So I went over to the Radiology forum and asked them why they may have not chosen or thought about Pathology as a career choice. Since both of our fields have relatively little patient contact, I thought asking those in the Radiology forum would be the best people to ask about Pathology and whether they even considered it.
Here are some of the answers. You can see the thread here:
Why not Pathology?
To summarize, main reasons were the job market, lack of exposure to the field and misconceptions about the field such as all we do are autopsies or gross. Some mentioned the bad smells. This is another evidence med students don’t know what we really do.
Thanks pathslides for contributing. What you mentioned I think for the most part is true.
Here is what they mentioned:
-I really liked my pathology rotation. Through the internet and the fellows I spoke with it seemed like the job market issues were real (not that rads doesn't have its own problems)
-Because I have been reading SDN since I was a premed and got the message about pathology early on.
-People don't want to have a hard time getting a job after residency and heck! they want to make 500k/yr...
-I think the main thing is underexposure to path
-In addition you see all these posts on the internet about how much the path job market sucks.
-i bet once path becomes digitized and you are looking at tissues on monitors instead of microscopes it will be way more popular.
-It seemed like unless we were doing frozen sections very little contact with consultants occurred in path while during my rads rotation it seemed like consultants either came to the reading room or called quite frequently.
-Money is only a part of what drives med student interest but when you constantly hear about how poor the job market is for path (true or not) it really weeds out people who might consider it.
-Your job market is simply terrible. I wasn’t under the impression this would be news.
-But ultimately decided that I want to choose my geographic location and make more than 200k. There was too much negativity around path that i didn't like.
-Dealing with dead bodies and organ specimens freaks me out. The smell in a path department is disgusting. I also have a strong astigmatism which made microscopes hard to use.
-I never got the scope ergonomics right so I would feel nauseated after a while
-yeah, i hate looking into a microscope. gives me a headache.
-They need to cut training spots by at least 50%.
-Much more interested in macro-anatomy than micro-anatomy, if that makes any sense.
-Considered path but didn't like my rotation and the day to day; autopsies were very depressing and morbid, couldn't stand the smell of specimens, job market was not good. Also looking at microscopes made me dizzy. Also wanted some patient contact.
-Yea. The microscope was an annoyance. The dead bodies and smells were enough to make me not even consider it
-Pathology seems too slow-paced for me. As a gamer, I always was more into first person shooters and other action games than I ever was into, say, chess or turn-based games.
-The only appeal to path was the hours in private practice. I liked the idea of getting my stack of slides in the morning, reading them, and then leaving when the work was done.
- Kept getting headaches with looking into a microscope all day
- Kept falling asleep on the other side of the microscope when the attending was reading slides
- Thought I would love autopsies until the attending opened the bowel on my first autopsy and the smell was unbearable (otherwise not squeamish)
- On the topic of forensics, I had a really hard time with autopsy cases of child abuse, even on a ppt slide ( although must be a fraction of cases)
- Felt that the breadth of pathology was pretty limited (disproportionate amount of cancer)
- No patient contact (at least that I saw during my elective), while there is a decent amount in rads
- Low salaries (less important)
- Bad job market
-I didn't mind doing autopsies until my 3rd week into a forensic pathology rotation where the sheer number of gruesome and tragic murders (this is in a high crime city) we had to work finally started to take an emotional toll on me. The smell and body fluids I could handle (even the rotting or burnt cadavers), but having to open these bodies after knowing their tragic stories became a bit much.
-most people did not go to medical school to spend hours a day looking at slides through a microscope for the rest of their working lives.
-I knew radiology would provide me with a better career path.
-IMO the only strict advantages of a pathology career are a better lifestyle (which comes at the cost of pay and geographic restriction), and closeness with basic science research (which is probably actually a disadvantage since most of us want to avoid that).
-Lastly this might just be in my area, but there is the feeling that the autonomy in pathology has long ago been crushed by administrators in hospitals and corporations.
-To find a decent pathology job one often needs to move, sometimes several states over.
-Radiology: Money, prestige, flexibility, good job market, interesting work
Pathology: You suffocate daily from all the chemicals and dyes
-Academic path has destroyed the field as there are numerous garbage programs with such low specimen volumes or lack of specimen complexity who are just using residents as grossing monkeys. They end up putting out subpar residents thereby saturating the field. How the acgme allows such programs to exist boggles my mind. Field saturation is what allows many of theses academic programs to treat pathologists the way they do.
