Lifestyle Considerations And Practice Options

Although ophthalmology is a legitimate surgical specialty comparable to orthopedics, urology, otolaryngology, and the like, it offers a significantly better lifestyle than virtually any other subspecialty in medicine. It has the advantages of a surgical field, such as procedures, time in the operating room, medicine mixed with surgery, and good financial compensation, but is generally felt to do so while still allowing free time for endeavors outside of medicine. Equally important, it gives...

Urology Outside The Operating Room

There are certainly many nonoperative aspects of urology. A typical clinical day could include any number of patients, such as the following. Patient 1 A 76-year-man, complaining of increased urinary frequency and nocturia (night-time urination) five times a night. His most recent prostate-specific antigen (PSA) level is 0.9. On examination, his prostate feels benign but is large. He empties his bladder and you perform a bladder scan showing 50 mL of urine in his bladder. Diagnosing him with...

Sex And Surgery Being A Female Physician In The Or

To become a surgeon, you must love spending hours in the operating room more than anything else in the world. Most specialties are flexible enough to allow women physicians to have an outside family life and to raise children. The rigorous, sleep-deprived lifestyle of surgery, however, requires the greatest time commitment, particularly when it comes to the intensity and length of residency training. Partly because of this, surgery has traditionally been a rather male-dominated field. Excluding...

An Overview Of Urology

Urology is a surgical subspecialty focusing on the urinary tract of men and women, as well as the reproductive system of men. A common perception of urologists is that they operate on men's private parts and, well, that's about it. Although urologists do in fact operate on the male genitalia (penis, testicles, and scrotum), there is much more to the practice of urology than the penis. They are experts on the diagnosis and management of diseases involving the kidney, ureters, prostate, bladder,...

Internships For Sale How To Secure A Pgy1 Position

Many of the specialized fields of medicine, such as ophthalmology and anesthesiology, begin residency training at PGY-2. According to NRMP classification, these are the advanced specialties. They require entering residents first to complete 1 year of broad clinical training, which is similar in scope to the old freestanding rotating internship required of all fresh graduates before its demise in 1970. Medical students who select a specialty with advanced positions have some extra work on their...

Being A Part Of Multidisciplinary Cancer Treatment

Many medical students are under the misconception that chemotherapy will supplant radiation therapy. Although this is certainly not true, it is important to realize that radiation is just one of three major arms in the fight against cancer. Long before radiation oncology, the only physicians who could treat cancer were the surgeons, who sought to prolong life by cutting out the tumor mass. Along came radiation therapy, a new modality that also helped to destroy cancerous tissue. Today,...

After The Interview Communicating With Residency Programs

The gamesmanship of the residency application process rears its ugly head particularly once the interview season ends. Just like for any job interview, most candidates send an appropriate thank you note to each of their interviewers. However, the NRMP explicitly prohibits applicants and program directors from asking the other party about their ranking commitment. Instead, they can only voluntarily reveal their ranking intentions. Both parties then start flooding each other with letters,...

Why Consider A Career In Ophthalmology

There are many reasons why talented medical students should consider a career in ophthalmology. In a survey of residents,5 they listed the following factors as the most influential in their decisions to pursue a career in ophthalmology, ordered from most to least influential surgery, patient contact, lifestyle, junior senior year electives, previous contact with ophthalmologists, potential income, and status among peers. Extrapolating from this study, the most important factors in choosing a...

Neurologic Diagnosis Technology At Its Best

Neurology is a wonderful specialty for students interested in combining a slick physical examination with the latest advances in medical diagnostics. Neuro-imaging and neurophysiologic studies are essential to the practice of contemporary neurology. A skilled neurologist can evaluate sophisticated radiological tests, such as magnetic resonance imaging (MRI), magnetic resonance angiography (MRA), computed tomography (CT), and cerebral angiograms. The ability to do so rapidly and precisely is...