Why I Didn’t… Ophthalmology

[@kevinjubbalmd]

I’m seeing some pushback on my discussion of optometrist scope creep so here’s some clarification. As stated in the video, I’m not calling optometrists mid-levels but functionally, the problem of mid-level scope creeping into other areas of medicine is occurring in ophthalmology with optometrists being the ones who continue to expand their scope into various procedures.

[@Synechiae]

DO ophtho resident here... My heart rate increased when you said it isn't that hard to get in. Only took me 3 match cycles... XD. Maybe I should have done your course lol As a DO many places just throw out your application. And yes the NEPOTISM! Of the places I did auditions, ~30% of residency seats were taken by individuals with a parent ophthalmologist directly associated with the respective program.

[@maureene7138]

Congrats in matching Optho as a DO!!!

[@sbu123-hello]

From my experience shadowing and working in many optometry clinic, i definitely would not consider ODs (optometrists) as midlevels. The knowledge that these Doctors possess and how important their role in vision/patient care cannot be overlooked. Consider the schooling that they have to go through (not as much as MD/DO, but it's still a minimum of 4 years graduate level with potential for residency), I personally think they would be more than qualified for greater privileges in practice (bet it lasers or writing prescriptions depending on the state/province). They're not trying to encroach and do surgery, I feel like they're moreso just trying to be allowed to perform the full scope of optometry that they learn in school

[@DoctorEyeHealth]

Agreed!

[@angrywhitewomansyndrome]

How many years did you spend in school?

[@goldmedicine]

You mentioned ROAD is outdated - what is your updated version?

[@presto900]

I work as an Optometric Technician currently and did throughout undergrad. I thought for a while that I wanted to be an ophthalmologist, but to me at this point starting medical school in August, I don't think I would personally want to spend my entire career focusing on such a single small organ. I absolutely love the eye. It is treatment of this organ that led me to pursue medicine in the first place, but to treat it for the rest of my life? I'm not so sure. EDIT: I wrote this before I watched the video, and its funny how much your "Why I didn't" matches up with my own reservations. Thanks for the vid, doc!

[@100subsnovideos9]

That’s the point of specialization

[@presto900]

@@100subsnovideos9 No other field of medicine is as isolated from the others as much as ophthalmology

[@ethanvandemark1792]

You definitely don’t seem like a psych guy, but I’d love a video on it because you at least had your core rotation and that experience

[@kevinjubbalmd]

in the works!

[@berryfall3055]

Hey Dr. Jubbal, just want to clarify that optometrists aren’t midlevels. They’re doctors of optometry and experts in their own field. Optometrists are primary eye care doctors and ophthalmologists are eye surgeons. Majority of optometrists go into their field knowing that they don’t want to do surgery. In my POV, the legislature pushes seems to want to expand access to patients by doing procedures they were trained to do during OD school for preventative care, not to become surgeons. Similar to how FM doctors would want to expand access for their patients. Optometrists are very essential to the primary eye care world and I fear calling optometrists mid level is misinformation. Very good video overall, I enjoyed your perspective 🫶🏽

[@bigeasy1207]

Optometrist aren’t mid levels, they do way more in school than what you think. Working as a tech with an OD that graduated about a year ago, they learn safety procedures in school and there are residency opportunities to get more training for surgeries. Just because they don’t have an MD or DO doesn’t mean they can’t keep patients safe.

[@jessicaperez9282]

Surgeries vary by the states and legislation/policies. Not all students go into residency especially surgery. In simple terms they are like primary care providers (PCP) but I appreciate the increased care.

[@JIMKATSANIDIS]

Excellent presentation and extremely valuable points on Ophthalmology! This useful information is greatly appreciated! Thank you for sharing it with us, Dr. Kevin! 🙌❤👍

[@borroousjonnyson1436]

I’m currently a scribe and in the works of getting my technician certification it is definitely very monotonous. Diabetes, Glaucoma, Dry Eyes, and Cataracts are sometimes the only thing you will see in a day. However, the days where there is something super interesting feels so fulfilling!

[@kevinjubbalmd]

What Why I Didn't topic should I cover next?

[@Joshua.2303]

PM&R please!

[@MarcoVz00]

Rheumatology ❤

[@Dan00509]

Psychiatry

[@rickvargas9944]

Vascular Surgery/ Transplant Surgery would be great

[@JadedbutnotJarred]

Haematology

[@buckeye5689]

You should clarify that optometrists are doctors not midlevels.

[@JohnMarkMcGullion-so7qf]

“Midlevels” seriously? Do you consider dentists midlevels?

[@dharshanalakshminarayanan]

this!!

