Rheum vs pulm crit

[rheumy123]

Good luck Kortes! Although incredibly rare, I've heard of a couple fellows specializing in pulm-crit AND rheum because they are just so interested in that intersection of diseases. I could never do that myself-- it's obviously a long journey and I don't know what that translates into job prospects (probably a specialized field in academia I'm guessing). You'll definitely make more money in pulm-crit, but that's not really a reason why most people choose rheum anyway. I've also worked a lot with several ILD physicians on CTD-related diseases (RA, systemic sclerosis, dermatomyositis, Sjogren's, etc.) who are very comfortable managing immunosuppression for those patients, so if you choose pulm-crit that's another option down the line if you want some rheum-related options.

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[DrMetal]

in pulm-crit AND rheum because they are just so interested in that intersection of diseases.

Really? Well, one of those specialties is making a lot of money right now during the COVID crisis, the other not so much.

 

[Modstopizdy]

so for me when i was comparing apples to oranges, i decided i’d rather see rheum patients (fibro and all) in my twilight years as opposed to pulmonary patients

i will likely have a different opinion once i become a grizzled attending, but i am willing to take the pay cut to pursue something I find enjoyable (even including the bread and butter stuff in rheum. not just the “once in a blue-moon ivory tower type of stuff”).

i’ll be stuck at work once i’m an attending. might as well try and enjoy it.

Pulm/CC can make more than twice as much as rheum. Why not just make loads of money up front doing that so you don't have to work at all in your "grizzled years?" Sounds like the superior option if your reason for choosing rheum over pulm/cc is concern that you'd not be able to hack the latter once over the hill.

 

[bronx43]

I do not recommend going into rheumatology at this particular point in time. COVID has completely wiped out private practice rheumatology (along with other fields), and infusions were already on the way out before the pandemic. I do not see a bright future for rheumatology.

 

[medstud56]

I do not recommend going into rheumatology at this particular point in time. COVID has completely wiped out private practice rheumatology (along with other fields), and infusions were already on the way out before the pandemic. I do not see a bright future for rheumatology.

I'm just a med student but I think its a bit premature to say that it has "wiped out" the field. Lockdowns are temporary?

Interesting perspectives on Rheum , it seems like Rheum is becoming desirable amongst medical students/residents . Although if in PP all you see is OA , FM , maybe it is better to do a sports medicine fellowship? only one year What percentage of your practice is auto-immune disease (RA, Lupus, PMR, Dermatomyositis, ANCA, etc.?)

 

[bronx43]

I'm just a med student but I think its a bit premature to say that it has "wiped out" the field. Lockdowns are temporary?

Interesting perspectives on Rheum , it seems like Rheum is becoming desirable amongst medical students/residents . Although if in PP all you see is OA , FM , maybe it is better to do a sports medicine fellowship? only one year What percentage of your practice is auto-immune disease (RA, Lupus, PMR, Dermatomyositis, ANCA, etc.?)

I'm a rheumatologist so I'm speaking from first hand experience.
Rheum was already on the way down before COVID. PP rheumatology is very reliant on infusions, and while those were still profitable, Medicare Advantage doesn't cover the co-insurance, and those pts can't afford it. With the expansion of MA, I have seen rheumatology practices and new rheumatologists struggle.
Employed positions are better in the rural areas, but in larger metros, it's not great.

To answer your question, unless you're in ivory tower, very few of your patients are real SLE, DM, vasculitis, etc. PMR and RA are more common in community setting, but even then, most people in a metro setting won't be able to fill their practices with those dx. Bread and butter cohort for PP rheum is OA, fibro, chronic fatigue, ANA+.

 

[crafted222]

I do not recommend going into rheumatology at this particular point in time. COVID has completely wiped out private practice rheumatology (along with other fields), and infusions were already on the way out before the pandemic. I do not see a bright future for rheumatology.

