ROAD specialties not as appealing anymore?

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Funny part is bc of his medical knowledge and ability to read and interpret journal articles, he can ask questions that really turn the screws on the physician defendant.
I swear, it's like a cocaine high for him, esp. when the defendant is a surgeon.

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Funny part is bc of his medical knowledge and ability to read and interpret journal articles, he can ask questions that really turn the screws on the physician defendant.
I swear, it's like a cocaine high for him, esp. when the defendant is a surgeon.
I wonder how much money he makes. Might be a legitimate career path if our reimbursements get slashed.
 
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Well, optho is still very competitive because of the great work hours. Derm is dropping, rads is dropping, and anesthesiology is going back to the dogs.

Having just gone through the Match I would say the most competitive specialties are the following:
RadOnc- Awesome lifestyle, super research oriented, pay starts at 300k for academics and goes up to about 500k, private prac make about 500K on average.
Ortho - Forget all drugs except pain killers, cool people to work with, smart jocks. High pay.
Urology - crack dick jokes all day and get paid bank to play with ppl's junk, great lifestyle - starting academic salary is 200k but goes up quickly and private prac makes over 500k on average.
ENT - awesome field, lots of research, cool people, - con: deal with snot... hate snot. Pay is high.

I'd say those are the new golden specialties. As for the Radiology, the residencies are not that competitive anymore but the fellowships are going to become more challenging to get.
 
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imo, the lifestyle specialties would be DROPPER
Derm
Rad/onc
Ophtho
PM&R
Psych
EM (Yes i know some would disagree, but imo ~14 shifts per month with no call is pretty sweet, i dont mind night shifts)
Rheumatology
 
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Well, optho is still very competitive because of the great work hours. Derm is dropping, rads is dropping, and anesthesiology is going back to the dogs.

Derm definitely doesn't seem to be dropping.
 
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imo, the lifestyle specialties would be DROPPER
Derm
Rad/onc
Ophtho
PM&R
Psych
EM (Yes i know some would disagree, but imo ~14 shifts per month with no call is pretty sweet, i dont mind night shifts)
Rheumatology

Probably one of the more accurate lists I've seen...
 
imo, the lifestyle specialties would be DROPPER
Derm
Rad/onc
Ophtho
PM&R
Psych
EM (Yes i know some would disagree, but imo ~14 shifts per month with no call is pretty sweet, i dont mind night shifts)
Rheumatology

Add "A" beforehand for Allergy/Immunology.
 
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Yup, MS-3 can definitely color your view of a specialty. The reason is bc the norms in Surgery are very different from the norms on IM vs. Peds vs. Psych, etc. I knew a guy who was so angry after his MS-3 experience, after his MD he went to law school, got his JD, and now sues doctors for malpractice for a living. He thoroughly enjoys it deep down, esp. due to his former experience. Perfect revenge, I think, IMHO.

You've piqued my interest. :p

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Well, optho is still very competitive because of the great work hours. Derm is dropping, rads is dropping, and anesthesiology is going back to the dogs.

Having just gone through the Match I would say the most competitive specialties are the following:
RadOnc- Awesome lifestyle, super research oriented, pay starts at 300k for academics and goes up to about 500k, private prac make about 500K on average.
Ortho - Forget all drugs except pain killers, cool people to work with, smart jocks. High pay.
Urology - crack dick jokes all day and get paid bank to play with ppl's junk, great lifestyle - starting academic salary is 200k but goes up quickly and private prac makes over 500k on average.
ENT - awesome field, lots of research, cool people, - con: deal with snot... hate snot. Pay is high.

I'd say those are the new golden specialties. As for the Radiology, the residencies are not that competitive anymore but the fellowships are going to become more challenging to get.

Your list is bogus. Maybe those are the ones you like the most but not more competitive than the others left out.

Plastics is still the most competitive.

Most people don't want to work with snot or penises all day.

And left out ophtho probably because you know nothing about it like most ppl. This year ophtho was more competitive than it has been in years.

Rad onc and ortho are solid. They're both on the chopping block salary wise though.

