So You Want to Be an ANESTHESIOLOGIST [Ep. 12]
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- čas přidán 17. 07. 2020
- So you want to be an anesthesiologist. You like the idea of being in the operating room, being the patient’s guardian angel, and having a laidback lifestyle. Let’s debunk the public perception myths of what it means to be an anesthesiologist, and give it to you straight. This is the reality of anesthesiology.
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TIME STAMPS:
00:56 - What is Anesthesiology?
05:23 - How to Become an Anesthesiologist
07:47 - Subspecialties within Anesthesia
11:00 - What You’ll Love About Anesthesiology
11:48 - What You Won’t Love About Anesthesiology
12:59 - Should You Become an Anesthesiologist?
LINKS FROM VIDEO:
So You Want to Be Playlist: • So You Want to Be
Day in the Life Playlist: • Day in the Life
My Colonoscopy Experience: • What Chronic Illness T...
#medicalschool #anesthesiology #soyouwanttobe
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).
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"if you do your job right, the patient shouldn't remember you" what a great definition of a good anesthesiologist... Awesome video!
Quite true. I don't remember my anesthesiologist at all
Guys, he’s working on all specialties and has a poll. The comment section isn’t for inundating him with demands. Thank you Dr. Jubbal for providing quality content.
Where is the poll?
ya where is it?
Where is the poll? I looked for it and couldnt find it. But yes, thank you Dr. Jubbal for the highest tier premed channel in all of CZcams
The poll is under the community tab in the channel
¹1¹¹
I think a lot of stereotypes of anesthesiology were definitely wrong when I shadowed an anesthesiologist during medical school. It turned out that one anesthesiologist can be running multiple surgeries with CRNAs at the same time. For patient interaction, I remember most of the discussions being about the same, expect for how likely there might be a complication. Here's an example of my shadowing experience in anesthesiology to provide some context into the type of people I saw in the field and the situations they deal with.
I was with an anesthesiologist and his CRNA during my second year of medical school. Everything was going smoothly and I was learning a lot from observing what he did with his CRNA. It was actually cool to see the teamwork and focus they had despite the surgeries they were participating in. I had a good time overall. The part that was the hardest was the last patient that was in heart failure. We were told her ejection fraction was round 25% or so. She needed another assessment of her heart function in the cath lab before they could proceed with the surgery she needed. Despite the high risk patient, I remember the anesthesiologist saying,"She's not going to crash". This was despite the older nurse in the ICU having a more skeptical outlook. Again, he was pretty confident in his abilities.
We next got the patient and took her back to the cath lab. The patient's family was crying and pretty distraught. It was bizarre at first because the surgical staff was wheeling out the patient leaving me at the end of the cart telling the family she was in good hands as I turned the corner. It felt a bit more abrupt that I would've like personally. However, the patient needed immediate assessment and treatment, so I understood why it was brief.
Any how, we took the patient to the cath lab, which was pretty crowded with machines and other devices. Given how cramped it was, I nearly touched the blue tarp and got a nasty stare from one of the surgeons. I ended up going behind the anesthesia cart because anywhere else I would either be in the way or touch the tarp. I wanted to still be alive after shadowing after all! As the doctors proceeded to put in the arterial lines, the patient became very combative requiring four surgeons to try inserting the line while calming the patient. None of the efforts to calm her were working. The patient seemed to either be extremely sensitive to pain or was simply confused (she was pretty tired before being sent to the cath lab due to her failing heart so this was understandable). One surgeon eventually said,"Alright, that's enough you going to sleep now". The patient was then administered the proper anesthetics for the cath procedure to proceed. Again, not the best way to start to what I thought would be a routine surgery.
Then, the patient's heart started to go in atrial fibrillation. To say the room went insane would be an understatement. I remember that one of the blood pressure cuffs wasn't working on the anesthesia cart in the cath lab so they had to put in a line that would directly measure the blood pressure. I saw one of the residents insert the line but accidentally moved and dislodged it. After which, the anesthesiologist said,"You moved the godd*mn line!" and proceeded to go for an external jugular to not only measure by administer fluids. The CRNA then went to get the plastic laryngoscope (never knew those existed at the time) in the cart to start the intubation. However, the plastic covering around it wouldn't come off for some reason and it wasn't operating well. He ended up slamming it a bit harder in frustration on the cart and it broke; he subsequently retrieved the new laryngoscope and intubated the patient with the anesthesiologist. After which, the anesthesiologist inserted the line into the external jugular vein faster than I thought humanely possible. During this time, I was quietly behind the cart wondering what the hell I got myself into. At the same time, I remember having a deep urge to use the bathroom. However, the flurry of activity and stress in the atmosphere neither helped my personal emergency nor my shock at what was happening.
