Anesthesia vs IM subspecialties?

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Drew28982898

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7+ Year Member
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In terms of hours, income, job satisfaction/wlb how does anesthesia compare with IM subspecialties like cards/GI/onc/allergy, etc? 4 year vs 6 year training path is definitely a component for consideration.
 
If I was a medical student right now, the most important question I would be asking with regards to specialty selection is: How easy would it be for a corporate entity to replace me with a midlevel? And the likelihood of a midlevel having the same job description as you will be much lower in the IM subspecialties you listed.
Well, if you ask questions like that, then you'd end up dropping out of medical school.
 
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Way too generic of a question. I am an interventional cardiologist and in my specialty alone it can be a chill lifestyle oriented position vs working like a dog.
 
I am an academic PCP and here are my two cents:

Anesthesia on gross will absolutely crush most IM specialties. If you want the bennies and don’t care to dig deeper do gas

Now saying that. There is actually a lot that goes into total ROI.
When deciding any job, always try to get compensation per hour as a metric compared to gross salary.
For my friends that do anesthesia, they make about 500-600k in my shop, but their schedule is all over the place. The call burden is huge and also a lot of them get pressured to do cases on patients that shouldn’t be getting surgery..
so if you assume a 60 hour week with 10 weeks vacation with a 500k salary the total per hour comp is around $200 -250 (look this a ballpark so don’t hate me if it’s not accurate).
Sounds pretty good right? However that’s not taking into account working late at nights, weekends etc. you have to ask yourself is that worth it

My gig- I only gross about 340ish working my academic pcp job. But I only work 31 hours a week in clinic and I take about 6 weeks vacation. I am also earning around $200 an hour working bankers hours.
So sometimes worth doing a detailed analysis to compare apples to apples