Mid level surgery reddit. It's that midlevels, no matter how friendly they are, benefit from a system that steadily erodes at what it means to be and EARN the right to be a physician. Due to a vitamin D deficiency, my bones were so incredibly soft and despite the four nails in my hip- the bones had shifted back into place. I can stand just a few mins but that’s it. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. I’ve always felt like these medscape surveys weren’t very representative. One day I got ten rejections from bottom tier programs, an invite at my #1 and a rejection by my alma mater (top tier program). Like many of us we think that "lack of training" should be enough reason to bar midlevel independent practice, but apparently that's not longer the case : (. •. Takes a couple days to learn at most. Cali 1 weekend a month required (I work 2 bc I get those 2 days a month in vacation time = 24/year = almost 5 weeks extra vacation time on top of my 4 weeks given). As far as optometric “physician” thats another way that your major organizations are trying to blur lines alongside advocated to surgeries that optometrists are not qualified to do. I’d be 100% ready to gun for some extra research and go for an integrated spot in the match, except for one problem. Took off a month before my shoulder surgery, then 4-5 months after surgery (rehab everyday). Residents should be taught by attendings, not mid levels. Referred to neuro, sports medicine, PM&R. I’ve heard that we’re no longer supposed to say it because it hurts peoples Surgery is one of the most common specialties to switch into psychiatry from. If you are making career decisions based on mid levels then they have already won. Third Dr said, you are way too strong in all the motion of your shoulder to have a tear of muscle attachment and basically didn't care about my labrum. Mid/lower face and neck lift. Every time I make an appointment with a doctor/specialist I see a mid-level instead. These are what you probably bought for medical school, and are occasionally useful to study the anatomy for a case you rarely do to get a sense of the lay of the land. I'd start by reaching out to your hospital's psychiatry PD and getting his/her advice. ago • Edited 4 yr. They have a ton. Looking for input on the pros and cons of choosing anesthesia vs. Just doing the surgery doesn't make a good surgeon, in my humble opinion. In my opinion it is most worth it for people like me with a feature that really overwhelms or distorts your face/body. Mid-level developers are okay on their own. We study the same materials, take the same exams, often take the same boards, and as of 2021 we will always attend the same residencies. MD Step1 20x, Step 2CK 25x- matched ophtho to my mentors surprise interviewed at mid to upper tier programs, matched at my number 1 choice —did lots of research, huge score jump helped and having connections, being super passionate about the field, did well in third year all HP The "Don't Hate Midlevels" point of view misses one very important point: MIDLEVEL. When you have a fancy surgeon, there are usually a bunch of residents assisting them. had been in a vegetative state for 14 months after falling into a coma following anesthesia for her breast implant surgery. It should be split into private versus academic at the least. realMapz. That's bananas. It is a bit scary at first, there is a steep learning curve, but I highly suggest going through it for mid level players. trashbinfluencer. The issue is, there is still a fixed number of mid-level jobs for things like deputy pol chief (Madrid) or econ unit chief (Tokyo). I posted about labs earlier today and on that branched a small discussion about an unsafe mid-level to psychiatrist ratio. Someone above already said, Botox and fillers are basically just to maintain loyalty. A lot of people are going to tell you to do gas because it's a better lifestyle (and it is). Because your body’s newly synthesized collagen acts as the filler, these results can last up to 2 years or more. Cardiac surgery is booming. After about a year went back more cautious normal training. For an intern or mid-level resident, it's very reasonable to read a chapter a night as they are literally 10-15 pages. Why not work on shortening MD gen surgery to 3 yrs, fellowship to next 2 yrs and categorical surgery to 4 yrs? As far as facial plastics goes which is a fellowship from ENT, there is zero mid level encroachment for the actual money making procedures (face lifts, bleph, brow lifts. Im a 4th year currently doing a sub-I in a surgical sub-specialty, and had 4 cases today with a notoriously ill-tempered pediatric surgical attending. It's everywhere really, but from a neurology perspective, you already have mid-levels working on neuromuscular, stroke, immunology, etc, for follow-ups. You are probably gonna get questions from there. So i have this decently sized dark bags under my eyes, which i was insecure about since childhood. having a mid level or someone to filter surgical candidates up to you is a huge help. I just wanted to ask any current or former surgery residents what their lives were like during residency, mainly