Which specialty offers most autonomy & not having to go around hospitals?

[Blain77]

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I was curious which specialties offer the most autonomy without having to deal with the BS of hospital culture, something that allows you to set up a private practice and operate solo without having to admit patients to hospitals, do rounds, etc?

 

[Depakote]

I was curious which specialties offer the most autonomy without having to deal with the BS of hospital culture, something that allows you to set up a private practice and operate solo without having to admit patients to hospitals, do rounds, etc?

(private) family practice?

 

[MrBurns10]

radiology, pathology, psychiatry, PM&R off the top of my head

 

[geogil]

I was curious which specialties offer the most autonomy without having to deal with the BS of hospital culture, something that allows you to set up a private practice and operate solo without having to admit patients to hospitals, do rounds, etc?

if you don't want to admit patients to hospitals, you might be out of luck. There are increasing numbers of IM physicians who utilize the services of hospitalists who take care of their patients in the hospital, but you'll never escape hospitals as a phsyician. Also, the solo practioner business model is a dying breed. Unless you're able to walk in a take over a practice (i.e. a retiring parent's), it will be increasingly difficult in the coming years to make this happen.

Out of curiousity, what do you find attractive about medicine yet repels you from hospitals?

 

[geogil]

radiology, pathology, psychiatry, PM&R off the top of my head

I imagine most pathologists are still tied to the hospital in some way, though I guess you could do a forensics fellowship and work as a medical examiner.

 

[Depakote]

I think if you did a subspecialty (cyto/molecular/etc) you might be able to work on more of a sendout basis. I'm sure labs have pathologists that review samples that private practice docs send in, these can't all be at hospitals.

 

[Blain77]

Out of curiousity, what do you find attractive about medicine yet repels you from hospitals?

I do enjoy medicine and helping people, I just prefer it be in my own practice where I am the boss rather than some big hospital where every attending wants to be God, every resident wants to be the attending, and every nurse wants to be the MD. Maintaining my autonomy and enjoyable working environment are important to which specialty I'd like to go into.

 

[IHeartNerds]

I do enjoy medicine and helping people, I just prefer it be in my own practice where I am the boss rather than some big hospital where every attending wants to be God, every resident wants to be the attending, and every nurse wants to be the MD. Maintaining my autonomy and enjoyable working environment are important to which specialty I'd like to go into.

private practice non-surg. or alternatively go into rads and only do tele.

honestly though, if you think running your own practice will eliminate the amount of BS from your day, you are sadly mistaken. it just means you will have fewer people to blame said BS on.

 

[badasshairday]

private practice non-surg. or alternatively go into rads and only do tele.

honestly though, if you think running your own practice will eliminate the amount of BS from your day, you are sadly mistaken. it just means you will have fewer people to blame said BS on.

True that. And BS sucks.

 

[MrBurns10]

I imagine most pathologists are still tied to the hospital in some way, though I guess you could do a forensics fellowship and work as a medical examiner.

Tied to the hospital, yes. But there are many pathology private practice setups where you receive the sample, make the diagnosis, and report back, meaning you never set foot in the hospital. And even if you do have to go in sometimes, it's not to admit patients or go on rounds.

 

[dilated]

Out of curiousity, what do you find attractive about medicine yet repels you from hospitals?

JCAHO? Medicare "never events" and pay for performance? Hospitals that can use staff privilege revocation/"disruptive physician" labeling to destroy your career if you don't do what the CEO wants? As soon as you step foot in the hospital you're the system's beyotch.

Surgicenters FTW!

 

[geogil]

My experience working in the hospital lab for 3 years was that the pathologists still were tied to the hospital in that we were a part of the hospital (and the overarching mothership corporation). It had not occured to me that there were pathologists who weren't really affiliated with the hospital. I guess you could work for a reference lab as a clinical patholgist, not my cup of tea though thank you very much.

 

[maceo]

I do enjoy medicine and helping people, I just prefer it be in my own practice where I am the boss rather than some big hospital where every attending wants to be God, every resident wants to be the attending, and every nurse wants to be the MD. Maintaining my autonomy and enjoyable working environment are important to which specialty I'd like to go into.

you have no idea on how insightful your post is. If you are still in medical school, you have wisdome beyond your years. Hospital culture sucks huge. Big downer.

Plastic surgery just doing cosmetic stuff. just operating at a surgery center on young healthy patients is one option. long road though. and alot of luck involved.

rads and doing tele radiology. you dont even have to leave your house.

derm for sure. they never have to come to the hospital


if you are a vasc surgeon and have a vein center.. you dont have to go to the hospital

 

[Silent Cool]

OP,

I would suggest one of the following:

Allergy, Pain Medicine, Psych. For the typical medical student, these would be the best bets.

 

[CaptainSSO]

Hello, 2009.

 

[KnuxNole]

I prefer not to work in a hospital either...I would rather have a clinic and just do that. but it seems people who don't love hospitals seem to be a minority...

 

[michaelrack]

sleep

 

[cowme]

Nighthawk radiology. Work from home, 7 days on/7 days off. However, It's a risky career move (if nighthawking continues to get phased out by practices keeping their overnight reads in their hands, you are in deep trouble finding another job)