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From the graduating fellows I’ve talked to, the market is pretty good. If you’re looking for an academic job, you’ll find one, though the more specialized you get it can be harder to pick your location (eg you want a specific city but the local academic center isn’t hiring). I haven’t heard of any graduating fellows without multiple opportunities to choose from. If you’re going private practice, opportunities are good as well but it is more likely you’ll need to do some general urology as well, or at least cover adult call.
in terms of competition, it varies by institution. Some places urology will do Wilms, others it’s peds Surg. Some overlap for hernias though peds Uro does most at the places I’ve seen. Can’t speak to regrets as I’m a general uro, but most of the peds folks I know seem happy with their decision
in terms of competition, it varies by institution. Some places urology will do Wilms, others it’s peds Surg. Some overlap for hernias though peds Uro does most at the places I’ve seen. Can’t speak to regrets as I’m a general uro, but most of the peds folks I know seem happy with their decision
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I think its a pretty fair market as long as you aren't to set on a specific location. Will need to be in a relatively populous area if you are going to be able to do exclusively peds. Also, realize that pretty much anywhere you are going to do lots of bread and butter stuff as opposed to lots of exstrophy and big cancer cases. Even at academic centers in big cities, the peds uros are mostly doing circ revisions, hypospadias, orchiopexies, etc. Not that there is anything wrong with that, but while it's easy to fall in love with the field for the major recon stuff, you probably won't be doing much of that.
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I hope you get a good spot @omegalomaniac
..... and we will have another bro, to whom we can send our failed hypospadias cases
Joking aside, ped urology was one of my major work-load while I was in a tertiary referral healthcare center (now I am in a small private). Testis stuff, circumcision, urachus anomalies, hernias, stones, VUR, UVJ and/or UVJ reconstructions, and of course circumcisions were all beautiful and rewarding. However, the urethral reconstructions were a hell of a headache. I was just near to killing myself because of hypospadias. If you consider ped uro, try to see some hypospadiologist before getting into the practice.
..... and we will have another bro, to whom we can send our failed hypospadias cases
Joking aside, ped urology was one of my major work-load while I was in a tertiary referral healthcare center (now I am in a small private). Testis stuff, circumcision, urachus anomalies, hernias, stones, VUR, UVJ and/or UVJ reconstructions, and of course circumcisions were all beautiful and rewarding. However, the urethral reconstructions were a hell of a headache. I was just near to killing myself because of hypospadias. If you consider ped uro, try to see some hypospadiologist before getting into the practice.
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I'm a PICU attending and every children's hospital I've ever been at, the peds uro group is always very busy and seems like they could use more staff. Where I did my residency, they had one full time peds uro retire (other staff were just part-time) and took a while to find that replacement and the only way that guy caught up to the backlog of cases was to be in the OR 6 days a week for like 8 months.
If you want to plug yourself into an existing infrastructure of a children's hospital, then yes, like nearly all pediatric fields, it's more geographically limiting, This is especially true if you want to really focus on the higher complexity cases where the child also has a plethora of other pediatric subspecialists. But, if that doesn't appeal to you or you have location considerations that don't involve bigger cities, I think if you are satisfied with the bread and butter stuff with less frequent complex cases, you could probably carve out a satisfying practice in any population center with a higher acuity NICU that has reasonable volumes. For example, I used to do PICU locums in Evansville, Indiana - which is a town of about 125k, and is smack in the middle, 2.5 hours away from St. Louis, Indianapolis, Nashville and Cincinnati. It has a big enough NICU that would provide a good starting base, and you could readily attract patients by saving parents the hassle of having to drive to the big cities. Similar sorts of communities could be found with a little digging.
If you want to plug yourself into an existing infrastructure of a children's hospital, then yes, like nearly all pediatric fields, it's more geographically limiting, This is especially true if you want to really focus on the higher complexity cases where the child also has a plethora of other pediatric subspecialists. But, if that doesn't appeal to you or you have location considerations that don't involve bigger cities, I think if you are satisfied with the bread and butter stuff with less frequent complex cases, you could probably carve out a satisfying practice in any population center with a higher acuity NICU that has reasonable volumes. For example, I used to do PICU locums in Evansville, Indiana - which is a town of about 125k, and is smack in the middle, 2.5 hours away from St. Louis, Indianapolis, Nashville and Cincinnati. It has a big enough NICU that would provide a good starting base, and you could readily attract patients by saving parents the hassle of having to drive to the big cities. Similar sorts of communities could be found with a little digging.
