Lifestyles and comp. of Major and Minor Med. Specialties..

[LuckMC11]

<p>here are 2 pages that show the lifestyles of major medical specialties (such as income, amount of grad. med. education, hours per week, etc.) and a comparison b/w the major and minor medical specialties</p>

<p>Lifestyle of Major Medical Specialties:
<a href=“http://www.phius.com/medicine/medx/life.htm[/url]”>http://www.phius.com/medicine/medx/life.htm&lt;/a&gt;&lt;/p&gt;

<p>Comparison between the Major and Minor Medical Specialties:
<a href=“http://www.phius.com/medicine/medx/comparison.htm[/url]”>http://www.phius.com/medicine/medx/comparison.htm&lt;/a&gt;&lt;/p&gt;

[my_0.02]

<p>For anesthesiology, “controllable” is a relative term, since either rapid response while on call or in house call is required for certain emergency circumstances. Lifestyle would be “controllable” only in a 100% surgery center practice without call. Anesthesiologists also lack hour to hour control of their schedule while working, since patient needs, surgeon preference and OR needs usually dictate when cases are actually scheduled (anesthesiologist preference is the last thing considered).</p>

<p>Anesthesiologists have greater freedom to relocate than many specialists since their is little investment in office equipment and referrals in most places go to groups, not individuals.</p>

[my_0.02]

<p>You should be wary of any clinical advice given at this site. Especially alarming is the recommendation to load your patients up with sedatives.</p>

<p>

• Write lots of PRN medications. Sedatives can be especially useful; if your patient is knocked out, they likely won’t be causing you problems in the middle of the night. Suggestions:</p>

<p>Tylenol 650mg PO q4h prn pain/fever
Benadryl 25mg PO q8h prn rash/nausea/insomnia; may repeat
Compazine 10mg IV tid prn nausea
Trazodone 25mg PO qHS prn insomnia; may repeat
Colace 100mg PO bid prn constipation
Haldol 2.5mg IV q8h prn agitation/confusion; may repeat
Ativan 1mg PO q8h prn AND Ativan 1mg IV q8h prn anxiety/agitation/confusion/insomnia; may repeat
Hydralazine 5mg IV q1hr prn SBP>160; may repeat
Ibuprofen 600mg PO q6hr prn pain/fever
Oxycodone 5mg PO q4hr prn pain; may repeat

<a href=“http://www.phius.com/medicine/medx/avoidpages.htm[/url]”>http://www.phius.com/medicine/medx/avoidpages.htm&lt;/a&gt;&lt;/p&gt;

<p>It is true that oversedated patients are unlikely to complain, but they might die because of your ill-conceived prescription. All of the signs and symptoms listed above mean something. It’s your job as an intern to examine the patient and figure it out – then act (perhaps after conferring with you supervising resident).</p>

<p>Remember, even though you will not be paying your own malpractice premium during residency, judgements paid on your behalf must be reported to the NPDB.</p>

[Bigredmed]

<p>wow…that’s umm…interesting advice…and not in a particularly positive way.</p>