Anesthesia or ER?

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I think that is more group specific than specialty. With the way things are going expect more work, less vacation, and less pay.
 
Definitely EM. However in EM you'll be working consistently more nights, weekends and holidays than anesthesia. Typical EM physicians work 12-14 shifts a month (12 hr shifts). But dont go into EM just for the vacation time/shift work, you'll be one of those that burns out easily just a few years after residency.
 
If you're talking about vacation, and not just time off, see below. ED shift work almost certainly works out to less hours on the job on average, but at the cost of more nights and weekends.
Vacation time is very job specific. Most anesthesia jobs I'm aware of are 6-12 weeks. The most I've heard of was 17, in a less desirable location. I don't know what the average number of ED vacation weeks is.
Having said that, the nature of the ED shift work would probably make it easier to find a part time job where you could work 1/2 time, take extended vacations, etc. But, again, that would be very group dependent.
 
It depends on the group you join, not the specialty.

One thing about most specialties (including gas and EM) is that if you're not working you're not making money. Some groups hold back some of your money throughout the year to give you "paid vacation" but it just means you made less than you could have the rest of the year. Other groups (like mine) don't do this so you just have to budget for the month when you work less.

Students and residents are mandated to work a lot of hours by their programs. Because of that they often lose sight of the fact that as attendings for the most part we work as much as our financial situation demands. There is no one forcing us to work a certain amount. Some groups demand minimum hours but there are groups that don't and you can change jobs.
 
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