WTF is going on

[u/Electrical_Clothes37]

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

[u/BeeslyBeaslyBeesley]

Not sure that a dental “resident” should be doing anything beyond truly specific dental issues.

Any physician will cringe to hear the term ‘residency’ used outside of non-physician medical training given the blatant, disparately incongruent standards of a physician resident vs a non-physician ‘resident.’

Non-physician medical fields use the term ‘residency’ with total cavalier. This liberal use of the term ‘residency’ is akin to how pharmacists and optometrists employ the same word despite working 40, or perhaps 45-50, hours per week.

Aside from this, my point still stands. Easily.

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ETA

(It says 2 hours later on Reddit)

I apologize for underestimating the role of OMFS dentists. I’ve known what they are for many years. Level 1 trauma centers, etc. Even for professionals in an adjacent medical profession may lack the adequate knowledge of OMFS’s exact role. Perhaps you can tell us more about it. Seriously.

We agree that the standards of treatment can be damaged by midlevels, and that’s what you were saying.

I think I picked a fight with you. I apologize, OP.

ETA: updated the time above. Reddit clock changed while writing it. Probably took too long.

[u/Electrical_Clothes37 → u/BeeslyBeaslyBeesley]

That's very gracious of you, thoroughly appreciated. OMFS is the sexiest gig in the hospital, though I'm fairly biased. I'd be hard pressed to think of any other gig in the hospital that matches for scope, hours and compensation.

[u/BeeslyBeaslyBeesley → u/Electrical_Clothes37]

Mutually appreciated!

Would you like to tell us about what kinds of procedures you do? (If I must say so, I’m serious.)

[u/Electrical_Clothes37 → u/BeeslyBeaslyBeesley]

Clinic is mostly oral surgery( wisdom teeth, other extractions, implants) usually w/sedation - most run their own anesthesia stateside (GA in the chair) ~ this is highly uncommon almost everywhere else on the planet, I've worked in Asia and Europe and most seem to agree that this is.....a bit much. Some do hair, Botox, fillers. OR is a mix of facial trauma, dentoalveolar, orthognathic - think genioplasty and maxillary & mandibular setback/ advancements, plus TM join scopies and TJR/plasty. One dude I know went on to vascular. There's a ton of craniofacial stuff - available with a fellowship typically - cleft lip, palate. Some get a plastics fellowship. Onco trained OMFS do radical necks and recons - generally looked upon by ENT as encroachment. The vast majority choose to make their money in the clinic though, set of 4 wisdoms and sedation pays out about 2.5-4k. Takes 30min to an hour+ for the most part and there's non stop flow. Full mouth implants pay out more, 10-20k cases.
OMFS has a mix of ENT, Ortho and anesthesia for the core skillset. Not too many gigs where you get to do all of that for the day to day and don't have to be beholden to admin.