What makes anestheia part of the ROAD to success

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drseanlive

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so anesthesia is known to be a good 'lifestyle' field, yet many posts on this board speak about how much intensity/hard work it is..

should we change 'road' to 'rod'?

What makes it a good lifestyle field?

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Radiology - ain't easy except to non-radiology residents. Sure some attendings have it good, but bad gigs are present too. Radiology is getting a cut in outpt imaging. Sucks for them. I personally think it makes no sense to pick out of Paul's pocket to pay Peter.
Ophthalmology - I was thinking about as a student briefly. However, one small organ gets boring. And their pay stinks on the way out. General ophtho is like 90-110K (primary care docs get more). Specialists like glaucoma can make near 175K in reasonable living area. Obviously more can be made in rural locations or getting lucky, but that applies to everybody.
Anesthesia - It's hardwork but it's a matter of liking it too. Some people hate clinic and patient education so they do things like rads, anesthesia, surgery. Less talk, more work. Take your pick and look at your personality. Sure there are CRNAs, but what about DNPs at your local Walmart. Everybody has to go at the old farts who are making big cash at our expense and letting the midlevels get more rights. F'in NBME.
Derm - has it good FOR NOW. Remember, medicare will take a bite out of their a$$ real soon. They get a lot for no risk procedures. A biopsy can be like 200 bucks in 5 mins (isn't that what a surgeon makes on an appendix?). And I'm sure most simple things can be done by primary docs even biopsies of melanomas.

ROAD specialties just currently offer a lot better ROI than non-ROAD specialties. You can make a lot of money I guess in medicine subspecialties like cardio, but you gotta get lucky and some say the time may not be worth it. Cardiology is not an easy fellowship and can get nuts even more than R and A. Reimbursement also is not so pretty unless you spend the extra 2 years doing stents or pacemakers. 4+3+3+2=10 years = ouch!!

So....1.) get a hold of legislators and defend your med school debt 2.) tell all the high schoolers and college kids to F medicine 3.) save your money now and try to get at that debt 4.) make sure to hound ASA for their balls-less actions. I think medical school students across the US can have better cohesion. 5.) try the Lotto out once a week

They shouldn't be raising primary care reimbursement at the expense of specialists and vice versa. They should put more into the system or get HMO/PPO out, other middlemen..... OR maybe like make only 40 F22 raptors rather than 200. Military spending is ridiculous only because we are too many steps ahead of others.
 
b/c ROD to success doesn't sound as good as ROAD to success
 
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anesthesia is far from a lifestyle specialty. getting up early.. all the time. taking call every 4th to 5th night.. time restraints. hard stuff.,.
 
You know I looked up jobs on gaswork.com and there are "no weekend no call" jobs out there paying 200K. There are also the q4-5 call paying more probably but a "lifestyle" job does seem available as far as gasworks.com goes. I am just a resident but looking at the current jobs it seems like if you want to have a no call no weekend lifestyle job they are out there. No patients to follow, no rounds, you do your job and leave. Not too bad in my book.
 
Doesn't "a lifestyle job" imply that you have enough money to start considering lifestyle your first priority?
If you start your career by concentrating on lifestyle you will live the rest of your life paycheck to paycheck and when you retire (assuming that you can retire before you die), your retired "lifestyle" will most likely suck.
 
You know I looked up jobs on gaswork.com and there are "no weekend no call" jobs out there paying 200K. There are also the q4-5 call paying more probably but a "lifestyle" job does seem available as far as gasworks.com goes. I am just a resident but looking at the current jobs it seems like if you want to have a no call no weekend lifestyle job they are out there. No patients to follow, no rounds, you do your job and leave. Not too bad in my book.

http://www.gaswork.com/post/83487

You mean like this. $475,000 starting and only back up call and it is W-2. What's the catch?
 
Did you use the search function on gasworks? There are 19 posts in NY for no weekend no call jobs. It does not have to be in the middle of nowhere. (no offense to nebraska people). Mostly ambulatory surgicenters. But the point is... if that is what you are looking for you can get it. I don't see a reason why if you really hate call and weekend why you can't just tailor something to the "life" you want.

http://www.gaswork.com/post/82878
http://www.gaswork.com/post/83013
 
http://www.gaswork.com/post/83487

You mean like this. $475,000 starting and only back up call and it is W-2. What's the catch?

That job does not exist.

It was filled months ago. He is getting paid far less than the amount quoted in the gaswork add.

The salary and call numbers given by recruiters seldom are the truth. Recruiters only care about one thing, filling a job as fast as possible. They get paid their big finder’s fee to con you into taking an undesirable job. Recruiters do not care about the truth, since telling you the truth about a job might prevent you from blindly signing up for a job that is so undesirable that they need to pay a recruiter to misrepresent it to get somebody to even consider taking the job.
 
http://www.gaswork.com/post/83487

You mean like this. $475,000 starting and only back up call and it is W-2. What's the catch?

MD takes only Back up call. Lets see, 3 full time MD's, so that might be q3 back up call. This means that they have a CRNA in house. Depending on the practice arrangement, you would either be 1) coming in for everything or 2) letting the CRNA start cases and then coming in if needed for a second case or OB. Don't get me wrong, this is a lot of cash. But tied to your pager q3 is not easy, even if it is back up call.
 
That job does not exist.

It was filled months ago. He is getting paid far less than the amount quoted in the gaswork add.

The salary and call numbers given by recruiters seldom are the truth. Recruiters only care about one thing, filling a job as fast as possible. They get paid their big finder's fee to con you into taking an undesirable job. Recruiters do not care about the truth, since telling you the truth about a job might prevent you from blindly signing up for a job that is so undesirable that they need to pay a recruiter to misrepresent it to get somebody to even consider taking the job.

True - but plenty of our graduates going straight to PP got offers above 350K with reputable groups in decent cities. Its not as bad as some would make it seem.
Also from recent graduates who are a year or two out in PP they consistently tell me that they get more than the amount of $ the were recruited on and work less than they did in residency all though they do work hard. They would all agree I think that to make a good salary (more than 350 or whatever) you have to work for it. Also a few that went to fairly rural areas or midsized college towns are making more than 500.
 
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