Jets Opinions On Where You Match

[jetproppilot]

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Alright Dudes/Dudettes,

here's Jet's opinions on your match list. I know its that time of year, and you MS 4s are sweating big time. I empathize. I've been in your shoes. Now after almost ten years of private practice work, I think I can give you some pointers.

NUMBER ONE: IF YOU INTERVIEWED AT A COVETED SITE, YOU'VE GOT A SHOT. Are you one of those who is pretty good, but not top 10%? No problem, if you're able to portray a confident-yet-not-arrogant, amicable, dynamic (READ: able to adapt) personality on your interview. Emphasize your UNCANNY attractiveness to the program. Be willing to do whatever it takes to get the spot, and exhude that mind-set to the attendings that interview you. Aside from the non-personality academic attendings, remember that people that interview you are people too...and their thoughts during your interview are geared more to how you are interacting with them, than what your statistics are. Think about it. If residency slots were solely based on numbers, they wouldnt need interviews.

NUMBER TWO: If you are a US, allopathic trained student, you are a commodity. And thats how you need to think on your interview. Don't get cocky, but just keep this in your head. The more allopathic trained MDs a residency can match, the better they look. Try and think about the match not from a student's view, but from a Residency Director's view.

AND FINALLY, AND MOST IMPORTANTLY,

if you plan on being a private practice physician, IT DOES NOT MATTER WHERE YOU DO YOUR RESIDENCY, AS LONG AS ITS IN THE UNITED STATES AND IS IN GOOD STANDING.

People like me who hire MDs are more concerned about the fact that you finished an allopathic residency in good standing, and less concerned about the name of the residency. And when you interview with me (or anyone like me, of which there are hundreds/thousands), I'm interested in the fact that you can perform anesthesia, of course safely, but just as importantly, that you will blend into my group, do the work with minimal complaining, and keep our patient's safe, and our clients (surgeons) happy.

My opinion is from a practicing physician's viewpoint, with almost ten years experience in the private practice milleau.

Take it for what its worth.

And good luck.

 

[ear-ache]

Thanks for your advice and perspective Jet! 👍

 

[jennyboo]

sweating big time

Hmmmm, yeah. *wipes sweat off brow and hides soaked armpits* 😱

Thank you, Jet. 😍

 

[The_Sensei]

The great Jet has spoken once again 🙄

 

[ThinkFast007]

I'm interested in the fact that you can perform anesthesia, of course safely, but just as importantly, that you will blend into my group, do the work with minimal complaining, and keep our patient's safe, and our clients (surgeons) happy.
..QUOTE]


I can.

Also meet your other standards.

Looking to do a lil' pain btw. thinking of expanding to the midwest? not sure how I feel about Gumbalaya though, thats why i cant do N.O.


Am I hired for 2010 ?

P.S. Free beer part of the contract?

 

[jetproppilot]

P.S. Free beer part of the contract?

Ask that very question here in the Crescent City and..

you're made immediate partner.

 

[cubs3canes]

So what if you want to do academics? Do I have to match at MGH or can I go to a Private Hospital in the suburbs and still have a chance to teach residents?

 

[jetproppilot]

So what if you want to do academics? Do I have to match at MGH or can I go to a Private Hospital in the suburbs and still have a chance to teach residents?

Geez, theres always an Einstein in the crowd.

Thats an eternally good question, and I can give you the general answer.

You interested in staying academics? Doing research on the malignant hyperthermia gene? Your brother was an anesthesiologist so now you're interested in teaching residents?

I gotta be honest with you...I'd love to be an academic MD. I love to teach, I enjoy watching a resident doing a femoral block just as good as me after I have shown them the procedure, I love interacting with people new to their trade...but until the bank and the schedule are commensurate with what I've got, I can't do it...but thats another story...

that being said, staying academics is a completely different animal. I've got a buddy thats Chairman of an anesthesia department. He was recruited after a very successful stent as Chairman of Anesthesia at Texas Tech. But to be in running for the Chairmanship at Texas Tech (looking back), he had crudentials I couldnt conjure, even on my best day. He was a Rhodes Scholar Candidate, Residency Director at a well respected insitution, was an MD/PhD (pharmacology), and had published (the sine quo non of academecians) well over 100 papers before his Chair.