After which the patient was stabilized with the proper medication. The anesthesiologist then performed a transesophageal echo to see the patient's heart directly. As he got a good image, he was then able to measure the patient's ejection fraction using one of the computer programs. It turned out that it was worse than what was previously reported; a little less than 10% for the ejection fraction. Seeing this the anesthesiologist said,"She's a godd*amn walking dead person", in shock of how bad her situation was currently. At the same time, he calmly motioned me to come forward as if we were having a cup of coffee to get a better look at the screen. I crossed my arms tightly next to my chest because of how close everything was and all the people in the room. He then proceeded to teach some more on what was going on. To say this was bizarre would be an understatement.
After finishing our job and having the patient's procedure continue, we left the procedure and headed back to the surgical ward. The anesthesiologist was very happy I stayed calm during the whole process and didn't cause any problems. He ended up writing me a good letter to use for residency given the type of situation that occurred. After changing back into my street clothing, I headed back to the research department and be-lined straight to the nearest bathroom. I needed some time for my personal emergency and to have some time to breath. To say it wasn't what I expected would be an understatement. I later found out from him that her prognosis was poor and that she only had a few days left to live. It was a somber reminder at how quickly things can change in the hospital.
This happened during my second year of medical school. I may have forgotten some of the details or background so I apologize if some information is confusing for anyone in the surgical field. I merely wanted to provide a good example of what anesthesiologist actually deal with in the cath lab and operating room. Anesthesiologists do a lot more work than people realize, especially with the number of surgeries they have to run at the same time. In addition, they know how to do many emergent procedures and have the backs of surgeons on difficult surgeries. I often describe anesthesiologists as the ER docs for the OR. Like ER docs, there's a lot of routine in their work. But they also have the routine situations that requires their calm and focused skills to save a patient when everyone else, including the surgeons, are loosing their cool. I have a lot of respect for the specialty and appreciation for what anesthesiologist do. Despite what people think, these guys are pretty badass when it comes to keeping people alive.
Thank you!
Thank you for writing all that
Favorite post I’ve seen in days
That was a good read :D
Thank you!!
My dad is a critical care anesthesiologist. He tells about his "thrilling work" everyday. Such as "Patient's heart stopped and we had 40 seconds or he was going to die but returned unexpectedly ect." I want to be a doctor too and I admire what anesthesiologist do at OR. But I can't take risks and manage them fast easly. So I will look for the best option for me. But I have to go medical school first. Ok, I'm going and studying right now!
He probably has hella money
@@cesar-lf1jw yeah
last sentence describes your personality well XD a nerd
@@mrlebanon6055 shut up if he studies and u dont ur going to be working for that "nerd"
@@kabuto9853 dafq did you say?😂 what are you referring to exactly? I am a university student and one of the best in all the courses but definitely the opposite of that boy😂 Im the kind who passes you help in the exams, he’s the kind who acts like he isn’t hearing you🤣
“It's not hard to make decisions when you know what your values are.”
― Roy Disney
Who?
Really interested to see a "so you want to be a neurologist" and a "so you want to be a psychiatrist"!
Yes, psychiatry
YES PSYCHIATRY!!
Waiting for psychiatry!
Great idea !
yes, psychiatry!
Literally jumped out of my seat with excitment when I got the notification for this. Like so many others, I've been waiting to see an anesthesiology video and this was great!
We don’t say “LiTeRaLlY” in 2020. Also How about instead of asking him to do more, at least thank him for putting in the amount of time and work into making these videos regardless of the topic. You’re ungrateful
@@iknowexactlywhoyouare8701 yes im so ungrateful that he liked my comment. I LITERALLY don't care what you think.
Omg SAME! I have been thinking of becoming a veterinary anesthesiologist, but I haven’t taken biochemistry and general animal physiology (only taken reproductive physiology and endocrinology). I apply to veterinary school in 2 years, so I hope I take more anesthesia and surgery related courses. I might even ask permission to take grad level courses my senior year!
