How do I find EM (or specific specialty) forum? Do you have link?Venture over to the EM forum and do some reading.
Thanks.
How do I find EM (or specific specialty) forum? Do you have link?Venture over to the EM forum and do some reading.
Tl;dr the field's in trouble because their projected supply is eclipsing their demand even by conservative estimates and people are seeing the effects on that squeeze in salary. This was concluded by multiple official EM organizations and publicized by MedTwitter. Private Equity is buying the practices since it's a hospital department and shiftwork making it easy to corporatize and replace with midlevels/mass ordering. SDN's EM forum has been talking about it for a few years, but it's beaten to death so it's probably not the first thing on there because it's the elephant in the room everyone knows about now.How do I find EM (or specific specialty) forum? Do you have link?
Thanks.
Take a hard look at general radiology. It fits your lifestyle needs and can have great but short patient interactions especially in small town practices. Lots of procedures even if not IR. I do 25 joint injections a week and talk to patients all the time. I thought it would be boring, but every radiologist I know is happy and watching and doing are very different. I work from home 75%, am raising 4 kids and make plenty of money.Hello! I'm new here and searching for some advice
I'm a 4th-year medical student and I cannot for the life of me pick a specialty!
My top priorities:
Background: Came into medical school only wanted to do OB. Still love the obstetric part of it but did not at all love the OR or the gynecology part of it so figured it didn't make sense to do a specialty where I only liked half of it. After this, I realized I enjoyed working with both adults and kids a lot so considered med peds. I like the idea of this field but from the digging that I've done it really seems like most people end up choosing to work with either adults or kids unless they do a combined fellowship or outpatient work. Combined fellowships just seem too long for me to handle and they seem to be specific in location. Thought EM for a while because I liked the fast pace and the ability to work with a variety of patients but could not for the life of me get the hang of the weird hours (i'm a very routine person) and wasn't sure about the lack of continuity of care. I didn't mind it for the 1 month I was on the rotation, but can see how it would be something missing for me later on. From EM, I realized my love of procedures so looked into anesthesia or interventional radiology. Peri-operative care just doesn't really interest me very much. I think interventional radiology would be really cool but I don't know too much about it yet or if, with all my particularities above, it's just a little too competitive or i've started looking into it too late.
- Working with both adults and kids
- Procedures and medicine
- Work-life balance and family time
- Mostly inpatient work - some clinic is fine but do not want to spend the majority of my time in clinic (this is primarily the reason i'm not interested in family medicine)
- Job opportunities - my fiancé and I are looking to be in a specific city to be close to our families
- Done with residency and fellowship within 6 years
Any advice is appreciated!! I really need to decide on something soon and every way I turn there is something that makes me shy away from the specialty. I know a common thing that people say is to look at the lows of the specialty and if you can deal with the lows adequately, that's the one you should pick. I understand this but at the end of the day, I just haven't found something that I can see myself doing for the rest of my life without missing an aspect of another specialty.
Family MedicineHello! I'm new here and searching for some advice
I'm a 4th-year medical student and I cannot for the life of me pick a specialty!
My top priorities:
Background: Came into medical school only wanted to do OB. Still love the obstetric part of it but did not at all love the OR or the gynecology part of it so figured it didn't make sense to do a specialty where I only liked half of it. After this, I realized I enjoyed working with both adults and kids a lot so considered med peds. I like the idea of this field but from the digging that I've done it really seems like most people end up choosing to work with either adults or kids unless they do a combined fellowship or outpatient work. Combined fellowships just seem too long for me to handle and they seem to be specific in location. Thought EM for a while because I liked the fast pace and the ability to work with a variety of patients but could not for the life of me get the hang of the weird hours (i'm a very routine person) and wasn't sure about the lack of continuity of care. I didn't mind it for the 1 month I was on the rotation, but can see how it would be something missing for me later on. From EM, I realized my love of procedures so looked into anesthesia or interventional radiology. Peri-operative care just doesn't really interest me very much. I think interventional radiology would be really cool but I don't know too much about it yet or if, with all my particularities above, it's just a little too competitive or i've started looking into it too late.
- Working with both adults and kids
- Procedures and medicine
- Work-life balance and family time
- Mostly inpatient work - some clinic is fine but do not want to spend the majority of my time in clinic (this is primarily the reason i'm not interested in family medicine)
- Job opportunities - my fiancé and I are looking to be in a specific city to be close to our families
- Done with residency and fellowship within 6 years
Any advice is appreciated!! I really need to decide on something soon and every way I turn there is something that makes me shy away from the specialty. I know a common thing that people say is to look at the lows of the specialty and if you can deal with the lows adequately, that's the one you should pick. I understand this but at the end of the day, I just haven't found something that I can see myself doing for the rest of my life without missing an aspect of another specialty.
psychiatry had a HUGE demand, the majority of people that are sick have a sickness related to that field so that field has a need. That would only be good if you feel like you talk to peopleHello! I'm new here and searching for some advice
I'm a 4th-year medical student and I cannot for the life of me pick a specialty!