intern year, and how they managed to live some semblance of Entry level: 0-2 years. • 3 yr. This in turns means they benefit, no matter how quietly, from a system that devalues the high-level care Anesthesia residency hours are by no means easy, but there is a pretty major difference in working 70-80 hours a week vs 80-100 (as many surgical residents seem to). If your occlusal plane is flat. Today's demand for certified professional coders (CPCs) is growing as many jobs in the coding and billing field now require certification. She was only 19 years old. Make your answers high level, have actual results for your RESULT box. Dude orders the wrong tests all the time and the FM doc I'm with is constantly cleaning up his shit. Physician Assistant - Mid Level. But that idea has always rubbed me the wrong way. And if you really need an actual human, admins might as well hire the equivalent of a Walmart greeter. I had no idea it was so busy. At first, they mostly watch, and then do simple things like "hold this skin out of the way," and then things like "cut right here where I show you" and eventually doing more of it on their own under supervision. Of course, Psychologists costs $30,000 a year more, so there's the answer as to why this change would be made. Reply reply More replies. Oftentimes they see “specialist” NP, and I find With the first MRI First doctor (and the radiologist) said labrum partial tear. At the last job where I hired people and was involved in promotion talk and such, it was roughly: Junior developers have their hand held. halfresident. Mid level language is less complex languages like me hungry, me eat. There is a distinct difference there. I don’t think mid levels will be required. Started back gi only to keep it slow, avoided rolling for another couple months. Low level language is more akin to ooga boogah. Bit of a rant incoming, but today really pissed me off. Mid: 5-9 years. Age 28-31 or somewhere in there. So this plus other factors like your mid face length, smile, and soft tissue plane will dictate what needs to be done. Sit down kids and I'll start at the beginning. I cried and cried and cried. r/Noctor. But the reason I went into surgery is not only to operate, but to make the decisions of when to operate and what operation to perform. Reminds me, I was in a surgical rotation, and there was a pre PA student and a scrub tech in the room. If anything the risks for primary care is much lower because the cost difference in hiring a mid level compared to a PCP isn’t that great. These break down and explain anatomy, and again are what you bought in medical school. Sort by: zendocmd. Top 10 invite one day, rejection by a mid level program I actually liked the next. • 9 mo. 95% OR as NP does most inpatient and clinic. Texas A&M DENTAL tuition only = 37k. They’ve already gotten away with acquiring independent practice in family medicine in multiple states with 2000-3000 “clinical hour requirements” so it’s only be a matter of time before they figure out a way to creep into surgical practice. The goal here should be clarity not confusion. ) There are literal groups, both in real life (Scientology), and on Reddit (anti-psychiatry, 32k member) looking to dismantle this speciality. Time in the OR flies, is fun, and often very rewarding. what is surgery residency actually like? [Residency] Residency. Call me whatever, PA, mid-level, APP, physician assistant/associate (🫠). Practices under the supervision of a MD. As a med student when in clinic, and future resident, attending, etc, what’s the unwritten rule when it comes to saying “midlevel providers” around PA’s, nurses, etc. The sub will be back up tomorrow night. CRNA school, 3 years, full time. As crushing as the hours can be, there is gratification in knowing you put in the time and work to become the best doctor/surgeon you can be for your patients. 38. The goal of introducing mid-levelers was to ease the burden off of physicians - let them handle documentation, normal clinic follow ups, scut-work, etc. The PDFs are all nbme content. the job market for sports at least for what my wife was looking for was challenging as she searched during COVID. I literally feel or imagine like I’m being shot in the back with a gun. Senior developers hold someone's hand. The X-ray looked exactly like how it had before the surgery. We have this NP in CLINIC who wears obnoxiously loud surgery clogs, surgery green scrubs, and his long white coat. They come off much more polished overall. DOs are equivalent to MDs because we lobbied to be rightfully seen as equals. This will become much more evident the more independent they become. Regardless, I would say in that situation you are in a hierarchy with the physician at the top, but not a mid-level type of situation. Admittedly, I haven't seen any do as much as large parts of transplant surgeries. Neuro-ophtho, might be safe for a while? Ever. Integrated interventional radiology. While they may have questions (everyone does) and need some guidance, they're good at figuring stuff out for themselves. died October 4 after going into cardiac arrest. Top tier residencies are much more subspecialty driven