Basically all the competitive specialties will always make good salaries even after they are cut. Ophtho is one that has already taken big cuts over the years and it still averages 400k. In a way I like knowing ophtho was already cut a lot because I have an idea what to expect when I actually practice in 5 years since now the salary has mostly stabilized. Ortho and rad onc salaries may look much different in that time.
 
The money in Rheum isn't great though, from what I hear.
 
The money in Rheum isn't great though, from what I hear.

The patients are likely to be some of the most miserable as well. Although there is considerable overlap between Dermatology and Rheumatology, you'd be hardpressed to find enough money to convince me to do Rheum.
 
The patients are likely to be some of the most miserable as well. Although there is considerable overlap between Dermatology and Rheumatology, you'd be hardpressed to find enough money to convince me to do Rheum.

Now that you mention it, the general set up of the practice is very similar in both fields. I have never looked at it like that before.

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The money in Rheum isn't great though, from what I hear.
Depends I guess what procedures you're doing. Most like it for the lifestyle. It's more an an academic, intellectual specialty.
 
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Now that you mention it, the general set up of the practice is very similar in both fields. I have never looked at it like that before.

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I meant from a pathophysiological standpoint, not a practice management standpoint. Dermatology and rheumatology have a ton of overlapping pathology. There are specific Rheumatologic Dermatology fellowships after Derm residency.
 
I meant from a pathophysiological standpoint, not a practice management standpoint. Dermatology and rheumatology have a ton of overlapping pathology. There are specific Rheumatologic Dermatology fellowships after Derm residency.

I thought you meant mostly clinic, some consults, some procedures, usually not deathly ill patients, but with the occasional really sick person, etc.

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I thought you meant mostly clinic, some consults, some procedures, usually not deathly ill patients, but with the occasional really sick person, etc.

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Nah, although that's not too far off the mark either.

Rheumatology deals with a ton of the complicated, fibromyalgia-ish patients (although that's certainly not their only purview). These patients are frustrating and (to me) rather miserable to deal with.

I had offered the original caveat (the overlap between Derm and Rheum diseases) to note that, although I realize a fair amount of the patients I see are these types of patients (due to the myriad mucocutaneous manifestations of diseases like SLE/DLE/SCLE, dermatomyositis, systemic sclerosis, etc), if my practice was based almost entirely around them, I would hate my job.
 
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Ah Rheum...the guys and gals we send our pts to when we open up that ANA positive Pandora's box.

In all seriousness, there definitely is a lot of overlap and we are sending pts back and forth all the time.
 
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Ah Rheum...the guys and gals we send our pts to when we open up that ANA positive Pandora's box.

In all seriousness, there definitely is a lot of overlap and we are sending pts back and forth all the time.

A Dermatologist needs a good Rheumatologist group he/she can count on.
 
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What's the significant difference between immunology and rheumatology in practice?
 
What's the significant difference between immunology and rheumatology in practice?

Different patients. The rheum patients can be sicker in general.

Just look at the top 5 diagnoses in each specialty and you'll get an idea of who they are dealign with and how hard that might be.
 
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Physicians have some weird schadenfreude satisfaction if their coworkers suffer. Primary care loves seeing cuts to specialists and specialists don't care if PCPs can't keep their lights on.

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Doesn't help when residents/attendings (on this forum, no less) don't have an ounce of respect for attendings in other fields. Divided we fall.
 
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Doesn't help when residents/attendings (on this forum, no less) don't have an ounce of respect for attendings in other fields. Divided we fall.

yeah exactly, people do NOT criticize any other speciality or ever say that another speciatly makes too much..it'll come back to hurt your field as well, you do NOT want political leaders regulating your salary even more so, they will destroy your salary if they could
 
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yeah exactly, people do NOT criticize any other speciality or ever say that another speciatly makes too much..it'll come back to hurt your field as well, you do NOT want political leaders regulating your salary even more so, they will destroy your salary if they could

heard a surgeon today b*tching about a family med doctor for not doing his job...to his nurse practitioner...it's exactly this mentality that has hurt us over the years...the nurses love it and relay that info back to the patients making physicians look bad..ever heard of a nurse telling a doctor that a nurse not doing a good job? we seriously need to stop criticizing other doctors/specialities especially to patients/nurses/mid-levels/media/government..keep the criticism among other doctors if you want to vent
 
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sympathy for wall street workers...really?? wish medicine had PR as effective as this....

