So, you want to be an anesthesiologist.

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residentphysici

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Well, let me start by saying that I am in my last 22 days of my anesthesiology residency at Johns Hopkins Hospital. I can vividly remember 5 years ago when I was deciding to either pursue residency in anesthesiology, ENT, or Ob/Gyn. I am sooooooo happy I chose anesthesiology. What are the top 10 things that make me happy to be an anesthesiologist?

10. I always go home post-call at 7 AM
9. There are more jobs than I could ever imagine
8. Typical attending anesthesiologists get 6 - 12 weeks of vacation.
7. No one is paging me at home
6. Residency is tolerable
5. All of my patients are compliant!
4. I have to be very skilled in the basic sciences, clinical sciences, and with procedures (TEE, lines, EP monitoring, etc.)
3. Paperwork is minimal.
2. I focus on one patient at a time giving my 100%.
1. I love my patient interaction because they are ALWAYS positive! I relieve their anxiety, I take care of their pain, and I keep them alive!

I did not fully appreciate these factors when I made my decision 5 years ago, but I am reminded of them every day. I could not imagine doing anything else but anesthesiology. I look forward to taking care of each of my patients and I have a very high satisfaction from their appreciation of my care.

So, what does it take to be an anesthesiologist? Well...

1. A bit of paranoia. Anesthesiologists are always concerned that something may go wrong, and thus they are constantly preparing and expecting a disaster.

2. You need to be very annal. This avoids being unprepared when things go wrong.

3. You need to be a great time manager. OR management require that you are constantly pushing to stay on time and get things done faster.

4. You need to be able to cope with a lot of stress. A 40 hour week in anesthesia feels like an 80 hour week in medicine (honestly).

5. You need to be able to think very fast and act on it. A few seconds of delay can lead to death.

6. A team player attitude. This is not about the surgeon vs anesthesiologist picture you are used to seeing. In private practice and many other settings, the goal is to do what is best for the patient. You are usually the most important part of that team.

7. You have to be very good with your mind and your hands. Far beyond the intubations are the TEEs, bronchoscopies, regional anesthetics, etc. that will take years to master.

I could go on. I am so happy to see the level of interest in the specialty. I'll post something on choosing a residency program. Until then, feel free to email me([email protected]) and post here.
 
Excellent post. :clap:

You outlined all the reasons I decided on anesthesia, and its nice to have a senior resident confirm them. I can't wait for my intern year to be over and to start my anesthesia training.
 
Great overview, residentphysician. Nice job.
 
:clap:

I am currently in my first anesthesia rotation and as I suspected I love it!! It is definately what I am going to pursue!~ Your post is great! I to have debated between anesthesia, general surgery and OB/GYN, but really feel anesthesia is more in line with my personality and interests! It is great to hear all the positives from someone almost done with their training!!
 
I am a D.O. medical student. I was curious what my USMLE score needed to be to be competitive. As far as class rank goes I am in the top ten but I take the USMLE on Tuesday so I am a little anxious!
 
Thanks so much for your insights. This is really great stuff to hear, esp the fact that it's fast paced and high-intensity. I feel like it's in those kind of situations where I do my best work. The thought of sitting around being bored is one of the things I worry about most when I consider my future, and it's nice to know that's not the reality.

Actually, the best thing in your post was really the fact that you feel like the patient interactions are significant and rewarding. I hear people tell me all the time "there's no patient interaction, everyone's knocked out and tubed." This from people who barely see each patient for 2 minutes on rounds. 🙄
 
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