and attendings drive the boat on most decisions. Wrong level lumbar fusion with CT navigation - thankfully this was identified intraop so it became a 2 level fusion instead of 1 level, and the patient was very understanding. I would recommend you pick what you enjoy and defend your profession. . They're trying to pin you down and put you in a place they can manage. A MD doesn't need to discharge a 5 day out post op. Residents at the top tier institutions are much better at research and academics in general. Meaning I needed another PAO. This sub is intended as a repository of sources and a place of discussion regarding independent and inappropriate midlevel practice. Midlevels are everywhere. I've seen mid-levels open/close as well. Better terms to consider would simply be the names of the positions. 5. Medicine - Pathology for sure and perhaps diagnostic radiology I highly doubt mid level practioner can fill the shoes for these fields. Unfortunately, I'm not sure taking a year off is going to be Sarachnis, Barrows, KBD, Mole, Wildy bosses. The overlap comes for acute rehab with multidisciplinary conferences where the physician is the team leader. I am a current M2, but I have experience as a patient care tech at a level 1 trauma center SICU prior to starting medical school. Feb 17, 2017 · I'd like to hear your thoughts on the least vulnerable specialties, as specific as you can be. Most recently: patient with back pain. Can someone explain something to me. EM --> predominantly PAs. In 10-15 years NP/PA physicians will run the healthcare system and MD/DO encroachment will be the main problem. Mid levels messing my patients meds. Starting salary is around $450k in academia (major midwest cities) and closer to 500k-550k in rural areas of midwest. ADMIN MOD. If you add 2-3 years on top of mid level training you erode into one of the main seeling points of choosing the mid level path. Competed again after a couple years (not real big on competing btw). I'm on my last rotation of 3rd year (FM). Ignore them. surgery. Texas A&M MD tuition only = 22k. That place is not replacing doctoral level specialists who have specific training in assessments that are necessary in a psychiatric context. Psych --> lot of demand due to low supply hence tons of PMHNP enrollment chasing these $$$. Insurance companies on the other hand, I absolutely understand unfettered, seething anger. Things like reading EEG are more likely to be taken by computer/AI than mid-levels from what I see. There is a good chance that you can start as a PGY-2 somewhere but you also have to be open to starting as a PGY-1. Let's instead list specialities which are dealing with midlevel encroachment. [Clinical] Mid-level Creep Has become insane. The same cannot be said about NPs. I still see optometrists as the middle levels of the eye, becauze you are not the terminal degree. High level languages are advanced languages like English, French, Spanish, Arabic etc. With that, I wanted to ask more questions. I’m still very swollen and recovery is a little challenging. " Turns out this company employs 3 MDs and over 170 nurse practitioners or lower level "cerebral therapists" or "care counselors" some of whom merely have a bachelor's degree in an unrelated field. godwars, zulrah, vorkath, etc can be done with base 75-80s. OMFS without an MD/full license are just surgeons/dentists. Contributing bc I felt awful after getting my step 1 score and threads like this helped me think I had a chance. It is, from what I'm told, the best for reviewing for boards. Midlevel Encroachment in Psychiatry. I would classify zulrah as a mid level boss purely based on level requirements. Don't be so weak and passive like that. However I’m very happy so far with my choice and I know once Because I have to deal with shitty consults from mid-level providers and it can range from annoying to dangerous. We're trained at a much more superficial level than medical students. Me horny, me mate. Based on job searches, that seems to make them particularly desirable for a lot of the surgical subspecialties (Rarely do I ever see an opening in surgery for an NP). Mid-level providers normally have even more schooling and can do simple resto and ext work. Today i run away from surgery room mid procedure because i was scared. Nurse Anaesthetists - US only. Incredibly worried about mid level encroachment. Spine clinic will have your chronic painers, crazy people, seekers, etc. No workup. • Mid-level engineers can take requirements and turn them into code with minimal oversight and hand-holding. You don’t really make good money doing that. The clockwise rotation will lengthen your chin via rotation. I switched my job in 2021 and moved to a company that had recently been acquired by a bigger one. Clap his cheeks. At age 28 i decided to get rid of them. Before the cases, the resident tells me she is gonna be at clinic, so I 3-5 years working as ICU nurse (ideally). It would be entirely inappropriate for the other person to scrub. I understand the argument that removing a thin veil of physician authority/responsibility may force mid levels to be accountable for their actions, but I believe