Why are so many DO's interested in Anesthesiology

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sdboy

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After reading many of the posts, it seems like there are many DOs that are interested in anesthesiology. The amount of interest from DO's seems disproportionate to the number of DO's out there. Anyone have a theory on this?
 
the same reason there are so many MD's interested in anesthesiology.
 
re-read my post then comment again if you have a theory
 
Assuming that your original post is correct, I'll take a non-politically-correct guess. Don't flame me for this, it's just a guess.

The Osteopathic schools that I know of (in Missouri) are really tough on their students. From what I've heard, this is true at most Osteopathic schools - for example, I hear that COMP is extremely rigorous. If true, I imagine that it's because they're trying to shake their "reputation" and put out some well-trained grads.

Now, if I were in their shoes, having an extraordinarily rigorous curriculum, I'd probably eventually get pretty tired. Thus, I'd probably be more likely to choose a lifestyle specialty.

Probably way off, with no basis in reality, but still an interesting guess. You could probably evaluate this by finding a scheme that ranks the relative difficulty of all medical schools (not just DO) and see if it correlates with having a relatively high number of "lifestyle specialty" applicants.
 
I think a part of it is that most DO schools are private, so most graduates end up with a lot of debt. This has been driving DO students to specialty careers and for one reason or another, previous DO graduates have been successful in obtaining allopathic anesthesiology residencies. Thus, later students see that and strive to go into this field particularly since the lifestyle is good and the pay is well.

Remember that for the more competitive specialties, DOs still have a harder time getting into them but for some reason anesthesiology appears to have been a DO friendly residency so DOs gravitate toward it.

I think that's more of a hypothesis than a theory.
 
Plus, if you're a DO (or a MD) and want an 'easy' match with the largest earning potential, you'll go anesthesiology. It's low stress and most DOs and virtually all US-MDs match every year.

(I know that every year is going to be "brutal" (per this forum) but it hasn't turned out that way and I doubt it will in the near future.)
 
Umm..anesthesia is NOT low stress. imagine working in a mini-icu every day of your life. family practice, internal medicine, derm, rads is low stress.
 
I think BF may have meant the match process was "low stress". ?
 
sdboy said:
After reading many of the posts, it seems like there are many DOs that are interested in anesthesiology. The amount of interest from DO's seems disproportionate to the number of DO's out there. Anyone have a theory on this?

so they can use their OMM training. :laugh:
 
oops. missed that one
 
I just wanted to second the opinion that Gas is NOT low stess.
 
this reply does not answer the original post, but I read in this forum all the time that gas is low stress. why is this people's perception? I have to agree with the previous posters here that gas is actually quite stressful compared to other specialties. How stressful is it to write out another levaquin script or to order a urine dipstick? I think that other docs have to realize that the patient is more than just asleep, they are having bad things happen to them, ie they are being cut open and having body parts removed or they are having a tourniquet cut off their blood supply to a limb for 2 hrs at a time. All the while we are expected to maintain their blood pressure at 90/60 so that the surgeon doesn't have a bloody field - god forbid they try to control the bleeding themselves. While maintaining a person's physiology with fluid and pharmacologic management so that they wake up from painful and traumatic surgery and go home in anywhere from 3 hours to 3 days may not seem stressful to some, it sure keeps me on my toes. Just my 2 cents...
 
Can you guys please learn to read in context? Obviously, I was referring to the MATCH, which, as many have shown, isn't horribly difficult.

Yes, after viewing recent match statistics, I would certainly call the match LOW STRESS. Difficult concept?
 
Believe me, I have nothing to stress about.

But thanks for your earnest concern. 😉
 
Are you sure you didn't mean to click the surgery board? 😴
 
Since no DOs have replyed to this post I kind of feel obligated to answer some questions. Don't get me wrong. I love to hear people speculate on the DO education. Let me start by saying I in no way mean to insult anybody, please do not take offense. First a couple of responses.

