anesthesiology

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Laughingcow

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Hi everyone,

My understanding is that anesthesiologists are very highly paid and have very manageable hours. If this is the case, why is it one of the least competitive residencies?
 
Supply and demand.

Demand is high. There are a lot of residency spots.
 
Supply and demand.

Demand is high. There are a lot of residency spots.
but why don't more med school grads go for anesthesiology? In terms of lifestyle and pay, it seems a lot like Dermatology, yet there's very little competition.
 
but why don't more med school grads go for anesthesiology? In terms of lifestyle and pay, it seems a lot like Dermatology, yet there's very little competition.

The lifestyle is significantly worse than Dermatology/Ophthalmology. Derm and Ophtho average 40-45. Anesthesia is closer to 55 with similar pay.
 
You have a misconception of the field. It is decidedly not a lifestyle specialty.

The flexibility within the field is immense. Lifestyle-friendly jobs are not uncommon. That being said, on average you are certainly correct.
 
The fact that derm is the most competitive field in medicine is an argument against that statement.

Granted this is anecdotal, but the only people I know interested in derm or who are derm residents really ****ing love derm. Like I don’t get it, but they’re super into it.
 
Granted this is anecdotal, but the only people I know interested in derm or who are derm residents really ****ing love derm. Like I don’t get it, but they’re super into it.

Aha, I find this to be a rarity. People even admit that they went into it for the cush lifestyle and easy (relatively) money. Couldn't pay me a million dollars to do it. Skin lesions instantly activate my emetogenic reflex...I mean, instantly
 
Aha, I find this to be a rarity. People even admit that they went into it for the cush lifestyle and easy (relatively) money. Couldn't pay me a million dollars to do it. Skin lesions instantly activate my emetogenic reflex...I mean, instantly

Might be cause I’m military. The pay for a dermatologist and an internist aren’t substantially different. Less incentive to go into it if you don’t like it.
 
Aha, I find this to be a rarity. People even admit that they went into it for the cush lifestyle and easy (relatively) money. Couldn't pay me a million dollars to do it. Skin lesions instantly activate my emetogenic reflex...I mean, instantly

:laugh: I remember seeing a specialty decision flowchart a few years back that went like this: Do you want to have a lot of time off? --> Do you like money? --> pick your poison, eyes or skin!
 
:laugh: I remember seeing a specialty decision flowchart a few years back that went like this: Do you want to have a lot of time off? --> Do you like money? --> pick your poison, eyes or skin!

Eyes, all day everyday. I'll admit, the eyes are kind of weird, but they don't freak me out or gross me out like the skin. Besides, ophthalmology is a great field. Kind of wish I had an interest in it. You get to deal with quality of life issues (no death or dying), have a great lifestyle, and you get PAID. Only scary thing is if you screw up and permanently blind someone
 
Eyes, all day everyday. I'll admit, the eyes are kind of weird, but they don't freak me out or gross me out like the skin. Besides, ophthalmology is a great field. Kind of wish I had an interest in it. You get to deal with quality of life issues (no death or dying), have a great lifestyle, and you get PAID. Only scary thing is if you screw up and permanently blind someone
As a subspecialist in Ophthalmology, I tend to agree 😉
 
The flexibility within the field is immense. Lifestyle-friendly jobs are not uncommon. That being said, on average you are certainly correct.
Don't these pay the same as primary care? The Anesthesiologist I worked with basically said it's the call + working 55-60 hours that leads to the reported salary the med students flock towards.
 
The fact that derm is the most competitive field in medicine is an argument against that statement.
Derm is the most competitive by what metric? There are very few spots, so they can be selective and pick only the strongest applicants to match. But from the perspective of # of applicants versus # of residency seats, OBGYN is more competitive than derm.
 
Derm is the most competitive by what metric? There are very few spots, so they can be selective and pick only the strongest applicants to match. But from the perspective of # of applicants versus # of residency seats, OBGYN is more competitive than derm.

You have to account for self-selection. There are way less derm applicants just by dint of the fact that it is so competitive.

But I really don't know how much passion drives specialty choice relative to lifestyle/income. On one hand, you have all the ortho and nsg gunners that would rather die than do anything else. On the other hand, you have the people that enjoy surgery but hate the lifestyle and those that love peds but hate the pay.
 
Don't these pay the same as primary care? The Anesthesiologist I worked with basically said it's the call + working 55-60 hours that leads to the reported salary the med students flock towards.

Yes. But the flexibility in positions and hours is nothing to scoff at. When you're getting older and want to cut back a little Anesthesiology is a great field for that. Anesthesiology also has some of those really unique employment models, like working really hard for 32 weeks but having 20 weeks of vacation. Keep in mind my knowledge here is second-hand from my attending buddies, as I am not an anesthesiologist myself.
 
Fair enough. I was just curious. I don't think they'll get as many applicants if they advertised "400k IF you take calls and work 55-60h".

Honestly, it's funny how fields that used to be ROAD specialties are still referred to as such. Gas and DR are perfect examples of this. Pay is still pretty good, but the lifestyle is nowhere to be found. Only ophtho and derm remain.
 
Honestly, it's funny how fields that used to be ROAD specialties are still referred to as such. Gas and DR are perfect examples of this. Pay is still pretty good, but the lifestyle is nowhere to be found. Only ophtho and derm remain.
Psychiatry is on the rise. With its moonlighting capabilities during residency I would say ROAD is now POD.
 
