I’d like to echo what Pedodel said above. The job (pedo or ortho) can only be fun when your office has a lot of patients for you to treat. Pedodel enjoys his/her job because he/she has a busy office. It’s depressing when your office has a problem with filling the appointment book. What’s the point of having a job that you like to do but have very few patients to work on? When your office has no patient, it’s like being unemployed. Actually, it’s worse than being unemployed because you still have to pay rent, utilities, staff salaries, and other operating expenses.
The reason a lot of dental students want to specialize in ortho is it is really a fun job that deals with mostly healthy teenagers who want to see the doctor, instead of being afraid of seeing the doctor. So why do many orthodontists (new grads and older grads) come to this forum saying negative things about orthodontics and convince the students not to pursue orthodontics? That’s because they are struggling to find jobs after graduation. When they started their own offices, they coudn’t get enough patients to help them pay bills. And they feel miserable about their profession.
At the beginning when you start own your office, you’ll need to meet a lot of GPs to introduce yourself. When your office has patients, it’s important to do good work and take good care of your patients so they refer friends and relatives to your office. Once your office becomes more known to the community, you won’t have to rely too much on GP referrals. That’s the beauty of pedo and ortho. To stay successful, Endo, OS, Perio continue to rely on GP referrals.
I am doing fine without GP referrals but it’s always better if the GP offices continue to send patients to my office. That’s why every Xmas/New Year, I ask my staff to deliver gifts to GP offices. The more referrals (from GPs, patients, insurance companies, advertisements etc) you get, the better it is. If you don’t like the fact that you have to go door to door to meet the GPs, then you shouldn’t specialize.