Surgery and surgical sub specialties are poised to become a lot more competitive (likely due to AI fears)

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voxveritatisetlucis

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Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?

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just my 2 cents, but it is only a matter of time that we will have a combonation of mid levels+AI that will dominate some non-surgical specialties. LOL, Elon might lead the charge.
 
just my 2 cents, but it is only a matter of time that we will have a combonation of mid levels+AI that will dominate some non-surgical specialties. LOL, Elon might lead the charge.
yes, and even if that doesn’t happen, all it takes is the fear of it happening to drastically change applicant preferences. Pretty soon, I suspect general surgery will have a <50% match rate with many of the sub specialties being <30% for MDs with virtually no DOs matching aside from historic DO programs
 
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Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?
How were you able to come up with such “accurate” head count?

Edit: Nvm just saw your comment above
 
I even said that it was a small sample, and that’s why I was asking if it seems similar at other schools
 
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Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?
 
How is it lack of insight? My school literally published the results of the survey with this year and past year data
Please post the link to the paper, or to the survey results so that we may independently review. You used the word “assume” in the initial post. If the survey stated that the reason behind students’ specialty choices included fear of AI in non-surgical specialties, then you wouldn’t need to assume. So presumably the survey just told you what prior classes matched into.

Your obsession with AI as previously documented in many places in this forum does not necessarily correlate to similar obsession amongst your peers.
 
Marked interest in surgical subspecialties started well before AI. The reasons are simple, as surgical subspecialties offer what a lot of people are looking for in a career: high income, control of schedule (eventually), prestige, and the ability to focus on a relatively narrow subject (which foments the acquisition of expertise). A good way to make a lot of money while preserving some sense work-life balance, which is allegedly more important to younger generations of doctors.

These fields used to be smaller and less mature, and generally more pursed by grads from higher tier schools. As they've grown and become more mature and well-recognized, students at high-, mid-, low-, and no-tier schools now chase them avidly.
 
I would also argue non-surgical (but still procedural) fields such as Interventional Cardio, Interventional GI, IR, etc. would be primed well for the future in your argument.

That being said, I do think the AI argument remains over blown, if only because the only way for AI to completely cut out physicians is for the company that makes the AI to take legal liability. And I'm guessing if OpenAI or the makers of Claude, etc. did so, their stock price would plummet from the sheer barrage of lawsuits.

EDIT: Also a <50% match rate for gen surg and <30% match rate for surgical subspecialties is laughable. Even the most competitive subspecialty out there (neurosurgery) remains at a 68.4% match rate. Unless you're saying that IM, FM, Peds and others are going to just close up all residencies and all of medical school will just be focused on training to be surgeons, but I trust med school deans to know better.
 
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also anecdotal but most of the people I meet at my school want to do medicine specialties...maybe met 15-20 people total interested in surgery? The interest groups for internal med definitely has way more people than gen surg...
 
In addition to money etc, a contributing factor I've seen in my class is how close Step 2 is to application deadlines. Everybody assumes they're gonna get that 270. I'm absolutely not for a scored Step 1, but one thing it did do is select out some of the overly optimistic early in med school. We also have data regarding this question; this is stolen from Francis Deng on twitter.
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I would also argue non-surgical (but still procedural) fields such as Interventional Cardio, Ophtho, Interventional GI, IR, etc. would be primed well for the future.
Ophthalmology is a non-surgical field?
 
Procedural based fields are slightly more protected from mid-level encroachment and AI. (For now at least). These fields will only get more and more competitive these upcoming cycles. Study up!
 
Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?
No, they want to apply to surgical subspecialties because they are extremely lucrative, and they want to pay off their medical school debts as fast as possible.

So how many posts have you made so far on the threat to Medicine from AI? Or midlevels??
 
Yeah I don’t think fear of AI is driving it. Subs offer a lot of things most people want in a career - pay, lifestyle, flexibility, interesting work, etc.

I tend to be pretty bullish on AI and medicine. I think it’s going to make all of medicine easier and better long before it makes doctors obsolete. It’s already cutting down a chunk of my admin burden and it’s only going to get better. The notes I get from referring docs who’ve started using AI scribes are light years better and more useful to me as a consultant than what the docs wrote themselves.
 
Yeah I don’t think fear of AI is driving it. Subs offer a lot of things most people want in a career - pay, lifestyle, flexibility, interesting work, etc.

I tend to be pretty bullish on AI and medicine. I think it’s going to make all of medicine easier and better long before it makes doctors obsolete. It’s already cutting down a chunk of my admin burden and it’s only going to get better. The notes I get from referring docs who’ve started using AI scribes are light years better and more useful to me as a consultant than what the docs wrote themselves.
The second order effect of AI is likely going to be seeing more patients is my guess as economic forces are going to astutely realize there is underutilized labor on the table (less note writing time). Not sure if it’s worse than what we have. Regardless, it makes things interesting.
 
