Confused about what to pursue for residency

[gknight]

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I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

 

[libertyyne]

dermatology.
Infectious disease
Neprhro
Psych
PM&R
IR
Family practice
Neuro
Em

 

[Postictal Raiden]

There’s no specialty that satisfies every must-have point. Best bet would be FM and try to pick up shifts as hospitalist.

 

[Postictal Raiden]

One thing I want to point out, Medicine has become very specialized. Unless you’re talking about the boonies, there’s no doctor that is a jack of all trades anymore. I rarely see FM docs that regularly see kids. That’s what pediatricians are for. However if you do urgent care, you’ll get to treat all ages, but then you’ll miss out on the continuity aspect of FM.

 

[235009]

dermatology.
Infectious disease
Neprhro
Psych
PM&R
IR
Family practice
Neuro
Em

based on OP's criteria here are the deficiencies with each of these...
dermatology - this is as close as you'll get to satisfying all your criteria but of course very hard to get into and a very difficult residency
Infectious disease - no procedures, sub-specialty, would need to do med-peds and two subspecialties to work with both adults and kids (no one ever does this)
Neprhro - repetitive while inpatient (dialysis, dialysis, dialysis), would need to take call (for urgent dialysis), sub-specialty, would need to do med-peds and two specialties to work with both adults and kids
Psych - no procedures (unless you do ECT which is sortof a procedure but done rarely), highly repetitive (only a short list of things you'll see commonly), very rare that you would work with adults and kids as child psych is separate training
PM&R - this is also pretty close to fulfilling all of the criteria though honestly not very familiar with what they do
IR - like derm it's hard to get into and long training, would definitely need to be on call, lots of redundancy, not collaborative, no outpatient
Family practice - extremely redundant, no inpatient (rare opportunities, there are enough IM and peds out there with far superior inpatient training), depending on practice setup would likely need to be on call from home but never have to come in
Neuro - also extremely redundant, you do one procedure (LP), would need to be on call depending on where you work
Em - this definitely doesn't seem like a good fit for OP who doesn't seem to be the type who is willing to go 110% for 8-12 hrs straight

There’s no specialty that satisfies every must-have point. Best bet would be FM and try to pick up shifts as hospitalist.

As stated above FM hospitalist shifts would probably only be available in locations where there are significant physician shortages. FM training does not lend itself to being competent at inpatient medicine. huge liability.

 

[sab3156]

FM training does not lend itself to being competent at inpatient medicine. huge liability.

Watch out, saying stuff like this here is like insulting AT Still himself. I learned and never mention this again.

 

[235009]

Watch out, saying stuff like this here is like insulting AT Still himself. I learned and never mention this again.

As someone who's been around for 7 years you should know that I don't care

 

[BorntobeDO?]

One thing I want to point out, Medicine has become very specialized. Unless you’re talking about the boonies, there’s no doctor that is a jack of all trades anymore. I rarely see FM docs that regularly see kids. That’s what pediatricians are for. How ever if you do urgent care, you’ll get to treat all ages, but then you’ll miss out on the continuity aspect of FM.

You mean the part where I tell them what they need to do to get off meds, and then they come back and haven't done it? Not sure I would miss it.

On the real tho, OP sounds like EM is a good fit for what you are wanting, as long as you can handle the intensity in training. Afterwards you could do boonies ER and it wouldn't be that bad.

 

[BorntobeDO?]