I wanna be an anesthesiologist so bad 😩😩😩 med school here i come. Honestly if it’s something I’m passionate abt, I don’t care abt all the extra years or schooling and studying. I got knee surgery in the past, and I still remember my anesthesiologist. I was scared out of my mind, but she made me feel safe and prepared for surgery. I want to have that same impact on others!
You will. Good luck!! The schooling goes by quickly. It just takes hard work. I’m an anesthesiologist and I would do it again. No regrets.
@@midaztouchdo you earn more than crnas?
@@Babygirl_123 on average, yes.
@@midaztouch wow how long did it take you to become one ?
@@Babygirl_123 it’s usually 4years of medical school + 4 years of residency. Took me a hair longer because I changed residency specialties (from ER to anesthesia) then did a fellowship.
I plan on being an anesthesiologist when I’m older, i’ll come back to this video to remind me to work hard for my goal 😁
Good 👍now are you hard worker3🤩
update? still wanna be one?
How old are you ?
same ! going to college this next semester!!! so excited guys come back and check on me too
I'm really liking what I am hearing, I hope to be an anesthesiologist one day.
Is this the legendary anesthesiology video? 🤩
Yeah....
You’re an asshole you should’ve just appreciated all of the hard work and info he’s done in the previous videos. Stop being a brat and asking more when you should just accept what’s not in front of you
i know exactly who you are Wth did they do wrong :/
@@iknowexactlywhoyouare8701 calm down man...
This is exactly what I want in life. I do countless hours of research on the anesthesia field to see if I would truly be a good fit, and everything points me in this direction. Great video!
Same! I might be one of the youngest people at this vid, most kids my age are out and about doing stupid stuff, like going outside
@@nitricfox7895 since when is being outside a bad thing tho
@@nitricfox7895 good on you for taking initiative, but be careful not to become arrogant about it :p
I'd love to see a "so you want to be an oncologist" some day.
I find the field extremely fascinating, both the work with patients as well as the opportunities regarding the academic side of things including the research behind everything.
Yes I agree I would love to see a so you want to be a oncologist!
Yess please. I'm waiting for So you want to be an oncologist! :)
my g no one asked
yes!
You took the words right out of my mouth
Totally did not start jumping up and down when I saw this
you should’ve just appreciated all of the hard work and info he’s done in the previous videos. Stop being a brat and asking more when you should just accept what’s not in front of you
@@iknowexactlywhoyouare8701 Wow, calm down.
@@iknowexactlywhoyouare8701 I think you misunderstood what they were saying. They meant that they were excited to see this video.
@@iknowexactlywhoyouare8701 bro what
It’s called sarcasm lol
“So you want to be a radiologist”
Oh, yes! Thank you, thank you, thank you! I nearly jumped from my seat the moment I got the notification about this video. Been waiting for the Anesthesiology episode for ages, surely a lot do too. I appreciate all the hard work you guys been doing to deliver such quality content to us. Much love.
You really are a life saver for your educational videos! Thank you so much for all you do! keep doing it, it is helping all of us little people out so much!
Wow this is perfect! I just started medical school and this is the specialty I am interested in
Good luck!!
did u go to a top college ? cause i’m probably going to a little about average one so i’m wondering
Me too!!!:) good luck:)
Hello. Can I ask you a question about being a doctor. All of you
Hi!! can I ask what was your pre-med? Would you recommend it to other aspiring doctors? Thank you so much!! Good luck on your journey!!!
I'm really happy CZcams recommended this channel to me! I hope sports related specialities or professions come up soon, it's something I want to focus on in the future and I feel like I've learned so much here in such a short time.
Can’t wait till the Cardiothoracic surgeon comes out. Either way, anesthesiology is a specialty that I would go to if not able to be in a surgical specialty
Yes, plz do Cardiothoracic surgery!
Anthony Rodriguez He said the video was done a few weeks ago, he’s just uploading them at a staggered rate
Yeah. Surgical specialty is the best. Blood everywhere is fun. 🤣
@@lilliampumpernickle4655 okay thx for telling me. 👍
Anesthesiologist is the best and we actually play god in transplants. some surgeons just cuts and calls it a night.
