253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). IM vs Anesthesia. also for me i don't get along well with surgeons. Medical Student (Accepted) Mar 31, 2017 #2 Sky is not falling. I’ve noticed a trend when I talk to applicants on the trail: a significant number of faculty advisors are giving some questionable advice, such as recommending that their students applying to advanced specialties (e.g. Also competitiveness of specialties usually waxes and wanes . Welcome to /r/MedicalSchool: An international community for medical students. Also, the salaries look like they're starting to taper downwards in DR. What's going on there? Welcome to /r/MedicalSchool: An international community for medical students. Supervisory positions are probably considered the norm. I imagine the 1000th time you treat a CAP patient, or remove that routine galbladder, or whatever it may be doesn’t seem nearly as exciting as the first 100 times you did it. Here are the 10 best states for physicians to practice medicine in 2019, according to an MDLinx.com analysis. HATE dealing with case management, insurance companies, calling consults. I was pretty intent on doing anesthesia but after doing some research and speaking with some attendings, I'm not so sure. As for that standing around, now I know how many things are going on that I have to monitor and take care of. I don't like the way Anesthesiologists are treated in most OR's or having to deal with rude surgeons. this seems to be a myth that keeps getting perpetuated. The specialty has seen a recent rise in popularity, increasing the competitiveness over the last few years. A good internist has a good chances of becoming a good anesthesiologist, based on his/her knowledge about co-existing diseases, and a good chance to royally suck at it, based on his/her personality. Technically dermatology, anesthesia, neurology, opthalmology, diagnostic radiology, and radiation oncology are also four years. AT the beginning of the new millennium, anesthesia-based critical care medicine (CCM) is at a crossroads. The training path to licensure in Anesthesiology can be also be complex. Reply. I'm worried about a few things and wonder if you have any input? anesthesia vs emergency medicine reddit. Do you prefer working hard or playing on your phone? Here are the 10 best states for physicians to practice medicine in 2019, according to an MDLinx.com analysis. Major Short-term Complications of Arterial Cannulation for Monitoring in Children . Additionally, I noticed the burnout rate is quite high (about the same as EM, which is frankly terrifying). average work week of an anesthesiologist is about 60hrs/wk. Typically, the medical student posts some USMLE/COMLEX scores (with or without a GPA) and sends a message out to the world of “What are my chances of getting into Anesthesia?” But, it doesn't sound like you enjoy the day-to-day of IM. Although i do like inpatient medicine quite a bit.. anesthesia still trumps it). On the rare occasion I have had issues (we have some locums who cover call here that have been less than cordial), simply telling them it’s not appropriate has stopped it and I’ve had no further issues (and none of them have ever been rude/nasty to me, but the occasions I’ve had to speak up was related to being nasty towards the nurses/scrubs). Similarly you are a specialist, but you require a broad range of knowledge because patients with every conceivable disease will present for surgery. There are currently 5 combined residencies in emergency medicine (EM): EM/pediatrics, EM/internal medicine, EM/internal medicine/critical care, EM/family medicine, and EM/anesthesiology. 3 years later, I am so, so glad I chose anaesthesia. How much does your Step 1 score matter? For me, I wanted to be in a team. do you like the OR? Broad scale, somebody would eventually fuck up a few patients and all it takes is a couple big news stories and the whole “do I want a nurse or doctor keeping my parent alive during surgery” argument will become mainstream.. IM can be very long-term focused while Anesthesia is more acute/immediate 4. Since anesthesiology is a specialty many students don’t have direct exposure to until the fourth year of medical school, it is important to learn about this specialty early in your medical education if you think it might interest you. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. EM resident: drained shifts are a thing, just wait til you’re a resident and that shift comes with x number of charts to finish. Looks like EM is sued a bit more often than anesthesiology. Hey I really appreciate this writeup. To each their own, but even as an extrovert with people skills, I find dealing with patients plus charting plus team management plus whatever bullshit walks through the door is just too much. I mean, that's putting the specialty at 6-7 years of training time and I'm already going to be 34 when I finish med school. There are dozens, if not hundreds, of ways of performing an anesthetic. Hey guys! Anesthesia is overall more competitive to get into, but not terrible. What would you do if a patient attacked you. 1 year ago. Absences from training exceeding 5 of the 60 months … Surgery is a distant 3rd. Please read the rules carefully before posting or commenting. Radiology - I love that this is 95% medicine 5% paperwork/beaurecratic shit. and when you're on call, you best believe you'll be working because they will always need an anesthesiologist for whatever c-section/appendectomy/subdural hematoma drainage comes in at 3am in the morning. Thoughts?? Your link has been automatically embedded. Not practicing procedures for an extended period of time makes you a less desirable applicant, that’s just common sense. derm, ophtho, rads) only apply to preliminary medicine programs because transitional year (TY) programs are too competitive. Or Step 2 CK score? HPSP MS3 here. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. No dealing with irate family members. EM vS Anesthesia (for the millionth time) Both are shift work, both deal with critically ill patients, both have mid-level creep/autonomy, both pay well. Not to hijack the thread but I'm also considering rads and maybe my questions will be useful to OP. Residents will continue to have both an IM Continuity Clinic and anesthesiology shadowing experience throughout the 5 year period. Anesthetist Vs. Anesthesiologist. Take Step 3. Lots of anesthesia docs say the future is bright. I'm an M2 so I haven't rotated in anything but I've shadowed a radiologist and have some rads pubs. Internal medicine, family medicine, and pediatrics are three years a piece. You should be able to look at your job and say "Yea, I can be happy doing this for the next 35 years". I thought about what I could tolerate for the next 50 years. Residents will have alternate between internal medicine and anesthesiology training … wildcherry. It’s eerie to read the description given by the radiology resident above because I feel nearly the same thing can be said of anesthesia. Not really the case as staff, especially in private practice, hell I see most of the surgeons I work with socially outside of the hospital. Work life balance present. Anesthesiology is built on internal medicine, but it's more surgical than one thinks, also more technical (monkey see, monkey do). I applied for Anesthesiology this past cycle and I went unmatched after going to 6 interviews. No rounds. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Not to mention I found standing and monitoring patients quite boring. I don’t think that I’m particularly good with children, so that eliminated pediatrics and family medicine for me. Also considering EM vs. gas but I don't really get this gas>EM for lifestyle. Another thing is: one radiologist I know told me practically 90% of DRs do a fellowship. IM is more diverse practice (hospital, clinic, etc.) I wish you luck, certainly a good spot to be in (having many choices as opposed to none or few), feel free to PM me if you have any other specific questions. One of the best EM doctors I know did this as he was a bit of an adrenaline junkie and preferred the high pace work environment. For me, the big decision point in medical school was whether to go into internal medicine and specialize in pulmonary medicine, or whether to go into anesthesiology. I was afraid I would miss diagnosing and treating patients and be mistreated by surgeons. I don't mean interacting with patients, I mean interacting with that one patient who is obviously seeking painkillers, or the diabetic that is angry and doesn't understand why you can't just surgically reattach his gangrenous toe as he sips his 7/11 big gulp slurpy (real patient for me), or perhaps the worst, the patient interaction with the patient who wants to get better but the social system has failed via insurance, poor support, or poor socioeconomic factors. As for supervising 4:1, that’s a ton of supervision. Community practice tends to have closer surgeon-Anes relations than academics too. You listed no negatives for radiology, that's a start. I come to hospital, do my cases and leave. The case I would build for going into radiology is that you get a lot of the good of medicine and side step the bad. one thing that turned me off from gas is that you have to be in the OR super early (6-7) for the rest of your career. 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