Working on Wall Street is 'a dystopian nightmare': Kevin Roose

http://finance.yahoo.com/blogs/dail...topian-nightmare---kevin-roose-172052039.html

Characters like Jordan Belfort (the DiCaprio-depiction) and Gordon Gekko fill the big screen and young minds with dreams of Wall Street grandeur and luxury. And maybe once-upon-a-time working for a big bank was full of such excess, but today, says Kevin Roose, it’s less about a spoil of riches and more about long hours and thankless work.

Roose followed eight young Wall Street hopefuls over the course of three years for his book "Young Money." What he found was that the job wasn’t quite what they expected it to be. “It wasn’t anything like The Wolf of Wall Street,” he says.

“It was like a dystopian nightmare. They got there and were immediately thrust into these jobs where they were working sometimes 100 to 110 hours a week. There’s a thing called the bankers 9-to-5…where you show up for work at 9am and you don’t leave until the next day at 5am.”

The young bankers also found that a certain shame came with holding their job titles in a post-Occupy world. “When you add that to the stigma with working in the financial industry after the crash and the fact that they weren’t getting paid as much as they used to, it made for a very unhappy experience,” says Roose.

That’s not to say those starting their careers in finance aren’t making a very good salary. “These people are still making between $90,000 and $130,000 a year for their first year out of college which is a tremendous amount,” says Roose. “But I think what I didn’t realize is that the money didn’t cheer them up. It wasn’t making their lives any better.”

Structural changes on Wall Street aren't as vast as some want them to be, but the culture has changed tremendously since 2008, says Roose. “These young bankers are often embarrassed to say they work on Wall Street."

One of the bankers Roose followed would tell people that he worked as a consultant instead. “That would never have happened in 2007 or earlier. I think what you’re seeing is the industry has lost its shine and that rubs off on the people who work there.”

Wall Street is similar to a religion says Roose, and learning to think like a banker often changed the way the young people he followed thought about life.

“They [the banks] want to reshape your worldview and so these people came in as college students…two years later they come out and they’re bankers, they’ve been turned into professionals. And that effects everything in their lives from the way they view dating to the way they view their own finances to the way they view global politics and the economy,” he says. "It creates a transactionalized worldview that can be very destructive."
 
sympathy for wall street
workers...really?? wish medicine had PR as effective as this....

Working on Wall Street is 'a dystopian nightmare': Kevin Roose

http://finance.yahoo.com/blogs/dail...topian-nightmare---kevin-roose-172052039.html

Characters like Jordan Belfort (the DiCaprio-depiction) and Gordon Gekko fill the big screen and young minds with dreams of Wall Street grandeur and luxury. And maybe once-upon-a-time working for a big bank was full of such excess, but today, says Kevin Roose, it’s less about a spoil of riches and more about long hours and thankless work.

Roose followed eight young Wall Street hopefuls over the course of three years for his book "Young Money." What he found was that the job wasn’t quite what they expected it to be. “It wasn’t anything like The Wolf of Wall Street,” he says.

“It was like a dystopian nightmare. They got there and were immediately thrust into these jobs where they were working sometimes 100 to 110 hours a week. There’s a thing called the bankers 9-to-5…where you show up for work at 9am and you don’t leave until the next day at 5am.”

The young bankers also found that a certain shame came with holding their job titles in a post-Occupy world. “When you add that to the stigma with working in the financial industry after the crash and the fact that they weren’t getting paid as much as they used to, it made for a very unhappy experience,” says Roose.

That’s not to say those starting their careers in finance aren’t making a very good salary. “These people are still making between $90,000 and $130,000 a year for their first year out of college which is a tremendous amount,” says Roose. “But I think what I didn’t realize is that the money didn’t cheer them up. It wasn’t making their lives any better.”

Structural changes on Wall Street aren't as vast as some want them to be, but the culture has changed tremendously since 2008, says Roose. “These young bankers are often embarrassed to say they work on Wall Street."