based on OP's criteria here are the deficiencies with each of these...
dermatology - this is as close as you'll get to satisfying all your criteria but of course very hard to get into and a very difficult residency
Infectious disease - no procedures, sub-specialty, would need to do med-peds and two subspecialties to work with both adults and kids (no one ever does this)
Neprhro - repetitive while inpatient (dialysis, dialysis, dialysis), would need to take call (for urgent dialysis), sub-specialty, would need to do med-peds and two specialties to work with both adults and kids
Psych - no procedures (unless you do ECT which is sortof a procedure but done rarely), highly repetitive (only a short list of things you'll see commonly), very rare that you would work with adults and kids as child psych is separate training
PM&R - this is also pretty close to fulfilling all of the criteria though honestly not very familiar with what they do
IR - like derm it's hard to get into and long training, would definitely need to be on call, lots of redundancy, not collaborative, no outpatient
Family practice - extremely redundant, no inpatient (rare opportunities, there are enough IM and peds out there with far superior inpatient training), depending on practice setup would likely need to be on call from home but never have to come in
Neuro - also extremely redundant, you do one procedure (LP), would need to be on call depending on where you work
Em - this definitely doesn't seem like a good fit for OP who doesn't seem to be the type who is willing to go 110% for 8-12 hrs straight



As stated above FM hospitalist shifts would probably only be available in locations where there are significant physician shortages. FM training does not lend itself to being competent at inpatient medicine. huge liability.

Shots fired! Lol

I see what you are saying, but I know a bunch of FM hospitalist who are pretty alright. If they are using their electives on inpatient I think their just fine.

 

[libertyyne]

based on OP's criteria here are the deficiencies with each of these...

dermatology - this is as close as you'll get to satisfying all your criteria but of course very hard to get into and a very difficult residency- I was being coy.
Infectious disease - no procedures, sub-specialty, would need to do med-peds and two subspecialties to work with both adults and kids (no one ever does this). You are correct.
Neprhro - repetitive while inpatient (dialysis, dialysis, dialysis), would need to take call (for urgent dialysis), sub-specialty, would need to do med-peds and two specialties to work with both adults and kids. I didnt realize this.
Psych - no procedures (unless you do ECT which is sortof a procedure but done rarely), highly repetitive (only a short list of things you'll see commonly), very rare that you would work with adults and kids as child psych is separate training. --- I was counting ECT, and the fellowship for child psych is short IIRC. And ECT is what I was thinking.
PM&R - this is also pretty close to fulfilling all of the criteria though honestly not very familiar with what they do. ---------- They also do pain management, joint injections etc.
IR - like derm it's hard to get into and long training, would definitely need to be on call, lots of redundancy, not collaborative, no outpatient . ----------Some of the IR docs have clinic post procedure , And collaboration in my mind was consultations being received from other specialties .
Family practice - extremely redundant, no inpatient (rare opportunities, there are enough IM and peds out there with far superior inpatient training), depending on practice setup would likely need to be on call from home but never have to come in---- Rural FM would meet the peds, adult requirements, with a shift thrown in at the local er for any other needs. Call would be an issue, but less compared other fields.

Neuro - also extremely redundant, you do one procedure (LP), would need to be on call depending on where you work-- Some neurologists see a broad swath of pathologies, do botox injections, manage DBTs etc. -

Em - this definitely doesn't seem like a good fit for OP who doesn't seem to be the type who is willing to go 110% for 8-12 hrs straight-- No call, wide age range, small procedures. not long hours if they can talk someone into giving 8's out.



As stated above FM hospitalist shifts would probably only be available in locations where there are significant physician shortages. FM training does not lend itself to being competent at inpatient medicine. huge liability.

Frankly OP wants to have his cake and eat it too. You could potentially build on all the requirements that OP wants through leaving money on the table in any number of subspecialties .(less call less work for less pay. ) But the problem is OP needs to have 250+ and massive amounts of research for some of these .

 

[W19]

Coming to the defense of FM for hospitalist medicine...

FM resident at my low tier university program might be able to do hospitalist medicine if they choose their electives wisely.

They have 1 month of IM wards, 5 months of FM wards, 1 month of ICU, 2 months of adult EM and 5 months of electives. So if they choose to do these electives on the wards and ICU, I don't see why they won't be comfortable to work as hospitalist.

 

[Ho0v-man]

Literally nothing meets all of these criteria. Sadly, the closest thing I can think of is OMM specialist.