Psychiatry is on the rise. With its moonlighting capabilities during residency I would say ROAD is now POD.

I agree. Lifestyle is already great, and demand is increasing pretty rapidly. Only a matter of time before we see salaries follow suit. Only concern I have is all the people that want a piece of the pie: psychologists, social workers, midlevels, "life coaches", etc. If there's more than enough to go around, then I guess there's nothing to worry about
 
I agree. Lifestyle is already great, and demand is increasing pretty rapidly. Only a matter of time before we see salaries follow suit. Only concern I have is all the people that want a piece of the pie: psychologists, social workers, midlevels, "life coaches", etc. If there's more than enough to go around, then I guess there's nothing to worry about

Problem is, how do we turn POD into a fun saying? Take the ROAD to happiness... uh.... any ideas for POD?
 
Derm is the most competitive by what metric? There are very few spots, so they can be selective and pick only the strongest applicants to match. But from the perspective of # of applicants versus # of residency seats, OBGYN is more competitive than derm.
Yeah OBGYN is nowhere near derm level competitive. A cursory look at any NRMP publication confirms it. So many factors go into what is “competitive”, not just applicants per seat.
 
Yeah OBGYN is nowhere near derm level competitive. A cursory look at any NRMP publication confirms it. So many factors go into what is “competitive”, not just applicants per seat.
I personally quit medicine if I have to do OB...no offense to anyone. Idk if it is the culture or what but they look like they hate their jobs...I had worse experience w OB than gen or surg neurosurg...you name them
 
I remember this, lol. Was just thinking about it earlier today. I know someone else came up with "E-ROAD", which sounded terrible, lol

Praying for the EM docs. I'm not entirely shocked it happened though. Wages in most specialties have just been rising with inflation (with some fluctuations of course). EM was experiencing a massive spike.

DOPE sounds way better than POD.
 
Praying for the EM docs. I'm not entirely shocked it happened though. Wages in most specialties have just been rising with inflation (with some fluctuations of course). EM was experiencing a massive spike.

DOPE sounds way better than POD.

How bout this? Get to keep the name, but we're being honest at the same time

Screenshot_20201119-183050~3.png
 
What about ENT? I'm not very familiar with their figures, but it seems like they could meet the POD requirement.

Yeah, but the problem is that it's surgery, and that automatically removes it from the lifestyle equation for a lot of people, considering the intensity of training. I know ophtho's surgery too, but it decidedly doesn't have that surgical lifestyle.
 
Honestly, it's funny how fields that used to be ROAD specialties are still referred to as such. Gas and DR are perfect examples of this. Pay is still pretty good, but the lifestyle is nowhere to be found. Only ophtho and derm remain.

I have a radiologist friend that works 2 weeks on 1 week off. You can definitely get a good lifestyle in DR
 
I have a radiologist friend that works 2 weeks on 1 week off. You can definitely get a good lifestyle in DR
You can get a good lifestyle in any field. I've already mentioned in other threads my Neurosurgeon friend who works 40 hours a week. What matters is the average in that field. If there are 1000 physicians, and only 1 works 40 hours a week, that means it's probably not easy to work 40 hours a week.

Last I checked, DR averaged in the mid 50s, while Ophthalmology, Psychiatry, and Dermatology + their subspecialties average in the low 40s (some subspecialties more in the mid 40s)
 
Yeah, but the problem is that it's surgery, and that automatically removes it from the lifestyle equation for a lot of people, considering the intensity of training. I know ophtho's surgery too, but it decidedly doesn't have that surgical lifestyle.
Fair enough.

So you’re saying I want to be a POD person?
Yup. Join me!
 
I have a radiologist friend that works 2 weeks on 1 week off. You can definitely get a good lifestyle in DR

That's not what I'm referring to when I say "lifestyle". A lot of DRs get a significant amount of time off for vacation (8-10 weeks), which is great. But they need that time off because their workload is immense, and only increasing. It's like sprinting all out for 10 hours straight, but mentally. They also work ~55 hours a week on average. That's not a lifestyle specialty by any means. DRs used to work significantly less hard for less hours for more money.

Compare this to psych, derm, ophtho, PM&R, and family medicine. They all work 35-45 hours a week, on average.
 
Hi everyone,

My understanding is that anesthesiologists are very highly paid and have very manageable hours. If this is the case, why is it one of the least competitive residencies?

I wouldn't say it is one of the least competitive, considering that last year there were 3 spots in SOAP for anesthesiology. Something like 3000 applicants for 1800 PGY-1 spots (not counting R positions). Average Step 1 score is about the same as it is for internal medicine.
 
Yeah OBGYN is nowhere near derm level competitive. A cursory look at any NRMP publication confirms it. So many factors go into what is “competitive”, not just applicants per seat.
I wasn’t suggesting OBGYN is overall more competitive than derm, I was just pointing out that there are different ways to evaluate if a specialty is competitive.
 
Hi everyone,

My understanding is that anesthesiologists are very highly paid and have very manageable hours. If this is the case, why is it one of the least competitive residencies?

They’re highly paid OR they have manageable hours. Speaking from experience, you can pick one. It’s increasingly rare to get both.
 
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