Some of the material on this forum really made me think is there any alternate universe of pathology that me, my colleagues and pathology friends don't know about. This is what I know, its up to any one who is reading to believe it or not.
a) As of today there are 570 open jobs on pathoutlines alone. Probably 6-7 were posted just today. There are likely 550-600 path grads coming out every year. Not all of them want to do PP. A lot of path jobs never get posted on pathoutlines or advertised at all.
b) I personally know around 50-60 pathologists in last 13-14 years. Through residency, fellowships and professional societies. Almost all of them seem content with their positions.
c) Here is the starting salaries and mid career salaries of some of them.
Gen surg path, NE starting 310 K. 6 years out 385K
Gen surg path +Heme PP partnership tract MW - 3 years to partner. Made partner. Currently making $700K plus
Dermpath only NE. Started at $400K 6 years ago. Not sure what she is making right now
Surg path + cyto, hospital employed in mid atlantic. starting 380K, this was BTW this year
Dermpath only switched job last year after 7 years. Starting base $450 K plus bonus
Molecular in industry starting base $300K plus stock options
Academic dermpath starting in MW. low volume. $350K
Academic TMBB NE starting $225K 60/40 clinical plus research
Gen surg + cyto 3 year partnership tract pacific northwest. Not sure of starting salary. Made partner. Currently making around $500K
d) Every single resident at my residency and fellowship program received multiple job offers. Its a mid tier program for what it is worth. At least 2 of them with serious red flags (substance abuse, major personality issues etc.) also got multiple offers.
Any medical student/resident contemplating job market etc. Should really do their own research and talk to practicing pathologists both community and in PP and then make their own decisions rather then getting dissuaded by reading anonymous internet forums. Also, keep in mind the alternatives and talk to physicians in other specialties and look at their work hours, level of stress and money they make. The reality is the average salary for in patient IM is around $250K, ID and endo below or low 200's. PCM, around $300-350. Gen Cards $400-450K. GI $450-500. Gen derm $375-450. These are the fields with comparable levels of training. Apart from derm, their works hours are much worse than path. Pathology job market will likely never be like primary care, derm, ENT etc. Its not ideal and if its up to me I will certainly close down at least 30% of programs and reduce slots by at least 30-40%. If that happens we will become like derm or ENT in few years. When I am teaching medical students, I tell them the truth, I tell them that If you are geographically restricted and have huge student loans don't do pathology and chose one of the procedural specialties or IM with subspecialty. If they are not geographically restricted , I encourage them to pursue pathology if they like the field and have aptitude for it. The sole purpose of me writing this message is I absolutely love pathology and I feel as practicing pathologists we owe it to our specialty to get the honest word out and attract the best and brightest to our field. Adios !