im a sophomore in high school
my cousin told me that when ur finished doing residency, u can choose how many hours you want to work. (He is going to be done with undergrad this april and will be doing rotations)
lets say....i want to be a general internist (internal medicine)
how many hours would i have to work? and could i choose how many hours i have to work? see.. i dont want to be so stressed and work 80+ hours a week. 60 hours could be good..
If your focus is not working long hours, medicine may not be a great choice. Sure there are some part time options out there, and some opportunity to work fewer hours (but often with a commensurate loss of income and advancement opportunities), but these are sometimes harder to find because the way expenses work, it is simply cheaper for practices to hire one person who can work 70 hours/week instead of two who can work 35.
Bear in mind that med school is 4 years, during later parts of which you may be taking overnight call and working 80 hours/week. Then residency is 3-5 years, during which you will probably be working overnight every 3rd or 4th day and hitting 80 hours/week. After residency the hours are variable, depending on the path you take. Many folks end up working over 80 hours/week post-residency because they are the low person on the totem pole at wherever they end up, have the most to learn, are the least efficent, and because the 80 hour average work week limitation does not protect folks once they finish residency. Over time, most non-surgical physicians end up in more manageable schedules, with the average being closer to 60 hours/week. EM uses shift work and their hours tend to be less than this, but often the hours of younger physicians are heavily weighted toward overnight work, which is less desirable for many.
In terms of choosing how many hours you work, and when, your best bet may be, after working for an established practice for a while to get down the basics, to hang up your own shingle doing peds, psych or FM and seeing however many patients you wanted per day. But bear in mind that your income is totally based on how much insurance companies will reimburse you per office visit, so you may end up not covering your expenses if you cut your hours low, and running your own business means you will be doing your own paperwork, accounting, marketing -- all of which take a lot of time for which you cannot bill. You may go broke, but you absolutely can see your three patients a day under this set-up if you wanted.
The more common situation is for physicians these days to have to work crazy hours in primary care fields to earn a decent income, and lately hours have increased each year as reimbursements have gone down, meaning doctors now have to work 70 hours/week just to earn what they previously made working 60 hours/week. Expect this to get worse as the government turns to insurance companies for help making medicine more affordable in coming health care changes.
Sounds like your cousin is not in the US if he is doing undergrad and then rotations -- in the US you do undergrad, then 4 years of med school (the latter two of which are rotation) and then 3-7 years of residency, maybe a fellowship on top of that, before you go into private practice. So your cousin is not totally wrong, but he may not be being very realistic as to what is financially feasible under the current US system.