So despite the fact that I can easily kick his ass ( ), and that we practiced within the same academic institution at one time, Alan far surpasses me on qualifications when it comes to academia.

So if your focus is to become the next Alan Kaye/Michael Roizen/John Tinker, my posts are worthless. I'm just a private practice anesthesiologist making great bank, with a great schedule, but I can't compare to the big academia dudes, if your game is academia.

 

[Idiopathic]

Geez, theres always an Einstein in the crowd.

Thats an eternally good question, and I can give you the general answer.

You interested in staying academics? Doing research on the malignant hyperthermia gene? Your brother was an anesthesiologist so now you're interested in teaching residents?

I gotta be honest with you...I'd love to be an academic MD. I love to teach, I enjoy watching a resident doing a femoral block just as good as me after I have shown them the procedure, I love interacting with people new to their trade...but until the bank and the schedule are commensurate with what I've got, I can't do it...but thats another story...

that being said, staying academics is a completely different animal. I've got a buddy thats Chairman of an anesthesia department. He was recruited after a very successful stent as Chairman of Anesthesia at Texas Tech. But to be in running for the Chairmanship at Texas Tech (looking back), he had crudentials I couldnt conjure, even on my best day. He was a Rhodes Scholar Candidate, Residency Director at a well respected insitution, was an MD/PhD (pharmacology), and had published (the sine quo non of academecians) well over 100 papers before his Chair.

So despite the fact that I can easily kick his ass ( ), and that we practiced within the same academic institution at one time, Alan far surpasses me on qualifications when it comes to academia.

So if your focus is to become the next Alan Kaye/Michael Roizen/John Tinker, my posts are worthless. I'm just a private practice anesthesiologist making great bank, with a great schedule, but I can't compare to the big academia dudes, if your game is academia.

I think that we all love to hear about the great Alan Kaye, but the question was asked about academic anesthesiology in general. Not all academics long to be chair, and few will accomplish that. If the world were full on only Kaye and Roizen types, very little teaching and academic medicine would get done...who ends up in the trenches?

What about those of us that want to be academic clinicians, do some research and teach. Certainly there is a place for us out there.

(More retorical than anything).

 

[VentdependenT]

Gimme a blade, a tube, some agent, and a phat IV. Lets go.

Slapped in my first 14g on Friday. Nice to see that orange hub sticken outta my pts arm. Those fluids ran smooth on that there hip revision.

 

[jetproppilot]

I think that we all love to hear about the great Alan Kaye, but the question was asked about academic anesthesiology in general. Not all academics long to be chair, and few will accomplish that. If the world were full on only Kaye and Roizen types, very little teaching and academic medicine would get done...who ends up in the trenches?

What about those of us that want to be academic clinicians, do some research and teach. Certainly there is a place for us out there.

(More retorical than anything).

Ideo, I laud you for this comment. So heres my observation over ten years in 'da business.

ANY DUDE WHO HAS COMPLETED A US ANESTHESIA RESIDENCY, WHETHER BOARD ELIGIBLE OR NOT, AND HAS A PULSE, WILL BE ABLE TO FIND AN ACADEMIC JOB SOMEWHERE.

All kidding aside, the threshhold for accepting assistant professors on staff is pretty low. Commensurate with their salaries/call schedules.

 

[jetproppilot]

Ideo, I laud you for this comment. So heres my observation over ten years in 'da business.

ANY DUDE WHO HAS COMPLETED A US ANESTHESIA RESIDENCY, WHETHER BOARD ELIGIBLE OR NOT, AND HAS A PULSE, WILL BE ABLE TO FIND AN ACADEMIC JOB SOMEWHERE.

All kidding aside, the threshhold for accepting assistant professors on staff is pretty low. Commensurate with their salaries/call schedules.

Sorry about the typo, Idio.

 

[aredoubleyou]

Jet, you rock beyond belief - I think you could start a cult if you wanted to, and we would follow.

 

[excalibur]

Hey Jet, do you practice out of New Orleans? I saw you posting on the pre-allopathic "chocolate city" thread. I'm an MS III from New Orleans who wants to go into anesthesiology. Maybe one day we'll cross paths, hey?