Here are some of the answers. You can see the thread here:
Why not Pathology?
To summarize, main reasons were the job market, lack of exposure to the field and misconceptions about the field such as all we do are autopsies or gross. Some mentioned the bad smells. This is another evidence med students don’t know what we really do.
Thanks pathslides for contributing. What you mentioned I think for the most part is true.
Here is what they mentioned:
-I really liked my pathology rotation. Through the internet and the fellows I spoke with it seemed like the job market issues were real (not that rads doesn't have its own problems)
-Because I have been reading SDN since I was a premed and got the message about pathology early on.
-People don't want to have a hard time getting a job after residency and heck! they want to make 500k/yr...
-I think the main thing is underexposure to path
-In addition you see all these posts on the internet about how much the path job market sucks.
-i bet once path becomes digitized and you are looking at tissues on monitors instead of microscopes it will be way more popular.
-It seemed like unless we were doing frozen sections very little contact with consultants occurred in path while during my rads rotation it seemed like consultants either came to the reading room or called quite frequently.
-Money is only a part of what drives med student interest but when you constantly hear about how poor the job market is for path (true or not) it really weeds out people who might consider it.
-Your job market is simply terrible. I wasn’t under the impression this would be news.
-But ultimately decided that I want to choose my geographic location and make more than 200k. There was too much negativity around path that i didn't like.
-Dealing with dead bodies and organ specimens freaks me out. The smell in a path department is disgusting. I also have a strong astigmatism which made microscopes hard to use.
-I never got the scope ergonomics right so I would feel nauseated after a while
-yeah, i hate looking into a microscope. gives me a headache.
-They need to cut training spots by at least 50%.
-Much more interested in macro-anatomy than micro-anatomy, if that makes any sense.
-Considered path but didn't like my rotation and the day to day; autopsies were very depressing and morbid, couldn't stand the smell of specimens, job market was not good. Also looking at microscopes made me dizzy. Also wanted some patient contact.
-Yea. The microscope was an annoyance. The dead bodies and smells were enough to make me not even consider it
-Pathology seems too slow-paced for me. As a gamer, I always was more into first person shooters and other action games than I ever was into, say, chess or turn-based games.
-The only appeal to path was the hours in private practice. I liked the idea of getting my stack of slides in the morning, reading them, and then leaving when the work was done.
- Kept getting headaches with looking into a microscope all day
- Kept falling asleep on the other side of the microscope when the attending was reading slides
- Thought I would love autopsies until the attending opened the bowel on my first autopsy and the smell was unbearable (otherwise not squeamish)
- On the topic of forensics, I had a really hard time with autopsy cases of child abuse, even on a ppt slide ( although must be a fraction of cases)
- Felt that the breadth of pathology was pretty limited (disproportionate amount of cancer)
- No patient contact (at least that I saw during my elective), while there is a decent amount in rads
- Low salaries (less important)
- Bad job market
-I didn't mind doing autopsies until my 3rd week into a forensic pathology rotation where the sheer number of gruesome and tragic murders (this is in a high crime city) we had to work finally started to take an emotional toll on me. The smell and body fluids I could handle (even the rotting or burnt cadavers), but having to open these bodies after knowing their tragic stories became a bit much.
-most people did not go to medical school to spend hours a day looking at slides through a microscope for the rest of their working lives.
-I knew radiology would provide me with a better career path.
-IMO the only strict advantages of a pathology career are a better lifestyle (which comes at the cost of pay and geographic restriction), and closeness with basic science research (which is probably actually a disadvantage since most of us want to avoid that).
-Lastly this might just be in my area, but there is the feeling that the autonomy in pathology has long ago been crushed by administrators in hospitals and corporations.
-To find a decent pathology job one often needs to move, sometimes several states over.
-Radiology: Money, prestige, flexibility, good job market, interesting work
Pathology: You suffocate daily from all the chemicals and dyes
-Academic path has destroyed the field as there are numerous garbage programs with such low specimen volumes or lack of specimen complexity who are just using residents as grossing monkeys. They end up putting out subpar residents thereby saturating the field. How the acgme allows such programs to exist boggles my mind. Field saturation is what allows many of theses academic programs to treat pathologists the way they do.