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I totally agree with you. What could be more boring than human carpentry aka orthopedic surgery, and still they have no difficulty recruiting medical students.I don’t in any way buy the lack of exposure argument for why people aren’t choosing pathology. I’ve met pre-meds trying to get into medical school who’ve told me to my face they want to do dermatology. Do you honestly think they know in totality all the things a dermatologist does or just that they make a boat load of cash on banker’s hours? Same for all the other specialities everyone is dog piling over each other to get into.
Given the current state of pathology, we’d be better off swindling people into it rather than trying to explain what we do truth be told. My program is one of the few that still has a significant amount of post sophomore fellows every year. Anyone want to take a guess as to how many go into pathology after essentially functioning as a PGY-1 resident in pathology. Spoiler - I don’t need all the fingers on one hand to count them out. What we do manage to do, ironically, is make the PSFs hyper-competitive applicants for all the desirable specialities.
We have to get it into our thick skulls that few are buying an inferior product as compared to other specialties. The academically top one percent of medical students don’t go into ortho because they find human carpentry intellectually stimulating. The top one percent don’t go into dermatology because popping pimples and acne are the epitome of career development. The top candidates of IM don’t fight for cardio, GI, and pulmonary spots because sticking instruments in their field’s respective lumina is an endorphine releasing experience.
Good specialties sell themselves on their merits irrespective of an applicant fully appreciating the future job description. By no means do I condone going into a field for all the wrong reasons, but we’re not here to question or judge people’s motivations. We can only say with absolute certainty that other specialties are doing a good job of sucking up the talent that our leadership wants and all we’re doing in response is to still try to make pathologists groovy.