After interning at a hospital studying medicine and getting to experience a surgery first hand I found this profession to be fascinating, rewarding and much needed. The idea of it being a sport also sounds engaging so you fluctuate and respond to readings based on what the patient is responding by.
“Regular 9-5 hours” *on screen* 9pm-5pm 👁👄👁
It’s am to pm right?
Flip the 9 to a 6 am and we’re talking
@@zezzlehoff lazy
Anthony Garza what? He’s saying most of them work from 6-5 instead of 9-5. I’ve heard most full time anesthesiologists still work around 60 hours a week post residency. Not that much of. Lifestyle
I have tremendous gratitude to my anesthesiologists - having had not very good anesthesia outside the US, where I was cold and shivering and awake at one point. Good anesthesiologist make the most traumatic part of the experience physically stress-free for the patient. I think perhaps the gratitude was not expressed enough because there's not as many opportunities to see the anesthesia doctor after the surgery, but there's a ton of gratitude at heart.
I saw a day in a life video on a anesthesiologist and I’ve been intrigued by the job since, thanks for the informing video!
Thank you for the videos, they're amazing. Can you also do a "so you want to be a pathologist", "so you want to be a pediatrician" and "so you want to be a medical examiner", please? Thank you.
Can you please do “so you want to be a radiologist”
This is super informative and comprehensive! Thank you!
I love how informative it is! This video makes me understand more about my passion to be a doctor.
“So You Want To Be A Radiologist” please!
i'm struggling with figuring out what i want to pursue in the future, and your videos are really helping me. i'm only a freshman in high school but i still have no idea. anesthesiology seems very interesting, so who knows, maybe this will be the one!
Take your time, there is no rush or reason to be stressed now. I’m 23 this year and looking into finally finishing my premed. I’m still unsure of what I want to do! But I think that’s what makes the medical field so awesome, you really have endless opportunities. I wish you the best of luck!
I'm going into 10th grade this year. Still trying to figure out if i want to go into the medical field or not.
@@hh-fr9gi me to, im not much of a workaholic and like to do my own thing so I don’t know if the field is for me or not
@@hannahmcclure4873 eh I disagree time will fly by and then you’ll get to the point where you need to make a choice and you make a hasty decision. Better to get an idea of what you want to do then change it later if you really want to
I’m a rising junior in high school currently and I was also confused about if I wanted to go into the medical field… but over the summer I got accepted into a medical simulation program where we learned how to respond to emergencies. We learned cpr, aed, bleeding control, injections, ivs and a lot of other stuff. This program really helped me realize that medicine is what I want to do in the future. Im also going to be volunteering at the hospital to get some exposure and see if this is right for me.
So in conclusion I would recommend try doing simulation programs, volunteering, etc in the hospital.. they really expose u to some stuff and it helps u decide if this is the right path for u
Hey Med School Insiders, I love your videos and I find them very resourceful about my ambition to be work in the medical field. I would for you to focus a video on ‘So, you want to be a pediatrician’ which the specialty I would want to study.
Thank you so much for this video! I’ve been in anticipation
I'm doing my residency in Anesthesiology, and I'm currently on my 2nd year of residency. I strongly disagree with Anesthesiologists being in the shadow of Surgeons. When I do my preop on my patients, I clearly state my role as his/her physician who will be handling him/her in the OR during the surgical procedure. My favorite line when I talk to my patients, "Surgeons mainly focus on what they are operating on you. Anesthesiologists monitor you during the surgery and keep you safe and alive while you are being operated. We make the Surgeon's job possible for them to do what they need to do." LOL. This way, they remember the importance of our role as Anesthesiologists, not just mere doctors who make them fall asleep before the surgery. Most of my patients fondly remember me especially when I do my postop rounds, and thank me for making their surgery a success.
We're happy to see everyone on the team being appreciated =)
Can you please do "so you want to be a neurologist?"
Up
Yes
Yes i want to be a neurologist.
Yes I wanna be a neurologist (I think)
Yes
I’m addicted to your videos
Thank you for the great quality content you’re making
9:57 called me out so well 💀 I remembered I had to do a surgery when I was 8-9, 2nd (or 1st) degree burn and I was put under anesthesia. The person was so nice.
