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- Feb 1, 2012
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LMAO. Sounds like you haven't done clerkships yet.
FM just refers out any real issues, including non life-threatening ones.
EM is the same as FM, just with a shorter timeline. "quick, call the specialist".
IM is low speed as well. The only life you save is the code on the 90 year old guy who changes his advance directive to fatally code the next day.
OB - You'll save some lives here, probably more than surgery.
Surgery - Most is just scheduled procedures. Trauma definitely is serious stuff. Same for CV and especially neurosurgery.
Psych - You just ask every patient every day if they're thinking about killing themselves...soon you want to kill yourself... If anything happens you have completely forgotten all real medicine, as have all psych nurses.
Derm - melanoma is serious biz (but not emergent), otherwise just a laid back job.
Of course it's always good to catch things, but medicine moves a lot slower than dentistry. Surgery/Interventional fields can be exciting, otherwise the majority of MD's talk and write notes all day.
Oh yeah, med students who expect to save lives regularly grind my gears. 🙂
again, I said it was a point of view type of thing. You don't think there are life threatening chronic conditions that need to be managed and adapted at the primary care level? You're basically doing what I thought I was reading in that other poster: slapping an artificially restricted definition such that you can criticize something in someone else to assuage your ego


The take home message is this: neither the pre-meds nor the med students care how your interpretation of our field causes our actions to "grind your gears". Nearly every doc I have talked to has at least 1 story that really was life or death, even if they didn't end up giving the final care to the patient. And that gives them a sense of satisfaction, and apparently this satisfaction causes you and a couple of your colleagues to get butthurt. Inferiority complexes are simply not the fault of those targeted by them. So put that in your pipe and smoke it