more harm would be done in normalizing the idea that mid levels can indeed practice independently. I look to review chart to see if the patient is appropriate; The patient has severe congestive heart failure. Any attending that pawns this responsibility off to mid levels can go fuck themselves. Not only do midlevels harm our future prospects, but they harm patients. Talk about the things you do currently that a MIDLEVEL does as well. • 4 yr. Whenever AI becomes good enough to replace doctors, it’ll be good enough to provide convincing compassion. EM and I recently did a month on trauma surgery and holy shit. Spent two weeks on the vascular service and fell in love with the actual work. CRNA pay is easily >200k starting with room to go higher depending on location. So about 9% of general surgery residents will leave after PGY-1 and 5% after PGY-2. Remind him of that. If you've been told that you need to wait for 2 years your company seems to fall in the time served faction, and usually the responsibilities of mid level and junior are pretty much the same with some additions like mentoring, inter team interactions, etc. Reply. Everyone’s focusing on my 230k. But the cost difference between a high end surgeon and a bunch of mid levels is. Second doctors said external rotor partial tear of muscle attachment. At the day of procedure at the beginning i was Neurosurgeon here - I've seen wrong side/level surgery and several near-misses. SERIOUS. I scheduled blepharoplasty, did all the necessary tests, and was good to go. So by the time they are doing their first one As a patient, you know you’re getting a certain level of intelligence with a physician. You should be able to take on the majority of tasks and not need someone watching you the whole time. They can be found where ever there are $$$ and good lifestyle. You can acknowledge the existence of a top-down process in terms of authority. If it’s steep then the ccw to bring it back level will make your chin wider on front view. If it's a phone interview, write your potential answers and It is very clinically focused and the chapters are very succinct. I know some/most of you would probably prefer no mid-levels in psychiatry at all, but unfortunately here we are. Sculptra is unique in that it is made of poly-L-lactic acid and works with your body to gradually regrow collagen over time, typically 2-6 months. EMG/NCS might be safe for now. You could use Anki deck + amboss questions for surgery. Call them NP’s and PA’s to avoid confusion and be clear in what you’re saying (mid level is very broad and can lead to miscommunications imo). (And if you don’t receive it, you can sue whoever the attending responsible is) tldr; the competence required for a physician education requires a smarter person than a mid-level education Midlevels exist for the same reason 'urgent cares' exist - it's an economic niche driven by lack of access to care and inequality unique to the United States. 1. Junior: 2-5 years. Almost impossible to earn money during school. Congress hasn't expanded residency spots, and the ER became de facto primary care for a huge portion of the uninsured population, making it bloated an inefficient. My questions are: What do you think the Residents were clinically stronger at my mid tier institution due to more autonomy. Current M4 applying gen surg, honestly it’s been something of a rollercoaster this cycle for me and my interview trail friends. I'm a resident (MD) and just finished an inpatient rotation where I was being supervised by a nurse practitioner. The scrub tech proceeded to tell the student that they had more surgical rights because they were allowed to "operate under the guidance of a surgeon" without the surgeon being in the room, while PAs could "only operate when the surgeon was in the room with them". Get a good 1 (or 2)s specialist of shoulder Columbia DENTAL Tuition only is $87,000. They are legally only allowed to practice dental medicine and surgery. The stigma is real in psych (everyone who asks me what I do is extremely disappointed when I tell them psych. Wrong level cervical fusion after multiple localizing X rays found on post-op films. What pushed you to finally get the cervical surgery? MRI showed "severe foraminal stenosis" at C5-6 and a "very mild" of cord-flattening on the left side at that level. Anesthesia is working on keeping the patient alive while the surgeons work. A1-Delta. ago. CT surgery. I would have thought that a 6 year program would be more widespread and more popular, as it would allow the training and development of cardiothoracic surgeons in a faster and shorter duration, then the standard 5 years of general surgery residency and 2-3 years of cardiothoracic fellowship. Award. How is there an argument that in the field of psychiatry we are not as prepared? Mid-levels in Psychiatry. General Anatomy Atlases- think Netter's, Rohen's, etc. Dude it’s insane, from day 1 in PA school they always got on our ass for saying mid level with that exact same sentiment…”you’re not providing mid level care”. tl;dr M2 interested in working in a surgical ICU in the future and trying to decide between surgery and anesthesia. My