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Doctor Stereotypes by Specialty | Fact vs Fiction [Part 2]


Internal medicine doctors are dorks, emergency
medicine physicians are cowboys, and dermatologists care about nothing more than money. What’s the truth about doctor stereotypes,
and what is more fiction than fact? Let’s find out. Dr. Jubbal, MedSchoolInsiders.com. You voted for it, and here it is. Welcome to part 2 of the doctor stereotypes series. In part one, we covered surgical specialties
such as plastics, neurosurgery, orthopedic surgery, urology, OB/GYN, and general surgery. Now it’s time to dive into the non-surgical
specialties. Internal medicine is the default – what most people think about when they think “doctor”. This is the specialty you go into for one
of three reasons. Either (1) you love the idea of being a hospitalist
or primary care doctor, (2) you plan on specializing after residency in fellowship such as cardiology
or gastroenterology, or (3) you didn’t fall in love with any other specialty, so you this
becomes the default. The stereotype of internal medicine, amongst
medical students and physicians, is that they love thinking and talking more than they love
doing. It’s often affectionately called “mental
masturbation”. The reason this stereotype exists is that
on inpatient medicine, teams spend several hours, sometimes up to half a day, rounding
on patients and discussing the minor nuances of which antibiotic to prescribe or the minutiae
of an obscure disease. Surgeon personalities, such as yours truly,
are often less enthusiastic about spending such a long time rounding and prefer to be
getting their hands dirty. But as with most stereotypes, that isn’t
fully accurate. Within internal medicine, there are two main
ways of practicing: inpatient and outpatient. Inpatient medicine is where you take care
of patients who are inpatient, meaning they are staying in the hospital. On average, these patients are sicker and
more complex from a medical management perspective. With outpatient medicine, you are seeing patients
in the clinic. When you think of going to the doctor, this
is generally what you think of. You have an appointment, go to the clinic,
wait an excessively long time, and then see your physician for 15 minutes to discuss your
concerns. In contrast to internal medicine, which is primarily focused on adult patients, family
medicine is focused less on a specific population, like adults for internal medicine,
or children for pediatrics, or women for gynecology, and is instead focused on the social unit
of the family. The differences and similarities between family
medicine and internal medicine are often confusing. Both residencies are generally 3 years. However, internal medicine has much more inpatient
and ICU, or intensive care unit, training. Internal medicine also has significant training
in internal medicine subspecialties, like endocrinology, rheumatology, infectious diseases,
cardiology, and the like. While outpatient clinic medicine is included,
it’s less heavily emphasized. With family medicine, outpatient medicine
is the primary focus, although they do receive a bit of gynecology, surgery, musculoskeletal,
and other specialty training. In short, family medicine places an emphasis
on outpatient medicine, continuity of care, health maintenance, and disease prevention. Internal medicine, given its deeper adult
medicine training, is often better suited for managing adult patients with complex medical
histories. The stereotype of family medicine is that
you generally go into the specialty if you’re not a particularly strong student. Compared to other specialties, it’s less
competitive, the average board scores are low, and the pay is towards the bottom of
the stack. That being said, I know several brilliant
medical students that went into family medicine because they’re passionate about the field,
not because they couldn’t do something else. And plus, a low or high board score is not
necessarily predictive of whether or not you’ll be a good physician. If you agree, let me know with a thumbs up
on this video. These next few specialties have something that most others don’t – a more balanced
lifestyle. Anesthesiologists get a bad rap for being
lazy, and it’s not hard to see why. During surgeries or other procedures, anesthesiologists
are busy at work at the beginning of the procedure, at the end of the procedure, and at brief moments
in the middle of the procedure. However, compared to surgeons who are constantly
“on”, there is a lot more down time. During cases in the operating room, I’ve
seen anesthesiologists browsing Reddit, checking email,
or watching videos on more than one occassion. Anesthesiologists often joke about the blood-brain
barrier, and they aren’t referring to the semipermeable border separating circulating
blood from the central nervous system within the human body. They’re talkinng about the drapes in the
operating room that separate the surgeons, the blood, from the anesthesiologists, the
brains. Being an anesthesiologist is harder than it
looks. When things are calm and steady, all is well. But when a patient is unstable and rapidly
decompensating, you won’t be envious of their position. It’s not surprising that given the stress
of their job and access to drugs, they have some of the highest rates of substance abuse. All in all, it’s a great specialty. Your hours are more flexible compared to other
specialties, pay is relatively good, it’s less competitive to match into, and you still
get to work with your hands doing procedures. That being said, there are two deal breakers
– ego and operating. If putting aside your ego is tough, it may
be hard being second in command in the operating room, or being yelled at by a cranky surgeon
who, quite frankly, has no business to be yelling at you. And if you love the art, challenge, and excitement
of operating, it’s tough to forever be on the other side of the curtain, too brainy
to get your hands dirty. If you like computers more than you like people, then radiology may be the right field for
you. Radiologists spend the entire day in dark
reading rooms looking over radiographs, MRI’s and other imaging . Some say radiologists
are vampires, but others claim to have spotted a lone radiologist walking outside the hospital during daylight. Sounds like Bigfoot if you ask me. If you don’t like patients and computers aren’t your jam, then consider pathology. Pathologists are stereotyped as lacking social
skills, highly introverted, and not keen on interacting with those pesky homo sapiens. While pathologists generally don’t have
patient interaction or continuity, they are regularly working with physicians of other
specialties, just as radiologists do. For that reason, you wouldn’t get very far
in pathology, or any specialty for that matter, if you couldn’t work with other people as
part of a team. If you love money but don’t like working too hard, dermatology is the field for you. Just know that there are many other people
like you, and for that reason it’s incredibly challenging to match into derm. If you want to call yourself a surgeon without actually doing any surgery, join the military
and become a General Medical Officer, or GMO for short. A GMO is essentially a primary care doctor
plus. They are colloquially referred to as “surgeons”,
such as flight surgeons, dive surgeons, etc. However, they are NOT actual surgeons. After completing their intern year, GMOs are
assigned to different units, where they undergo additional training to best support their
team. For example, Navy Flight doctors would go
to flight school where they will learn not only about the physiology involved in flying
fighter jets and helicopters, but they themselves will also learn to fly. If you enjoyed this video, you’ll love my
weekly newsletter. It gets sent out once a week and is super
short. In it, I share weekly insights, tools, tips,
and resources available only if you sign up via email. I don’t publish it anywhere else. When new projects come up, small in-person
meetups, special deals, or anything else that is very limited, I share it first with Med
School Insiders newsletter subscribers. Check it out at medschoolinsiders.com/newsletter. If you ever change your mind, it’s one-click
to unsubscribe, and I promise I’ll never spam you. If you couldn’t already tell, I have a lot
of fun making these stereotype videos. While some information is factual, much of
the stereotypes listed here are just plain jokes. What other specialties do you want to see
me cover in the part 3 doctor stereotype video? Let me know with a comment down below. Thank you all so much for watching. Subscribe to get more medical related videos
like these, and hit the like button if you think I should make more videos. Much love to you all, and I will see you guys
in that next one.

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