 

[Cuongoff]

I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

I'm surprised no one mentioned this but it also depends on what your scores are

 

[AnatomyGrey12]

Literally nothing meets all of these criteria. Sadly, the closest thing I can think of is OMM specialist.

Cash only OMM clinic in a part of the country that is heavy anti-vax lol. Seattle maybe?

 

[Grannywang]

Cash only OMM clinic in a part of the country that is heavy anti-vax lol. Seattle maybe?

Sell them raw water after doing cranial.

 

[libertyyne]

Sell them raw water after doing cranial.

Cash only OMM clinic in a part of the country that is heavy anti-vax lol. Seattle maybe?

Or set up show as a "stem cell" Anti aging clinic. Pro-tip you dont even have to be an MD or DO to do that. .

 

[ciestar]

Coming to the defense of FM for hospitalist medicine...

FM resident at my low tier university program might be able to do hospitalist medicine if they choose their electives wisely.

They have 1 month of IM wards, 5 months of FM wards, 1 month of ICU, 2 months of adult EM and 5 months of electives. So if they choose to do these electives on the wards and ICU, I don't see why they won't be comfortable to work as hospitalist.

The FM program I did my clerkship with is similar to this and they do have a small FM hospital service which from my view doesn’t operate a ton differently than the IM service I am on. MOST of the three residency is spent in the hospital, not clinic.

 

[DarkHorizon]

I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

You and every other medical student.

 

[SLC]

I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

I do almost all of that as FM, the only thing on your list that my current job doesn’t satisfy is that I do take call, but it’s by choice, not by requirement at my job.

And to the people who say you can’t (or shouldn’t) do inpatient as FM, or that it’s “extremely redundant”; that’s an ignorant comment and born out of not knowing (or respecting) the full scope of Family Medicine training.

I do inpatient medicine for adults and peds, I love it, and I was very adequately trained to do it. There are plenty of opportunities to do it as FM too. In fact, one of my Coresidents is a hospitalist (she doesn’t do any outpatient primary care at all) at an inner-city academic hospital right now (one that’s been featured prominently on TV over the years. She got the job with just her FM training. The hospital actually recruited her. Another Coresident is focusing on peds/adolescent in the same system, despite going through FM instead of peds training. I’m rural, I do a bit of it all (and was trained for that), outpatient, inpatient, EM, OB, it’s all in my job description. I don’t do OB and EM by choice (didn’t care for them while in training); but I could if I chose to.

If you pick the right program, and pursue the skills necessary, your list of wishes/interests is very much in the scope of Family Medicine.

 

[W19]

The FM program I did my clerkship with is similar to this and they do have a small FM hospital service which from my view doesn’t operate a ton differently than the IM service I am on. MOST of the three residency is spent in the hospital, not clinic.

FM residents spent a lot time in the hospital but they aren't doing IM. I think they can tailor their training in a way that makes it ok to work as hospitalists, but their training working with adult patients is nowhere near to IM residents.

 

[SLC]

FM residents spent a lot time in the hospital but they aren't doing IM. I think they can tailor their training in a way that makes it ok to work as hospitalists, but their training working with adult patients is nowhere near to IM residents.

I hear this a lot, but the only difference I saw was that we as FM residents spent less total months grinding it out on the wards, and more months seeing adults in ambulatory settings. And we’re much more comfortable with women’s health than the IM folks are.

The training is different, but to imply that it’s nowhere near what it is in IM is a bit far-fetched IMO. It’s the difference of spending 85% of your time with adults vs spending 100% of it.

 

[W19]

I hear this a lot, but the only difference I saw was that we as FM residents spent less total months grinding it out on the wards, and more months seeing adults in ambulatory settings. And we’re much more comfortable with women’s health than the IM folks are.

The training is different, but to imply that it’s nowhere near what it is in IM is a bit far-fetched IMO. It’s the difference of spending 85% of your time with adults vs spending 100% of it.

I am not going to quantify it but it's not 100% vs 85% (not even close) at the few programs that I am familiar with. I am not going to count spending 8 wks in an ortho clinic or 12-14 wks in a rheumatology clinic as being in the ICU/Wards at a big trauma center. It's adult medicine but that won't prepare to practice hospital medicine.

