nauru Posted February 14, 2013 Report Share Posted February 14, 2013 I'm just wondering, might as well know now in case this whole journey is for nought. Link to comment Share on other sites More sharing options...
apache Posted February 14, 2013 Report Share Posted February 14, 2013 ms, parkinsons, huntingtons, schizophrenia... many health conditions can prevent you from practicing certain specialties though I'm just wondering, might as well know now in case this whole journey is for nought. Link to comment Share on other sites More sharing options...
NLengr Posted February 14, 2013 Report Share Posted February 14, 2013 ms, parkinsons, huntingtons, schizophrenia... many health conditions can prevent you from practicing certain specialties though The college decides these things on a case by case basis. There is no blanket rule. For example, mild MS wouldn't result in you losing your license if you were a radiologist. Link to comment Share on other sites More sharing options...
undergrad519 Posted February 14, 2013 Report Share Posted February 14, 2013 Ebola virus Link to comment Share on other sites More sharing options...
lolelol Posted February 14, 2013 Report Share Posted February 14, 2013 How about hepatitis/HIV and other blood transmitted diseases in specialities that deal with needles and scalples? Link to comment Share on other sites More sharing options...
rmorelan Posted February 14, 2013 Report Share Posted February 14, 2013 How about hepatitis/HIV and other blood transmitted diseases in specialities that deal with needles and scalples? No as I understand it that actually won't disqualify in any strict sense believe it or not. You do have a responsibility though associated with it and it would seem unlikely someone would really go down that road- it would be complex to say the least. Can you do a physical exam? Can you take a history from a general member of the public? Can you consistently reason out treatment plans and communicate that to your patients and colleagues? Once you are a doctor it is even less restrictive in a sense. If you take it upon yourself to provide effective care to just your patient population then you are fine. Link to comment Share on other sites More sharing options...
rmorelan Posted February 14, 2013 Report Share Posted February 14, 2013 ms, parkinsons, huntingtons, schizophrenia... many health conditions can prevent you from practicing certain specialties though in advanced uncontrollable stages of the disease I guess I should add. You can have controlled schizophrenia and be a doctor for instance as long as it doesn't interfere with patient care. Link to comment Share on other sites More sharing options...
medigeek Posted February 14, 2013 Report Share Posted February 14, 2013 How about hepatitis/HIV and other blood transmitted diseases in specialities that deal with needles and scalples? I would think HepB would be a serious issue if there's nonvaccinated patients. HepC would serve some significant risk for sure over time, but on a case by case basis... odds of transmission are very low. HIV, odds would be extremely low. Not sure how these are dealt with, but I don't believe any of these things disqualify you from working. Surgeons would be the only ones of debate anyways, and HepB and HIV would be very rare among this population overall. Link to comment Share on other sites More sharing options...
rmorelan Posted February 14, 2013 Report Share Posted February 14, 2013 I would think HepB would be a serious issue if there's nonvaccinated patients. HepC would serve some significant risk for sure over time, but on a case by case basis... odds of transmission are very low. HIV, odds would be extremely low. Not sure how these are dealt with, but I don't believe any of these things disqualify you from working. Surgeons would be the only ones of debate anyways, and HepB and HIV would be very rare among this population overall. I should add that none of those conditions preclude us as medical students from completing clerkship. Link to comment Share on other sites More sharing options...
apache Posted February 14, 2013 Report Share Posted February 14, 2013 yeah, fair enough, but you really have to cut your stress, prob not do full time, it's possible, but more the exception than the rule, especially with the cognitive and sedative effects of the medications as well. in advanced uncontrollable stages of the disease I guess I should add. You can have controlled schizophrenia and be a doctor for instance as long as it doesn't interfere with patient care. Link to comment Share on other sites More sharing options...
apache Posted February 14, 2013 Report Share Posted February 14, 2013 yeah, for sure... i just remembered immediately a plastic surgeon that got ms around 6 months after finnishing residency... yuck The college decides these things on a case by case basis. There is no blanket rule. For example, mild MS wouldn't result in you losing your license if you were a radiologist. Link to comment Share on other sites More sharing options...
medigeek Posted February 14, 2013 Report Share Posted February 14, 2013 I should add that none of those conditions preclude us as medical students from completing clerkship. I wouldn't see a reason for it too. I don't believe anything's really done in clerkship at all that could make transmission possible. Link to comment Share on other sites More sharing options...
