D
deleted421268
How difficult is it to get a land a subspecialty of IM after residency? What subspecialty offers the best lifestyle as well?
- Joined
- Dec 14, 2006
- Messages
- 69,368
- Reaction score
- 61,725
- Points
- 12,351
- Location
- Last House on the Block, USA
- Attending Physician
Depends. Subspecialty runs the gambit from very difficult to get into to not at all.
Define "best lifestyle".
- Joined
- Aug 14, 2011
- Messages
- 23
- Reaction score
- 0
- Points
- 0
- Medical Student
In general, some fellowships are easy to get (rheum, endo, ID) while other are more difficult to get (cards, GI). Location and the quality of program also can make a particular fellowship less or more competitive. For example, an ID fellowship at UCSF will be more competitive than a GI fellowship at St. Jerkface in Omaha.
Lifestyle depends on your specialty and your practice. I've met a private practice rheumatologist who work 60+ hours a week, and I know a few private practice heme/oncs who work 35-40 hours a week. I know academic faculty who see patients one morning a week, and I know academic faculty members who are in clinic every day. Point is, it varies a lot
D
deleted421268
By lifestyle I mean like hours to $$$ ratio. I am also interested in pursuing side interests like working out and other leisure activities as well, but am a committed type of guy.
Money/work ratio depends on your productivity, practice location, and reimbursemnt pool. For example, someone who does a lot of procedures in a medium sized town in the Midwest where most of the patients have private insurance will have a higher reimbursement to time ratio than someone who mainly talks to patients in a saturated area where most of the patients have Medicaid.
Re: time and leisure, it comes down to making time for the things that are important to you. We cannot paint broad strokes of what the hours or reimbursement for a specialty are like: they vary greatly depending on specialty, practice type, location, payer pool, etc. As trite as it is, the most important thing to do is to find a specialty you love, that way you will never work a day in your life
