesthesiologist has the best of both worlds. They can work in either dentistry or medicine.

http://www.dental.pitt.edu/students/stu_prog_gradres_anesth.html#anesth
 
it doesnt matter if you're from the state that the school is in.

but it does have an effect if you got your DDS/DMD at the school for which you are applying residency (which could or could not be your state of residence).

delicious said:
Do specialty programs at state-supported schools like UCLA, UMichigan look preferentially upon applicants who are from their respective states? I know that for dds/dmd programs that is the case; like it's really tough to get into UCLA if you're not a california resident. Or is it more egalitarian when applying to specialties?

Let's say that hypothetically I'm from Maine. Hypothetically!! 🙂 Would it be near impossible for me to get into UCLA's prostho or ortho program? Again, I'm being completely hypothetical here. I could in fact not live in maine.
 
lnn2 said:
They can legally do what a MD anesthesiologist does, so I think that the salary should be the same.

I find that really hard to believe. (No offense Inn2 😳 ) Medical anesthesiologists are super-stars. First, they are medical doctors, and then they do a 4 or 5 year residency. Could you imagine a dental anesthesiologist doing the gas on a heart-transplant surgery?! 😱

I'm glad to see that it doesn't matter that you aren't at a disadvantage being out-of-state applying to a public school for specialty. Not that I'm from Maine or anything!! 🙂
 
delicious said:
Not that I'm from Maine or anything!! 🙂

because I'm not ... from Maine that is.
 
delicious said:
I find that really hard to believe. (No offense Inn2 😳 ) Medical anesthesiologists are super-stars. First, they are medical doctors, and then they do a 4 or 5 year residency. Could you imagine a dental anesthesiologist doing the gas on a heart-transplant surgery?! 😱

I'm glad to see that it doesn't matter that you aren't at a disadvantage being out-of-state applying to a public school for specialty. Not that I'm from Maine or anything!! 🙂

I agree about the salary! I should change it to: They can legally do what a MD anesthesiologist does, so I think that the salary ARGUABLY should be the same!

I disagree about other point. I absolutely can imagine a dental anesthesiologist doing the gas on a heart-transplant surgery! So is CRNAs for that matter!
There're 2 major differences MD vs DDS/DMD anesthesiologists:
1. Differences of the MD vs DDS/DMD program, of course! MD has more knowledge about the WHOLE human body, diseases....MD is clearly at advantage > DDS/DMD > RN. Can u imagine the RN giving the gas?
2. I think the more important point is the length of residency because this is when they're learning to be an anesthesiologist: 4yrs vs 3yrs. The longer time maybe due to research? I doubt that 1yr time difference has any major effects on the training. I could be wrong!

According to the statement of my school, they receive training in "anesthetic management of patients undergoing a diversity of surgical procedures including: transplantation, cardiac surgery, neurological surgery, general surgery, invasive radiology, orthopedics and complex head & neck procedures.
...a diversity of experiences in managing children of all physical statuses undergoing a wide variety of surgical procedures."
So they're definely not quacks, super-stars or not! They sure are qualify to giving gas under any given circumstances!

I see your point about MD anes. being super star! Yes, they are but not for long! DDS/DMD even CRNA can do the same thing. Why a RN can do the same thing? They don't have a MD degree. They're not even Doctor! (MD, DDS/DMD) Because the hospital can pay them less for the same procedure comparing to MD. It's all politics!

So the ranking order base on medical training: MD anes > DDS/DMD anes > CRNA
Happy? now send me those tasty lobsters. You're definely from Maine 🙂
 
lnn2 said:
.... now send me those tasty lobsters. You're definely from Maine 🙂

What?!! Who ever said I was from maine?! I'm not from Maine alright!!






:laugh:
 
Any comments about stipends need to be taken in context (I believe some are mentioned somewhat above). 1st, do you still have to pay tuition? A $40k stipend isn't too hot if your tuition is $30k/yr. 2nd, is the money the program advertises as a stipend a left-over from before GME funding was cut and therefore likely to change while you are a resident? (has happened loads of places the past 2 years) 3rd, what type of program are you talking about? (degree vs certificate alone) Just a dollar value is essentially meaningless without more info behind it.
 
Top