I'm scheduled to do my first rotation of anesthesiology in March here in Houston. I really hope I enjoy it.

 

[Idiopathic]

Ideo, I laud you for this comment. So heres my observation over ten years in 'da business.

ANY DUDE WHO HAS COMPLETED A US ANESTHESIA RESIDENCY, WHETHER BOARD ELIGIBLE OR NOT, AND HAS A PULSE, WILL BE ABLE TO FIND AN ACADEMIC JOB SOMEWHERE.

All kidding aside, the threshhold for accepting assistant professors on staff is pretty low. Commensurate with their salaries/call schedules.

Ive had lots of talks during interviews with chairmen and the like who expressed a serious interest in encouraging residents to stay in academics (teaching, etc.) and are allegedly working on ways to increase compensation. I know that several institutions get creative with their fellowship tracks (Hopkins comes to mind) and if the pay were better, who knows.

Of course, with the way remuneration is today, with third-party payers still looking at academic MDA's as second class to about everyone else when it comes to billing, we may not see a change in the academic salary structure any time soon.

(PS Thanks for not picking on me jet).

 

[jetproppilot]

Hey Jet, do you practice out of New Orleans? I saw you posting on the pre-allopathic "chocolate city" thread. I'm an MS III from New Orleans who wants to go into anesthesiology. Maybe one day we'll cross paths, hey?

I'm scheduled to do my first rotation of anesthesiology in March here in Houston. I really hope I enjoy it.

Yep, excalibur, I reside in the Willie Wonka city. Wifey is from here and refuses to leave. 🙁 . I'm getting ready to build an ark for next huricane season.

Good luck with your rotation!

 

[davvid2700]

So if your focus is to become the next Alan Kaye/Michael Roizen/John Tinker, my posts are worthless. I'm just a private practice anesthesiologist making great bank, with a great schedule, but I can't compare to the big academia dudes, if your game is academia.

what are you talking about.. some academic programs pay just as much or more than academia..

 

[Idiopathic]

what are you talking about.. some academic programs pay just as much or more than academia..

And the award for least coherent post goes to...

 

[adleyinga]

What about those of us that want to be academic clinicians, do some research and teach. Certainly there is a place for us out there.

(More retorical than anything).

That is a great question. There are many of us in academics who like to teach and interact with residents.

The chairman type are a different breed. Being a chairman is not anesthesia amymore- it is business and politics-ugh

The main thing to remembeer- if you pick academics then you want something higher than money.
Every private practice person including Jet worry about money. It is the driving force. We have had some locums come practice with us- former residents who were great people- BUT all they talk about now is money, their homes, cars boats airplanes etc.

If you can live with different goals, live within decent means and not buy every new toy that comes along then academics life may be for you.

Furthermore- due to the structure of retirement programs I can put away $50,000+ tax free for retirement- that is more than private practice can do.

So- both practices have an advantage. At least I can go home and not worry about how many cases I will do tomorrow. But I do worry that if I piss off my chair then I can get fired. But in private life- if you piss off CEO than can loose contract
IN the end- room in all aspects of anesthesia- that's what makes it great

 

[MD Dreams]

Would one need to be in academics to do transplants, complicated hearts, cc, etc?

If Hopkins or some other big name were to accept an SGU student such as myself, I would gladly sign a contract committing X number of years to academic anesthesiology at their institution, even with the pay cut.

Maybe that is the answer. Give us underdogs who have the heart and ability and are willing to stay in academics a chance and maybe more academic positons would be filled. Just a though.

 

[miamidc]

Alright Dudes/Dudettes,

here's Jet's opinions on your match list. I know its that time of year, and you MS 4s are sweating big time. I empathize. I've been in your shoes. Now after almost ten years of private practice work, I think I can give you some pointers.

NUMBER ONE: IF YOU INTERVIEWED AT A COVETED SITE, YOU'VE GOT A SHOT. Are you one of those who is pretty good, but not top 10%? No problem, if you're able to portray a confident-yet-not-arrogant, amicable, dynamic (READ: able to adapt) personality on your interview. Emphasize your UNCANNY attractiveness to the program. Be willing to do whatever it takes to get the spot, and exhude that mind-set to the attendings that interview you. Aside from the non-personality academic attendings, remember that people that interview you are people too...and their thoughts during your interview are geared more to how you are interacting with them, than what your statistics are. Think about it. If residency slots were solely based on numbers, they wouldnt need interviews.