The second order effect of AI is likely going to be seeing more patients is my guess as economic forces are going to astutely realize there is underutilized labor on the table (less note writing time). Not sure if it’s worse than what we have. Regardless, it makes things interesting.
Oh yeah most definitely. If I had good generative AI doing all my notes I’d add an hour at least of clinic per day and still be done earlier than I am now. Add in an AI that chart reviews for me and gives me a truly meaningful highlight reel of their story would save me even more time.

But yeah I’m sure admin will use it to demand more volume, but personally I don’t mind that too much. I’d much rather see an extra hour of clinic than write an hour of notes!
 
Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?
What exactly do you mean "AI fears??"
 
Ll
So you're now an expert on all the non surgical fields
No but hospitals will do whatever it takes to save money and for the next patient you see put their history, vitals, physical, lab and see how well it does with assessment and plan. In 90/100 cases it’s spot on
 
Ll

No but hospitals will do whatever it takes to save money and for the next patient you see put their history, vitals, physical, lab and see how well it does with assessment and plan. In 90/100 cases it’s spot on
Even with your wild assumptions that can’t be substantiated, all this training if you haven’t realized yet is for that 10/100 that need an expert.
 
Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?
Bro, literally 85 of the 115 in my starting med school class stood up and announced they were going to be surgeons (half of those were claiming ortho) at the beginning orientation when we were asked to introduce ourselves. I literally counted because I wanted to see how many actually ended up surgeons.

People always want to be surgeons until they 1. Find out they don’t actually like the day to day when they realize how rough it actually can be, or 2. Realize they aren’t competitive.

People don’t take Step 2 until right before applications. P/F Step 1 removed the earlier culling of the heard that used to happen. I can’t even tell you how many people suddenly found passion in IM or peds after Step 1 after being diehard ortho stans for 2 years
 
How do you counsel students who do poorly on Step. This is a problem when the Step 2 comes out so late when they have vested so much time and energy in a particular competitive field.
 
How do you counsel students who do poorly on Step. This is a problem when the Step 2 comes out so late when they have vested so much time and energy in a particular competitive field.
Every student who is aiming for a competitive specialty should have a backup plan. This was true before Step 1 went P/F.
 
How do you counsel students who do poorly on Step. This is a problem when the Step 2 comes out so late when they have vested so much time and energy in a particular competitive field.
True but I feel like it’s much harder to bomb step 2. I think the Median is like 256 and standard deviation is super low
 
How do you counsel students who do poorly on Step. This is a problem when the Step 2 comes out so late when they have vested so much time and energy in a particular competitive field.
You encourage them to see that there are still doors open to them to be a doctor, even though others are closed, and then let them make the decision.
 
Every student who is aiming for a competitive specialty should have a backup plan. This was true before Step 1 went P/F.
The good thing about step 1 is that it is typically earlier in the process so you have more time to adjust your research moving forward as well as 4th year curriculum , letters and aways etc. The worry I have is step 2 is after 3rd year and so it does not give much time to recover. Also if you did not do well on Step 1 but did really well in Step 2 it would still give you a shot at a competitive field .
 
Ll

No but hospitals will do whatever it takes to save money and for the next patient you see put their history, vitals, physical, lab and see how well it does with assessment and plan. In 90/100 cases it’s spot on
outpatient medicine..... I know most surgeons fail to think life outside the hospital exists (well aside from ent, uro, plastics, and some nsgy/ortho) but outpatient medicine free from hospitals is a thing and a large component of medicine lol
 
The good thing about step 1 is that it is typically earlier in the process so you have more time to adjust your research moving forward as well as 4th year curriculum , letters and aways etc. The worry I have is step 2 is after 3rd year and so it does not give much time to recover. Also if you did not do well on Step 1 but did really well in Step 2 it would still give you a shot at a competitive field .
Take step 2 earlier
 
The good thing about step 1 is that it is typically earlier in the process so you have more time to adjust your research moving forward as well as 4th year curriculum , letters and aways etc. The worry I have is step 2 is after 3rd year and so it does not give much time to recover. Also if you did not do well on Step 1 but did really well in Step 2 it would still give you a shot at a competitive field .
Those days are gone. Time to move on.
 
Small sample size, but at my low tier MD school 45-50 out of 105 students plan to apply to some type of surgical specialty. Another 10-15 for anesthesia. In past years, only about 20-30 applied per year. I’m assuming that this is due to AI fears amongst medical students. Does this hold true at your school?

you would've like medicine forums in the 90s, they loved living in fear of everything around them too haha
 
Ll

No but hospitals will do whatever it takes to save money and for the next patient you see put their history, vitals, physical, lab and see how well it does with assessment and plan. In 90/100 cases it’s spot on

No offence, but this shows your naivety of medicine, which is fair you are still a med student, a frog in the well.
 