COVID is a temporary problem. Things should return to preCOVID levels in 1-2 years once a vaccine is widely available. Some hospitals are resuming elective procedures this month. Soon, outpatient practices should start picking up again.

 

[medstud56]

I'm a rheumatologist so I'm speaking from first hand experience.
Rheum was already on the way down before COVID. PP rheumatology is very reliant on infusions, and while those were still profitable, Medicare Advantage doesn't cover the co-insurance, and those pts can't afford it. With the expansion of MA, I have seen rheumatology practices and new rheumatologists struggle.
Employed positions are better in the rural areas, but in larger metros, it's not great.

To answer your question, unless you're in ivory tower, very few of your patients are real SLE, DM, vasculitis, etc. PMR and RA are more common in community setting, but even then, most people in a metro setting won't be able to fill their practices with those dx. Bread and butter cohort for PP rheum is OA, fibro, chronic fatigue, ANA+.

Do you recommend any fields that are not "dying "?
Besides Rheum ,I'm interested in either Heme/Onc or Pulm/Crit . Also considering hospital med/ primary care

 

[bronx43]

Do you recommend any fields that are not "dying "?
Besides Rheum ,I'm interested in either Heme/Onc or Pulm/Crit . Also considering hospital med/ primary care

Heme/onc is solid. No matter what, people want their cancers treated.

 

[bronx43]

COVID is a temporary problem. Things should return to preCOVID levels in 1-2 years once a vaccine is widely available. Some hospitals are resuming elective procedures this month. Soon, outpatient practices should start picking up again.

Maybe. Maybe not.

Consider the following:
1. effective vaccine may not actually be possible
2. referral patterns change for good over the next 2 years so that the bread and butter of rheum (aches and pains) will diminish

I may certainly be wrong on both counts, but if I had a choice right now, I wouldn't do this field again given the circumstances.

 

[Prehealth1011]

@bronx43 current opinion on Allergy vs Rheum?

 

[bronx43]

@bronx43 current opinion on Allergy vs Rheum?

Rheum. All the negatives of rheum applies to allergy as well, but rheum has better job market despite everything. From academic standpoint, rheum is actually wide open. Lifestyles are comparable.

 

[aafisahar]

Do you recommend any fields that are not "dying "?
Besides Rheum ,I'm interested in either Heme/Onc or Pulm/Crit . Also considering hospital med/ primary care

Cards will never be out of demand. If you look at disease burden, cardiovascular conditions are like 7 of the top 10. Cards has fancy gadgets and toys to play with. Lots of prestige from the lay public and within the medical field. Salaries start in the 400s and go up of you add additional skills. You can be anything from a pseudo radiologist to CICU attending to cath jockey to primary care with echo.

 

[medstud56]

Cards will never be out of demand. If you look at disease burden, cardiovascular conditions are like 7 of the top 10. Cards has fancy gadgets and toys to play with. Lots of prestige from the lay public and within the medical field. Salaries start in the 400s and go up of you add additional skills. You can be anything from a pseudo radiologist to CICU attending to cath jockey to primary care with echo.

Thanks! I actually find cardiology to be boring (at least the bread/butter- have done a cardio rotation) , so it's kind of a no -go for me, especially with it being super competitive . Also don't like the idea of a super fellowship

 

[Drrrrrr. Celty]

Thanks! I actually find cardiology to be boring (at least the bread/butter- have done a cardio rotation) , so it's kind of a no -go for me, especially with it being super competitive . Also don't like the idea of a super fellowship

Bread and butter cardiology is the foundations of internal medicine. It's also the system you'll likely know the absolute most about besides how to prescribe diabetes medicines by the time you finish residency. It's horribly nuanced and the practice of it can be as algorithmic as you want and also as personal touch as you want.

Also my medical school rotation in cardiology was boring. Cardiology at my residency hospital and system is extremely fascinating. I legitimately believe it's one of the more hands on fields and that draws in a lot of folks.