Then again I think where I am training FM residents can be ok doing hospital medicine if they use these 20 wks elective wisely. But their training in hospital medicine won't be on par with IM residents

 

[SLC]

I’m not going to argue with you.

All I’m saying is that I spent nearly all of my time with adults, I know adult medicine. Perhaps a broader scope of it than if I’d gone through with a plan to do IM.

I (and my coresidents) are more than capable with respect to inpatient medicine as well. Sure we didn’t spend as much time on the wards as the IM residents, but I’m confident that my training was more than adequate to practice hospital medicine safely and effectively. Even in resource limited settings such as the one I’m in now. I know it because I’m doing it. And in the end, that’s what matters isn’t it?

 

[hallowmann]

Coming to the defense of FM for hospitalist medicine...

FM resident at my low tier university program might be able to do hospitalist medicine if they choose their electives wisely.

They have 1 month of IM wards, 5 months of FM wards, 1 month of ICU, 2 months of adult EM and 5 months of electives. So if they choose to do these electives on the wards and ICU, I don't see why they won't be comfortable to work as hospitalist.

To be honest, you could just go to an inpatient heavy FM residency. The categorical program in my institution does 8.5 mos on the FM inpatient service, which other than carrying kids and admitting FM clinic patients, is identical to the IM service (actually when they start to approach service cap, they alternate patients with the IM service). Those 8.5 mos doesn't include a month in the ICU, 2 on inpatient peds (in the Children's hospital with the Peds service on inpatient and NICU), 2 mos of EM (adult and peds), our OB/newborn inpatient FM service, or the inpatient time of specialty services like the month on each of GenSurg, OB, and Cards/other IM specialty.

It really is highly dependent on your program. A couple residents a year go into hospitalist medicine after leaving my institution's categorical FM program. That stuff about all FM programs not training you for hospitalist medicine is just inaccurate. If you want hospitalist FM training go to an inpatient heavy FM program. There are plenty around.

Your views are skewed by your (limited) experiences with FM programs with less inpatient exposure. If you actually looked into FM, you'd realize pretty quick that most of your generalizations are just not accurate. (to clarify by you, I'm not necessarily talking about W19, I'm talking about multiple posters on this thread, he just happened to post something I wanted to address)

 

[AMEHigh]

Yeah this definitely sounds like family med.
There are several family named trained hospitalist at my hospital.

But to accomplish everything on your list then you’d like need to move to the Midwest. I have several acquantiances who are doing inpatient, outpatient and OB. I get job ads for these type of jobs all the time, they definitely exist.

As far as redundancy goes, that is also false. In a typical day I will often do a minor procedure, see a kid, see a few sick visits (that aren’t always just coughs and cold) and manage chronic conditions that aren’t just hypertension and diabetes. 2 days are typically not the same.

You can definitely go to a family med program that gives you training to competency and confidence in managing both inpatient and outpatient.

 

[jd1031]

I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

Holy hell this is a demanding list, but I give you credit for having an idea of what you want. The only specialty I can see satisfying all of these is EM and maybe FM (though they don't see much peds cases in major cities these days)

 

[alprazoslam]

Rural FM.

Get to do tons and make good money.

It’s the thing people all make fun of ( some jokingly some not) but it’s actually not a bad gig at all.

 

[Black Coffee 24/7]

Rural FM.

Get to do tons and make good money.

It’s the thing people all make fun of ( some jokingly some not) but it’s actually not a bad gig at all.

I want to put an emphasis on RURAL family med here.

I give a lot of crap to FM here, but my FM rotation at a rural location (1.5 hrs away from a major metropolitan area) is fantastic. The doc does about 8-10 days of inpatient a month, resuscitate newborn, run cardiac stress test, do endoscopy, circumcision, and skin biopsies.

Workload was 8:30 - 1700 four days a week for 300-400K a year. Not a bad life at all.