One of the bankers Roose followed would tell people that he worked as a consultant instead. “That would never have happened in 2007 or earlier. I think what you’re seeing is the industry has lost its shine and that rubs off on the people who work there.”

Wall Street is similar to a religion says Roose, and learning to think like a banker often changed the way the young people he followed thought about life.

“They [the banks] want to reshape your worldview and so these people came in as college students…two years later they come out and they’re bankers, they’ve been turned into professionals. And that effects everything in their lives from the way they view dating to the way they view their own finances to the way they view global politics and the economy,” he says. "It creates a transactionalized worldview that can be very destructive."

The interviewer says there is "no sympathy for these grads as they make ridiculous amounts of money right out of college" (referring to 90k-130k).

It is true that these entry level i-bank jobs are no walk in the park. They work crazy hours, deal with an often abusive hierarchy of superiors, and have a lot of stress inherent to their position (in their case, losing it).

As someone in medicine/medical training, we should be able to appreciate those plights.

Most of the drones don't become managers/partners...many leave for other pursuits.

Essentially they sing the same song as those in medicine:
"It isn't as sunny as you think, Mr. layperson. But thanks for knowing my job better than I do."
 
The interviewer says there is "no sympathy for these grads as they make ridiculous amounts of money right out of college" (referring to 90k-130k).

It is true that these entry level i-bank jobs are no walk in the park. They work crazy hours, deal with an often abusive hierarchy of superiors, and have a lot of stress inherent to their position (in their case, losing it).

As someone in medicine/medical training, we should be able to appreciate those plights.

Most of the drones don't become managers/partners...many leave for other pursuits.

Essentially they sing the same song as those in medicine:
"It isn't as sunny as you think, Mr. layperson. But thanks for knowing my job better than I do."

yeah my point is that the article has a sympathetic tone towards wallstreet workers while recently the media has been on attack against physician reimbursement when as we all know our training is no walk in the park either..
 
personal butt toucher
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yeah my point is that the article has a sympathetic tone towards wallstreet workers while recently the media has been on attack against physician reimbursement when as we all know our training is no walk in the park either..

I don't know. To me it came off as an author pushing his book. Pretty much every "sympathetic" comment is a direct quote from the book's author.

If you go forth and write a book about the struggles in medicine -- and then do an interview pushing your book -- we will be all caught up.
 
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“They [the banks] want to reshape your worldview and so these people came in as college students…two years later they come out and they’re bankers, they’ve been turned into professionals. And that effects everything in their lives from the way they view dating to the way they view their own finances to the way they view global politics and the economy,” he says. "It creates a transactionalized worldview that can be very destructive."
Funny, medical education and residency do the same thing.
 
If you guys are making the argument that bankers have had an easier time in the media than doctors then you just haven't been paying attention for the past six years.
 
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If you guys are making the argument that bankers have had an easier time in the media than doctors then you just haven't been paying attention for the past six years.

Well bankers destroy lives. Doctors save them. In general
 
Well bankers destroy lives. Doctors save them. In general

Saying bankers generally destroy lives is like saying doctors are generally greedy. It's just a stereotype. Do irresponsible bankers cause massive damage to society and the economy? Yes. That's not all of them though. They go to work and try to do the best they can, they aren't out for blood or anything silly like that.
 
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If you guys are making the argument that bankers have had an easier time in the media than doctors then you just haven't been paying attention for the past six years.
Who cares about the media? Bankers have real power over politicians and govt. Doctors don't. (as proven by the AMA)
 
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Who cares about the media? Bankers have real power over politicians and govt. Doctors don't. (as proven by the AMA)

This x 1000

Who controls the Capitalist system? The owners of Capital. Who proportionally owns and controls the most Capital, i.e. Equities? Corporate types and Financiers. They're the Capitalists, and thus, they are the truly wealthy elite.

Doctors are emphatically not the owners of capital, they are in the service of capital and thus work for the Capitalists.

Just look at taxes for instance:

First, the rate is now 39.6% and on top of that physicians need to pay state/local income taxes. Also, for any investments they make, they need to pay an additional 3.8% in capital gains because of the Obamacare tax. So the real capital gains rates are 23.8% for the long term capital gains tax rate and 43.4% for the short-term capital gains tax rate.

