Specialties with the Biggest Caseload

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wallstreet1986

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Hi I'm considering being an OBGYN and I'd imagine with increased population growth especially in places like California and Texas that the caseload keeps getting bigger and bigger.

What other specialties are experiencing growth or facing major shortages currently (I want to fill a need but make sure I like what I'm doing also)?

Thanks.
 
Idiopathic said:
Wow, between investment banking or OB/GYN...are you sure it pays enough?

I have since been turned off by the greed and lack of meaning in investment banking. If I live in a rural area or a cheaper part of the country it will pay plenty enough. I want to do work because it is interesting, because I like hospitals and medicine, and because I want to help people. I seriously am not into it totally for money anymore.

I just want to go into something with the most impact or the biggest need.

I'd imagine that cardiovascular surgeons would be in demand but apparently they are going to be replaced (?) or that is dying out.

Which specialties have the biggest shortages and influx of patients?
 
turned off by greed, eh. funny, me too. do what you like, charlie sheen.
 
I appreciate said responses but I AM serious and would like to know more. Would someone please answer my question. The specialty specifically called "cardiovascular" surgery I have heard is dying out. Who will be doing bypasses, open heart surgery etc-- a thoracic surgeon? Or does this come under the sphere of the cardiologist?

Thanks.
 
wallstreet1986 said:
I appreciate said responses but I AM serious and would like to know more. Would someone please answer my question. The specialty specifically called "cardiovascular" surgery I have heard is dying out. Who will be doing bypasses, open heart surgery etc-- a thoracic surgeon? Or does this come under the sphere of the cardiologist?

Thanks.

The open heart surgery, transplant, CABG will always be done by the cardiothoracic surgeon. It's just that the amount of stuff that invasive cardiology/interventional radiology can do has been increasing like crazy; gradually taking away many of the cases that traditionally only the big, bad cardiothoracic surgeon could do.
 
wallstreet1986 said:
I have since been turned off by the greed and lack of meaning in investment banking. If I live in a rural area or a cheaper part of the country it will pay plenty enough. I want to do work because it is interesting, because I like hospitals and medicine, and because I want to help people. I seriously am not into it totally for money anymore.

I just want to go into something with the most impact or the biggest need.

I'd imagine that cardiovascular surgeons would be in demand but apparently they are going to be replaced (?) or that is dying out.

Which specialties have the biggest shortages and influx of patients?

You haven't had much of a change of heart-- I'm sure you're asking about physician supply and demand out of purely benevolent motivations. Regardless, trying to predict this is an exercise in futility. I feel for all the poor suckers in the early to mid 90s who were lied to about how there would be a massive shortage of primary care physicians coming "real soon." The reality is, most of the fields that were high-paying thirty years ago are still (relatively) high-paying today, and most of the stuff that paid crap (relatively) thirty years ago, still pays relatively little. You can certainly talk about how general surgery has been on the way down financially, or radiology has been on the way up, but I don't think there have been many (if any) specialties that went from quite a bit above average to quite a bit below average. It's pretty safe to say that if you do a surgical subspecialty, you will always be making relatively nice bank, and if you are doing family practice, psych, or peds, you will be making pretty weak bank. That's about as precise a determination as you're going to be able to confidently make about future directions.
 
WatchingWaiting said:
You haven't had much of a change of heart-- I'm sure you're asking about physician supply and demand out of purely benevolent motivations.

Still thinking like an economist unfortunately. 🙄 I really am turned off by greed though-- I go to college in an extremely wealthy out of the ordinary sort of place and I do not admire the rampant materialism one bit. That's not why you go into medicine. You go into medicine to help people and the healthcare industry. People shouldn't have to wait 6 to 8 months for certain procedures, healthcare should be more affordable for everyone, doctors shouldn't have to leave their practices and patients behind to start up elsewhere. For all of the faults of national healthcare there are certainly some merits. The problem is getting doctors and young medical school graduates to accept the change.

I want to go wherever I am best and will be most needed.
 
It's difficult to predict specifically which specialties will have heavier caseload or higher patient influx, since it is dependent on location and population dynamics, as well as on the number of physicians entering each field. For some subspecialties, like CT surg, it is possible, but for comparable surgical subspecialties technology and medication advances, not to mention shifting patient behavior, makes it hard to be entirely accurate.

In general, our population is aging. Geriatrics and associated specialties will experience a generally higher patient load. However, does this mean pediatrics will have have fewer patients per pediatrician? It depends on the practice and the number of pediatricians. Generally speaking though one can say that surgical diseases of aging, such as colorectal or surg onc, will experience an increase in patient volume, but if you are a colorectal surgeon in a rural area with a sparse population your caseload will be light.

In terms of surgical fields, there will be fewer general surgeons, but more and more cases are being done by subspecialists. More and more vascular surgeons are feeling the pinch from interventional radiology and even from thoracic surgeons in some areas and regards some procedures. Bariatric surgery is a booming field, and with increasing rates of obesity may continue to be a burgeoning field, but all it takes for that to change is one effective pill.

In other words, your question is pretty complicated and defies a simple answer. the best thing to do is to find the type of work you enjoy, in broad terms (medicine vs. surgery, academic vs clinical, shiftwork vs. long follow up, rural vs. urban, etc.), and then specify from there. Skilled clinicians will always be in demand.

Just my 2 cents.
 
Thanks for the advice Doctor Doom.

I'm still in college and majoring in Physics and Chemistry and haven't even done a hospital internship yet although I've been to a few hospitals and spoken with doctors and I know this is really what I want to do. It's probably too early to choose a specialty and I tend to overplan my future. I know that I don't want to do an easy specialty and I want to fill a need. The rotations part of medical school is also probably very helpful in terms of choosing a specialty. Right now I have more things to worry about like grades and the MCAT, extracurriculars and internships, and relaxing and having fun with my college experience.

Thanks to everyone who contributed on this thread.
 
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