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Well, neither one is a lifestyle specialty, but IM is a little bit better than obgyn.Lifestyle > all. Your future self will thank you for this.
Two of my hospitalists (married couple) have traveled to more countries in the last year than I have in my entire life. Most OB/GYNs can’t do big blocks of time off every month outside of doing locums. They also have to do both clinic and inpatient and then do OR as well. Most surgical specialties are very lifestyle unfriendly. General IM is actually pretty lifestyle friendly, especially if you are a hospitalist. When you subspecialize into a procedure based fellowship like cards or GI, the lifestyle perks go down while the money goes up.Well, neither one is a lifestyle specialty, but IM is a little bit better than obgyn.
IM is absolutely a lifestyle specialty.Well, neither one is a lifestyle specialty, but IM is a little bit better than obgyn.
I guess I should wait until I become an attending then. IM residency sucks big time.IM is absolutely a lifestyle specialty.
I guess I should wait until I become an attending then. IM residency sucks big time.
It’s almost like all fields of medicine become redundant and annoying over time or something...MFM, Gyn-onc, REI, gyn only ( be the hysterectomy specialist in a group) are all viable specialties.
Even as a generalist, would you rather have 1,000 conversations with a teenager about birth control or 1,000 conversations with a patient who won't walk around the block, take their blood pressure medication or stop smoking?
There is no guarantee that you will get a fellowship in IM either, and you could end up a generalist with a less attractive patient population.
I guess I should wait until I become an attending then. IM residency sucks big time.
IM based on what you said about hating to be a generalist. It is very likely that in this generation, unless you work somewhere rural, you will unlikely to be doing major surgery as a general obgyn and Gyn fellowships are very competitive for the reason you mentioned (many people hate or grow to hate OB). The year I matched into fpmrs the match rate was 72%, onc and MIGS are similar in match rates. While REI is nonOB most fellowships now do ivf and infertility and the surgical component is going by the wayside. The rei fellows where I did my fellowship had to do all their cases with MIGS because none of their attendings did majors.Hey all. So it is time to start turning in ERAS soon now and my heart is confusing the hell out of me. So, initially, I was most attracted to obgyn. I really admired the residents/attendings at my institution, liked the medicine + surgery. Liked the patient population. Only thing is that I really really really would hate being a generalist (i.e. not a super big fan of ob (as opposed to gyn), mostly because of terrible lifestyle, call, and on top of all of it, malpractice concerns). Despite loving my gyn onc subi, I crossed it off my list for this reason- that I couldn't imagine myself as a generalist. It would be a huge gamble to assume that I match into something gyn related and avoid ob, in other words, which is advice I had gotten from multiple residents.
So here I am applying to IM, mostly because I did like it to some degree and I know that my health would suffer less in the long them (both physically, due to less call, and psychologically, due to less malpractice concerns). THe only thing is that I suddenly realized that I will no longer be in the OR (which maybe I could get used to) and that I will never be around such a badass, inspiring group of women in my life again (they are really great here). I didn't want to do gen surg because the culture sucked here and none of the gen surgeons seemed happs (as opposed to the gyn oncs/general obgyns that I knew.) I also had no interest in other surgical subspecialties.
So: is my heart being stupid? I have read posts of early retired obgyns who burned out, but at one point were also following their hearts. It makes me wonder if the heart, as opposed to the head, should be trusted at all. Any thoughts at this point? Should I just make peace with IM?
Edit: I should add that my app is pretty T'd up for IM. I would still need some ob letters if I choose to switch. 250s/260s step 1/2
Was just curious on the exact numbers so I looked them up and figured I'd post them hereIM based on what you said about hating to be a generalist. It is very likely that in this generation, unless you work somewhere rural, you will unlikely to be doing major surgery as a general obgyn and Gyn fellowships are very competitive for the reason you mentioned (many people hate or grow to hate OB). The year I matched into fpmrs the match rate was 72%, onc and MIGS are similar in match rates. While REI is nonOB most fellowships now do ivf and infertility and the surgical component is going by the wayside. The rei fellows where I did my fellowship had to do all their cases with MIGS because none of their attendings did majors.