nose overpowered my whole face as it was truly too big for my features. . May be due to our volume. I'm a [29M] software engineer working mostly on the frontend since mid 2017. As long as you aren't breaking any rules or being purposely insulting (and calling them midlevels is not either), you will be fine. It is designed to highlight the differences between a medical doctor and midlevels in areas including training, research, outcomes, and lobbying. I came across an ad for online mental health treatment called "Getcerebral. They have no power. Learning to sleep on my back and living with the constant pain on my neck and behind my ears as I heal can be exhausting. If you don't enjoy everything else that goes High = old, original, pure Low = modern, modified by time, local dialect and other languages. Columbia MD tuition only is $66,000. Never forget surgeons started the PA program at Duke. Nearly full vision and recovery in 48 hours. Her parents said she was left on the operating table for more than five hours before clinic staffers called 911 for help. Median salary around 70k. Physicians see this as unfair competition, and that this could lead to negative consequences for patients. However, the lobbying is very strong from mid levels, absolutely no specialty is safe. She told me in a quiet voice that my PAO was unsuccessful. WearyRevolution5149. Master's level practice has a place in mental healthcare. Many old-school cardiac surgeons that trained in 80/90s have/are retiring and that is leaving a huge void. PA can see them and set up followup in clinic. Anesthesia is more than just tubing and dropping lines, basically you won't just be doing procedures, but it is very hands on. Use the mehlman pdf for surgery and he has videos for surgery. Add a Comment. Had prk. As an M3 interested in surgery, Ive always heard that the hours are brutal and life is miserable for a time. Buff-a-loha. For operative preparation - Mastery of Surgery is the gold standard. For the ACTION, focus on what YOU SPECIFICALLY DID. A lot of people, especially on Reddit, will claim that “you should only do surgery if you can’t imagine yourself doing anything else”. I consider them Physicians and Surgeons as well as dentists. Jobs are everywhere and paying well. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Attending physician was only peripherally involved Side 1: there is no clear delineation between what nurse anesthetists can do and anesthesiologists can do in clinic, and hospitals that can save money may be more and more convinced to hire the cheaper parties (nurse anesthetists) Side 2: physicians are a lot better in the OR than nurse anesthetists and quality of care will decrease greatly as Fellowship can add some depending…. Great QOL. I have a specialty I'm most interested in but I want to see if you'll list it as (non-)vulnerable without prompting. IM/Hospitalist --> ACNP and PAs. Well the satisfaction rate of most surgeries is like 90%+ so yes it is worth it for a lot of people. I truly believe we're on our way to where physician will just be a supervisory role and they no longer directly see patients; they'll just have a flock of mid-levels to supervise. During a trauma case or a transplant, the surgeons are working on the surgical problems — making connections, tying vessels, moving organs around etc. Orthopedic surgery. YOE != competency. Gen Surg - I agree with the others. The fact that youre saying that our frustration with Midlevel creep is a “misdirected grievance” is absurd and proves how out of touch you are with reality. OB --> non-surgical and laborist part by CNM. No way a partner level private practice pathologist in a busy service should be pulling $316k Of the total number of residents who left a general surgery program, 48% (n = 816) left after the PGY 1 level and 28% (n = 596) after the PGY 2 level. I'm working as mid-level engineer here; in comparison, I led a couple of projects in my previous job. For now I suggest you wait the 2 years while trying to do the job of a mid level engineer The department has hired too many entry level officers to fill the insatiable need for visa officers and ELOs to serve as control officers or do other thankless jobs like writing the human rights report. FM --> FNP and PAs. Sports as you know will shorter cases, less risk, etc. I can’t believe I’ve been dealing with this for 1 year +, horrific mid back pain that started after ADR at C5C6 and persisted after removal and fusion. On some days, it leads to sharp pain at the base of the neck and spasm/tilting of neck toward left side as the day wears on. But this has opened a huge can of worms, mainly because many colleges took advantage of this opportunity & created NP/PA factories with questionable competencies (online degrees, relaxed ADMIN MOD. When you have midlevels doing anesthesia, reading imaging, doing procedures like colonoscopies the sad answer is = no one is safe. They control the hemodynamics including all meds, transfusions, vent settings and lines. The main reason my classmates in college chose applying to PA school over med school was the length of training according to them. 2 uppers and me as an