I am writing to share my experience as an anesthesiologist for those considering the field. It is anecdotal and carries a low level of evidence. I am a PP anesthesiologist with
3 years experience in a top tier academic setting and approximately 1.5 in PP. Anesthesia is a field that affords competitive compensation and a reasonable lifestyle: that is where the fairytale ends. It is a service oriented field where one's competence is judged solely upon his service (namely, attitude). There are plenty of groups out there willing to hire hungry young docs as employees but partnership is going the way of the dodo. You may ask yourself, how does one stand out in the field. That too is a good question. Our knowledge base and skill set is poorly understood by others. I had competitive numbers for ANY field, have taught myself echo (and received Advanced Certification), and I feel my skill set is razor sharp from airways to blocks, lines, and IV's. I may do 20 blocks a week but if we roll back late once, I get to answer for it. I routinely find echo data that goes ignored by the CT surgeons. We are allowed to play "perioperative doctor" all we want as long as it doesn't cause a hiccup in the schedule. In short, we have made ourselves obsolete, allowing CRNA's to care for patients and surgeons to dictate workflow. Additionally, I am easily the most efficient in my practice and my reward is to frequently see my "senior partner's" patients as well as my own while they get paid more. No promise of partnership exists. I realize this may all sound trite to those in residency and many, particularly those behind the bell curve, will just be happy with a good paycheck. However, for those seeking fulfillment and self actualization, anesthesia may prove a tortuous route.