This is definitely true. Ask how many of your peers are applying radiology. M1 before GPT release there was like 10+ applying rads. Now 0 in my class. People dead set on IM/FM now applying gen surg despite having 3 kids at home. Will make a good pubmed study for sure
 
This is definitely true. Ask how many of your peers are applying radiology. M1 before GPT release there was like 10+ applying rads. Now 0 in my class. People dead set on IM/FM now applying gen surg despite having 3 kids at home. Will make a good pubmed study for sure
I don't see how it would be a good pubmed study based on your hearsay, but hey, power to you if you can find nationwide evidence of that (my guess is, you won't)

There's a funny dynamic between what you hear and what you attending will tell you. Example: Went to a Rad Onc luncheon today and professors and PGY-5's made it abundantly clear that the job market is not hurting right now and is actually looking to improve
 
I don't see how it would be a good pubmed study based on your hearsay, but hey, power to you if you can find nationwide evidence of that (my guess is, you won't)

There's a funny dynamic between what you hear and what you attending will tell you. Example: Went to a Rad Onc luncheon today and professors and PGY-5's made it abundantly clear that the job market is not hurting right now and is actually looking to improve
Easy…. survey aboht pre and post ai specialty preferences. Literally like 75% of medicine pubs rn are these type of stupid surveys
 
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Easy…. survey aboht pre and post ai specialty preferences. Literally like 75% of medicine pubs rn are these type of stupid surveys
My point is that I doubt your results are born out anywhere else. And your results likely don't account for people after rotations, when due to exposure/lifestyle/competiveness many of your classmates will suddenly find newfound interests in IM or primary care.

Put it like this another way...if what you predict is true and matching into any field, procedural or not, that is not surgery becomes non-viable (i.e. all residency programs for those close doors immediately) and therefore MD match rates drop to like 25%, as you've suggested, a lot of schools are suddenly going to find themselves very short of alumni donations. Ignoring the future of the profession people have matched, are matching, and will continue to match in non-surgical fields, and at rates and in numbers that are often, though not always higher, than those of their surgical counterparts
 
Our radiology groups are hiring like crazy.

IM too.

Take a look at the job market—few specialties are actually in low demand. And if they are, usually moving to a different geographical area puts one in demand.

AI cannot practice medicine. I’ve told you that before. No one except a physician can legally practice medicine in the US—hence why radiology hasn’t been outsourced to foreign physicians, as much as admins would love it.

Perhaps when people trust AI to drive their car they will trust AI to be their physician. And as long as it takes AI to get regulatory approval to drive, expect that time to be doubled for it to get regulatory permission to practice medicine.

AI is going to help us be “more efficient.” (ie, do more work for the same pay, most likely). But it’s not taking our jobs anytime soon.

Please stop the doom/gloom/panic/gossip.
 
This is definitely true. Ask how many of your peers are applying radiology. M1 before GPT release there was like 10+ applying rads. Now 0 in my class. People dead set on IM/FM now applying gen surg despite having 3 kids at home. Will make a good pubmed study for sure
Im an intern that is still in touch w friend below me, we have 15 applying rads as M4s
 
This is definitely true. Ask how many of your peers are applying radiology. M1 before GPT release there was like 10+ applying rads. Now 0 in my class. People dead set on IM/FM now applying gen surg despite having 3 kids at home. Will make a good pubmed study for sure
You sure seem addicted to the idea that your classmates are somehow representative of all the other classes in the 140 + MD schools in the United States. One can see a great deal of variation even between one class and the next at a single medical school in their specialty choices.

Try and avoid the sin of solipsism.
 
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AI is going to help us be “more efficient.” (ie, do more work for the same pay, most likely). But it’s not taking our jobs anytime soon.
While I generally agree with everyone that AI will not take over or take our jobs, but this statement alone says there will be less of a need for rad in the future.
 
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While I generally agree with everyone that AI will not take over or take our jobs, but this statement alone says their will be less of a need for rad in the future.
Perhaps.

Or perhaps with new technology there will be new imaging modalities we can do and the demand grows significantly.

The radiologists I’ve heard from are so overworked (like most of us) that I’m not too worried, even with AI “efficiencies,” about demand dropping to the point they can’t find jobs.
 
You sure seem addicted to the idea that your classmates are somehow representative of all the other classes in the 140 + MD schools in the United States. One can see a great deal of variation even between one class and the next at a single medical school in their specialty choices.

Try and avoid the sin of solipsism.
It’s likely a large enough sample to be statistically significant. Also the most recent eras data supports it. Gen surg/subs all up while radiology -7% in applications
 
It’s likely a large enough sample to be statistically significant. Also the most recent eras data supports it. Gen surg/subs all up while radiology -7% in applications
1. A 1 year dip does not a trend make - consider the changes from 2020 to 2023, where the number of unmatched applicants doubled in the field. And while you may be correct about surgery applicant #s increasing, you're falling for the correlation does not equal causation trap. You have no proof that this 1 year "drop" in radiology is causing an increase in surgical specialties.

2. What really proves to me why I don't think chatGPT is going to steal a radiologist's job is that I asked ChatGPT to generate questions for pulmonary, and it tried to convince me that 4.5 L+1 L= 6.5L

If ChatGPT can't do this math correctly, I feel fairly confident it will not steal physician jobs in the future. I'd also heed the advice of the actual radiologists in this thread, or the radiologists in your medical school, rather than Mr. Musk or internet chicken littles.
 
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