The Osteopathic schools that I know of (in Missouri) are really tough on their students. From what I've heard, this is true at most Osteopathic schools - for example, I hear that COMP is extremely rigorous. If true, I imagine that it's because they're trying to shake their "reputation" and put out some well-trained grads.


This is not exactly true. We are taught the exact same subjects that MD schools teach their students. The only difference is that we are taught one extra subject, which comes out to about 2-3 hours/week of lab and 2-3 hours of lecture. I would not say my curriculum was more vigorous compared to any of the other medical schools in Philly. Secondly, although being a DO may carry some unwarrented bias when it comes to the residency match, we feel that we are not taking a back seat to anybody. There are bad DO students, there are bad MD students. By the way, every year my school matches their students into almost every field, even dermatolgy and Radiology.


I think a part of it is that most DO schools are private, so most graduates end up with a lot of debt. This has been driving DO students to specialty careers and for one reason or another, previous DO graduates have been successful in obtaining allopathic anesthesiology residencies. Thus, later students see that and strive to go into this field particularly since the lifestyle is good and the pay is well.


OK. This is like saying everybody that went to a private medical school (whether MD or DO) wants to go into Anesthesia only for the money. Although the compensation is very good right now, who knows what it will be like in the future. Only a couple of years ago, it was hard for any program to fill their slots. Money should never be a motivating factor. Who cares about money if you are not happy with what you are doing? By the way, I am on a military scholarship. I wanted to find a specialty that I actually enjoyed and could see myself doing everyday. Most of the people I talked from my school that are going into Anesthesia don't talk about the money. They talked about the procedures that they got to do. They talked about seeing a wide range of cases and providing care on a minute by minute basis and seeing immediate results. Caring if very ill patrients and actually feel like you are doing something.


the same reason there are so many MD's interested in anesthesiology


This is the one statement that sums up everything about why more DOs are going into Anesthesia. Why are MDs going into Anesthesia? The big question should be if Anesthesiologist made as much as Pediatricians and worked as hard as OBs, would they still go into the specialty? Everybody needs to answer this question for themselves. As to why are more DOs are going into Anesthesia, I don't think you will get an honest, non-speculative answer out of anybody. Sorry.
 
doc05 said:
the same reason there are so many MD's interested in anesthesiology.

True, true.
 
sethco said:
As to why are more DOs are going into Anesthesia, I don't think you will get an honest, non-speculative answer out of anybody. Sorry.


I think it's pretty obvious DOs are interested in anesthesiology because it's a relatively easy match with great lifestyle/salary prospects. I'm sure that's the same reason it's become more popular with MD grads as well. Besides these fairly obvious draws, anesthesiology is a cool field! If you're looking to address the specific question of why a group of students who supposedly care more about "holistic healing" and OMM would be interested in a field that isn't at all about these things, I think that reflects the prevailing attitude of DO students that these buzzwords are just marketing garbage. A friend in my program who went to NYCOM told me roughly 80% of his class was extremely skeptical of OMM and regarded the "holisic healing" mantra as utter nonsense. Other friends who graduated from that school seem to concur, although I never asked them about these things specifically.
 
sethco said:
Since no DOs have replyed to this post I kind of feel obligated to answer some questions. Don't get me wrong. I love to hear people speculate on the DO education. Let me start by saying I in no way mean to insult anybody, please do not take offense. First a couple of responses.

The Osteopathic schools that I know of (in Missouri) are really tough on their students. From what I've heard, this is true at most Osteopathic schools - for example, I hear that COMP is extremely rigorous. If true, I imagine that it's because they're trying to shake their "reputation" and put out some well-trained grads.