If you do FM in an urban area, you will the whipping boy for scut work as an attending for sure.

 

[alprazoslam]

I want to put an emphasis on RURAL family med here.

I give a lot of crap to FM here, but my FM rotation at a rural location (1.5 hrs away from a major metropolitan area) is fantastic. The doc does about 8-10 days of inpatient a month, resuscitate newborn, run cardiac stress test, do endoscopy, circumcision, and skin biopsies.

Workload was 8:30 - 1700 four days a week for 300-400K a year. Not a bad life at all.

If you do FM in an urban area, you will the whipping boy for scut work as an attending for sure.

Most of our surgical specialty gunners got more interested in FM summer before OMS3. Must be all the sunshine

 

[Cuongoff]

I want to put an emphasis on RURAL family med here.

I give a lot of crap to FM here, but my FM rotation at a rural location (1.5 hrs away from a major metropolitan area) is fantastic. The doc does about 8-10 days of inpatient a month, resuscitate newborn, run cardiac stress test, do endoscopy, circumcision, and skin biopsies.

Workload was 8:30 - 1700 four days a week for 300-400K a year. Not a bad life at all.

If you do FM in an urban area, you will the whipping boy for scut work as an attending for sure.

But that means living in a rural area. I thought I could do it (make extra cash after residency for a couple of years) but after spending intern year in a rural area I can't. I'm single and living in a rural area doesn't help

 

[puahate]

But that means living in a rural area. I thought I could do it (make extra cash after residency for a couple of years) but after spending intern year in a rural area I can't. I'm single and living in a rural area doesn't help

This is my big thing with rural areas as well. It is already bad enough in a suburban area. I am doing a bit better in a city. I can't imagine how hard it will be in a rural area.

 

[SLC]

I want to put an emphasis on RURAL family med here.

I give a lot of crap to FM here, but my FM rotation at a rural location (1.5 hrs away from a major metropolitan area) is fantastic. The doc does about 8-10 days of inpatient a month, resuscitate newborn, run cardiac stress test, do endoscopy, circumcision, and skin biopsies.

Workload was 8:30 - 1700 four days a week for 300-400K a year. Not a bad life at all.

If you do FM in an urban area, you will the whipping boy for scut work as an attending for sure.

Rural FM rules. I’ve got a sweet gig, 40-50hr work weeks, a bit over $300k, mix of clinic and (peds and adult) inpatient. I’m about an hour outside the major metro too, so I can get into town quick when the itch happens. Cost of living is amazing here too...4K square feet of a new build luxury home for about $300k

 

[Cranjis McBasketball]

Rural FM rules. I’ve got a sweet gig, 40-50hr work weeks, a bit over $300k, mix of clinic and (peds and adult) inpatient. I’m about an hour outside the major metro too, so I can get into town quick when the itch happens. Cost of living is amazing here too...4K square feet of a new build luxury home for about $300k

You're literally living my dream

 

[W19]

Rural FM rules. I’ve got a sweet gig, 40-50hr work weeks, a bit over $300k, mix of clinic and (peds and adult) inpatient. I’m about an hour outside the major metro too, so I can get into town quick when the itch happens. Cost of living is amazing here too...4K square feet of a new build luxury home for about $300k

It's amazing you were able to find such a great gig on your first-year post residency. Your situation is probably atypical.

 

[fldoctorgirl]

It's amazing you were able to find such a great gig on your first-year post residency. Your situation is probably atypical.

Correct me if I'm wrong, but I was under the impression that it's quite easy to get jobs like this in rural places because not many people want to go to those areas. Or would this not be considered rural enough?

 

[AnatomyGrey12]

Your situation is probably atypical.

Eh not really for the location that poster is at.

