Death Threats Against Me

[TCO]

Pretty interesting. What about other specialties? And how much of a quality spread is there between top 5% and bottom 5%.

[Lefty Scaevola]

I recomend psychiatrists that also have a STRONG background in neurology and some in endocrinology, the fields concerned with the organics of many mental health problems. With neurolgy pratices that ceal with ADD-HA flooded with children in the past ten years, Many adult hyperactives and others that might have been going to a neurologist before and now consigned to psychyatrists, Actuaaly this can be an advantage since a high proportiona of adult ADD-HA patients are also subject to clinical depression, the brain chemistries have many similarities.

[Dr Strangelove]

Getting back to the topic I don't think a psychiatrist with a neurology or endocrinology background would have helped the woman any more than one without those backgrounds. What she needed was someone who had a good rapport with her, was willing and able to carefully elicit and follow up on cues indicating a worsening of her condition and who was willing to take appropriate measures to stablize her. Mind you I don't know that some of this wasn't done anyway. Sometimes there just isn't anything a physician can do about what a patient hides from him/her.

While ADHD certainly has been a growing part of the practise of child psychiatry I don't think it has had a major impact on the patient load of adult psychiatrists. In my own experience the last few adults I saw complaining of ADHD like symptoms, and asking for stimulant medication also seemed rather concerned about their weight. Strangely neither had been diagnosed as having ADHD as children, and both had achieved excellent adjustment as adults. Since I had only their subjective complaints to make the diagnosis on, since in my mind there was a concern that they were using the medication as a weight control medication, and since neither met the established criteria for using stimulants as a treatment for weight control I declined to give them medication.

[TCO]

How 'bout some pep pills Doc? C'mon!

BTW: What's your specialty and how much does the bottomof the barrel differ from the cream of the crop? And does the need for intelligence (or good grades) vary based on specialty? i.e if you're an orthopod it doesn't matter but if your an internist it does? I could see how diagnosis would be better be brighter docs...but the amount of tough diagnosis could vary from field to field

[Dr Strangelove]

GP: Let's face it, pay is not equal among the various medical specialties. Those specialties that tend to earn the highest pay like cardiovacular and neurosurgery also command the cream of the crop. Opthalmology, which maintains its own seperate governing College is also highly selective. It's difficult to compare the class ranking of those more select fields with the larger specialties such as family practise and internal medicine because of the larger proportion of classes who enter their training programs. Also you have to consider that internal medicine includes not only general internists, but also 9 subspecialties: cardiology, pulmonology, gastroenterology, gerontology, allergy and immunology, rheumatology, endocrinology, hematology and oncology, and substance abuse medicine. Over all internists comprise the middle of the pack. I'm an internist and I'm flattered you think so highly of me. Now bend over and say "AHHH."

Oh, BTW, prior to the 1960s a duel specialty in neurology and psychiatry was fairly common, and in fact was required in order to enter training for the subspecialty of Psychoanalysis. As better psychotropic medicines have become available Psychoanalysis has pretty much died out as a field, and I believe that now no longer has the duel specialty requirement.

[Lefty Scaevola]

Why don't we have a psychiatric evaluation of Infatutation contest?

[TCO]

Originally posted by Dr Strangelove
GP: Let's face it, pay is not equal among the various medical specialties. Those specialties that tend to earn the highest pay like cardiovacular and neurosurgery also command the cream of the crop. Opthalmology, which maintains its own seperate governing College is also highly selective. It's difficult to compare the class ranking of those more select fields with the larger specialties such as family practise and internal medicine because of the larger proportion of classes who enter their training programs. Also you have to consider that internal medicine includes not only general internists, but also 9 subspecialties: cardiology, pulmonology, gastroenterology, gerontology, allergy and immunology, rheumatology, endocrinology, hematology and oncology, and substance abuse medicine. Over all internists comprise the middle of the pack. I'm an internist and I'm flattered you think so highly of me. Now bend over and say "AHHH."

Oh, BTW, prior to the 1960s a duel specialty in neurology and psychiatry was fairly common, and in fact was required in order to enter training for the subspecialty of Psychoanalysis. As better psychotropic medicines have become available Psychoanalysis has pretty much died out as a field, and I believe that now no longer has the duel specialty requirement.

Thanks dude. Umm and do they call you Dr. Hook for your enthusiasm with prostate exams?

[TCO]

My little schwester is finishing her 3rd year or general internist resicency. They suckered her into staying for a 4th year as an insturcor (head resident)

[Provost Harrison]

This topic has strayed waaaaaaaaaaaaaaaay off the topic...

[MarkG]

exactly. continue there

thread closed