I know this has been beat to death so I apologize preemptively. I get to dodge most of the annoying paper work, when I’m done and not on call I can walk out the door and forget work, I don’t have to maintain a clinic. As for supervising 4:1, that’s a ton of supervision. Training? Press question mark to learn the rest of the keyboard shortcuts. She is married to Steven Haddy, MD, the chief of cardiac anesthesiology at the University of Southern California. Dr. Webb gives his thoughts on which specialty is the best one to enter! Things I used to find stressful and challenging now I don’t really think twice about, and I imagine I will feel that way about a lot more things after 20 more years of doing this. In addition it's one of the few specialties that is still mostly still dominated by private clinics. But I generally feel pretty fired up despite exhaustion. Also competitiveness of specialties usually waxes and wanes . HPSP MS3 here. I'm worried about a few things and wonder if you have any input? No phone calls from unhappy patients or follow up. Many medical students who are interested in surgery end up ultimately pursuing other fields, so just as you don’t have to hate surgery to choose internal medicine or hate patients to choose radiology, you’re not picking a TY because you hate clinical medicine or work in general. The unpredictable (and highly litiginous) nature of the ED kinda lends itself towards MD/DOs not being replaced anytime soon. future of anesthesia is supervising CRNAs in a 4:1 model, meaning that you're managing personalities and keeping people happy. This will bring up a PDF of ACGME approved anesthesia residency programs. Like most surgeons could care less about the man behind the book/newspaper/sudoku/laptop. Residents will have alternate between internal medicine and anesthesiology training immediately following their PGY-2 year. IM is more diverse practice (hospital, clinic, etc.) Rough estimates have anesthesiologists earning an average of $360,000 while CRNAs (specialty nurses in anesthesiology) average about $170,000, which is more than some primary care doctors. I don't know how someone can do this for 35 years and not resent it. Anesthesiology is an advanced specialty and a good choice for any medical professional interested in technology, quick critical thinking, varying patients and work settings, and an occasionally high pressure work environment. Just to mix it up and keep things interesting? UAMS College of Medicine Emergency Medicine Department. Senior anesthesia resident at Stanford - so I know very little about the practice of anesthesia after residency in the real world. 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. This is the branch of medicine involving the medical care of infants, children, and adolescents. Residents will continue to have both an IM Continuity Clinic and anesthesiology shadowing experience throughout the 5 year period. Not to mention I found standing and monitoring patients quite boring. Anesthesia vs. Medicine M Chung. Looks like you're using new Reddit on an old browser. 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. 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 don't think you should do EM. Would you consider going back to work? Speaking of procedures, they're for the most part quick, innovative, and often curative. The specialty has seen a recent rise in popularity, increasing the competitiveness over the last few years. 253 on step 1. compensation isn't important (everyone gets nearly the salary in the military +/- bonuses). The major difference between an anesthetist and an anesthesiologist is that one is a nurse and one is a medical doctor. Surgery is a distant 3rd. It seems like a sweet gig with mid levels functioning more for intended role. There are dozens, if not hundreds, of ways of performing an anesthetic. If you don’t mind me asking, how do you feel about CRNAs? Vacation time is taken proportionally to time spent in each residency in a given year. Therefore, 96% of allopathic US senior anesthesiology applicants matched in anesthesiology. No rounds. 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. Anesthesia vs Emergency [residency] Residency. An Anesthesia Resident’s Perspective: From an interview with an anesthesia resident from the Emory University in Atlanta, Georgia. I also hear people say they think my job looks boring, well some days it is, but remember eventually anything becomes routine if you do it enough. The major difference between an anesthetist and an anesthesiologist is that one is a nurse and one is a medical doctor. Richard Novak, MD is a Stanford physician board-certified in anesthesiology and internal medicine.Dr. I love procedures and this is also great for that. anesthesia vs emergency medicine reddit. Going from a surgicenter job to applying to a job in a hospital isn’t as easy as you’re making it out to be. Do you have what it takes to get into your dream residency? For your pro for anes, most of it is fine, but minimal pt interaction kind of goes against IM. Kelly Gooch - Wednesday, July 25th, 2018 Print | Email. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. I'm assuming you aren't doing IR. Cumulatively, 2,004 applicants applied for 1,840 anesthesiology (PGY1 and PGY2) residency positions in 2018. Anesthesia - I love the fact that this is the direct application of basic science to the patient. Internal medicine is a specialty in which all medical students rotate during the third year of medical school. Anesthesiology is built on internal medicine, but it's more surgical than one thinks, also more technical (monkey see, monkey do). IM vs Anesthesia. Actually doing it is a blast. The anesthesia months should be low stress and fairly good hours. Little bit unrelated but in Belgium, after specializing as anesthesiologist you can do a 1 year program to get a special title as EM physician. No dealing with irate family members. Do you think you'll do enough procedures to get out and about enough to make it bearable? In this article, we will address the numbers you need to know. Reply. It’s still work. - anesthesia is more fun then IM in the daily practice (it may appear boring from the outside as a med student but actually practicing is more fun when you have the autonomy to choose how you deliver your anesthetic. Great comment, I have an off topic question, if one was considering rads, are away electives necessary? I know you haven't started your residency yet so you might not know about how much time you'll spend sitting, but do you think rads would be a no-go for me for that reason? Both are involved in putting patients under anesthesia for various surgeries, but some state laws and medical … Part of an interview series entitled, “Specialty Spotlights“, which asks medical students’ most burning questions to physicians of every specialty. Your link has been automatically embedded. 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. It offers a good procedural and clinical mix. According to Wikipedia, “Internal medicine or general medicine (in Commonwealth nations) is the medical specialty dealing with the prevention, diagnosis, and treatment of adult diseases. Hi there, I’m 1.5 years into Anesthesia practice at medium size community shop. I can give a different perspective here as I wasn't happy with anaesthesia when I began. In all specialties there is a chance for sustaining bodily harm from patients (patient violently waking up from sedation), but EM is on a level of its own. General surgery, and otolaryngology are five years. 10+ Year Member. Whatever path you take, best of luck on your military journey. Eh. The challenge of getting internal medicine to see a patient. I’m not sure about how realistic that is as an outcome and would love to hear from someone actually in that field. Press J to jump to the feed. I do a mix of general and cardiac anesthesia. Anesthesiology, anaesthesiology, anaesthesia or anaesthetics (see Terminology) is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. Pain is more and more competitive (can go into it from like 6 different fields now), and you pretty much need a fellowship to be competitive for a job. Hey guys! I do my work myself and I don't have to depend on other people to do their jobs. The training path to licensure in Anesthesiology can be also be complex. If you suspect internal medicine might interest you, we recommend trying to schedule this core internal medicine rotation as early in the third year as possible. EM seems to have the better job market and fewer shifts, anesthesia seems to pay better and keep you up fewer nights but has call. Also, the salaries look like they're starting to taper downwards in DR. What's going on there? But my gut tells me that those jobs aren't as common as this subreddit makes it out to be as the averages for gas would reflect that. Anesthesiology years: PGY-1: Intern year - Can be either a Medicine or Surgery prelim year, but most Anesthesia residency programs have adopted the Categorical model where you’ll match once for the entire residency. Anesthesia vs. Medicine M Chung. View virtual open house opportunities for summer and fall 2020. They may fire you in lieu of cheaper labor. Following this internet discussion thread to figure out difficult questions to my own life. The depth of IM is nice. I thought about what I could tolerate for the next 50 years. SDN was an invaluable tool for me in helping me get accepted to the program of my choice and it … Also wondering if it matters if I only do 1 year of fellowship vs doing a 2 year fellowship. Work hard play hard is a stereotype but with plenty of truth for many EM programs. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. I applied for Anesthesiology this past cycle and I went unmatched after going to 6 interviews. There is plenty of depth in rads and anesthesia. No dealing with multiple consultations and follow up. Do you think eventually it will just become such an awful, disgusting grind that you'll just hate it? Plus when things go wrong, I know what to do and how to save lives. You have to accept that level of risk when dealing with undifferentiated patients. Also considering EM vs. gas but I don't really get this gas>EM for lifestyle. 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. I have to do the military match in addition to the civilian match and have to stress way earlier than everyone which means I need to know what I want to do before too. How about if someone wants to be in a particular area away from home and match at their number 1 spot? Technically dermatology, anesthesia, neurology, opthalmology, diagnostic radiology, and radiation oncology are also four years.