I think cardiology superspecialization isn't as superspecialized as other fields. Like you really can't compare subspecializing in something like lipidology to interventional cardiology. Interventional is extremely expansive by comparison.

 

[lessismore123]

Sorry to hijack the thread, but as long as we are talking about the subspecialties. Will there be any long lasting effects of covid on GI competitiveness and outlook? GI has consistently been the most competitive fellowship and lucrative, but it seems to be one of the hardest hit medical subspecialties because of the hold on elective procedures. Will this be short lived and GI will return to normal once elective procedures restarted?

 

[bronx43]

Sorry to hijack the thread, but as long as we are talking about the subspecialties. Will there be any long lasting effects of covid on GI competitiveness and outlook? GI has consistently been the most competitive fellowship and lucrative, but it seems to be one of the hardest hit medical subspecialties because of the hold on elective procedures. Will this be short lived and GI will return to normal once elective procedures restarted?

No one knows... this is a question of human psychology and likely to be geographic. In some parts of the country, people will be more afraid to go out or to a doctor's office.

I think the bigger threat on the horizon is single payer. If there's one crisis that can push through M4A (or some form of public option), it's this.

 

[bronx43]

Cards will never be out of demand. If you look at disease burden, cardiovascular conditions are like 7 of the top 10. Cards has fancy gadgets and toys to play with. Lots of prestige from the lay public and within the medical field. Salaries start in the 400s and go up of you add additional skills. You can be anything from a pseudo radiologist to CICU attending to cath jockey to primary care with echo.

This is an oversimplification of things. Aggregate demand for a specialty is only as important as aggregate supply - how many doctors of this specialty are there in a given market. In other words, is the number of physicians supported by the overall amount of demand? And how elastic is this demand? Given the job market of sub-specialties like EP and IC, it seems like the saturation point has been reached. For general cardiology, it seems like it hasn't. However, is demand for general cardiology elastic? Do you really need a cardiologist to titrate blood pressure pills, treat HLD, or even order stress tests? In a world where healthcare resources are more restricted, are PCPs going to refer bread and butter management to cardiology?

 

[medstud56]

Bread and butter cardiology is the foundations of internal medicine. It's also the system you'll likely know the absolute most about besides how to prescribe diabetes medicines by the time you finish residency. It's horribly nuanced and the practice of it can be as algorithmic as you want and also as personal touch as you want.

Also my medical school rotation in cardiology was boring. Cardiology at my residency hospital and system is extremely fascinating. I legitimately believe it's one of the more hands on fields and that draws in a lot of folks.

I think cardiology superspecialization isn't as superspecialized as other fields. Like you really can't compare subspecializing in something like lipidology to interventional cardiology. Interventional is extremely expansive by comparison.

yeah I get it, cardiology is super important and I will definitely need to learn it well by the end of residency.
Just not something I personally want to specialize in, but don't worry there are a ton of others who will

 

[jdh71]

My experience with cardiologists in the community is that they tend to be the worst at being helpful for anything other than a heart cath and even then only want to do them when convenient (STEMI notwithstanding). They are like the ortho of medicine. Followed pretty closely by GI but at least those guys and gals show up to a GI bleed when you need them. I’ve basically stopped consulting cardiology for just about anything that doesn’t need obvious immediate cath or needs EP to see. Hell. I can’t even get these jokers to arrange for appropriate cardiac related follow up once out of the hospital. Blame the lungs. No work up. Sign off. Lame.

 

[Drrrrrr. Celty]

This is an oversimplification of things. Aggregate demand for a specialty is only as important as aggregate supply - how many doctors of this specialty are there in a given market. In other words, is the number of physicians supported by the overall amount of demand? And how elastic is this demand? Given the job market of sub-specialties like EP and IC, it seems like the saturation point has been reached. For general cardiology, it seems like it hasn't. However, is demand for general cardiology elastic? Do you really need a cardiologist to titrate blood pressure pills, treat HLD, or even order stress tests? In a world where healthcare resources are more restricted, are PCPs going to refer bread and butter management to cardiology?

