Switching specialities post-match??

[LemonLime]

Now that I've matched into anesthesiology I am starting to feel uneasy about what I have decided to go into as a career. I had a very hard time even deciding on a specialty as numerous ones were just as appealing to me as anesthesiology was.

Is it possible to switch into another specialty (non-primary care) now that I've matched? Do specialties normally save some spots outside the match or will I have to do the whole process over again?

I would love to hear from anyone that has any input on this type of situation! I have been feeling very unhappy since the match...

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[dionysios]

Sorry, to hear about your dilemma. It depends on the specialty, so first try to findout if there are openings at the place you matched. Then just call some schools and see if there are any openings. I am looking for an anesthesiology spot and if you decide to let it go please PM me with the location and school. Medicine is very dynamic and people decide to switch all the time. Don't beat yourself up over this, just make sure that you are happy b/c this will be your life career.

 

[VentdependenT]

How bout you see how it goes before dumping anes in the garbage bin.

What, if you don't mind me asking, are you hesitant about?

Don't let all this CRNA vs MD banter dissuade you. Its a sore issue on this board and is constantly reanimated from death no matter how hard we (moderators, long time posters) have tried to dismember and bury it.

 

[huron]

How bout you see how it goes before dumping anes in the garbage bin.

What, if you don't mind me asking, are you hesitant about?

Don't let all this CRNA vs MD banter dissuade you. Its a sore issue on this board and is constantly reanimated from death no matter how hard we (moderators, long time posters) have tried to dismember and bury it.

Even with out the problem or Nurses asserting that they are your equal.

Anesthesia has many other serious drawbacks, the worst of which is that you can't leave residence and work for yourself you have to enter into an abusive employment relationship.

In anesthesia you work hard and inevitably get screwed by the administration or the a$$hole who you have to work for who the administration gave the contract to. I just want to work for myself be my own boss and not have to kiss someone's a$$. That does not seem like something you can do in Anesthesia any more.

 

[johankriek]

Even with out the problem or Nurses asserting that they are your equal.

Anesthesia has many other serious drawbacks, the worst of which is that you can’t leave residence and work for yourself you have to enter into an abusive employment relationship.

In anesthesia you work hard and inevitably get screwed by the administration or the a$$hole who you have to work for who the administration gave the contract to. I just want to work for myself be my own boss and not have to kiss someone’s a$$. That does not seem like something you can do in Anesthesia any more.

I agree with the above statement. MOst places that you are, you have to enter some sort of an employment agreemenet with somebody. THis is prolly the most vexing part of the specialty. You cant really run it like a small business like adentist does. and take vacations when he wants, and cuts back on patients during summer or whenever. you have to deal with the hospital or soemone like militarymd telling you when to come in and what cases to do. hard to get around that. unless you move across the country like i did. so in that respect you DO get screwed. There is more autonomy in other specialties.

Having said that, I do think the mess that we are in now has in part to do with the quality of the graduates of anesthesia in the last 10-15 years. WE need solid american grads to infiltrate the field, be outspoken, who care about the specialty and want to change the reputation of the field. WHo tackle the tough cases (on their own), and demand toe be paid for that expertise. So the first part of my post is not meant to scare off people to the field.. just to inform.. its a great specialty. we need great american grads going into it..

 

[huron]

WE need solid american grads to infiltrate the field, be outspoken, who care about the specialty and want to change the reputation of the field. WHo tackle the tough cases (on their own), and demand toe be paid for that expertise. So the first part of my post is not meant to scare off people to the field.. just to inform.. its a great specialty. we need great american grads going into it..

I have lost two jobs to foreign visa workers. Why? Because in anesthesia you are a commodity, not a physician. As a commodity or as an easily replaceable piece of the OR environment. I was lied to twice by two different dishonest predatory employers who saw me as a short term worker until they could get their H-1B J-1 waver indentured servant anesthesiologist. The Visa worker knew that if he worked for three years at half of my salary, my former employer would sponsor his green card. If he complained about long hours, too much call or the low salary, he would get fired and loose his right to work in the USA and get sent home sent home

 

[nimbus]

Even with out the problem or Nurses asserting that they are your equal.

Anesthesia has many other serious drawbacks, the worst of which is that you can’t leave residence and work for yourself you have to enter into an abusive employment relationship.

In anesthesia you work hard and inevitably get screwed by the administration or the a$$hole who you have to work for who the administration gave the contract to. I just want to work for myself be my own boss and not have to kiss someone’s a$$. That does not seem like something you can do in Anesthesia any more.

There is a$$kissing in EVERY specialty. You don't think cardiologists kiss primary care a$$ or Cardiac surgeons kiss cardiologists a$$. It happens every day.

The worst is plastic surgery where you have to tell your donkey faced 5'3" 200# patient that they will look beautiful with better "contours" after having abdominal and flank liposuction.