My top priorities:
Background: Came into medical school only wanted to do OB. Still love the obstetric part of it but did not at all love the OR or the gynecology part of it so figured it didn't make sense to do a specialty where I only liked half of it. After this, I realized I enjoyed working with both adults and kids a lot so considered med peds. I like the idea of this field but from the digging that I've done it really seems like most people end up choosing to work with either adults or kids unless they do a combined fellowship or outpatient work. Combined fellowships just seem too long for me to handle and they seem to be specific in location. Thought EM for a while because I liked the fast pace and the ability to work with a variety of patients but could not for the life of me get the hang of the weird hours (i'm a very routine person) and wasn't sure about the lack of continuity of care. I didn't mind it for the 1 month I was on the rotation, but can see how it would be something missing for me later on. From EM, I realized my love of procedures so looked into anesthesia or interventional radiology. Peri-operative care just doesn't really interest me very much. I think interventional radiology would be really cool but I don't know too much about it yet or if, with all my particularities above, it's just a little too competitive or i've started looking into it too late.
- Working with both adults and kids
- Procedures and medicine
- Work-life balance and family time
- Mostly inpatient work - some clinic is fine but do not want to spend the majority of my time in clinic (this is primarily the reason i'm not interested in family medicine)
- Job opportunities - my fiancé and I are looking to be in a specific city to be close to our families
- Done with residency and fellowship within 6 years
Any advice is appreciated!! I really need to decide on something soon and every way I turn there is something that makes me shy away from the specialty. I know a common thing that people say is to look at the lows of the specialty and if you can deal with the lows adequately, that's the one you should pick. I understand this but at the end of the day, I just haven't found something that I can see myself doing for the rest of my life without missing an aspect of another specialty.
I’m curious what specialty you chose @Chelsea FC (I apologize if already mentioned and I missed!)All 6 of those things cant matter the same to you. Pick 3 and know that chances are you will settle to a speciality that ticks 2 of the 3 boxes. I had a long list of wants like you did but knew deep down that Life outside of work is the most important thing for me. Then that made my decision easier.
Any advice is appreciated!! I really need to decide on something soon and every way I turn there is something that makes me shy away from the specialty. I know a common thing that people say is to look at the lows of the specialty and if you can deal with the lows adequately, that's the one you should pick. I understand this but at the end of the day, I just haven't found something that I can see myself doing for the rest of my life without missing an aspect of another specialty.
Here's another vote for anesthesia. The work schedule can be a bit unpredictable, but if you're willing to sacrifice some income, you can get a position at a surgicenter or small rural hospital that would provide the schedule you're looking for.Was going to say anesthesia as well. Could do a pediatric fellowship or ICU fellowship or both. You can still do OB and I'm sure future partners would love you if you took all the OB call.....From what I've seen it has a good mix of procedures and medicine. Job market is currently not bad. Also you can do mommy tracks and have good work life balance from those I've talked to, you just will make less money.
PM&R as stated aboveI’m curious what specialty you chose @Chelsea FC (I apologize if already mentioned and I missed!)
Don’t know how I missed that. Sorry!PM&R as stated above
It might change. I am going into anesthesia because I like it, not because I expect to make big bucks. If I do then great, if I don't then it's ok. Don't pick a life just because of the money, although having it as a consideration is reasonable.Don’t know how I missed that. Sorry!
Is it impolite to ask about compensation for more family friendly specialties? I’m going to be an MS1 in August (I know this is super early), but I’ve been really interested in Psychiatry and one of the Anesthesiologists I worked with would always play up Anesthesia because of compensation and being able to pay student loans back.. but I’m under the impression that you should choose a specialty because it interests you and you enjoy it and not purely for the big $$$$$$.
With all the mental health issues, which are only getting worse.. Psych is a pretty good choice.. you have your own office, your hours.. but the downside is.. you gotta listen to people with all sorts of problems.. all sorts of problems.. But you can have a boutique practice. I wouldn't do it though..Don’t know how I missed that. Sorry!
Is it impolite to ask about compensation for more family friendly specialties? I’m going to be an MS1 in August (I know this is super early), but I’ve been really interested in Psychiatry and one of the Anesthesiologists I worked with would always play up Anesthesia because of compensation and being able to pay student loans back.. but I’m under the impression that you should choose a specialty because it interests you and you enjoy it and not purely for the big $$$$$$.