Definitely great for people who love physiology and pharmacology. That said, anesthesiologists only need to know a few classes of drugs in a lot of detail - i.e. induction agents, sedatives, muscle relaxants, opioids, local anesthetics
RADIOLOGY NEXT!! to finish out the ROAD specialties. Great video, KJ.
I have been waiting for this!!! Thank you so much!
I been waiting for this for the longest. Thank you it helped me out a lot🙂!
This was so helpful! I've figured out that I want to be an OB Anesthesiologist!
Love this Series!!!! Much love for this channel!
Thank you for this valuable information I will pass it along to my son who wanted to be an anesthesiologist since the young age of eight thank you so much🌹
I've beeeen waiting for this episodeee!!! Thank you!
I would love to see “so you want to be infectious disease doctor” video, Also love all the videos!!
Liked without watching because I’ve been waiting for this moment!
After Watching:
I'm thinking chronic pain anesthesia might be best but I'm not sure about working in clinics. I do love getting recognized but I am often shy as well so I wouldn't mind being a background. The cardiac anesthesia looks so intriguing though!
I was thinking the same thing. I'm kinda shy too when it comes to certain things, depending on what it is. Overall I don't think I'd mind or care about being the robin to someone's batman. I was thinking thr chronic pain specialty would be a good fit for me as well.
Awesome video. I’ve been looking into getting into school for this. An this is the video that was the most interesting and informational
I've been waiting for this for so long .Thank you
Now I'm thinking about becoming an anesthesiologist...🤔
Brilliant videos, highlights all the reasons I am interested! The obgyn anesthetics is really true for me, really interested in obgyn, no interest in living that lifestyle.
Would really appreciate a deep dive in the issue of mid-level encroachment and how things might look when the current batch of med students become attending anesthesiologists, 8 years is a lot of time and the land scape could really change.
In Denmark anethesiologists take care of both anethesia during operations, the ICUs (both thorax, neuro, pædiatric and general) and pre-hospital medical emergencies staffing medical cars, ambulance helicopters and the airforce SAR helicopters.
Just when I decided to know about the future of anesthesiology as I am really interested in it, this video shows up like a dream 😍
Would love to see so you want to be an oncologist ! Loving this series though.
FINALLLYYY IVE BEEN WAITING FOR THIS VIDEO YAYYYYY
Thank you Dr. J for doing this video!!!!
😘
omg yes i’ve been waiting for this video! tysm!
I love your content seriously! I'm only a sophomore in high school and your videos answer so many questions that are really helpful in regards to my future. Can you please do a video about pediatricians or pediatrics?
Awwww. He liked your comment!!! 🥰
your in college how’s it going
how’s college!!!
yes! I was waiting for this!
Thank you for this video I’m still young but this made me feel more secure about taking Anesthesia as a. Career
thank youu! so excited for this!
At my institution we only receive 1 week of anesthesiology, ophthalmology, and palliative care, and I just finished my anesthesiology week. There are soooo many PAs and CRNAs to run the ORs that the only time I saw the actual MD in the OR was for intubation and extubation. I'm glad Kevin brought up this aspect of the specialty in the video. Acute pain/ regional blocks are a lot of fun to administer; it was fun to apply my anatomy knowledge! I liked running round the pre-op area with my resident giving ultrasound guided blocks for the ortho cases.
so is it gonna be worth becoming an anesthesiologist in the future?
@@syedfazalhussain6471 No, the field is flooded with CRNA's. There have been a couple news articles this past week where hospitals have been firing anesthesiologists & replacing them with less expensive CRNA's. It's sad that hospitals constantly put profits over patients & giving them providers who are less educated and trained.
Hey Dr. Jubbal, it would be great if you made a video on “ So you want to be an Oncologist.”
Thanks!
Awesome video, love this series!
Thank you so much for this !
Psychiatry, radiology, or pathology next please! Thanks!
Could you please do “So you want to be a pediatric surgeon” or something similar even if it is just mentioning it shortly in a “So you want to be a general surgeon” video. Thank you, it would be much appreciated!
YES IM SO GLAD U MADE THIS ILYSM
1:36 Props for actually making an anesthesia chart for the video. Love the detail.
There was an anesthesiologist with me when I had my cesarean. She was my favorite person, she talked me through things to keep me calm, make sure I wasn’t feeling anything and honestly was one of the only doctors I remember. I had a very traumatic birth, but thanks to her it was easier to handle.