Illuminant Posted February 14, 2013 Report Share Posted February 14, 2013 I should add that none of those conditions preclude us as medical students from completing clerkship. How about tuberculosis? Link to comment Share on other sites More sharing options...
rmorelan Posted February 14, 2013 Report Share Posted February 14, 2013 I wouldn't see a reason for it too. I don't believe anything's really done in clerkship at all that could make transmission possible. There isn't that much difference between a keen clerk and a first or even second year resident. I first assisted on C Sections, general surgery cases, put in central lines, did IR procedures, drained abscesses, did organ retrieval, drew blood repeatedly ..... I would say there were plenty of chances of transmission if you are careless. They modify things if you are a potential infection risk but they do work around this. No one will ask you your infection status at any point in the application process to medical school - it has no impact on admissions. Link to comment Share on other sites More sharing options...
rmorelan Posted February 14, 2013 Report Share Posted February 14, 2013 Yeah that's why they ask for vaccine records. Just out of interest, how about mental illness? Would it impact you ability to function as a doctor? I mean a huge number of people have a mental illness of a relatively mild form. It all comes down to whether you can serve your patients well and work around what ever conditions you have. As a professional you are expected to as a first time remove yourself from any situation when you would not provide good care and take steps to prevent things from getting to that point in the first place Link to comment Share on other sites More sharing options...
apache Posted February 14, 2013 Report Share Posted February 14, 2013 i talked tp a guy from toronto who specialized in monitoring physicians with mental illness, he was doing a presentation, he sais bipolar people usually can get by well with threatment, far rarer in schizophrenia... other mental illnesses are easier to mask, especially in medical culture with stigma... but it could effect clinical effectiveness or demeanor... like, i know i'm going to have to pay for a top notch secretary, organizational tools to make sure to do paperwork get's done timely, patient records are organized etc. because of the adhd... tbh, sitting for 4 hour chunks would kill me if i didn't take meds too... so even small stuff like that... but yeah you have to be cognizant of cultural factors as well, like in psych, are you able to modulate your presentation of affect and body language to different patients... a beaten housewife with nonsecure childhood attachment wouldn't work well with my natural assertiveness, but you learn to fake everything, so deference, passivity, so you don't reinforce characteristics they describe as preventing them from living an optimal life (i dislike the normative term pathology... in mental health) Yeah that's why they ask for vaccine records. Just out of interest, how about mental illness? Link to comment Share on other sites More sharing options...
gilson56 Posted February 15, 2013 Report Share Posted February 15, 2013 this is nice post, i like it .. Link to comment Share on other sites More sharing options...
rmorelan Posted February 15, 2013 Report Share Posted February 15, 2013 yeah, for sure... i just remembered immediately a plastic surgeon that got ms around 6 months after finnishing residency... yuck This is why we are are encouraged to get, and should have, disability insurance. Stuff like that does happen Link to comment Share on other sites More sharing options...
future_doc Posted February 15, 2013 Report Share Posted February 15, 2013 Definitely. It is impossible to predict the future with any certainty - things do happen. Link to comment Share on other sites More sharing options...
ellorie Posted February 15, 2013 Report Share Posted February 15, 2013 OMA told me that they have never had someone with a mental illness who successfully completed medical school be denied a license or training license for that reason alone. Apparently the "worst" that will happen is that you will have to have a monitoring contract where they keep a relatively close eye on you. Link to comment Share on other sites More sharing options...
NewfieMike Posted February 15, 2013 Report Share Posted February 15, 2013 would they turn you away from being a doctor if you were blind or deaf? I have always sort of wondered this. The challenges are obvious. Link to comment Share on other sites More sharing options...
lolelol Posted February 15, 2013 Report Share Posted February 15, 2013 would they turn you away from being a doctor if you were blind or deaf? I have always sort of wondered this. The challenges are obvious. nope http://www.nbcnews.com/id/7318398/ and nope http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_244.html Second one: shockingly progressive of 1970s, and Kentucky of all places LOL Link to comment Share on other sites More sharing options...
NewfieMike Posted February 15, 2013 Report Share Posted February 15, 2013 nopehttp://www.nbcnews.com/id/7318398/ and nope http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_244.html Second one: shockingly progressive of 1970s, and Kentucky of all places LOL respect. (10char) Link to comment Share on other sites More sharing options...
rmorelan Posted February 15, 2013 Report Share Posted February 15, 2013 nopehttp://www.nbcnews.com/id/7318398/ and nope http://www.nlm.nih.gov/changingthefaceofmedicine/physicians/biography_244.html Second one: shockingly progressive of 1970s, and Kentucky of all places LOL I asked about that in canada - it seems we are less forgiving about letting people in. You cannot pass the exams requested if you cannot see what is going on. If you have motor challenges their can be issues. Being deaf seems less of a concern as you can get personal translators etc. Once you are a doctor though it seems a bit different - as long as your practise doesn't suffer it seems you are fine. A clear example of this is a deaf doctor treating deaf patients - probably the care not compromised, actually it likely is superior. Link to comment Share on other sites More sharing options...
rmorelan Posted February 15, 2013 Report Share Posted February 15, 2013 I should mention in canada we have an association of disabled doctors. http://www.cmaj.ca/content/163/10/1330.1 Link to comment Share on other sites More sharing options...
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