Would love to know for peds surgeons
I've read through specialty-specific threads but wonder if there are any better resources/search engines to get a sense of job demand in particular areas. Probably specialty dependent...but kinda wish there was something better than Indeed/generic job search engines.
Historically difficult job market… everyone gets a job, but maybe not in the city you’d want or not at a pediatric hospital
Good point. It is a bit daunting to decide to work toward going into a very-specialized field without a stronger understanding of the job market. Sure, X specialty might be really cool and I'd be able to get a job somewhere in the country but I'd rather pick a slightly less interesting specialty to have the option of practicing in a particular location.
Multiple surveys of senior residents show that location is single most important factor in job search. Don’t forget many of us have Educated spouses with their own limitations or aging parents.
Pathology has also suffered from unjustified expansion. Less than half path residents are us MDs? Many do multiple fellowships.
I heard about this but thought things might be getting better as there was recently a “jobs galore” thread in the sub forum
What's the job market like for General Peds ?
Neuro is a love it or hate it type thing from what I've seen. The residency is brutal and while the treatments have improved a lot in efficacy, many of the more prominent illnesses can't be resolved just yet. The physical exam is insanely interesting though and outpatient Neuro is a good lifestyle with interesting cases. I do believe the field is going to hit a breakthrough point in the next few decades, tons of research in the field. Still low-key hoping Neuropsychiatry/Behavioral Neurology becomes a more fleshed out career path besides research, as there is a lot of overlap in patient populations but many seem adamant in keeping them separate.
Historically it's because the brain was a black box for vast majority of modern medicine, with insults to the brain leading to poor prognoses with hit or miss treatments. That has dramatically changed in the past 20 years, but old stigmas die hard. Ever since we could start thrombolysing strokes and retrieving clots, it changed the game in neuro. Rapid proliferation of clinical trials has led to some great advancements in the field with still a lot to be discovered. I agree with the other poster that we'll likely see even greater breakthroughs in the next 20 years than we saw in the past 20 years.
It's getting more popular, but the answer is there is nationally very poor exposure to neurology in medical school. A large percentage of medical students either do not rotate in neurology or get a limited exposure to outpatient neurology only. As an example, a large number of "academic" neurology jobs are actually essentially community jobs at an academic center, where you can work with residents who consult you, but who do not actually rotate with you. Because of this, many places will offer lucrative contracts for people who can handle even the most basic bread-and-butter neurology stuff (headaches and uncomplicated neuropathy as outpatient, altered mental status and uncomplicated stroke as inpatient) because, quite simply, even well-trained IM/FM physicians - let alone APPs - often have zero experience with these things.
Not happening anytime soon. Behavioral neurology in practice is 95-99% patients with advanced Alzheimer's, iatrogenic cognitive dysfunction (e.g. benzos), or anxious/depressed patients who score 29/30 on MoCAs. This may change someday, but (in my opinion) there are few behavioral cases where the specialist can offer meaningful care beyond that of a general neurologist. For now, it's essentially an academic-only field.
This is true only in academics. While community neurologists probably won't make as much as GI specialists or interventional cardiologists, neurologists should expect to be paid a good amount more than their average IM counterparts.
Psychiatrists are very much in demand, more so as the country is voicing recognition of the importance of paying attention to mental health. Many hospitals seem to be turning to NPs because they can't find enough psychiatrists to fill their needs.
Psychiatrists are in huge demand. One of the few specialties left where you can easily hang your own shingle.
Based on what I'm hearing and seeing as a psychiatrist, it's mostly because they can't find psychiatrists.
Interesting. With so many people going into fellowship I wondered how the general surgery market was doing.
For those willing to do true general surgery it’s wide open.
yep, generally were in the top 3 or so highest in demand specialties. agreed that we def have a huge job market
Depends on where you want to live. But globally speaking, there are many General Peds jobs.
The demand but no desire.
Wait, what? That's actually a low hourly rate.
Yeah a lot of those cases are being done robotically these days by many general surgeons. Most residency programs I am familiar with will get you robot certification by the time you graduate.
Huh? for a 32 hour workweek, that's like $400-$600k annually.
Yeah, maybe, but housing costs in the Bay Area are substantially higher than in most of So Cal. It's not what you make, it's what you keep after expenses.
I’m assuming Derm hasn’t been invaded because the high-payer /cosmetics patients are the type to actually care what type of provider they have , and to a lesser extent where their training was.
Derm has been invaded by private equity/venture capitalists. Google it.
This is less true in cosmetic derm than plastics in my experience. Of course for serious things (ie skin cancer), people will go to the best possible person. However, for a lot of cosmetic and laser type things, they’ll go to whoever is cheapest, especially if they can get an NP/PA/assistant at a shop owned by a doc. One derm in my area who went to a big time school and now owns a practice that is affiliated with a major hospital (not really sure if it’s a partnership or just referrals) hires tons of non-doctors to do laser and other cosmetic stuff
Derm has been invaded by PE, and residency spots have exploded in the last number of years. It’s a troubling trend for the specialty.
I graduated from medical school 20 years ago and that time, no us grad had to worry about employment. Subsequently, certain specialties have unjustifiably expanded resident numbers, driven entirely by program greed. Started with path around 2007 and then spread to radonc and er. Jobs have become a real issue in radonc and ER. At least with derm, there will always be out of pocket demand for cosmetic services.
True, but it got so bad that for a while many programs were going unmatched and multiple fellowships were routine. Is this a temporary blip? Professional path societies are controlled by quest, big lab cos. Wouldn’t want to be part of any specialty where the professional society’s interest is to decrease the salary of its members. In radonc, the chairman of wash u 10 years ago wrote an editorial that he wanted to increase resident numbers to bring down faculty salaries!
I'm in psych in a general location with many, many psychiatrists AND psych NPs, and the job market for graduating residents seems to be very strong even just within a 50-mile radius of our program. A couple of my friends got 300k starting at academic programs (inpatient).
I’ve heard it’s good too from browsing some of the sub forums, but I was just trying to give OP some of the specialties generally considered to be less accessible to NP/PA. That’s why I didn’t include psych, derm, gas etc.
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