I honestly think it's impossible for a PCP to do everything while having the normal standard census. It's not sustainable nor is it good for business.

And it fundamentally really is predicated on the notion that they know how to treat a lot of these issues well. Not all PCPs are trained equally. The folks at my program seem to be very knowledgeable about how to address a lot of standard issues in a very time appropriate time and then learn what problems should be turfed to subspecialists so that the patient visit doesn't turn into a 1 hour visit.

 

[Drrrrrr. Celty]

yeah I get it, cardiology is super important and I will definitely need to learn it well by the end of residency.
Just not something I personally want to specialize in, but don't worry there are a ton of others who will

I don't disagree. I just find it difficult to believe that it's boring hah. Personally cardiology makes me second guess myself all the time.

 

[bronx43]

I honestly think it's impossible for a PCP to do everything while having the normal standard census. It's not sustainable nor is it good for business.

And it fundamentally really is predicated on the notion that they know how to treat a lot of these issues well. Not all PCPs are trained equally. The folks at my program seem to be very knowledgeable about how to address a lot of standard issues in a very time appropriate time and then learn what problems should be turfed to subspecialists so that the patient visit doesn't turn into a 1 hour visit.

Most of what constitutes "cardiovascular disease" are standard issues. You don't think PCPs can manage hypertension, HLD, basic DM? Most PCPs I know can do all that plus manage the typical non-decompensated CHF pt, and selection of stress testing modalities.

 

[Drrrrrr. Celty]

Most of what constitutes "cardiovascular disease" are standard issues. You don't think PCPs can manage hypertension, HLD, basic DM? Most PCPs I know can do all that plus manage the typical non-decompensated CHF pt, and selection of stress testing modalities.

Personally if I was a PCP and I had a patient with significant HF i.e under 35% EF, combined systolic and diastolic, and or ischemic cardiomyopathy I wouldn't want them in my practice if they didn't regularly follow with a cardiologist. I see that person 4 times a year and one of those visits is going to be something like my arm hurts and the other visit is going to be uptitration of their existing medicines and or handling their fluid status due to non compliance. Throw in a cardiologist and at least they're now seeing someone every 2 months to make sure they're not getting worse.

 

[VA Hopeful Dr]

Personally if I was a PCP and I had a patient with significant HF i.e under 35% EF, combined systolic and diastolic, and or ischemic cardiomyopathy I wouldn't want them in my practice if they didn't regularly follow with a cardiologist. I see that person 4 times a year and one of those visits is going to be something like my arm hurts and the other visit is going to be uptitration of their existing medicines and or handling their fluid status due to non compliance. Throw in a cardiologist and at least they're now seeing someone every 2 months to make sure they're not getting worse.

It is also worth while again that our training as IM folks is different than FM folks. We're a lot more comfortable with heart failure and we prescribe lasix a lot more often and know our algorithms for things that are of consequence. FM folks aren't doing cardio rotations and they're not prescribing lasix diuretics on every other patient. They're not going to be as comfortable or knowledgable about some of this so they'll refer early.

And even aside from that I'll say it again. It's a time issue. A PCP needs to see 20 pts in a day. They cannot in 15-30 minutes work up a complicated issue while also doing a general visit. Referring to a specialist to do a more complete work up is easier and probably saves money because they won't order the wrong tests.

I think your knowledge of primary care is severely lacking.

 

[bronx43]

Personally if I was a PCP and I had a patient with significant HF i.e under 35% EF, combined systolic and diastolic, and or ischemic cardiomyopathy I wouldn't want them in my practice if they didn't regularly follow with a cardiologist. I see that person 4 times a year and one of those visits is going to be something like my arm hurts and the other visit is going to be uptitration of their existing medicines and or handling their fluid status due to non compliance. Throw in a cardiologist and at least they're now seeing someone every 2 months to make sure they're not getting worse.

