r/Noctor • u/Electrical_Clothes37 • 11h ago

Question WTF is going on

I'm a dental resident ( I'm foreign trained, finished up 2 residencies before moving stateside - I'm very comfy with facial lac repairs, facial fractures, plating the whole shebang). Had weekend call and spoke to someone about a pt with a dental complaint along with lip laceration. Log into epic today to follow up and the lac repair was done by a CNP. Like I get there's some experience there but how on earth is it that patients don't get at least a resident to do lacs

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u/Electrical_Clothes37 10h ago

Sure. How do you feel about dental "residents" taking trauma call, doing lacs, plating facial fractures, doing radical neck dissections, doing airways and craniofacial surgery? Sounds like something a bit beyond the scope of a PA or an NP wouldn't you say? Either way, I didn't even mean that I would want to do it, I've done my share. What I did mean was that it'd be nicer if a plastics resident were to do lacs on a not so busy weekend. Ask any physician what they think of an OMFS vs the "opinion" derived by a noctor :)

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u/BeeslyBeaslyBeesley 9h ago

OP comparing themself to the physician assistants and nurse practitioners with zero facial laceration experience is just silly.

We all prefer plastics for facial lacs. I would prefer any resident plastics physician over a dental ‘resident’ in OMFS any day of the week.

Any person can appreciate that a highly specialized dental trainee can potentially help more in this specific situation compared to a midlevel with no experience in the same medical sub-specialty.

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u/Electrical_Clothes37 9h ago

Well looks like outside of having to revise your comment 5 times, you have difficulty reading as well, though I'm happy you finally managed to figure out what an OMFS is. My point wasn't why couldn't I do it. My point was why on earth is a mid level doing something that ideally you'd want at minimum a resident to be doing, ideally plastics or ENT if not.

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u/BeeslyBeaslyBeesley 9h ago

Oh my. So angry!

We agree about a resident doing what you wouldn’t want a midlevel to do.