[@taashin2863]

Dentist can be OMFs which are surgeons who perform head and neck surgeries including cancer and reconstructive surgeries So there is no comparison

[@KenmanG1982]

Ophthalmology in Canada is very competitive. Makes close to a million a year.

[@Nman92]

Man needs to make the hem onc video smh

[@Mont.Alhlaly]

I don’t know actually what to chose, take 4 year in ophthalmology or 7-8 years to get plastic surgery? As an IMG OPHTHALMOLOGY is very competitive and the chance to get it is very low compare with general surgery and then fellowship in plastic surgery which is can be attainable for IMGs.

[@simoruman1093]

If you have the opportunity to pursue ophthalmology, I highly recommend it. I previously explored radiology and internal medicine before transitioning to ophthalmology. Having been a specialist for five years now, I can confidently say it's one of the best decisions I've made.

[@Mont.Alhlaly]

@@simoruman1093 but because I am IMG it is very hard to get it, and I am starting to thinking in general surgery because there is chance to get it compared to very competitive ophthalmology but if you have any advance to me to continue ophthalmology road and not cancel it ,please share it with me.

[@joeydryoel3866]

Doctors of Optometry are not mid-level

[@KDoc-io5fo]

Thanks for the video Dr. J!

[@dharshanalakshminarayanan]

was all for it until you said "optometrists are mid levels" ...

[@theodore738]

Wake up they are mid levels

[@bluestar5433]

Optometrists are definitely not midlevels, super disappointing to hear you say that

[@ЗверозубыйЯщер]

Well, and what are they?

[@mijmij8]

in canada a lot/a huge number of ophtos do > 1Mil /year in several places... needless to say its much more competitive

[@shakerchteihi]

Whan of the best series. thanks alot

[@kevinjubbalmd]

Glad you enjoy it!

[@Asad_Nayyer]

Can you do "Why I Didn't... Psychiatry'" next?

[@kittygamer1412]

Can youu do why i didn't vascular surgery ?

[@kevinjubbalmd]

yes

[@BillHarrison-cf4vz]

Ouch, didn’t see the reason why you had to reiterate that some “traditional surgeons” view ophthalmology as not a real surgical subspecialty.I’ve seen it in other vids of yours too. Seems like you have that view too on a certain level. I won’t defend ophtho but just to note, microsurgery is real surgery. As simple as cataract surgery might seem, there are way more variables and complications in or outside the OR. Dare to say, ophtho is just like any other surgical subspecialties for instance if you subspecialize in hand for plastics. The only difference is it takes 3 years than 6 😉 Pointing out that there is no variability in cases is a point to inquire but to be fare even in other specialties, if you see a variety of cases doesnt really mean that you’re really an expert on that issue are you? Cheers

[@nem0men]

please do heme/onc next

[@percocetzh]

What’s your new up to date ROAD?

[@sjf96]

Why are there never links in the description

[@misteratoz]

You should do one on why you didn't do plastic surgery

[@kevinjubbalmd]

it's there in the Why I Didn't playlist!

[@ViktorArakelyan]

please do a vascular surgery

[@billcook4768]

There are no ties in ophthalmology. Not sure if that’s a good or bad thing.

[@Rainbowofthefallen]

Just commenting for the algorithm 🤎

[@SumayyaRehman-mp4pi]

Hey , Dr Kevin can you please do a Collab with Dr Mike pleasee pleaseee pleasee . Love your vids btw

[@peterodriscoll2645]

Can you do OBGYN?

[@riohenry6382]

My husband's aunt had PVR and she had so many operations we lost count. Unfortunately she ultimately went blind despite the great ophthalmologists that treated her

[@bluethunder9102]

Ophthalmology is competitive it’s just not plastics, derm, or ent

[@kevinjubbalmd]

I go based on the data, not subjective opinion. All specialties are competitive, ophthalmology just less so than many other specialties

[@ptcapc]

@@kevinjubbalmdthe data shows top USMLE scores, unfortunately there isn’t much more data since it is SF Match. Match rates are overall still quite low especially for DO and IMG both less than 50% when lookin at those signed up in match vs those matched

[@SeuChefemCasa]

Very good!

[@umairch5286]

Why I didnt obgyn

[@abdullahalameer5557]

You are the best!!!

[@magienancy]

What did you end up doing???

[@kevinjubbalmd]

Plastics and now entrepreneurship

[@holidayarmadillo8653]

"speaking of the colon..." 😅😅

[@ryugun2.059]

Why not paeds coming up?

[@jl5681]

Please do psychiatry!!!

[@sherifkamel3809]

Psychiatryyyyyyyyyyyyyyyyyyyyyyyyyy

[@kevinjubbalmd]

Later this year!