intern covering 90-110 people on our list, 30-45 rounded on per day, minimum 15 people for me personally to see and write up (most was 35 in a call shift), constant pages, running around a giant multi building hospital and back and forth from the ED, zero sleep ever during 24 hour r/Noctor. Age 25-27. I think there are shades of gray here, but most definitely not a mid-level. Some Surgeons are hellbend on destroying our own medical profession by first starting mid-level programs and now providing PA fellowship. CRNAs are encroaching Anesthesias turf for years. I expect a mid-level developer to handle more complex tasks with little to no supervision. But also, you only get to train once. EM has a midlevel problem. "Mid level" is more about your ability to deliver. upvotes ·comments. Another Etiquette Question - Using the words “midlevel provider. Surgery and the subsurgical specialties. Also, that means that jobs which used to be held by physicians are now being given to mid-levels who do not need to be paid as much. I’ve heard this phrase from lots of med students and residents; I’m sure many of my attendings would agree with it if asked. First 36 hours was significantly painful as the doctor thought I responded very well to the surgery so he didn’t give me a sedative and reduced a pain killer. You gotta need those 4 yrs of medical school and yrs of residency to get your head around ie better be good at basic science, physiology and differentials. I’m 38 and just had a lower/mid face and neck lift on April 1st. There’s lost wages for 3-10 years of residency & fellowship for the MD so maybe it all equalizes but the student loan debt to potential income is a conversation to be had. -150k-250k loans likely. Or the combined general-thoracic residency And you think the numbers game applies to mid levels? Think again. Hope that helps! Gen surg (especially surg crit care has seen major salary increases since covid) at least in the midwest. mid 40s M. Is there any point to internal medicine residency with all these NPs around? 49 Share. There is offline nbmes for surgery, if you have not done 1-4 nbmes. Clinical. Would be way cheaper than a mid level. Most of the patient I had inherited either from prior resident or some other clinic as it is a resident clinic. Residency positions for cardiac surgery are more and more competitive, particularly the US integrated tracts. MembersOnline. Spend some time practicing your answers cause you will not be able to think in the spot. Severe mid back pain after neck surgery. No. Anatomy textbooks- like Gilroy. NPs are lobbying to be made equal. Helps manage case load so MD can focus on the more pressing issues of their practice. In an ICU setting, residents should have get priority for interesting cases and procedures over mid levels, since residents are in training and grossly underpaid. Once the anaesthetic wore off my spouse called and got those to make the pain manageable. If you’re following a patient, and that patient has a surgery, it’s your case. I’d rather see a push for a single payer system where there might be slightly less reimbursement but steady, predictable payout without hassle. Set expectations not by demanding them, but by reasonably demonstrating them and, where appropriate, arguing for your own education. From what I understand, could be totally wrong, my brain is only simple enough to be a mid level practitioner after all, but to be a psychiatrist you must: Pass medical school Have a 4 year psych residency. They might not be able to architect a system, but they can take a clear design document and turn it into code. To make matters worse he has an NP student there maybe like 3 days a week. Many physicians, mid-level providers, practice managers, administrators, billers and front desk staff members have questions about coding. However, your career should be built around more than just that consideration. Skill and experience dependent, but 5 YOE is normal. It’s the most amazing mix of diagnostic work, surgery, procedures, open/endovascular. Like cmon who reallllly cares. ”. etc). 🏥 Clinical. Integrated plastic surgery. Hours depend on surgery but usually work 35-40h. Hello. Senior: 9+ years. The mid-level would co-sign/attest our notes, we would present our patients on rounds to them every day, and they would supervise and oversee our admissions/discharges. PAs train under an abridged version of the "medical-model", which overlaps with the material in medical school. No surgery I’m at the beach or playing pickleball. Anesthesia offered me many of the appealing parts of both EM and general surgery (fun procedures, cool resuscitations, fellowship opportunities to vary my practice environment People need to realize that no one cares about anyone but themselves. MIDLEVEL. The thought of someone not being able to be replaced just because they are in a surgical specialty is naive if not foolish. Listen to doctor recommendations. OMFS with a dual MD DDS, go to medical school, take medical board exams, and have a full license to practice medicine and surgery (compared to non MD OMFS). eazhkbnhfmtolkqfqclg
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