AStudent said:
Can anyone explain why more medical students don't choose anesthesiology? Am I missing something? Is there something horribly wrong with the profession that would turn medical students off??
http://medicine.wustl.edu/~residenc/outside/spec/AN_info.html
It is rather strange that anesthesiology remains a relatively noncompetitive specialty, given the excellent reimbursement (gas docs in private practice can pull 400K/yr), decent hours (40-50 hr wks with very little, if any, call), and relatively low malpractice premiums. Without a doubt, gas is a lifestyle specialty, but it's not for everyone. The principal reason why medical students aren't scrambling en masse to become gas docs is threefold:
1) The nature of the work: One of the surgeons at my med school, whose father is an anesthesiologist, described the specialty as hours of boredom punctuated by moments of sheer terror. At the beginning and end of surgical procedures, and when the proverbial **** hits the fan, anesthesiologists work like madmen. If a patient crashes in the OR, the anesthesiologist takes over--they really are experts in critical care (which also explains why some anesthesiologists work as intensivists). Aside from the critical moments at the beginning and end of surgical procedures, and the occasional crash, the bulk of an anesthesiologist's "work" in the OR is pretty boring. They mostly just sit around and keep an eye on various monitors; periodically they mix up some drug cocktails to fine tune some aspect of the anesthesia or whatever.
2) Anesthesiologists don't get their egos stroked. Most laymen are clueless about the specialty of anesthesiology. Some don't even know that anesthesiologists are medical doctors; they think that gas docs are some kind of technician. Talk to any anesthesiologist and he/she will tell you that if you want your ego to be stroked, anesthesiology is the wrong career choice for you.
3) Many medical students never really get adequate exposure to the field, so many of us never develop any interest in the field. At my school, anesthesiology isn't a core clerkship. I don't know of any schools where anesthesiology is a required clerkship.
That said, anesthesia really is a great specialty choice if: a) you enjoy physiology and applied pharmacology b) you don't want the frustration of managing chronic illnesses c) you prefer short, intense encounters with patients d) you don't care if the average joe thinks you're some kind of glorified technician and e) you want to make an outrageous amount of money and not work 80+ hours/wk.