NUMBER TWO: If you are a US, allopathic trained student, you are a commodity. And thats how you need to think on your interview. Don't get cocky, but just keep this in your head. The more allopathic trained MDs a residency can match, the better they look. Try and think about the match not from a student's view, but from a Residency Director's view.

AND FINALLY, AND MOST IMPORTANTLY,

if you plan on being a private practice physician, IT DOES NOT MATTER WHERE YOU DO YOUR RESIDENCY, AS LONG AS ITS IN THE UNITED STATES AND IS IN GOOD STANDING.

People like me who hire MDs are more concerned about the fact that you finished an allopathic residency in good standing, and less concerned about the name of the residency. And when you interview with me (or anyone like me, of which there are hundreds/thousands), I'm interested in the fact that you can perform anesthesia, of course safely, but just as importantly, that you will blend into my group, do the work with minimal complaining, and keep our patient's safe, and our clients (surgeons) happy.

My opinion is from a practicing physician's viewpoint, with almost ten years experience in the private practice milleau.

Take it for what its worth.

And good luck.

Jet - How does this figure in when considering PAIN mang and future job ops, as well as patients seeking THE NAME??? this in response to the (it doesn't matter where the hell you train statement. any thought??

 

[ThinkFast007]

Jet - How does this figure in when considering PAIN mang and future job ops, as well as patients seeking THE NAME??? this in response to the (it doesn't matter where the hell you train statement. any thought??

MS4 here....

so Mr. MiamiDc I think your q is a good one. My take on it is this. IF it's just GENERAL OR stuff....I dont think it really matters..I mean come on how many patients really ask q's about their anesthesiologist. As far as I've seen our time w/ them is <20min (when they are actually conscious). But then again I've only rotated and been primarily exposed to how Anesthesiologists operate in university setting. I've never seen a pt ask an anesthesiologist where he went to med school or anything. PLUS...I think if you look up some crazy famous surgical facilities/ private surgeons (let's just take something like cosmetic surg centers or hair transplant spots....do a google search) they seldom even mention ANYTHING about the anesthesiologists involved in pt care. I've never seen on any of these website even a SMIGIN about who the anesthesiologists are that work at these places.

but....i relaly dont know about Pain Mgt since theres more 'chronic' exposure to pts (no pun intended). I can see pts from very affluential areas asking about the training/schooling of the Anesthesiologists. BUT again, from my MS4 experience at a very prominent univ based pain clinic...all the pts wanted was their drugs!!

 

[jetproppilot]

Jet - How does this figure in when considering PAIN mang and future job ops, as well as patients seeking THE NAME??? this in response to the (it doesn't matter where the hell you train statement. any thought??

Sorry Miami, cant answer that since I'm not a pain dude...hopefully a pain dude out there will chime in and answer this for you.

 

[Monty Python]

.......
ANY DUDE WHO HAS COMPLETED A US ANESTHESIA RESIDENCY, WHETHER BOARD ELIGIBLE OR NOT, AND HAS A PULSE, WILL BE ABLE TO FIND AN ACADEMIC JOB SOMEWHERE.........

.

Apart from successfully finishing a residency, what other criteria must be satisfied before becoming board eligible?

 

[NYCGAS]

Hey jetproppilot,
I've been reading your comments on this forum for a long time now and I think they're great, always positive and relevant.
I wanted to ask you a question about this post. Since no one actually knows what the job market will be like 4-6 years from now, wouldn't it be wise to choose a program with the best name possible?
I know this is a totally hypothetical (and maybe impossible) situation but say the job market becomes tight and there are two applicants for the same spot, one from a no-name program and one from MGH/UCSF/Columbia etc. They are pretty much equal in all other aspects and, as far as u can tell, both will fit in great in your practice. Which one would u take? In other words, does the name of the program mean nothing? Even in a tighter job market than today's? Furthermore, doesn't the name of the program impact your chances of getting into fellowships?
I'm very interested in hearing your opinion about this.
Thanks

Alright Dudes/Dudettes,

here's Jet's opinions on your match list. I know its that time of year, and you MS 4s are sweating big time. I empathize. I've been in your shoes. Now after almost ten years of private practice work, I think I can give you some pointers.

