What's the best specialty?

[LoGo]

---

Members don't see this ad.

Unless of course the Weber A needs ORIF. Then we're talking same anatomy, same macro mechanics, but I'll bet the patient would wish their microbiomechanics were a bit different such that they instead sprained their ATFL and didn't risk an OR. So, potentially clinically relevant.

For evidence, I think you are misinterpreting what I'm saying. I am by no means saying the data published in journals is not good - those are all fine journals. I am saying there is a relative lack of research in the specialty, which then leads to chaos articles like these that catch the public by surprise because the treatments have been in practice long before good data was available to say otherwise.

Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis

http://bjsm.bmj.com/content/49/19/1229

 

[OrthoTraumaMD]

Unless of course the Weber A needs ORIF. Then we're talking same anatomy, same macro mechanics, but I'll bet the patient would wish their microbiomechanics were a bit different such that they instead sprained their ATFL and didn't risk an OR. So, potentially clinically relevant.

For evidence, I think you are misinterpreting what I'm saying. I am by no means saying the data published in journals is not good - those are all fine journals. I am saying there is a relative lack of research in the specialty, which then leads to chaos articles like these that catch the public by surprise because the treatments have been in practice long before good data was available to say otherwise.

Comparison of Intra-articular Triamcinolone vs Saline for Knee Osteoarthritis

http://bjsm.bmj.com/content/49/19/1229

Aside from the very rare case of a painful nonunion (which I have never seen as a surgeon), Weber As never need ORIF. They are ankle sprain equivalents and are treated with physical therapy. Anyone operating on a Weber A does not understand ankle biomechanics, as the very definition of an A precludes any instability of the talus, and therefore the ankle is stable and does not need surgery.

 

[LoGo]

Or if it's a bimal A. Anyways, we've commandeered this thread.

Back to the OP, ortho is fun, same for many other specialties.

 

[Planes2Doc]

In a field as polarizing as medicine, there is no such thing.

You learn a lot of things about yourself as a medical student that determine what you enjoy.

1. Do you love or hate clinic?
2. Do you love or hate patient interaction?
3. Do you love or hate doing procedures/working with your hands?
4. Do you prefer to be at work or do you prefer to be pursuing your hobbies or interests outside of medicine?

As a resident now, I came to a personal conclusion that the best specialty is pulmonary critical care medicine. Of course there are people that hate it. If I could magically switch into a dermatology residency tomorrow, I wouldn't do it. And despite the crap that family medicine and primary care tends to get, there were plenty of top students from my class that enjoy it and matched into it.

Therefore, it's something only you can answer for yourself, and the person sitting next to you will likely completely disagree with you on.

 

[Dr G Oogle]

Urogynecology or female urology:
High reimbursement, 95% elective surgery with extremely pleasant patients, high demand low supply with only 40ish new surgeons being trained annually, similar increase in demand that's expected for ortho because of the baby boomers.

 

[Planes2Doc]

Urogynecology or female urology:
High reimbursement, 95% elective surgery with extremely pleasant patients, high demand low supply with only 40ish new surgeons being trained annually, similar increase in demand that's expected for ortho because of the baby boomers.

OBGYN is very risky if one is intent on doing a fellowship. The fellowships are some of the most competitive out there, and being a generalist is the way a lot of people go.

 

[Dr G Oogle]

OBGYN is very risky if one is intent on doing a fellowship. The fellowships are some of the most competitive out there, and being a generalist is the way a lot of people go.

It is risky, but high reward

 

[NewYorkDoctors]

You guys need to visit the Nephrology Fellowship application forum.
Nephrology is the lowest ranked.
Less pay than a primary care doctor, exponentially more work akin to an interventional cardiologist, and no lifestyle.
Three strikes. You're OUT.

The "mean" salaries for nephrologists reported are primarily for established partners who have been in the game for a long time and have a large number of ESRD patients under their care. ENTRY level nephrologists make $130,000 in a NY metro area for an academic job (no kidding...) and $175,000 for a community attending (who is thoroughly abused by the senior partners for RVU generation and is called a third internship).

Nephrology = least paid, least respected, least well rested, and least satisfied specialty out there

Also not intellectually stimulating with negative study after negative study and nephrology is rapidly contracting into exclusive care of CKD and ESRD.


The "cerebral" thing is vastly overrated. Hemodialysis is learned in one month. All of the renal "math" is merely arithmetic that nephrologists even go to MedCalc for this in the middle of a busy night.

 

[SunsFun]

You guys need to visit the Nephrology Fellowship application forum.
Nephrology is the lowest ranked.
Less pay than a primary care doctor, exponentially more work akin to an interventional cardiologist, and no lifestyle.
Three strikes. You're OUT.

The "mean" salaries for nephrologists reported are primarily for established partners who have been in the game for a long time and have a large number of ESRD patients under their care. ENTRY level nephrologists make $130,000 in a NY metro area for an academic job (no kidding...) and $175,000 for a community attending (who is thoroughly abused by the senior partners for RVU generation and is called a third internship).

Nephrology = least paid, least respected, least well rested, and least satisfied specialty out there

Also not intellectually stimulating with negative study after negative study and nephrology is rapidly contracting into exclusive care of CKD and ESRD.


The "cerebral" thing is vastly overrated. Hemodialysis is learned in one month. All of the renal "math" is merely arithmetic that nephrologists even go to MedCalc for this in the middle of a busy night.

Everything you said in here would make me respect nephrologists a lot more than I would have if i didn’t know what nephrologists do.