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Anesthesiology vs. PM&R

Discussion in 'PM&R' started by prominence, Dec 30, 2001.

  1. prominence

    prominence Senior Member 10+ Year Member

    Dec 19, 2001
    i will be a foreign medical graduate, and i have heard both are relatively easy to attain (although anesthesiology is beginning to get harder to attain recently.) what are the pros and cons of each as far as ease in getting employment, hours worked, salary, fellowship options, quality of life, stress on the job, residency life, etc? any information would be much appreciated. thank you.
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  3. Jubal

    Jubal Member 7+ Year Member

    Dec 10, 2001
    Los Angeles
    Well both have lots of similarities. However, one could not imagine anything more different. Anesthesia is a very dynamic(except for pain-management which is a relaxed, office-based subspecialty)specialty. And one should get into Anesthesiology only if you feel it, know what you're getting into. Mandatory contact with the specialty in med school is so scarce that one can get a very deformed impression on what Anesthesia is. I cannot speak for PM&R. Anesthesia however can be the most rewarding specialty if you really live it. Do not understnd me wrong: each individual might find something else more rewarding; I personally love patient interaction and find it quite rewarding. However, I get bored, hearing the same stories again and again. And I know one day I will hate it. With Anesthesia, after I hated it at start, after 2 years exposure, when I had to leave, I had withdrawal symptoms: found myself going back to the OR, etc. It's true, it was cardiac anesthesia, which is the most interesting, challenging subspecialties in Anesthesiology. (my personal opinion, again)

    My advice: get some exposure, see what you like. Than think what's more imortant: life-style, money, etc. For me life outside medicine(family relaxation)is very important. However I cannot conceive a career in medicine outside of Cardiac Anesthesia. And I believe there will be time for both...hopefully

    Also, as I said some anesthesia subspecialties can be very stressful as oposed to PM&R or Pain Management. Hours again: Pain is the opposite of Cardiac.
    Nowadays, Pain and Regional anesthesia seem to have gained a lot of popularity. Schedules are less brutal thna in Neuro or Cardiac Anesthesia. Again depends what you like...

    As for Anesthesia getting more competitve, that's correct. However, medium or good scores and a curriculum of dedication to Anesthesia, can get you in at very good programs. Let's not forget that IMG's are still 50 % of the resident body, and while not all of them are top-notch(as with AMG's) program directors have experience with them, and do not look at them with susspicion. Hell, there're programs who've built their reputation on IMG's work. :D
  4. prominence

    prominence Senior Member 10+ Year Member

    Dec 19, 2001
    any other thoughts on this topic?
  5. I think you would have an easier time finding employement as an Anesthesiologist. The life of a Physiatrist is definitely less stressful with almost no call. Physiatrists can apply for Interventional Pain Management Fellowships through the Anesthesia or PM&R route. In addition, there are fellowships in SCI, TBI, Sports Medicine, etc. Even though I am interested in Interventional Pain Management, I also realize that someone has to cover the surgeries in the middle of the night. Personally, I hate being in the OR and working with surgeons is not a plus in my mind.

    This website summarizes some of the things that I want to do once I finish my residency in PM&R:

    This thread also discusses some of the reasons why some of us chose Anesthesia or PM&R:
    El Curandero likes this.

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