It is also worth while again that our training as IM folks is different than FM folks. We're a lot more comfortable with heart failure and we prescribe lasix a lot more often and know our algorithms for things that are of consequence. FM folks aren't doing cardio rotations and they're not prescribing lasix diuretics on every other patient. They're not going to be as comfortable or knowledgable about some of this so they'll refer early.

And even aside from that I'll say it again. It's a time issue. A PCP needs to see 20 pts in a day. They cannot in 15-30 minutes work up a complicated issue while also doing a general visit. Referring to a specialist to do a more complete work up is easier and probably saves money because they won't order the wrong tests.

Wait, so you see a CHF patient 4 times a year (every 3 months) for "other stuff" but you want a cardiologist to see them every two months??

 

[Drrrrrr. Celty]

Wait, so you see a CHF patient 4 times a year (every 3 months) for "other stuff" but you want a cardiologist to see them every two months??

No. Q6Months. So it'll be Q2months in total between me and the cardio.

 

[Drrrrrr. Celty]

I think your knowledge of primary care is severely lacking.

I deleted some of that post that I wrote somewhat deliriously. Obviously PCPs work out complicated patients. My comment didn't make sense the way I wrote it.

 

[Drrrrrr. Celty]

Ok back to the topic. Sorry for derailing.

 

[holaho]

Rheum. All the negatives of rheum applies to allergy as well, but rheum has better job market despite everything. From academic standpoint, rheum is actually wide open. Lifestyles are comparable.

Lol in what sense do the same negatives apply to AI? We don't deal with chronic pain (the biggest negative of Rheum). None of the Allergists would ever choose Rheumatology as an alternative. The job market in Rheum is collapsing with oversaturation and you're still blabbering about the job market.

 

[bronx43]

Lol in what sense do the same negatives apply to AI? We don't deal with chronic pain (the biggest negative of Rheum). None of the Allergists would ever choose Rheumatology as an alternative. The job market in Rheum is collapsing with oversaturation and you're still blabbering about the job market.

I don't see chronic pain, neither do any of my current colleagues and previous partner. Sure, in metro high volume PP you see fibro, but those guys want the business.

Job market collapsing? What, after covid? I'm sure covid really causes an environmental allergies epidemic.
Show me some numbers comparing job market for AI vs rheum.

Don't get me wrong. I don't even think rheum has a great future, but AI flexing? lol.

 

[holaho]

I think you're Rheum flexing there with your posts about job comparisons without any concrete data or experience on every single post about AI. A rheumatologist who doesn't deal with chronic pain, now that's something you don't hear everyday. I would let the people who are in the field talk about AI job market.

 

[holaho]

Your **** talking about AI has been going on for many years, yet you are not even remotely attached to the field. Maybe you wanted to do AI many years ago and couldn't make it. That does not mean you derail AI every chance you get. Go flex your muscles in the rheum forum, plenty of ears there.

 

[bronx43]

I think you're Rheum flexing there with your posts about job comparisons without any concrete data or experience on every single post about AI. A rheumatologist who doesn't deal with chronic pain, now that's something you don't hear everyday. I would let the people who are in the field talk about AI job market.

I'm academia, and was previously in a part of the country with dearth of rheum. Trust me, if you don't want to see chronic pain in rheum, you don't have to. Location and money are the other variables in that equation.

I'm not flexing, cuz I don't really care for rheum either. The job market is what it is. People here just want to know others' insights.

My home institution had a fellowship spot waiting for me, but the job market seemed tenuous at best. My wife is also a specialist and geographic flexibility was a necessity for me. Rheum job market pre covid was definitely robust. I had at least 2 recruiters call me each week regarding jobs.

 

[bronx43]

Your **** talking about AI has been going on for many years, yet you are not even remotely attached to the field. Maybe you wanted to do AI many years ago and couldn't make it. That does not mean you derail AI every chance you get. Go flex your muscles in the rheum forum, plenty of ears there.

Hit a nerve?