If I had a 12 yo I wanted assessed for a neurological disease, I would see a child neurologist, specifically.
This thought definitely seems more and more appealing every day! I'm wondering where I can talk to someone who works as a laborist and get their thoughts.@stemsoflife you said you liked OB going in to med school and still love the obstetric part of it but not the OR.
Just want to point out that many hospitals employ a laborist model where you can just focus on obstetrics after completing OBGYN residency. Think shift work OB and just delivering babies, with the occasional consult in ED. You wouldn't have to do any clinic or operative GYN. Just focus on delivering babies.
If you hate the OR/long procedures -- OBGYN also offers non surgical fellowships like REI and MFM that allow you to practice more "obstetric medicine" without having to do surgery.
Think consulting gig/clinic/reading USS for high risk pregnancies with MFM with procedures like amnios/CVS
Think fertility treatment procedures / clinic helping people get pregnant with REI
Head over to the OBGYN board and try there. Talk to MFM and REI people at your hospital. If your hospital uses a laborist model talk to them.This thought definitely seems more and more appealing every day! I'm wondering where I can talk to someone who works as a laborist and get their thoughts.
How about consider PM&R with a brain injury fellowship so you can do inpatient and have an outpatient clinic where you do Botox procedures for spasticity and maybe even baclofen pump refills (both of which can be done for spinal cord injury patients and Botox for stroke and MS spasticity). Good quality of life.Hello! I'm new here and searching for some advice
I'm a 4th-year medical student and I cannot for the life of me pick a specialty!
My top priorities:
Background: Came into medical school only wanted to do OB. Still love the obstetric part of it but did not at all love the OR or the gynecology part of it so figured it didn't make sense to do a specialty where I only liked half of it. After this, I realized I enjoyed working with both adults and kids a lot so considered med peds. I like the idea of this field but from the digging that I've done it really seems like most people end up choosing to work with either adults or kids unless they do a combined fellowship or outpatient work. Combined fellowships just seem too long for me to handle and they seem to be specific in location. Thought EM for a while because I liked the fast pace and the ability to work with a variety of patients but could not for the life of me get the hang of the weird hours (i'm a very routine person) and wasn't sure about the lack of continuity of care. I didn't mind it for the 1 month I was on the rotation, but can see how it would be something missing for me later on. From EM, I realized my love of procedures so looked into anesthesia or interventional radiology. Peri-operative care just doesn't really interest me very much. I think interventional radiology would be really cool but I don't know too much about it yet or if, with all my particularities above, it's just a little too competitive or i've started looking into it too late.
- Working with both adults and kids
- Procedures and medicine
- Work-life balance and family time
- Mostly inpatient work - some clinic is fine but do not want to spend the majority of my time in clinic (this is primarily the reason i'm not interested in family medicine)
- Job opportunities - my fiancé and I are looking to be in a specific city to be close to our families
- Done with residency and fellowship within 6 years
Any advice is appreciated!! I really need to decide on something soon and every way I turn there is something that makes me shy away from the specialty. I know a common thing that people say is to look at the lows of the specialty and if you can deal with the lows adequately, that's the one you should pick. I understand this but at the end of the day, I just haven't found something that I can see myself doing for the rest of my life without missing an aspect of another specialty.
Chances are he won’t get the peds/adult mix because most peds cases would go to peds PM&R especially if he works in a big cityHow about consider PM&R with a brain injury fellowship so you can do inpatient and have an outpatient clinic where you do Botox procedures for spasticity and maybe even baclofen pump refills (both of which can be done for spinal cord injury patients and Botox for stroke and MS spasticity). Good quality of life.
Your post is a little older, but I just saw it and I have relevant experience with my third year site, so, here I am!I did not know this and agree if that's the case Neurology goes way farther than IM to ensure that both types of residents get training with the younger/older demographic. That being said, it seems like there is still an effective split between Child Neuro and Neuro (Adult IMO bc 4 mo. =/ competency) and one spending 4-8 months in residency in my mind is just the tip of the iceberg and the bolded part of your quote indicates the pediatric neuro and neuro (adult IMO) are effectively split. FM and IM PCPs are doing colonoscopies in areas that are not large metros. If I had a 12 yo I wanted assessed for a neurological disease, I would see a child neurologist, specifically. Additionally I'd imagine an attending's practice/competence is mostly their experience as an attending and not 4-8 months in residency. Sorry if I thread on some toes with that opinion and interested in hearing counterarguments.