NUMBER ONE: IF YOU INTERVIEWED AT A COVETED SITE, YOU'VE GOT A SHOT. Are you one of those who is pretty good, but not top 10%? No problem, if you're able to portray a confident-yet-not-arrogant, amicable, dynamic (READ: able to adapt) personality on your interview. Emphasize your UNCANNY attractiveness to the program. Be willing to do whatever it takes to get the spot, and exhude that mind-set to the attendings that interview you. Aside from the non-personality academic attendings, remember that people that interview you are people too...and their thoughts during your interview are geared more to how you are interacting with them, than what your statistics are. Think about it. If residency slots were solely based on numbers, they wouldnt need interviews.

NUMBER TWO: If you are a US, allopathic trained student, you are a commodity. And thats how you need to think on your interview. Don't get cocky, but just keep this in your head. The more allopathic trained MDs a residency can match, the better they look. Try and think about the match not from a student's view, but from a Residency Director's view.

AND FINALLY, AND MOST IMPORTANTLY,

if you plan on being a private practice physician, IT DOES NOT MATTER WHERE YOU DO YOUR RESIDENCY, AS LONG AS ITS IN THE UNITED STATES AND IS IN GOOD STANDING.

People like me who hire MDs are more concerned about the fact that you finished an allopathic residency in good standing, and less concerned about the name of the residency. And when you interview with me (or anyone like me, of which there are hundreds/thousands), I'm interested in the fact that you can perform anesthesia, of course safely, but just as importantly, that you will blend into my group, do the work with minimal complaining, and keep our patient's safe, and our clients (surgeons) happy.

My opinion is from a practicing physician's viewpoint, with almost ten years experience in the private practice milleau.

Take it for what its worth.

And good luck.

 

[jetproppilot]

Hey jetproppilot,
I've been reading your comments on this forum for a long time now and I think they're great, always positive and relevant.
I wanted to ask you a question about this post. Since no one actually knows what the job market will be like 4-6 years from now, wouldn't it be wise to choose a program with the best name possible?
I know this is a totally hypothetical (and maybe impossible) situation but say the job market becomes tight and there are two applicants for the same spot, one from a no-name program and one from MGH/UCSF/Columbia etc. They are pretty much equal in all other aspects and, as far as u can tell, both will fit in great in your practice. Which one would u take? In other words, does the name of the program mean nothing? Even in a tighter job market than today's? Furthermore, doesn't the name of the program impact your chances of getting into fellowships?
I'm very interested in hearing your opinion about this.
Thanks

Heres an experience-riddled answer to your very good question, NYC.

Take it back to 1995, where anesthesiologists were grappling for 100k starting jobs.
I did my residency at Tulane, which is a recognizable name, but not a big-name in any stretch of the imagination.

One third of the 1995 class secured jobs starting at 270k, which was holy-grail for the time.

Point being, at least in private practice, I dont ever seeing the name of your residency being the determining factor in you landing that secure/lucrative job. Again, like I've said before, whats important to a thriving anesthesia practice insearch for a new partner is that said dude finished an allopathic anesthesia residency in good standing, knows how to do anesthesia as good as should be expected for a graduating resident, is a team player who will blend into the group with minimal antagonism, will take equal call without complaining, won't piss off the OR staff, and will take good care of the surgeons, who we are consultants to. And this last part is not a woosy remark. Anesthesiologists for the most part exist symbiotically with surgeons. They need us, and we need them. But thats not to say we need to put up with oppressive, BS behavior....quite the contrary...problem surgeons, albeit rare, are dealt with accordingly, as my previous threads testify to. But ya gotta pick your battles....let the dude praise himself incessantly...no problem...as long as he doesnt oppress the CRNAs in his rage...

in other words, even as a new colleague, ya gotta pick your battles...

the above are more saught after qualities in an anesthesiologist, over where they did their residency...

even in a tight job market...