Honestly, all these fields are s***ty. All have nonsense attached to them. This is what I learned over the years. Rheum, AI, cards, GI, heme/onc, etc. If i can go back to my undergraduate days knowing what I know now, I would have gone into software engineering. But now? I'm stuck on this sinking ship called "medicine in the USA." We are all.
If younger folk here want some insight on how to shuffle the deck chairs on this Titanic? I'll tell it like I see it.

 

[sloh]

Hit a nerve?

Honestly, all these fields are s***ty. All have nonsense attached to them. This is what I learned over the years. Rheum, AI, cards, GI, heme/onc, etc. If i can go back to my undergraduate days knowing what I know now, I would have gone into software engineering. But now? I'm stuck on this sinking ship called "medicine in the USA." We are all.
If younger folk here want some insight on how to shuffle the deck chairs on this Titanic? I'll tell it like I see it.

You can toss PM&R into that bucket as well. I feel the same way about software engineering. Compensation aside, working with numbers and things seems more appealing.

 

[Animalcules]

It seems the value of this thread is poor. Rheumatology is not going anywhere. The lifestyle is great. The diseases are super interesting. Don't do it if you like to follow flow charts and diagnostic algorithms.

 

[VA Hopeful Dr]

This escalated quickly

 

[blue.jay]

Your **** talking about AI has been going on for many years, yet you are not even remotely attached to the field. Maybe you wanted to do AI many years ago and couldn't make it. That does not mean you derail AI every chance you get. Go flex your muscles in the rheum forum, plenty of ears there.

Practice link usually shows only 10-20 AI jobs but 300+ rheumatology jobs. GI has 990, cards 400+, HemOnc 500+, PCCM 300+ and hospitalists 1200+

The job market for AI is small esp if there is geographic restriction. Lifestyle is super chill though.

 

[holaho]

Do you think 300+ Allergists are needed? There are only 150 or spots per year for AI. You are comparing apples to oranges. Just because there are only 50 openings for a field like Neurosurgery does not mean they have a terrible job market. I again reiterate people not in the field should not be commenting on it. Most jobs in AI are internal without job postings, many practices don't even advertise because it is hard to fill these spots. I got my job by meeting a practice owner 5 years ago. I just wanted to call out the poster above on his needless bashing of a specialty he knows nothing about and keeps comparing it to rheumatology.

 

[rokshana]

I think you're Rheum flexing there with your posts about job comparisons without any concrete data or experience on every single post about AI. A rheumatologist who doesn't deal with chronic pain, now that's something you don't hear everyday. I would let the people who are in the field talk about AI job market.

actually i do hear that fairly frequently about rheum and chronic pain/fibro pts...some don't even take the consult...and I'm endo so not doing any flexing about AI or rheum...

 

[bronx43]

Do you think 300+ Allergists are needed? There are only 150 or spots per year for AI. You are comparing apples to oranges. Just because there are only 50 openings for a field like Neurosurgery does not mean they have a terrible job market. I again reiterate people not in the field should not be commenting on it. Most jobs in AI are internal without job postings, many practices don't even advertise because it is hard to fill these spots. I got my job by meeting a practice owner 5 years ago. I just wanted to call out the poster above on his needless bashing of a specialty he knows nothing about and keeps comparing it to rheumatology.

Do some math.
There are 242 rheum fellowship spots in the country. 300+ jobs on practicelink as well as doccafe. Ratio of 1.25:1. This is actually down significantly post covid, which was 1.5:1 before.
AI has 21 jobs listed for 135 filled positions in the country. That’s a ratio of 0.155:1.

And there are tons of “word of mouth” only jobs out there in rheumatology. In fact, all 3 of our graduating fellows got non-advertised jobs, so don’t act like AI is the only field where this happens.

lol at “I found my job by meeting someone.” You know how many rheumatology practice owners are looking for new partners or replacement?

Just face it, rheum job market is better. Just like Gi job market by most metrics is better than rheum.
If anyone wants to show data to the contrary, let’s see it.

