INFP for anesthesiology

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I don't think there will be many solo practices in the future, not even in the West, unless we go the way of independent CRNAs.
 
Good luck. Most anesthesia jobs are not stool-sitting, so there will be a lot of others in "your own world". 😉

Yes, thank you. I appreciate you taking the time to educate me about how anesthesia works.

(Same line I use on pacu and ICU nurses when they ‘educate’ me on how anesthesia works.)
 
If Introvert, consider pathology/radiology. Otherwise i think none of the other fields are very good for introverts. Imagine doing IM and having to talk to patients all day, social work, leading family meetings to talk about their feelings..
Its like sitting in C sections all day
 
Yes, thank you. I appreciate you taking the time to educate me about how anesthesia works.

(Same line I use on pacu and ICU nurses when they ‘educate’ me on how anesthesia works.)

There's a reason that line works better on nurses rather than attendings who have been around the block a couple times. I'm only a year out from fellowship, but I can guarantee you that having that kind of know-it-all attitude as a resident doesn't do you any favors when you actually join the real world.
 
There's a reason that line works better on nurses rather than attendings who have been around the block a couple times. I'm only a year out from fellowship, but I can guarantee you that having that kind of know-it-all attitude as a resident doesn't do you any favors when you actually join the real world.
He quotes himself in his .sig

Surely there's some predictive value in that 🙂
 
There's a reason that line works better on nurses rather than attendings who have been around the block a couple times. I'm only a year out from fellowship, but I can guarantee you that having that kind of know-it-all attitude as a resident doesn't do you any favors when you actually join the real world.
Thank you.

Unfortunately, I see this a lot. We used to call it senioritis, but I am beginning to call it differently. As Mark Twain said: “It ain't what you don't know that gets you into trouble. It's what you know for sure that just ain't so.”
 
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Thank you.

Unfortunately, I see this a lot. We used to call it senioritis, but I am beginning to call it differently. As Mark Twain said: “It ain't what you don't know that gets you into trouble. It's what you know for sure that just ain't so.”

While I’m a newer anesthesia provider, I’m not a new human being. I had a long career in a life/death type job before medicine. I’m nearly 40.

I was writing a post to respond to the original poster’s question about their personality type and doing anesthesia.

I have the same personality (if you buy in to that sort of thing) and I was speaking to my experiences and why I enjoy and fit in with the anesthesia group.

If you think you know how anesthesia fits me, better than I do, then please have at it.
 
Good luck. Most anesthesia jobs are not stool-sitting, so there will be a lot of others in "your own world". 😉
That’s funny. When I was in med school and then residency, no academic attending would ever work alone. It was unheard of.

Now many years later there is a large percentage of academic attendings working alone any given day. And the trend keeps growing. It is actually expected for new hires to work alone many days of the month.

What you spout as truth does not match reality.
 
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That’s funny. When I was in med school and then residency, no academic attending would ever work alone. It was unheard of.

Now many years later there is a large percentage of academic attendings working alone any given day. And the trend keeps growing. It is actually expected for new hires to work alone many days of the month.

What you spout a truth does not match reality.
At my former residency program, there are less than 10% solo attendings on any given day nowadays. There used to be many more 10 years ago.

The main reason some academics work alone is the lack of CRNAs in those programs (the hospitals have grown in the last 10-20 years much more than the approved number of residents). Greed is a very strong human motivator, so I don't think this will last for long even in areas where solo MD anesthesia is still dominant.

And the main reason an ACT shop would hire solo MDs nowadays is the lack of good CRNA candidates (and stupid young grads are only slightly more expensive for "instructor" positions in certain cities). There is a sucker born every minute; those are not good jobs.

Also, once an academic place turns ACT, it will stay ACT, because many academics will lose skills after supervising for years (beside money, money, money!). So, while they may use a few recent grads to fill the holes or for overflow, their long term plan is not solo anesthesia.

Anyway, this is going off-topic, just to satisfy some egos. Let's just agree to differ. There are few people I would recommend anesthesia to, and clever introverts who have better choices are not among them. And, as in the real world, I could care less what entitled residents think, whether they are 30 or 50 years old. They ain't seen nothing yet. As for the medical students, they should not jump into any specialty based on what they read on the Internet.
 
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At my former residency program, there are less than 10% solo attendings on any given day nowadays. There used to be many more 10 years ago.

The main reason some academics work alone is the lack of CRNAs in those programs (the hospitals have grown in the last 10-20 years much more than the approved number of residents). Greed is a very strong human motivator, so I don't think this will last for long even in areas where solo MD anesthesia is still dominant.

The main reason an ACT shop would hire solo MDs nowadays is the lack of good CRNA candidates (and stupid young grads are only slightly mtore expensive for "instructor" positions in certain cities). There is a sucker born every minute; those are not good jobs.

Agree with most except the ones in bold.

Let’s poll the forum. Were there more academic attendings working alone 10 years ago than today?

ACT model is not profitable due to the currently bloated crna salaries unless you are running 4 rooms all the time. Factor in crna vacations, sick days, hectic OR schedule, etc and it is very hard to make it worthwhile. Quality is not the main limiting factor.
 
You disagree that there are fewer solo attendings now than 10 years ago, at my former residency program? 😆
 
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You disagree that there are fewer solo attendings now than 10 years ago, at my former residency program? 😆
You are using your program to make wide statements and I disagree with your conclusions.

Let’s just ask the forum what their experience is.
 
There were more solo attendings at my old program, too. That largely stopped a few years ago. When I was looking for jobs last year, I talked to several department chiefs at academic programs on the east coast/near Midwest. Virtually none of them allowed for anything more than very rare solo attending coverage. One of my cofellows, though, is going to a Midwest academic program, and is expected to work solo frequently.

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The .mil is its own world, but we're mostly solo unless we're 1:1 with a resident. But, if the civilian world follows into a similar practice model of pseudo independent CRNAS who do their own cases most of the time (aka the "collaborative" model), the physicians working there will probably have mostly solo days. Sounds awful but it's actually not a bad way to work - do your own cases, no responsibility for CRNAs. The main question is whether or not the job market for that kind of practice will have enough opportunity to go around.
 
How can you tell the difference between an introverted anesthesiologist and an extroverted anesthesiologist?


The extroverted anesthesiologist looks at your shoes when he’s talking to you.
 
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