With the increased interest in anesthesiology among medical students these days generally revolving around money and lifestyle issues, I found some recent perspectives to be fairly surprising. In speaking with a couple CA-3 residents at a consensus top 10 program in the midwest, I asked how the job search was going. The best example that illustrates my point is the following: -> Large city in the midwest within a malpractice friendly state; population of ~3 million; this is the same city that these residents are training in. -> There are about 3-4 large private hospitals in this city that dominate the market when it comes to high volume surgery with a well-insured patient population; again, this is in the midwest, where physician salaries are known to be among the highest in the country (along with the south). -> The anesthesia groups that staff these hospitals have 40-60 MDAs each. -> Each hospital group offers similar packages to incoming MDAs. -> Starting salary is $180K/year. It takes three years to make partner, where your salary increases to $260K/year. This is the final number- there are no bonuses, etc. -> Vacation is 8 weeks. Benefits are standard with health/dental, 401K, etc. This is intersting because it stands in stark contrast to the $300K/year to start with $500K/year as partner figures (with 10-12 weeks vacation) that are commonly thrown around this forum.