nephro vs endo?

[drhousemusic]

What do you think is the difference in working conditions between endocrinologists and nephrologists?

1. Which specialty has most call?
2. Which specialty do most in patient service? Big difference? (My impression is that nephrologists do rounds a lot but endocrinologist almost only treat outpatients)
3. Which specialty do most consult service? (My impression is that nephrologists do a lot of consult but endocrinologists almost none)
4. Which specialty has the best life style in general?
5. Do endocrinologist who did IM as residency treat pediatric patients and infertility patients as well?

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[Medikit]

1. Which specialty has the most call? Nephrology
2. Which specialty has the busiest inpatient service? Nephrology (difficult to compare as you cannot divide by 0)
Big difference? Yes
3. Which specialty has the busiest consult service? Nephrology
4. Which specialty has the best life style in general? Endocrinology unless you hate diabetes
5. Do endocrinologists who did IM as residency treat pediatric patients and infertility patients as well? You could treat pediatric patients as there are very few pediatric endocrinologists in the country. Infertility is a part of endocrine but generally patients seeking fertility are managed by an OB/gyn specialist with reproductive training.

 

[Dr Hurly MD]

1. Which specialty has the most call? Nephrology
2. Which specialty has the busiest inpatient service? Nephrology (difficult to compare as you cannot divide by 0)
Big difference? Yes
3. Which specialty has the busiest consult service? Nephrology
4. Which specialty has the best life style in general? Endocrinology unless you hate diabetes
5. Do endocrinologists who did IM as residency treat pediatric patients and infertility patients as well? You could treat pediatric patients as there are very few pediatric endocrinologists in the country. Infertility is a part of endocrine but generally patients seeking fertility are managed by an OB/gyn specialist with reproductive training.

As an MD, I totally agree with this answer. Especially with number 4. I love diabetics amongst the baby boomers in particular. Opthalmologists appreciate the referrals I make for them. Also the podiatrists love my referrals.....

with the exception of two podiatrists I was unlucky to meet in SDN here. I would NEVER refer my diabetics to those two if I knew who they were. Check out the "Patient Case" thread (now closed) in the Podiatry SDN under PODIATRIC RESIDENTS AND PHYSICIANS (crazy dealing with those two!). I prefer that their titles, DPM, for those two podiatrists not to stand for 'Doctor of Podiatric Medicine', but rather the radiology term 'Disintegrations Per Minute'

 

[drhousemusic]

Thanks!
What about salary? Big difference?
How much do you earn in endo and nephro in PP and in academics?

 

[nephappl]

You can not compare salaries on top of lifestyles issues. Starting salaries in Neph is around 160s / yr while Endo can be more than 200s / yr with a lighter workload. Finally is easier to find a job in Endocrine compared to Nephrology.

 

[drhousemusic]

You can not compare salaries on top of lifestyles issues. Starting salaries in Neph is around 160s / yr while Endo can be more than 200s / yr with a lighter workload. Finally is easier to find a job in Endocrine compared to Nephrology.

What do you mean by that? Why shouldn´t I compare salaries in addition to other factors that ifluence lifestyle?

When I see your avatar I think that maybe you are afraid of competition?

 

[drhousemusic]

Is it true what nephappl writes?

 

[nephappl]

Look at the facts.

(DaVita shares with Fresenius most of the Renal Market in the US)

http://www.davita.com/physicians/source/fellowship

NA

 

[surge55]

not sure where he's getting his numbers from. that link doesn't work.

http://www.medscape.com/features/slideshow/compensation/2012/nephrology

more accurate and up to date.

http://www.medscape.com/features/slideshow/compensation/2012/diabetes-endocrinology

funny. the numbers are reversed in these reports from medscape - 168k for endo and 209k for nephro.

 

[Jaded]

not sure where he's getting his numbers from. that link doesn't work.

http://www.medscape.com/features/slideshow/compensation/2012/nephrology

more accurate and up to date.

http://www.medscape.com/features/slideshow/compensation/2012/diabetes-endocrinology

funny. the numbers are reversed in these reports from medscape - 168k for endo and 209k for nephro.

Apparently, it is very obvious that the compensations changes slightly every year. Personally, I will recommend that drhousemusic does whatever specialty he really thinks he will enjoy. I prefer Nephrology because I love the patient population; what it entails to be a nephrologist; and the overall practice experience (e.g. going to dialysis centers, seeing patient in clinic, and seeing patient in the hospital). My advice- take it or leave it- do what you think you will enjoy doing, because at the end of the day, people will always give their opinions regardless of the truthfulness of such opinions. Good luck with your final decision.

 

[surge55]

Apparently, it is very obvious that the compensations changes slightly every year. Personally, I will recommend that drhousemusic does whatever specialty he really thinks he will enjoy. I prefer Nephrology because I love the patient population; what it entails to be a nephrologist; and the overall practice experience (e.g. going to dialysis centers, seeing patient in clinic, and seeing patient in the hospital). My advice- take it or leave it- do what you think you will enjoy doing, because at the end of the day, people will always give their opinions regardless of the truthfulness of such opinions. Good luck with your final decision.

I hear you; I'm going with nephro as well. just trying to give a different perspective.

 

[Lipoma]

You can not compare salaries on top of lifestyles issues. Starting salaries in Neph is around 160s / yr while Endo can be more than 200s / yr with a lighter workload. Finally is easier to find a job in Endocrine compared to Nephrology.

Endocrinology does not earn that high except if you go into middle of no-where locations. You can get 200+ in rural areas where you are the only one managing DKA and DM patients. In cities, starting salaries run 120-170k. Good luck!

 

[Nepsap]

For people who are interested in nephrology there is good news and bad news.
The good news is the applicant this year 2012 is 60 percent less and all program are worried if they can fill all the position and the reason and the bad news is the future for nephrology job is the lowest with expected salary way less than hospitalist around 120k-140k with long hours of work which most after finishing nephrology are going back to hospitalsit.for those applying in nephrology please now this fact and currently I am doing Nephro fellowship and very disappointing .

 

[sooku]

That's interesting Nepsap - because the 2013 Medscape salary report says that nephro salaries went up 20% from 2012 to 2013, the second highest increase across specialties. That can only mean that the demand for nephro's exceeds the supply. And the supply is probably low because nephro isn't too popular these days.

Please cite a source for the 120-140K number you're brandishing. That's abut half of the 2013 national mean salary of $268K according to Medscape's 2013 numbers.

 

[nephappl]

Sooku,
Please review the medscape survey again,
Look that overall participation level in nephrology was < 1% so no conclusions can be drawn from there. These numbers are well off real life as they survey everyone including senior people who are doing OK
I am in private practice and I can tell you we needed one doctor and got > 20 CVs we could have offered starting salaries @ 130s and people would take them.
One co-fellow took a job at home program and all she got was a part time position around $70K
Supply in Nephrology is not low as each year 400+ fellow are graduating. Again if you consider nephrology do it because you like it not because you are expecting better payment, lots of jobs to choose from or a better quality of life.