What specialties were competitive in the past?

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ksharp33

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Just curious to see how things have changed.

Anyone know what specialties were tough to match into in the 60s, 70s, 80s, 90s, etc.?

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Just curious to see how things have changed.

Anyone know what specialties were tough to match into in the 60s, 70s, 80s, 90s, etc.?
Internal Medicine and General Surgery, also maybe some of the Surgical Specialties: Neurosurgery, etc. (definitely not Ortho)
 
Emergency medicine was definitely difficult in the 60's.
Emergency Medicine wasn't even an official specialty in the 1960s. The first residency program in that specialty didn't exist till 1970.
 
Just curious to see how things have changed.

Anyone know what specialties were tough to match into in the 60s, 70s, 80s, 90s, etc.?
Definitely General Surgery. That used to be very competitive.
 
When did neurosurgery become its own residency, and not a fellowship after general surgery?
 
I don't understand how there can be drastic changes in the competitiveness of specialties like im, ortho, or gen surg

Derm, I can understand.

Edited for dermvisor
 
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I don't understand how there can be fluctuations in the competitiveness of specialties like im, ortho, or gen surg

Derm, I can understand.
What fluctuations? It's just a change from a generation ago.
 
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People in the past used to like IM and GenSu more, because they didn't give a crap about lifestyle for some reason.
It's bc back then ALL of medicine paid well, medical school tuition was ridiculously cheap, and due to an inordinate amount of autonomy and the ability to have satisfying physician-patient relationships, medicine was seen as a calling. People did what they found intellectually satisfying.
 
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Changed it for you.

How can there be this much change?
Simple reasons really: different value set of physicians a generation ago vs. those entering medical school now (esp. with the job market), medical school tuition continuing to increase without any added value, less overall autonomy, more third party interference, pay for performance and patient satisfaction surveys, healthcare reform, increased documentation, etc.
 
I always LOL thinking about how specialties change in competitiveness and thus the people that weren't even necessarily med school studs are on baller status at 50 due to these changes. Like there could be some ortho dudes that weren't great students and now they're in a baller profession.

Inb4 Derm wasn't competitive when it started and thus there's someone who barely passed step 1 that's now enjoying a baller life
 
I always LOL thinking about how specialties change in competitiveness and thus the people that weren't even necessarily med school studs are on baller status at 50 due to these changes. Like there could be some ortho dudes that weren't great students and now they're in a baller profession.

Inb4 Derm wasn't competitive when it started and thus there's someone who barely passed step 1 that's now enjoying a baller life
There was a saying here one time that back then if you were at the bottom of your class you were "stuck" going into Ortho. Can you imagine?!?!

Yes, back then Derm wasn't prized bc it hadn't become as much of a "surgical" or procedural specialty as it has now -- Mohs, non-invasive cosmetics, etc.It was more medical dermatology. Also, of course, the prestige wasn't there as well. That was back in a time when all patients respected and revered their doctors of course.
 
Has psych always been uncompetitive?
Psych has several reasons for not being "competitive". Psych has also changed drastically in practice due to reimbursement schemes unfortunately.
 
Question for the masses...

I'm interested in pathology (don't judge me) what's my future looking like? I have no friends, no partner, no kids and no responsibilities. I will go anywhere (within reason)
 
Psych has several reasons for not being "competitive". Psych has also changed drastically in practice due to reimbursement schemes unfortunately.
I did a google search, and could not find anything on this topic. Can you please elaborate what happened?
 
Question for the masses...

I'm interested in pathology (don't judge me) what's my future looking like? I have no friends, no partner, no kids and no responsibilities. I will go anywhere (within reason)
I know a couple of path. You can make money as a medical witness. Other than that, I hear the market isn't so great.
 
I read somewhere that until the 1990s derm was making about as much as family med, and less competitive. :wideyed:
 
I read somewhere that until the 1990s derm was making about as much as family med, and less competitive. :wideyed:
I believe that. Derm as a procedural specialty was just coming into fruition. I would say esp. in the 1990s with managed care, etc. the emphasis on lifestyle was accelerated.
 
Question for the masses...

I'm interested in pathology (don't judge me) what's my future looking like? I have no friends, no partner, no kids and no responsibilities. I will go anywhere (within reason)
I think it depends where u do Path residency and what fellowship you do.
 
I did a google search, and could not find anything on this topic. Can you please elaborate what happened?
Third party payers don't reimburse psychotherapy. So a lot of psychiatry has become drug-adjustments and checks.
 
It's bc back then ALL of medicine paid well, medical school tuition was ridiculously cheap, and due to an inordinate amount of autonomy and the ability to have satisfying physician-patient relationships, medicine was seen as a calling. People did what they found intellectually satisfying.
The only thing that was really worse back then was the residencies, especially General Surgery.
 
The only thing that was really worse back then was the residencies, especially General Surgery.
Yes, pretty much. You were treated like a Chinese sweatshop worker as far as hours. People were also a lot less sick back then too.
 
There was a saying here one time that back then if you were at the bottom of your class you were "stuck" going into Ortho. Can you imagine?!?!