With your scores competitive procedural specialties in IM are well within reach. Mostly because there are so many positions available of them. There are only 40 some spots for FPMRS, about the same number
IM based on what you said about hating to be a generalist. It is very likely that in this generation, unless you work somewhere rural, you will unlikely to be doing major surgery as a general obgyn and Gyn fellowships are very competitive for the reason you mentioned (many people hate or grow to hate OB). The year I matched into fpmrs the match rate was 72%, onc and MIGS are similar in match rates. While REI is nonOB most fellowships now do ivf and infertility and the surgical component is going by the wayside. The rei fellows where I did my fellowship had to do all their cases with MIGS because none of their attendings did majors.
With your scores competitive procedural specialties in IM are well within reach. Mostly because there are so many positions available of them. There are only 40 some spots for FPMRS, about the same number for Onc, fewer for MIGS, and not sure how many for REI but I’d wager it’s in the ballpark. So even with good scores and research (the latter which you’ll need both obgyn and IM competitive fellowships) the surgical fellowships rely much more on who you know than the IM fellowships, so much so that I’ve seen some very qualified applicants from not so great programs not match over questionable applicants from programs with very prominent people (at least in fpmrs).
for Onc, fewer for MIGS, and not sure how many for REI but I’d wager it’s in the ballpark. So even with good scores and research (the latter which you’ll need both obgyn and IM competitive fellowships) the surgical fellowships rely much more on who you know than the IM fellowships, so much so that I’ve seen some very qualified applicants from not so great programs not match over questionable applicants from programs with very prominent people (at least in fpmrs).
Two of my hospitalists (married couple) have traveled to more countries in the last year than I have in my entire life. Most OB/GYNs can’t do big blocks of time off every month outside of doing locums. They also have to do both clinic and inpatient and then do OR as well. Most surgical specialties are very lifestyle unfriendly. General IM is actually pretty lifestyle friendly, especially if you are a hospitalist. When you subspecialize into a procedure based fellowship like cards or GI, the lifestyle perks go down while the money goes up.
In comparison to other specialties: not really. Maybe cosmetic cash only plastics.Besides getting a post-residency gig as a surgicalist (which I think you can be in multiple surg specialities?), are there any lifestyle friendly surgical specialties? I feel like most you wouldn't ever be able to take time off as you described. Unless maybe hospital-employed?
MOHSBesides getting a post-residency gig as a surgicalist (which I think you can be in multiple surg specialities?), are there any lifestyle friendly surgical specialties? I feel like most you wouldn't ever be able to take time off as you described. Unless maybe hospital-employed?
That's all true...ish.Any field from FP to NSGY if you’re in private practice in an RVU only model will limit your ability to take time off as any time you take off will mean you’re not making money during that time. If you’re in a big practice or are employed somehow and have a guaranteed salary independent of RVUs it’s much easier to have a work life balance regardless of salary. Im a urogyn (kind of lifestyle friendly) at an academic practice and have 4 weeks guaranteed vacation and 4 guaranteed conferences (usually 3-5 days which are all expenses paid if I’m a presenting author on one or more papers and since I’m in charge of fellow and resident research it’s basically guaranteed) so essentially I have 2 months off a year whereas my friend works at a PP (just started, like me) and probably won’t let himself take Any vacay because he will miss getting patients, and surgeries which will be less money in his pocket. The difference in our salaries is roughly 2 months at 45-50 hours a week. Yeah he makes more but at a substantial cost to himself. So it’s all a give and take.
As far as a surgicalist, the only specialty I know that has that is general surgery; Obgyn has laborist a but they usually only staff L&D and don’t do any surgeries unless you count a csection a surgery.