This is not exactly true. We are taught the exact same subjects that MD schools teach their students. The only difference is that we are taught one extra subject, which comes out to about 2-3 hours/week of lab and 2-3 hours of lecture. I would not say my curriculum was more vigorous compared to any of the other medical schools in Philly. Secondly, although being a DO may carry some unwarrented bias when it comes to the residency match, we feel that we are not taking a back seat to anybody. There are bad DO students, there are bad MD students. By the way, every year my school matches their students into almost every field, even dermatolgy and Radiology.


I think a part of it is that most DO schools are private, so most graduates end up with a lot of debt. This has been driving DO students to specialty careers and for one reason or another, previous DO graduates have been successful in obtaining allopathic anesthesiology residencies. Thus, later students see that and strive to go into this field particularly since the lifestyle is good and the pay is well.


OK. This is like saying everybody that went to a private medical school (whether MD or DO) wants to go into Anesthesia only for the money. Although the compensation is very good right now, who knows what it will be like in the future. Only a couple of years ago, it was hard for any program to fill their slots. Money should never be a motivating factor. Who cares about money if you are not happy with what you are doing? By the way, I am on a military scholarship. I wanted to find a specialty that I actually enjoyed and could see myself doing everyday. Most of the people I talked from my school that are going into Anesthesia don't talk about the money. They talked about the procedures that they got to do. They talked about seeing a wide range of cases and providing care on a minute by minute basis and seeing immediate results. Caring if very ill patrients and actually feel like you are doing something.


the same reason there are so many MD's interested in anesthesiology


This is the one statement that sums up everything about why more DOs are going into Anesthesia. Why are MDs going into Anesthesia? The big question should be if Anesthesiologist made as much as Pediatricians and worked as hard as OBs, would they still go into the specialty? Everybody needs to answer this question for themselves. As to why are more DOs are going into Anesthesia, I don't think you will get an honest, non-speculative answer out of anybody. Sorry.

I have to agree. For me it is not the money. If it were, there are several less time consuming professions that I could have gone into to make more money than an anesthesiologist. I enjoy the anatomy, physiology, pharmacology and the way they combine with patient care. As an anesthesiologist, you have a short window of opportunity for good patient rapport--this is a challenge that I very much enjoy as a resident. Anesthesia is a great example of how the scientific, clinical, and the patient come together as one. I can not see me doing anything else.
 
I was actually asked on an interview if I could implent OMM into Anesthesia practice. I told him that I was more proficient in some techniques than others. However, I have not seen any DO residents, or attendings, implement their training into Anesthesia. Therefore, I would not feel comfortable applying this until I was given instructions on when to apply this. He appreciated my honesty. However, powermd is right. In fact he may be underestimating. I would say no more than 10% of Osteopathic graduates will use their Osteopathic techniques in practice once they graduate from medical school. Almost noone will use in Dermatology or Radiology. How about Urology? Just kidding. So what's the difference? I would like to think the one key area where these techniques can be applying is in the pain clinic. However, time and money are an issue. OMM techniques are not reimbursed as well for Anesthesiologist as OMM physicians. Although, I am not an expert on OMM techniques, I am not a skeptic but most people are. You have to use these techniques everyday to become competent and know it works and not everybody has the time for this.
 
By the way sorry about the previous post in any confusion. Ihave yet to figure out how to cut and paste with the original author of the o.p.
 
It is my understanding that it takes years of postgraduate work to master OMM. As far as pain management is concerned, a doctor would have to be very comfortable with it. If I go into interventional pain management in the futrue, I will refer a patient to an OMM specialist if it will be helpful in pain reduction. By myself, I do not have enough experience with it to incorporate it into my training as an anesthesiologist--all I have is what I learned in the first two years of lecture and lab.

It has been my experience that the AOA anesthesia programs incorporate very little if any OMM into the treatment regimen. I obviously did not rotate at all of the programs, but, that is the general consensus. Correct me if I am wrong.
 
Some people seem to have more time than others to speculate about other people...

I really hope this thread might be able to resist the urge to add another twist to the DO vs MD debates.