Meanwhile, finance/corporate people dodge the whole system. Either they select deferred compensation in bonus (stock option) payments for the bulk of their salaries totaling at 23.8%, or if they are short-term traders, they can pass-through the (carried interest) profits from their fund into a shell corporation (which can pay for their homes ('home offices')/company car(s), etc.) and pay only 35% in capital gains tax vs 43.4%.

Really wish I knew this back in undergrad when going into finance was a real option
 
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Who cares about the media? Bankers have real power over politicians and govt. Doctors don't. (as proven by the AMA)

Well yah I agree with you there. Doctors indibidually have political power if they are the lucky, well-bred, incredibly wealthy Rand Paul types. But Doctors as a group aren't cohesive enough to be a real force. Which is frustrating.
 
If you guys are making the argument that bankers have had an easier time in the media than doctors then you just haven't been paying attention for the past six years.

Haven't been paying attention because im too busy working my balls off.

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You have no idea what bankers do, do you?

is one of your parents a bank executive? we're not talking about the average banker at your local branch, those guys are middle class folk, we're talking about the big boys..

banks are for-profit they do not have the average man's self-interest in mind, their goal as any for-profit company is to maximize profit..they took US tax payer money and continued predatory tactics of foreclosing on homes on the middle class instead of providing any relief because they were actually profiting from foreclosures (they got to keep the money that people had been paying for years until they defaulted + entire house that they can sell at a decent price + mortgage insurance which the homeowner was made to pay to protect the bank if the loan ever defaulted)..for programs that allowed homeowners to modify their loans, banks would actually encourage them to default on their loan so that they would qualify for assistance and then banks would play games saying they never received the papers or would stall on the papers and then say they need updated papers and would continue doing this long enough where the homeowner would get so behind in payments that they would never be able to recover and their house would eventually be foreclosed..look it up, too many people had this happen to them

and its their predatory behavior that has led to depression/recessions of many nations throughout history

not a single legit law was passed following the current recession that would prevent their predatory behaviors from happening again, but the government and media are all over doctors $200,000 salary as a cure for the nation's economic issues..no doubt about it, bankers >>>>>>>>>>>> doctors when it comes to power and influence
 
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If you guys are making the argument that bankers have had an easier time in the media than doctors then you just haven't been paying attention for the past six years.

hell yeah they had it easier overall, tell me one legit law that was passed that would reign in their predatory actions and prevent what they did from happening again, or limit the salaries of execs while the average man was made to work harder and harder for less money while companies continue to make record profits..they got a slap on the wrist and billions of taxpayer money from the middle class, the same people they were screwing over..you got laws and media targeting physician reimbursement and portraying us as being evil for making a salary after several more years of sacrifice and debt
 
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We're not talking about your average banker at the local Bank of America, genius. More like Lloyd blankfein, Jamie Dimon, Vikram Pandit, etc.

Their money and services have value. If they were worthless leeches, the world economy would do without them.
 
Obviously not if our elected representatives voted to bail them out with public money.
When the bailout first went to vote it failed after public outcry. Like I said, they have quite a bit of power to pay off many elected officials. Hardly a valid measure of their worth to the public.
 
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When the bailout first went to vote it failed after public outcry. Like I said, they have quite a bit of power to pay off many elected officials. Hardly a valid measure of their worth to the public.

As long as the members of this society wish to use credit to fund their lifestyles and desires this world will need bankers. As long as capitalism subsists, we will need bankers.
 
hell yeah they had it easier overall, tell me one legit law that was passed that would reign in their predatory actions and prevent what they did from happening again, or limit the salaries of execs while the average man was made to work harder and harder for less money while companies continue to make record profits..they got a slap on the wrist and billions of taxpayer money from the middle class, the same people they were screwing over..you got laws and media targeting physician reimbursement and portraying us as being evil for making a salary after several more years of sacrifice and debt

*in the media, I said. I challenge you to point to a profession that is more universally hated.
 
Endocrinology? Good lifestyle, average pay for average volume. No?
 
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