 

[Dr. Basketball]

based on OP's criteria here are the deficiencies with each of these...
dermatology - this is as close as you'll get to satisfying all your criteria but of course very hard to get into and a very difficult residency
Infectious disease - no procedures, sub-specialty, would need to do med-peds and two subspecialties to work with both adults and kids (no one ever does this)
Neprhro - repetitive while inpatient (dialysis, dialysis, dialysis), would need to take call (for urgent dialysis), sub-specialty, would need to do med-peds and two specialties to work with both adults and kids
Psych - no procedures (unless you do ECT which is sortof a procedure but done rarely), highly repetitive (only a short list of things you'll see commonly), very rare that you would work with adults and kids as child psych is separate training
PM&R - this is also pretty close to fulfilling all of the criteria though honestly not very familiar with what they do
IR - like derm it's hard to get into and long training, would definitely need to be on call, lots of redundancy, not collaborative, no outpatient
Family practice - extremely redundant, no inpatient (rare opportunities, there are enough IM and peds out there with far superior inpatient training), depending on practice setup would likely need to be on call from home but never have to come in
Neuro - also extremely redundant, you do one procedure (LP), would need to be on call depending on where you work
Em - this definitely doesn't seem like a good fit for OP who doesn't seem to be the type who is willing to go 110% for 8-12 hrs straight



As stated above FM hospitalist shifts would probably only be available in locations where there are significant physician shortages. FM training does not lend itself to being competent at inpatient medicine. huge liability.

This is just my 2 cents based on what I learned from shadowing a PM&R physician and asking questions. I think this would get pretty close to what you are looking for. They are called physiatrists. He said that he sees patients in a clinical setting 3 days a week and does procedures the other 2 days. He mostly does spinal injections for nerve pain and things like that. If you look up the specialty, there are a ton of other procedures they offer, but when I shadowed him it was mostly the injections. He said he was not on call and had a pretty good work/home life balance in his opinion. Anyways, just thought I would throw that out there. Best of luck!

 

[SLC]

It's amazing you were able to find such a great gig on your first-year post residency. Your situation is probably atypical.

Nope, I could have made more, in an even cheaper location, easily. I had about 7 - 8 offers I was working with, almost all of them more lucrative (and more remote) than the one I took. In the end the offer I took was closest to where I grew up, and closest to my family and my wife’s family. It’s also in the best locale for all the stuff I like doing in my spare time. It was the best fit; and it gets more and more awesome as I get more settled.

 

[Dr.Bruh]

But that means living in a rural area. I thought I could do it (make extra cash after residency for a couple of years) but after spending intern year in a rural area I can't. I'm single and living in a rural area doesn't help

I used to scribe at a rural family med clinic that was an hour outside of a major metro city. All the docs (literally almost all of them) lived 15 minutes outside the big city and just commuted 45 mins to work. Especially in the Midwest you can get all the rural perks while only being 30-60 mins from a major city

 

[Ho0v-man]

Rural FM rules. I’ve got a sweet gig, 40-50hr work weeks, a bit over $300k, mix of clinic and (peds and adult) inpatient. I’m about an hour outside the major metro too, so I can get into town quick when the itch happens. Cost of living is amazing here too...4K square feet of a new build luxury home for about $300k

Jokes on you bc I’m gonna go into a ridiculous subspeciality and train twice as long for marginally more money so I can get a more stressful job with worse hours that only has a job market in a high COL area to offset my increased earnings! In your face primary care!



Wait a second...

 

[SLC]

Jokes on you bc I’m gonna go into a ridiculous subspeciality and train twice as long for marginally more money so I can get a more stressful job with worse hours that only has a job market in a high COL area to offset my increased earnings! In your face primary care!



Wait a second...

LOL...

Yep, I graduated Med-school when you 4th year’s we’re starting 1st year. Residency kinda flew past.

 

[QueenJames]

Jokes on you bc I’m gonna go into a ridiculous subspeciality and train twice as long for marginally more money so I can get a more stressful job with worse hours that only has a job market in a high COL area to offset my increased earnings! In your face primary care!



Wait a second...

Honestly, it REALLY makes me think twice before wanting to specialize as reimbursements trend downward and specialists are putting in more hours.

