Medscape 2014 "I would choose the same specialty"

Burrell College of Osteopathic Medicine
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Substance said:
That's foolish. Who the hell would pay 1.5mm to live in a hobbit hole?
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Seems like the price is more for the land than the home. "Unlimited building opportunities, Contractors dream."
 
BestDoctorEver said:
This is not what I want to hear now... I hope they never let NP prescribe narcs in FL... I am not sure NP psych make that much-- it is more like 80K-100K, but still a good salary considering most of them don't have hefty student loan.
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I read 3-4 states that it's already happening in, can't remember them. And yes, one of the states was paying 120k+ (I remembered it being 130k). I don't care enough to research and find the threads/posts.
 
BestDoctorEver said:
Lol... The lot size is only 5,000 sqft--less than 1/8 of an acre.
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Ok plot, not land. Whatever, I'd imagine it's in a really nice neighborhood and the seller has the expectation the buyer will rebuild a house on it.
 
calvnandhobbs68 said:
It's kind of the same reason I'm not surprised Peds is up from mid to high in satisfaction in all these surveys...again the applicants basically self-select because they enjoy the field. There's no incentive to go into Peds if you don't like it because 1) The pay is lower and 2) You need to like working with kids.
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In peds it is also socially acceptable to work part-time (usually meaning showing up fewer days a week). That kind of work ethic is discouraged in many other specialties.
 
SurgeDO said:
it is interesting to see ortho being so unsatisfied with their income despite being one of the highest paid specialties.

any speculation, speculators?
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The dream: fix sports injuries so grateful patients can return to active, productive lives.

The reality: replace knees on the self-inflicted obese, so they can return to inactive, unproductive lives.

At least that's what the guy I met at the cigar bar says about his best friend, who is an ortho surgeon that makes bank yet utterly hates his life.
 
sazerac said:
The dream: fix sports injuries so grateful patients can return to active, productive lives.

The reality: replace knees on the self-inflicted obese, so they can return to inactive, unproductive lives.

At least that's what the guy I met at the cigar bar says about his best friend, who is an ortho surgeon that makes bank yet utterly hates his life.
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To quote what a friend's Psychiatrist told him:

"My most (professionally) successful patients are often the most depressed."
 
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sazerac said:
The dream: fix sports injuries so grateful patients can return to active, productive lives.

The reality: replace knees on the self-inflicted obese, so they can return to inactive, unproductive lives.

At least that's what the guy I met at the cigar bar says about his best friend, who is an ortho surgeon that makes bank yet utterly hates his life.
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Makes no sense at all. If you don't like joints, then go into sports and never replace a joint for the rest of your life. Building a sports practice treating mostly young and healthy patients is like rolling off a log, anyone who wants to do it can do it.
 
those who would not choose the same specialty are those who probably cant choose another specialty, eg fm or im.
 
Armadillos said:
I think the most mind blowing thing about these numbers is IM, the highest percent of them would choose to be a physician, but by far the lowest % would choose their specialty again. So seems like they think they are in a great profession but are stuck in the wrong field, that sort of feeling must eat at your soul.

Also pretty amazing that psychiatrists seem to be consistently grouping into the mix of the competitive specialties instead of down with FM/IM/Neuro where most would expect it
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psychiatrists are masters of ruse.
 
sazerac said:
The dream: fix sports injuries so grateful patients can return to active, productive lives.

The reality: replace knees on the self-inflicted obese, so they can return to inactive, unproductive lives.

At least that's what the guy I met at the cigar bar says about his best friend, who is an ortho surgeon that makes bank yet utterly hates his life.
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Reminds me of vascular.
Step one: stents
Step two: bypass
Step three: bka
Step four: aka
Rinse and repeat
 
Scaring the **** out of me about applying to IM and not getting a fellowship I want.
 
JP2740 said:
Scaring the **** out of me about applying to IM and not getting a fellowship I want.
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Why? If you don't get the fellowship you want, just be a hospitalist and live the good life.

Honestly, even with all of its warts, IM hospitalist is still a great gig. Once you get used to the bread and butter it's not bad at all. Some of the most balanced, normal docs I've met have been hospitalists. A sharp hospitalist is priceless and it's a role that will be essential in healthcare for the foreseeable future.
 
KinasePro said:
Why? If you don't get the fellowship you want, just be a hospitalist and live the good life.

Honestly, even with all of its warts, IM hospitalist is still a great gig. Once you get used to the bread and butter it's not bad at all. Some of the most balanced, normal docs I've met have been hospitalists. A sharp hospitalist is priceless and it's a role that will be essential in healthcare for the foreseeable future.
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Yea the 30% satisfaction ones lmao. ****s scary bro.
 
KinasePro said:
Why? If you don't get the fellowship you want, just be a hospitalist and live the good life.

Honestly, even with all of its warts, IM hospitalist is still a great gig. Once you get used to the bread and butter it's not bad at all. Some of the most balanced, normal docs I've met have been hospitalists. A sharp hospitalist is priceless and it's a role that will be essential in healthcare for the foreseeable future.
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Hospitalist life is horrible. It only sounds good on paper. That 30% satisfaction rate seems way too high.
 
Wordead said:
Hospitalist life is horrible. It only sounds good on paper. That 30% satisfaction rate seems way too high.
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Lmao.

Do you work bro? I swear you're always around at the perfect time to **** all over me.
 