Yes, back then Derm wasn't prized bc it hadn't become as much of a "surgical" or procedural specialty as it has now -- Mohs, non-invasive cosmetics, etc.It was more medical dermatology. Also, of course, the prestige wasn't there as well. That was back in a time when all patients respected and revered their doctors of course.
Now just watch. The people who are "stuck" with Family Medicine will probably be living the ( in the quite sophisticated terminology of PL198) "baller" life in 25 years.

Edit: Probably not.
 
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Now just watch. The people who are "stuck" with Family Medicine will probably be living ( in the quite sophisticated terminology of PL198) "baller life in 25 years.

Edit: Probably not.
Wouldn't surprise me if they're doing concierge care.
 
Yes, pretty much. You were treated like a Chinese sweatshop worker as far as hours. People were also a lot less sick back then too.
If I asked my mom (she's a general surgeon who did her residency in the mid 80's) she'd probably say she wished she would have been treated as well as a Chinese sweatshop worker.
 
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back then, you could spend all that time in the hospital and still have a wife and kids to come home to

i would love to see the divorce rates of neurosurgeons in the 70s compared to today
 
back then, you could spend all that time in the hospital and still have a wife and kids to come home to

i would love to see the divorce rates of neurosurgeons in the 70s compared to today
Women weren't even close to the numbers they are in medicine now. Many of them were stay at home housewives dependent on their husbands. Now, of course, she can get up and leave with her own salary AND take you to court and get your earnings.
 
Yeah TBH I feel like the residency hardship of the 70s and 80s is overstated. It has to be. I don't think people's temperaments are dynamic enough as a population to actually tolerate the things I hear about residency back then. I'm sure it was hard, but if residency was actually 100 hrs/week or whatever like we all hear, then it would have been more an issue back then.
 
Women weren't even close to the numbers they are in medicine now. Many of them were stay at home housewives dependent on their husbands. Now, of course, she can get up and leave with her own salary AND take you to court and get your earnings.
We have to stop talking about a doctors life in the 1970s. I'm starting to reconsider my choice of profession and wish I'm lived back then. :laugh:
 
Yeah TBH I feel like the residency hardship of the 70s and 80s is overstated. It has to be. I don't think people's temperaments are dynamic enough as a population to actually tolerate the things I hear about residency back then. I'm sure it was hard, but if residency was actually 100 hrs/week or whatever like we all hear, then it would have been more an issue back then.
No, people just sucked it up back then. Now, we live in the entitlement society were people don't think they should have to work hard- at least some people.
 
We have to stop talking about a doctors life in the 1970s. I'm starting to reconsider my choice of profession and wish I'm lived back then. :laugh:
Tell me about it. They got an awesome deal back then in many respects. No question.
 
No, people just sucked it up back then. Now, we live in the entitlement society were people don't think they should have to work hard- at least some people.

I agree with you about entitlement, but working 70 hours vs 100 isn't about entitlement, it's about exploitation. If I extend your argument, any resident that doesn't work 120 hours is entitled and a p*ssy. People always remember things from the past as more severe. Like either, someone was the best basketball player in the history of the state(when they really were just a very good player) or they worked 14 hours a day, 7 days a week and walked uphill both ways to work.
 
I agree with you about entitlement, but working 70 hours vs 100 isn't about entitlement, it's about exploitation. If I extend your argument, any resident that doesn't work 120 hours is entitled and a p*ssy. People always remember things from the past as more severe. Like either, someone was the best basketball player in the history of the state(when they really were just a very good player) or they worked 14 hours a day, 7 days a week and walked uphill both ways to work.
I'm not saying someone who doesn't work 120 hours a week is an entitled p*ssy, I'm saying the mere concept of working 120 hours a week seems so unrealistic and foreign as our society has drifted away from hard work like that- and as a result it's hard to believe. No one works that hard anymore.
 
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I'm not saying someone who doesn't work 120 hours a weak is an entitled p*ssy, I'm saying the mere concept of working 120 hours a week seems so unrealistic and foreign as our society has drifted away from hard work like that- as a result it's hard to believe. No one works that hard anymore.
 
I'm not saying someone who doesn't work 120 hours a weak is an entitled p*ssy, I'm saying the mere concept of working 120 hours a week seems so unrealistic and foreign as our society has drifted away from hard work like that- and as a result it's hard to believe. No one works that hard anymore.
:lame:
 
I always LOL thinking about how specialties change in competitiveness and thus the people that weren't even necessarily med school studs are on baller status at 50 due to these changes. Like there could be some ortho dudes that weren't great students and now they're in a baller profession.

Inb4 Derm wasn't competitive when it started and thus there's someone who barely passed step 1 that's now enjoying a baller life

Two decades ago, my specialty was not competitive. A decade ago, when I applied, it was very competitive. I remember thinking how unfair it felt for those so-so attendings (collectively) to get to pass judgment on who was worthy of entering their specialty. Age has its privileges, I suppose.
 
Two decades ago, my specialty was not competitive. A decade ago, when I applied, it was very competitive. I remember thinking how unfair it felt for those so-so attendings (collectively) to get to pass judgment on who was worthy of entering their specialty. Age has its privileges, I suppose.
What is your specialty? Ortho?
 
Two decades ago, my specialty was not competitive. A decade ago, when I applied, it was very competitive. I remember thinking how unfair it felt for those so-so attendings (collectively) to get to pass judgment on who was worthy of entering their specialty. Age has its privileges, I suppose.
:claps:
 
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