Ever wonder about first time postings, in Jan, claiming to be a Resident, claiming to be ready to start residency, with some vague question (a vague fodder type question) that I high school student would ask...I am presently scheduled to begin my residency in anesthesiology but I;m having reservations about it. I'm considering terminating it and entering an emergency medicine residency. Please share your thoughts.
nice comparison des!Even if the post is bogus this EM vs Anes question is a common one. I'll give my two cents because I went through the same thing.
Keep in mind all advice is biased. Ask this question to on the EM boards and you'll get the other side I'm sure.
I initially matched EM coming from a med school with a state of the art ED in a setting with no other Level 1 trauma centers in the area. I was intent on being a gung-ho EM cowboy. I had some misgivings about the jack-of-all trades moniker and the lifestyle but charged forward anyway.
I started my intern year in IM in a large academic center in a major city. There I saw how EM is in the real world. Yes it's true everyone hates the EM physician. The jack-of-all trades master of none title is pretty accurate. The lifestyle isn't bad and the compensation way better than primary care. There is also an expiration date to your career in EM. It's rare to see old timers in an ED. Burnout is common.
It is nice for those who like immediate gratification in that you get first crack at a diagnosis. Trauma gets old and algorithmic. Does it really matter what other departments think of you? Everyone hates everyone no matter what....except the nephrologists, everyone loves the nephrologists.
Anesthesia to me was more of a career. You spend your residency learning the field and your career perfecting it. There is no way you could learn all there is to know in EM over a career....master of nothing. The lifestyle is whatever you want it to be depending on how much you want to earn.
There are downsides, mostly surgeon respect issues but you either get over it early on or you leave. There are also life/death issues that are similar I presume in the ED. Intentionally taking away a persons protective mechanisms can get hairy at times.
This wasn't as coherent as I'd hoped but I hope it helps some.
I have been doing EMS for 6 years and had some exposure to the ed as a student, now I am applying in anesthesia; the fields are totally different.I am presently scheduled to begin my residency in anesthesiology but I;m having reservations about it. I'm considering terminating it and entering an emergency medicine residency. Please share your thoughts.
Nephrologists are neat people. They know a lot and are generally laid back.nice comparison des!
i however disagree with the popularity of nephrologists , after all, they are sending their patients down to the or with a #24 iv in the antecubital fossa, preferably with levophed going through....