Medical Specialization

December 11th, 2012
medicine
While most doctors go to medical school and get an MD [1] before specializing on some aspect of medicine, in some subfields people commonly specialize earlier and have an alternate school. Dentists are the best known of these: you go to dental school for a DMD or DDS, learning in detail about the mouth and surrounding areas. While dentists do learn some about the rest of the body, it's much more limited than the pre-specialization training an MD goes through. Other subfields that specialize earlier are optometrists (OD), and podiatrists (DPM). [2]

This mostly makes sense to me: if someone's going to be focusing on one specific section of the body, shouldn't their four-year post-graduate education take this into account?

(My impression is that this division has worked well. If there's indication that dental/podiatric/optometric patients are getting worse care because their doctors have specialized training I'd be curious to see it.)

One place where the current situation doesn't make much sense to me is with psychiatrists. They go to standard medical school, get an MD, and then do a residency in psychiatry. This means they have to learn lots of specific medical techniques completely irrelevant to psychiatry, and even go through surgery rotations. Perhaps creating a "Psychiatry Doctor (PD)" degree and associated training program would be better?


[1] Or a DO. I had thought that osteopaths were trained very differently from medical doctors, but Wikipedia indicates that most of their training is the same, including that they both attend medical school.

[2] I think PharmD (pharmacists), DPT (physical therapists), and DNP (nurse practitioners) probably don't go in this category. Reading a little it looks to me like those are cases of the professional organizations pushing to name practitioners something with "doctor" in the title so they would be higher status and get paid more. (They do involve additional education over the older lower degrees given in those fields, but it still looks to me like quite a bit less than you'd get as an MD, DMD, OD, or DPM.)

Comment via: google plus, facebook, substack

Recent posts on blogs I like:

Variable fonts aren't universally supported

I make a lot of webpages. I also use Lockdown Mode on iOS and MacOS for a bit of extra security. Sometimes I realize that I forgot to test on Safari and it looks like crap, or I test and don’t notice that there’s been a problem for months (as was the case…

via Home June 27, 2026

Ozy in Asterisk on coping with AI doom

I wrote an article for Asterisk Magazine about people who believe in AI superintelligence soon, and who are chill about it.

via Thing of Things June 24, 2026

Fiddle Practice

For a while I wasn't learning how to play violin very well because whenever it was time to practice I didn't want to. I didn't really like practicing, because (1) it's boring, (2) I have better things to do, and (3) actually I guess there …

via Anna Wise's Blog Posts May 3, 2026

more     (via openring)