mt preceptors hate OB

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IdontTakeCall

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So i really liked my obgyn rotation and im planning on doing it for residency. all my preceptors on peds, surgery, anesthesia, are all telling me it s ahuge mistake. theres something to be said for doing what makes u happy and im trying to not let any of them deter me because i stil plan on becoming an ob, but is there validity to there statements? i know theres ots of call, i can deal with 80 hours a week as a resident and lifelong call. but howlow is the compensation become? people are telling me that ill be paying 100k in malpractice in upstate new york and more in boston/ vermont maine arenas, and that after that, ill be grossing less than 225k. is it really that bad? i mean im not looking for neurosurgery pay but i was hoping for more like 50k malpractice and after 4-5 years in a good group practice making closer to 300-350 after malpractice is deducted. who is the delusional one me or them???
 
i know theres ots of call, i can deal with 80 hours a week as a resident and lifelong call.

Please be careful when looking for residency programs. Many places (although certainly not all) are well over 80. You may be able to deal with 80 hours a week, but will you be able to deal with 90-100 hours a week?

people are telling me that ill be paying 100k in malpractice in upstate new york and more in boston/ vermont maine arenas, and that after that, ill be grossing less than 225k. is it really that bad? i mean im not looking for neurosurgery pay but i was hoping for more like 50k malpractice and after 4-5 years in a good group practice making closer to 300-350 after malpractice is deducted. who is the delusional one me or them???

I think the key to being well reimbursed as an OB is willingness to move to areas that may have less malpractice and working your tail off, particularly in private practice.

I am getting the impression that you're unaware of just how high malpractice in OB/gyn is. In Florida, the malpractice rates are closer to $200K, according to figures from a few years ago. The rates in New York are probably over the 100K mark by now.

Ask around. Ask more OB/gyn attendings what their take on it is. Know what you're getting yourself into before you commit.
 
Please be careful when looking for residency programs. Many places (although certainly not all) are well over 80. You may be able to deal with 80 hours a week, but will you be able to deal with 90-100 hours a week?
Question: Interviews are just about to start. How does one find out which programs adhere to the 80 hour/week guidelines and which ones routinely work their poor residents to the bone? Should I ask the intern when we are alone, or just ask the PD point blank?
 
You should just ask the residents. If the program truly adheres to the 80 work week, as mine definitely does, then they will let you know that. I remember my program director making a big deal out of it during the interview day as well. If they give you a quick answer, or deflect the question, then that may tell you something. Also, several programs were very honest about it. Often there will be one or two rotations a year, Onc, MFM, etc where you could possibly go over, but on others you will be closer to 70. I remember hearing that pretty often.

So just ask. You'd be surprised how honest residents will answer any questions you may have.

Please be careful when looking for residency programs. Many places (although certainly not all) are well over 80. You may be able to deal with 80 hours a week, but will you be able to deal with 90-100 hours a week?
Question: Interviews are just about to start. How does one find out which programs adhere to the 80 hour/week guidelines and which ones routinely work their poor residents to the bone? Should I ask the intern when we are alone, or just ask the PD point blank?
 
I'll second that. Ask the residents. OB/GYN programs are watched pretty closely for hours, so most truly try to meet the requirements. On OB days, I have broken the 10 hours off between shifts requirement, but that's my only violation. I've heard that the only time we break hours as interns is on our off-service MICU rotation. That's not to say we don't work hard. There are some individual weeks when I'm over 80, but it averages out with a shorter week to meet requirements. And that's on onc. We also have a swing shift: a third year resident working from 4p-2a whose main goal is to get the onc team out. It's a great way to keep patients safe and residents relatively rested.
 
I'll second that. Ask the residents. OB/GYN programs are watched pretty closely for hours, so most truly try to meet the requirements. On OB days, I have broken the 10 hours off between shifts requirement, but that's my only violation. I've heard that the only time we break hours as interns is on our off-service MICU rotation. That's not to say we don't work hard. There are some individual weeks when I'm over 80, but it averages out with a shorter week to meet requirements. And that's on onc. We also have a swing shift: a third year resident working from 4p-2a whose main goal is to get the onc team out. It's a great way to keep patients safe and residents relatively rested.

none of this concerns me hence my original posts question, though i thank you all for your input. i could care less if its 60 80 or 100 hours a week as a resident as long as im training in the field i want to work in. my questions are regarding what i should realistically expect to pay yearly in malpractice, and not a huge range of 25-150k, that doesnt help me. looking for more specific for the UPSTATE (not the city) new york, maine, vermont, etc. and what i can expect in a salary AFTER malpractice for all the said hours im going to put in. and as for the other responder, the program i want to match intos website said avg hours is 80 thats what i was going with. thanks for the input though everyone
 
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