Yes, I am a D.O. The reason I chose Anesthesiology was possibly a bit too simple. I was intrigued by the allure of the so-called "highly competitive" or the "lifestyle" residencies, but alas something was missing! So,I simply plodded through the process of becoming a doc, and focused my efforts on learning and reading everything I could. The first things I noticed about Anesthesiologists is 1)they seemed to be the "happiest" docs. 2)these were the only docs I knew who were smiling on their way up the elavator at 6 in the morning! 3)what they do is fascinating to me and is important for the patient.

Also, I was repulsed by the pressure from MDs and DOs alike to simply go into primary care "because of the great need for docs in rural areas." What is the big deal about implenting "Osteopathic technique/philosophy?" WHO CARES? All I know is that I am a Doctor; training at a excellent institution; in-training by incredible physicians, mostly MDs I must add, and I am in the field that I wanted-no complaints!

Since I recently matched in a categorical Anesthesiology Program at a traditionally MD institution, I know firsthand that the process was not "low stress." Us applicants who were applying/rotating at these institutions, obviously didn't know going into the process that there would be a larger number of empty slots this year. In fact, we were told everywhere we interviewed "Geez...we don't know what's happened in Anesthesiology, but we've never had sooooo many applicatnts."

Unabashedly, I believe Anesthesiology IS the greatest field, and does have the greatest number of benefits. And everyone knows why I think this...it is because I chose this...Biased, undeniably! Obviously, we would not be here if not for the surgeon, FP, IM or whatever.

Anesthesiology does have a reputation as being "DO-friendly." My response to this is GREAT! Please remember people that there are two reasons for becoming a doctor (of whatever) 1)take care of patients 2)doing what you like. Thank goodness for me and all the rest of the DOs out there, at least PDs agree that DO or MD can make great physicians/anesthesiologists!

I am grateful that important policy-making decisions are made by experienced physicians, who have been in the trenches and worked with all types of physicians, and not stressed-out fourth year medical students completely paranoid about somebody taking "their" spot! 😀
And, I am happy to say that at this point, I AM IN!
 
I am a DO student.

I love the idea of the hands-on opportunites of anesthesia combined with the mental challenges of matching disease with drug and understanding the mechanisms involved.

I am excited to work as a team with Surgeons and Nurses and the patient. I also enjoy the brief yet intense relationship with patients. I don't mind playing second fiddle to the surgeon and not being as recognized as the doctor on the case as often as again, the surgeon.

The compensation is fair, but not any more than what could be made in other fields. We have learned much as med students. For me, it has been an awesome ride. I desire to maintain my understanding of physiology and pharm especially and pathology secondarily. Anesthesiology provides that opportunity.

Certainly the original poster who said, "For the same reasons MD's are interested" hit the nail squarely on the head.

-SleepyTime
MS3, AZCOM
 
powermd said:
If you're looking to address the specific question of why a group of students who supposedly care more about "holistic healing" and OMM would be interested in a field that isn't at all about these things, I think that reflects the prevailing attitude of DO students that these buzzwords are just marketing garbage.

I think that anesthesia can definitely be viewed from a holistic framework. One of the basic tenets of Osteopathy is that the person is an interwoven composite of body, mind, and spirit, hence its fundamental "holistic" nature.

Anesthesia shields the mind and spirit from pain and incredibly damaging fear that would (and did) otherwise accompany surgery. If a patient endured a procedure such as an open appy with no anesthesia, while his body might be healed, his mind and spirit would be severely damaged. The effects of this psychological trauma could lead to a sooner demise of his body in the future, through stress hormones, depression and accompanying poor hygiene and nutrition, substance abuse, etc.

I personally am not a big OMM practitioner, and I don't think DO's have a monopoly on holistic medical thinking. But that's not to say that holistic/osteopathic concepts can't have any relevance in a field such as anesthesiology.

-InductionAgent, MSIV
West Virginia School of Osteopathic Medicine
 
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