Nobody can predict the future but there are still many anesthesia practices which do not exploit new hires economically or otherwise. You just have to make yourself an attractive enough candidate that they will want you.

 

[EtherMD]

There is a$$kissing in EVERY specialty. You don't think cardiologists kiss primary care a$$ or Cardiac surgeons kiss cardiologists a$$. It happens every day.

The worst is plastic surgery where you have to tell your donkey faced 5'3" 200# patient that they will look beautiful with better "contours" after having abdominal and flank liposuction.

Nobody can predict the future but there are still many anesthesia practices which do not exploit new hires economically or otherwise. You just have to make yourself an attractive enough candidate that they will want you.

The FELLOWSHIP is the key to expanding you desireability to many practices.
Pain Management, Critical Care, Cardiac WITH TEE CERTIFICATION, Peds, etc.
all enhance your marketability. It is very difficult to recruit and retain a FIRST RATE SUBSPECIALIST listed above with real credentials. You can leave one Group and the next day get a better offer. Those of you looking to make big money (90th percentile plus) and decrease the odds of getting screwed should do those extra 12 months. Ten years later you won't regret it. The BEST 12 months of your career as far as time invested vs. return.

 

[johankriek]

I have lost two jobs to foreign visa workers. Why? Because in anesthesia you are a commodity, not a physician. As a commodity or as an easily replaceable piece of the OR environment. I was lied to twice by two different dishonest predatory employers who saw me as a short term worker until they could get their H-1B J-1 waver indentured servant anesthesiologist. The Visa worker knew that if he worked for three years at half of my salary, my former employer would sponsor his green card. If he complained about long hours, too much call or the low salary, he would get fired and loose his right to work in the USA and get sent home sent home

thats what im talking about.. many just want someone to sit on that stool or sign the pre anesthetic history and physical.. they dont care if you are an american who speaks perfect english who is board certified.. they will go to the lowest bidder.. which is a foreign grad who doesnt have a command of the english language(nothing wrong with these folks at all,,.but they will work for less money) or they will explore the CRNA route.. Its hard to be competitive if you know there are other docs who will take the job for 40 percent less..

 

[johankriek]

The FELLOWSHIP is the key to expanding you desireability to many practices.
Pain Management, Critical Care, Cardiac WITH TEE CERTIFICATION, Peds, etc.
all enhance your marketability. It is very difficult to recruit and retain a FIRST RATE SUBSPECIALIST listed above with real credentials. You can leave one Group and the next day get a better offer. Those of you looking to make big money (90th percentile plus) and decrease the odds of getting screwed should do those extra 12 months. Ten years later you won't regret it. The BEST 12 months of your career as far as time invested vs. return.

sometimes super specialization hurts you.. ask some super specialists who are doing general stuff

 

[johankriek]

Nobody can predict the future but there are still many anesthesia practices which do not exploit new hires economically or otherwise. You just have to make yourself an attractive enough candidate that they will want you.

Listen dude.. You are naive. every place that has a partnership track which has a financial buy in is exploiting you. The only places that are not exploitive are places where its truly.. get paid for what you do... or everyone gets paid the same regardless. anytime there is a buy in.. run for the hills...... its bull

 

[nimbus]

Listen dude.. You are naive. every place that has a partnership track which has a financial buy in is exploiting you. The only places that are not exploitive are places where its truly.. get paid for what you do... or everyone gets paid the same regardless. anytime there is a buy in.. run for the hills...... its bull

Really? I've been in practice since 1996. Just speaking from experience.There are still many groups with no significant financial buy-in. My group is physician-only, strictly FFS collecting 100% of our pooled unit value from day one. The unit value is the same whether this is your first or the 20,000th case with the group. The partnership "buy-in" is a nominal sum (about $13k) at the end of year one. You get it back if/when you leave. My partners have not made a dime off of me, I have not made a dime off our new hires, and I like it that way. I am in southern Ca. We are not at 90th percentile plus but we do okay. My partners who take extra call and less vacation do much better than average. I know of 2 other groups in in this city which also have no "buy-in" to speak of. There are groups in Phoenix and Vegas with essentially the same structure.

 

[mille125]

The FELLOWSHIP is the key to expanding you desireability to many practices.
Pain Management, Critical Care, Cardiac WITH TEE CERTIFICATION, Peds, etc.
all enhance your marketability. It is very difficult to recruit and retain a FIRST RATE SUBSPECIALIST listed above with real credentials. You can leave one Group and the next day get a better offer. Those of you looking to make big money (90th percentile plus) and decrease the odds of getting screwed should do those extra 12 months. Ten years later you won't regret it. The BEST 12 months of your career as far as time invested vs. return.

what is your subspecialty in? just curious