 

[gutonc]

A reminder to keep discussions professional and avoid personal attacks. This thread got unnecessarily confrontational and I'm pretty close to closing it if it doesn't get back on track.

 

[holaho]

Rheum is not my field so I don't pretend knowing about how people got jobs. I am not arguing with you saying AI has a better job market lol. What I am trying to tell you is stop telling people about the "horrible" AI job market when you are not even practicing in the field. From your "logic", more than half the fellows are jobless which is laughable. Everyone in AI has multiple offers (speaking from real experience). You absolutely don't know how AI fellows get jobs. Your hatred for the field is pretty obvious from all your posts. So let the people in the field talk about it and keep your hatred for AI to yourself.

 

[bronx43]

Rheum is not my field so I don't pretend knowing about how people got jobs. I am not arguing with you saying AI has a better job market lol. What I am trying to tell you is stop telling people about the "horrible" AI job market when you are not even practicing in the field. From your "logic", more than half the fellows are jobless which is laughable. Everyone in AI has multiple offers (speaking from real experience). You absolutely don't know how AI fellows get jobs. Your hatred for the field is pretty obvious from all your posts. So let the people in the field talk about it and keep your hatred for AI to yourself.

Lol, ok. I show numbers on job websites, and you can do nothing except claim I hate AI.

If you’re saying that all AI jobs are just somewhere in the ether waiting for “personal connections” then ok, sure. Whatever. I don’t really care.

For anyone considering specialties and want to consider job markets as a factor, I guess there are anecdotal evidence that for sure you’ll find a job at your preferred location by networking... despite the fact that posted jobs are a fraction of every other specialty.

Im done with this thread. Mod, please close it up.

 

[holaho]

Again, you absolutely have no idea how people get jobs in our field so you should just stop. Well, don't you hate AI though? All your posts are surely reflective of that.

 

[bronx43]

Again, you absolutely have no idea how people get jobs in our field so you should just stop. Well, don't you hate AI though? All your posts are surely reflective of that.

I don't hate fields. I simply put my thoughts about what I have seen personally as well as data I have seen online. As I have said, I could care less about any of these fields. You're taking it personally and appear to be directing anger at me. Please stop using my name in any of your posts.
If you want to refute my position, then post your own anecdotes or objective data that refutes numbers from job posting websites. So far, I have seen neither from you.

 

[rokshana]

Rheum is not my field so I don't pretend knowing about how people got jobs. I am not arguing with you saying AI has a better job market lol. What I am trying to tell you is stop telling people about the "horrible" AI job market when you are not even practicing in the field. From your "logic", more than half the fellows are jobless which is laughable. Everyone in AI has multiple offers (speaking from real experience). You absolutely don't know how AI fellows get jobs. Your hatred for the field is pretty obvious from all your posts. So let the people in the field talk about it and keep your hatred for AI to yourself.

You don’t have to be in the field to know if there is trouble...after all most anyone can tell you the specialties that are having difficulties ...nephrology is having its issues...dont have to be a nephrologist to know that.

 

[holaho]

Well sure you can post things if you know a few things about the specialty. I posted my anecdotes and told you data isn't complete because there are other websites such as the AAAAI and ACAAI postings jobs, along with monthly posts about academic jobs that fellowship directors distribute. Again, people in the field would know this. I'm giving you anecdotes as someone who is in the field, yet you refuse to accept it. The field is no way in trouble and there are plenty of jobs to go around, to the point where private practices don't post jobs because it is difficult to fill these spots. When our practice was hiring, we emailed the nearby programs directors and it took 2 years to fill a spot.

 

[holaho]

You don’t have to be in the field to know if there is trouble...after all most anyone can tell you the specialties that are having difficulties ...nephrology is having its issues...dont have to be a nephrologist to know that.

You can absolutely comment on other fields but should not post inaccurate information. When that inaccurate information and personal biases are being posted for years, that person should be called out.