Jan 24, 2013
33
0
Status
Resident [Any Field]
So I'm a MS4 who applied to internal medicine and anesthesiology and have just over a week to figure out my rank list. Honestly, I didn't love my anesthesia rotations but I did love my pain rotation (although it was run by a PMR doc). Then again, I didn't love my IM rotation either.

I guess my only hesitations with anesthesia is the amount of stress that they deal with on a daily basis. It kinda freaks me out the the patient's lives are in the hands of the anesthesiologist. I'm worried about burning out fast with this kind of constant pressure.

Did anyone go into anesthesia for the sole purpose to get to pain? And did anyone on here go into anesthesia without absolutely loving their rotations and having some of the same concerns as me?
 

Per4mer8

10+ Year Member
7+ Year Member
Feb 5, 2008
324
27
Status
Resident [Any Field]
Rank IM. Seriously.
 

excalibur

Member
10+ Year Member
Oct 15, 2005
655
7
Status
Attending Physician
I think I did 3 months of pain during my 4 year anesthesiology residency. If you didn't enjoy your basic anesthesiology rotations, you might be miserable during residency as the overwhelming majority of the residency is not pain.
 

lobelsteve

SDN Lifetime Donor
Lifetime Donor
10+ Year Member
May 30, 2005
13,740
3,606
Canton GA
www.stevenlobel.com
Status
Attending Physician
Go PMR if you want pain, anesthesia provides poor training for private practice in PM.

:p:p:p:p:p
 
OP
L
Jan 24, 2013
33
0
Status
Resident [Any Field]
Ya Pmr would have been a good route...but it's too late. I only applied to IM and anesthesia. I don't exactly love IM either though, which is the problem.
 
Jan 24, 2003
870
64
Visit site
Status
Attending Physician
If you didn't love either (which begs the question why you applied to either-- did you not enjoy any of your rotations?), then I would definitely go with IM over anesthesia. Residency is going to be one big painful experience for you if you do anesthesia. IM may be the same, but you have a lot more options for specialization. And if you enjoyed pain then clearly you don't mind listening to folks talk about their chronic issues. Other than pain or ICU, there's no way out of the OR with anesthesia.
 
OP
L
Jan 24, 2013
33
0
Status
Resident [Any Field]
I enjoyed some aspects of all of my rotations (except maybe OB/GYN), but never had that "a-ha" moment where I had finally found the specialty that I wanted to do for the rest of my life. I liked aspects of anesthesia as well as IM. I am however more comfortable in the clinic setting as opposed to the OR. I loved my pain rotation and thought it was very rewarding (most of the patients had acute pain issues) and at the same time had a good lifestyle. So that's why I'm considering the anesthesia-->pain route.
 

pie944

ASA Member
10+ Year Member
Feb 4, 2009
226
12
Status
Attending Physician
I have two friends who wanted to go into pain medicine from the start of the application cycle, both had no intention of practicing anesthesia after residency. Both are practicing pain full time.
 

Ronin786

7+ Year Member
Mar 27, 2011
1,362
856
Status
Attending Physician
Im curious as to why you didn't apply to PM&R from the get go? Does PM&R require a prelim year? Because you could always do a prelim year and apply there next cycle or transfer out of your IM program.
 
OP
L
Jan 24, 2013
33
0
Status
Resident [Any Field]
I did an inner-city inpatient PMR rotation in the beginning of the year where I was on the spinal cord unit, and hated seeing the young paraplegics/quadraplegics due to GSW's who were now screwed for the rest of their lives. Seeing them struggle with incontinence, pressure ulcers, etc on a daily basis kinda depressed me. But now I realize that's only a small subsection of PMR, and some of the other stuff they do like sports medicine and pain is really cool. PMR does require a prelim but then i'd have to take a year off since all of their advanced positions for the following year would probably be filled.

I do like aspects of anesthesia - the physio and pharm as well as ability to do pain med. I am worried about the acute stress of daily anesthesia as well as long days and being in the OR all the time.
 

Stellar Clouds

Lightly Seasoned Meat
Jan 8, 2013
1,136
89
Here. There. Everywhere.
Status
Resident [Any Field]
I did an inner-city inpatient PMR rotation in the beginning of the year where I was on the spinal cord unit, and hated seeing the young paraplegics/quadraplegics due to GSW's who were now screwed for the rest of their lives. Seeing them struggle with incontinence, pressure ulcers, etc on a daily basis kinda depressed me. But now I realize that's only a small subsection of PMR, and some of the other stuff they do like sports medicine and pain is really cool. PMR does require a prelim but then i'd have to take a year off since all of their advanced positions for the following year would probably be filled.

I do like aspects of anesthesia - the physio and pharm as well as ability to do pain med. I am worried about the acute stress of daily anesthesia as well as long days and being in the OR all the time.
There are 12 PM&R spots in the match this year which start in July of 2013 as a PGY-2, so there is at least hope that you could switch without repeating your internship.
 
OP
L
Jan 24, 2013
33
0
Status
Resident [Any Field]
There are 12 PM&R spots in the match this year which start in July of 2013 as a PGY-2, so there is at least hope that you could switch without repeating your internship.
Where did you see that information?
 

bronx43

Word.
10+ Year Member
Apr 22, 2006
1,993
700
Status
Attending Physician
Do you like the procedures that you encounter in pain medicine, or do you like actually dealing with pain patients? I can't see how it would be the latter...
 
OP
L
Jan 24, 2013
33
0
Status
Resident [Any Field]
Do you like the procedures that you encounter in pain medicine, or do you like actually dealing with pain patients? I can't see how it would be the latter...
I like the procedures and dealing with acute pain patients. I agree that chronic pain patients are tough.

Search the NRMP program list. Under specialty pick Physical Medicine and Rehabilitation, under position type select Physician Only, and then hit search.
Oh nice, but when I did that it only showed 9 spots.