Wordead said:
Hospitalist life is horrible. It only sounds good on paper. That 30% satisfaction rate seems way too high.
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Horrible? 7 days on, 7 days off is far from horrible. Especially when "on" means 12 hour shifts. I would have killed for those hours as a student and a sub i.

IM grads are flocking to hospitalist gigs. Maybe if your baseline is a 40 hr work week, then I can see how it might be a "bad" lifestyle. But horrible is hyperbole if I've even seen it.
 
If you could go into any field based on grades/class rank, do you think it's dumb to do IM based on an interest in one of the subspecialties?
 
JP2740 said:
If you could go into any field based on grades/class rank, do you think it's dumb to do IM based on an interest in one of the subspecialties?
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Definitely not. If you dominated medical school, odds are you will do well in residency. If you go to a solid IM program you will probably land where you want to land.

Im sure the naysayers will come in and give you the "nothing is guaranteed, blah blah" speech, but lets be realistic. If I'm placing bets, I'd bet on you doing very well in residency based on your med school performance. Also, I've seen the types of people matching into to GI/cards/heme, and the majority are nowhere close to AOA, 250+ board score types. Rather, the majority are just hard working decent residents-- which you will probably be.

Sure, you're taking a calculated risk by going into a field where there is an additional competitive funnel on the horizon. But if you have a track record of high performance, then I think the calculated risk is pretty small.
 
JP2740 said:
Lmao.

Do you work bro? I swear you're always around at the perfect time to **** all over me.
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? Have I responded to you before? Bro, I don't even look at usernames before I respond. I dont even know who you are.

And didn't I agree with you in this thread?

KinasePro said:
Horrible? 7 days on, 7 days off is far from horrible. Especially when "on" means 12 hour shifts. I would have killed for those hours as a student and a sub i.

IM grads are flocking to hospitalist gigs. Maybe if your baseline is a 40 hr work week, then I can see how it might be a "bad" lifestyle. But horrible is hyperbole if I've even seen it.
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Doggie, I'm going into a surgical subspecialty and have been doing 80-100 hour subIs for months. I would do those hours over being a hospitalist any day.

Have you actually been on a hospitalist's service?
 
Wordead said:
Doggie, I'm going into a surgical subspecialty and have been doing 80-100 hour subIs for months. I would do those hours over being a hospitalist any day.

Have you actually been on a hospitalist's service?
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Yep, multiple times. Also worked closely with IM hospitalists on multiple ortho services. They are far more often then not well-adjusted and happy people who have travelled the world so much that it depresses me and makes me question my life decisions (semi-srs).
 
Don't get me wrong, I ferggin hate medicine as much as the next surgical subspecialty applicant. But i can definitely see the appeal of the hospitalist gig.
 
KinasePro said:
Don't get me wrong, I ferggin hate medicine as much as the next surgical subspecialty applicant. But i can definitely see the appeal of the hospitalist gig.
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Yeah that's why the dropout rate at 5 years is tremendous.
 
KinasePro said:
Yep, multiple times. Also worked closely with IM hospitalists on multiple ortho services. They are far more often then not well-adjusted and happy people who have travelled the world so much that it depresses me and makes me question my life decisions (semi-srs).
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Maybe you have some of that 30% then. Completely opposite experiences. To me, being a hospitalist is going to the hospital for your shift, cleaning up a bunch of ****ty EMR paperwork, putting in admit orders for whoever is being shuffled up from the ER, hoping nobody dies on your watch. Like a glorified secretary completely beholden to the hospital because you are completely replaceable. You barely get to practice medicine. It might be doable if you can completely divorce yourself from how little impact you have on your patients' health. But if you care, as hopefully most of us do, you slowly spiral into depression as you readmit the same patients week after week, and spend all your time typing away on the EMR.
 
Wordead said:
Maybe you have some of that 30% then. Completely opposite experiences. To me, being a hospitalist is going to the hospital for your shift, cleaning up a bunch of ****ty EMR paperwork, putting in admit orders for whoever is being shuffled up from the ER, hoping nobody dies on your watch. Like a glorified secretary completely beholden to the hospital because you are completely replaceable. You barely get to practice medicine. It might be doable if you can completely divorce yourself from how little impact you have on your patients' health. But if you care, as hopefully most of us do, you slowly spiral into depression as you readmit the same patients week after week, and spend all your time typing away on the EMR.
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Could be a difference in experience, but I also think your proclivity for surgery is coloring your interpretation of their work. I share the same view, believe me. But if I pretend I actually like some aspects of hospital medicine (which would be the case for someone going into IM), then it's a different story.

All shift workers are replaceable, but if you go into a field with shift work then (hopefully) you've taken that into account and it doesn't bother you.

Also, I disagree that the hospitalists work is so futile. They are very competent at caring for a lot of the "boring" medicine that goes on in the hospital (CAP, CHF exacerbation, PE, COPD exacerbation, non-op SBO, non-op GI bleeds, etc...). Not my cup of tea, but if you don't mind those chip shots than it's not bad at all.
 
DermViser said:
Yeah that's why the dropout rate at 5 years is tremendous.
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Curious, where are these numbers? Do they account for the IM grads who "take time off" as hospitalists before applying to fellowship? I personally know of ~a dozen opting for this strategy at my home program. They're looking forward to doing the same work they're doing in residency, for an average of 20 less hrs per week and something like 5x the pay.
 
Radiology residents and attendings (at least the younger ones) were by far the happiest looking, most laid back people I've met.

Dermatologists are supposedly even happier, but I never see them, so in my mind they're like mythical unicorns in dreamland.
 
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