Side note for people that don’t know: cesareans you HAVE to be awake through the surgery so you and your baby can make it through safely. So I had an excuse to remember her - she is an amazing anesthesiologist…
Ah... yes. The famous blood/brain barrier of medicine. Great vid as usual, thank you Dr. Jubbal!
Thank you very much, I been waiting for this video for so long
I only recently finally decided medicine is what I'd be most happy doing. I am drawn toward anesthesiology because of the pharmacology and physiology aspects, and I'd like to be in the OR. I'm so excited for my future journey! I'll have to do a post-bacc, but I can't wait to practice medicine!! ☺️ Thank you for this video!
Can you make a "So You Want To Be A Pathologist" please?
was thinking about this too!
“Have the courage to follow your heart and intuition. They somehow already know what you truly want to become. Everything else is secondary.”
― Steve Jobs
👏thank you for explaining!!!
Thanks for these informative series
Great video! However, I disagree with the statement "If you (the anesthesiologist) do your job right, the patient shouldn't remember you." There are certainly differences in patient exposure across subspecialties but my wife and I remember the anesthesiologist that did an epidural for her well. My wife wanted to deliver twins without an epidural and the anesthesiologist was supportive of that. He did, however, put measures in place in case something wasn't going according to plan. Things didn't go according to plan and his expertise allowed it to still be an extraordinary experience.
you don't understand the hype of being first until you stumble upon a video released 40 seconds ago
Thank you . Just what I wanted to see
What a great video, very informative. Would love to see a family medicine video.
“So you want to be a radiologist” please i’m looking into this field a lot lately
guys I am going to be an anesthesiologists this year , gonna start my residency 😇😂. excited scared both 😬at same time.
congrats !
Don’t worry. They won’t let you kill anyone. How’s it going so far?
Wonderful video, please explore the encroachment you mentioned in further detail.
Never clicked a video faster lol! Amazing video thank you, helps me in my decision making.
Can you do a “so you want to be a psychiatrist” please?
Have you done a video about being a CRNA? I am currently getting my BSN and have been considering two different routes. CRNA or NP in trauma.
"Med school Insiders" don't be that guy. Best of luck on what will likely be a rewarding career choice though!
Thank you for this vid! Very informative 😁
Can y'all do a video about Diagnostics, Psychiatry, & Obstetrics and Gynecology?
Thank you for the wonderful information you've made!
Can we have a “So you want to be an Intensivist.”??
What's that
Critical care specialist , the doctor in ICU.
Abdurrahman Jilani Another word for a Critical Care Physician/ICU Doctor
Please can u do “so you want to be a radiologist”
SO good!! Thank you!!!!
Yes! I’ve been waiting for this video for quite some time. My goal is to become a anesthesiologist. Thank you Dr. Jubbal. Great content as usual!
Can you do "so you want to be a Pediatrician" PLEASE
I clicked after watching Kristina Braly ✊🏻
Same! Love her!
Thanks Dr Jubal for making this video. Just wondering if you’d able to do a video about Paediatrics ? 😊
I’m 11 I’m going to start college classes in high school so I can graduate early then go to Med school so I can be an anesthesiologist thank you for making this video. :)
You make it sound like it’s easy, it really isn’t, ;-;
The mid-level encroachment is something i am concerned about. I want to be a doctor and an anesthesiologist but I want to do procedures, not be a manager of others work😢
Intubation, placing lines, peripheral blocks, spinals
You can subspecialize in pain medicine. You’ll get your procedures AND you’ll have more job safety than a regular anesthesiologist like me. Good luck.
Yay! Thank you for uploading!
Can you please do so you want to be an Otolaryngologist (ENT)!!!! I am going into my residency and would love to find out everything I need to know!
Can you please do an Interventional radiologist? I am super interested in that field and it's what I am going for!
I've worked in radiology for a while now. Interventional seems cool. CT-guided Lung biopsies, US guided Paracentesis, Thoracentesis, etc. There's also neurointerventional. They do lumbar puncture, myelogram's, administer chemotherapy into the spinal canal for certain types of cancers. Total I think it's 5 year general radiology residency, 1 yr interventional fellowship, 1 year neuroradiology fellowship. I just know that the guys that do neuro, don't typically do the other stuff, and vice versa.