Yeah that 500K+ salary looks solid... but then you realize that the docs are putting in atleast 70-80 hour weeks and are on call every 4th day.

and PS...

Bozos on here don't understand how TAXES work... lol

That 500K is around 250-260K when uncle sam gets his piece.

...

But Goddamn it my Interventional Cardiologist uncle just bought a Lamborghini Huracan and I WANT ONE TOO!

 

[sunshinefl]

Allergy and immunology. It’s a sub-specialty but satisfies a lot of your other criteria.

 

[Chibucks15]

Honestly, it REALLY makes me think twice before wanting to specialize as reimbursements trend downward and specialists are putting in more hours.

Yeah that 500K+ salary looks solid... but then you realize that the docs are putting in atleast 70-80 hour weeks and are on call every 4th day.

and PS...

Bozos on here don't understand how TAXES work... lol

That 500K is around 250-260K when uncle sam gets his piece.

...

But Goddamn it my Interventional Cardiologist uncle just bought a Lamborghini Huracan and I WANT ONE TOO!

dang why did Queen get the hammer?!?

 

[Mass Effect]

based on OP's criteria here are the deficiencies with each of these...
dermatology - this is as close as you'll get to satisfying all your criteria but of course very hard to get into and a very difficult residency
Infectious disease - no procedures, sub-specialty, would need to do med-peds and two subspecialties to work with both adults and kids (no one ever does this)
Neprhro - repetitive while inpatient (dialysis, dialysis, dialysis), would need to take call (for urgent dialysis), sub-specialty, would need to do med-peds and two specialties to work with both adults and kids
Psych - no procedures (unless you do ECT which is sortof a procedure but done rarely), highly repetitive (only a short list of things you'll see commonly), very rare that you would work with adults and kids as child psych is separate training
PM&R - this is also pretty close to fulfilling all of the criteria though honestly not very familiar with what they do
IR - like derm it's hard to get into and long training, would definitely need to be on call, lots of redundancy, not collaborative, no outpatient
Family practice - extremely redundant, no inpatient (rare opportunities, there are enough IM and peds out there with far superior inpatient training), depending on practice setup would likely need to be on call from home but never have to come in
Neuro - also extremely redundant, you do one procedure (LP), would need to be on call depending on where you work
Em - this definitely doesn't seem like a good fit for OP who doesn't seem to be the type who is willing to go 110% for 8-12 hrs straight

Sounds like you had a pretty lousy psych rotation.

 

[TheRealCookieMonster]

dang why did Queen get the hammer?!?

Offend people by telling the truth = account on hold

 

[TheRealCookieMonster]

Offend people by telling the truth = account on hold

Offend people by lying = become president

 

[QueenJames]

Nah. The mod were just doing their jobs.

BUT...

I'm back my lovvesssss. Let's get back to it.

 

[Pre-Medguy1995]

Cash only OMM clinic in a part of the country that is heavy anti-vax lol. Seattle maybe?

You joke about this, but in my area, there's an OMM specialist that charges $185 /hr and she's ridiculously busy. Cash only of course.

 

[AlbinoHawk DO]

I'm a current third year and I'm trying to figure out what path I might want to go into for residency so I can start planning away rotations. I've made a list of must-haves in terms of what I'd want-

• work with both adults and kids
• no redundancy in terms of what I'd be seeing day to day
• want to be able to do procedures
• don't want to be on call
• like working with other physicians and collaborating
• would prefer not to work long shifts (12 hours)
• would like to do a mixture of inpatient and outpatient work
• don't care to sub-specialize or do surgery

Any ideas would be really helpful! I've narrowed it down to family, med-peds, and emergency med but I don't have any experience with EM yet so I'm not even sure if I'd like it.

Are you going to add that you want to be transported on a unicorn that farts rainbows to work? Because what you wrote sounds like your typical entitled millennial list.

It's a job. It's not meant to be all glory. Pick something you are good at and that you can tolerate based on your rotation experiences.