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Thanks. What do you base your vote on?
I dunno. It’s just question after question here. My money is on psych.Since you gave us absolutely no information about yourself to help you make a decision, I vote anesthesia.
Same as psych. Even MGH has “psychiatric” NP/PAisn't gas being infiltrated by an enormous amount of midlevels? I'm not sure how bad it is in comparison to psych though.
isn't gas being infiltrated by an enormous amount of midlevels? I'm not sure how bad it is in comparison to psych though.
I feel like gas makes more on average but in psych it's more of a choice. You can hang a shingle on your own basically anywhere, take no insurance, and make bank in psych still. Gas is 5-10 years from feeling saturation that will only get worse as the mid-level wave comes of age, and the slimy private equity guys circling around boomers' practices will only make that worse.$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$ Gas
Alphabetical.Thanks. What do you base your vote on? I may add more information later, but I want to keep it fairly broad to start because I think that will allow people to point out some criteria for deciding that I may not have thought of yet.
Why not both? Open a ketamine clinicI don't have time for any foolishness serious answers only please.
Help us help you.4th year med student here and will be applying in just a week or so. Trying to decide between anesthesia and psychiatry. I am competitive for either. Please help.
You did not give any other information for us to help you. You might as well flip a coin tbh if that's the case. If you actually want real advice, give us what you love/hate about each specialty and what goals you have in your life relating to medicine.I don't have time for any foolishness serious answers only please.
It’s not our fault you’ve waited so long. I can’t imagine expecting good advice on a message board when the responders don’t know anything about you. I vote anesthesia.I don't have time for any foolishness serious answers only please.
Same as psych. Even MGH has “psychiatric” NP/PA
Imo only truly resistant to midlevels are surgery (including subspecialties), pathology, radiology, a subset of IM subspecialties, rad onc I guess but that has a whole other set of problems
Alright. I know the fields are very different but its okay to like different things and the fact that they are different makes the decision even harder. I like anesthesia because I think that the pharm and phys are cool. I enjoyed learning about those things and was good at it. Procedures are cool. Possibility of a pain fellowship might be cool. Psych is interesting. Liked learning about it. High demand. Easy to do private practice. Good lifestyle too even in residency in most cases.
Money and lifestyle are important factors for me.
If you want almost total immunity from midlevels, do forensic psych. Depending on where you are, there may be statutory bars on anybody other than doctorate psychologists and psychiatrists doing certain important evaluations (like sanity evaluations). Even where that is not the case, you’ll just completely destroy any midlevels you’re testifying against because almost every judge or jury is going to believe a doctor over a nurse practitioner.Same as psych. Even MGH has “psychiatric” NP/PA
Imo only truly resistant to midlevels are surgery (including subspecialties), pathology, radiology, a subset of IM subspecialties, rad onc I guess but that has a whole other set of problems
Yes, so although I do enjoy pharm and phys in anesthesia, I know there are certainly moments of high stress, and as a medical student I think its hard to gauge how well you'll perform in that type of situation because you've never had that kind of responsibility. Just makes me somewhat apprehensive I guess.
For psych, I like mood and anxiety disorders which is a huge part, would also like to treat college students in the future, but not a big fan of dealing with drug absuse/addictions and severe mental illness. I know I'd have to do all these things in residency and thats fine but would probably try to limit it after. Feeling like I'm giving up the rest of medicine as well. Also, I don't know how else to put it other than I'm not really similar to any psych residents that I met, they're not really 'my people', which is fine I can get along with most anyone but still. Vs. many people in anesthesia I have vibed with.
If lifestyle is very important to you, keep in mind that you will be working some evening and night hours in anesthesia, even as an attending.
Sounds like psych is best for you. Indecisive and you get offended easily. Anesthesia would not be a good look.4th year med student here and will be applying in just a week or so. Trying to decide between anesthesia and psychiatry. I am competitive for either. Please help.
Anesthesia isn’t really lifestyle. It can have good money but you earn it. There’s a lot of call.Yeah I just want money and lifestyle. Thats the most important thing to me
You want money do Anesthesiology. I personally think lifestyle in Psychiatry is better than Anesthesia. I have friends in Anesthesia and they do more weekends and nights. Work more hrs. I do call from home like one night a week.Yeah I just want money and lifestyle. Thats the most important thing to me
You want money do Anesthesiology. I personally think lifestyle in Psychiatry is better than Anesthesia. I have friends in Anesthesia and they do more weekends and nights. Work more hrs. I do call from home like one night a week.
Also, the decision tree is pretty clear. Want to hear your patient talk or not? Does whining about problems bother? Want to deal with families? Having to handle psychotic patients and force them to take treatment? Like life and death pressure? Working with surgeons? Being in the OR?
Personally, both were on my list. But, due to being in OR, stress levels and I personally think not that great a lifestyle compared to psych I chose Psychiatry. Also, in Psych, it is fairly common to have multiple side jobs for supplemental income. Very easy to work from home doing psych.
"be quiet"If you don’t care much about lifestyle, you can make bank in psych, too. I’m in what is theoretically a very saturated market, but some of my coworkers are per diem and also doing call for the hospital. They are making bank. They’re working a lot, but I’m talking about buying Ferraris, having multiple properties including somewhat large ones in an expensive city, etc. I also have not seen as many Rolexes in one place as when I have lunch with my coworkers.
Personally, I prefer to make decent money at my state job, work business hours Mon-Fri, enjoy all state holidays off, and work towards my pension. I make plenty of money and I just want to enjoy my time off.
Thats awesome that they're doing so well. Ferraris and multiple homes are cool and I would like to have nice things too, but I'd like to strike a bit more of a balance. I don't mind working hard but if you're working and on call all the time then what's the point? I'd like to have time to exercise regularly and enjoy myself every now and then
Is there a secret?
I know a guy who like you, Only really cared about money and lifestyle. He was between psychiatry and radiology. He ended up only applying to radiology then after not getting many interviews threw pathology in the mix. He is now a pathology resident and boy does this guy have free time. More than he would in radiology and maybe even psych.4th year med student here and will be applying in just a week or so. Trying to decide between anesthesia and psychiatry. I am competitive for either. Please help.
This is actually perfect advice for someone who likes both anesthesia and psych.Anesthesia then go into pain, youre welcome. Enjoy the private practice lifestyle, quick patient interactions, and lucrative field
Anesthesia then go into pain, youre welcome. Enjoy the private practice lifestyle, quick patient interactions, and lucrative field
Anesthesia --- because it'll be easier to meet a surgeon, ideally a neurosurgeon, whom you then marry and either retire or just work part time.Yeah I just want money and lifestyle. Thats the most important thing to me
these are very different personalities for specialties.4th year med student here and will be applying in just a week or so. Trying to decide between anesthesia and psychiatry. I am competitive for either. Please help.
there's very little taught about the finances that comes with any specialty until it is way too late.[I'm a retiring anesthesiologist] Since you're a fourth year student, I am unclear as to why this is a "last minute decision" as you'll need a general year after med school prior to specialty training. Both your senior med school year and internship will provide opportunities to work in both fields and (necessarily) interrogate anesthesiologists and psychiatrists about their special likes and dislikes about the specialties. Your question tells us nothing about you, so it really is impossible to provide a substantive answer. In the most general sense: I trained with a board-certified neurologist/psychiatrist who was doing three more years of anesthesia; he wound up in private neurology practice. I had an anesthesiologist colleague who left anesthesia after fifteen years, went back to residency as a psychiatry resident, and finished his career in medicine as a private practice shrink. I don't know anyone who "went the other way". My pain subspecialty friends are seeing enormous cutbacks in pain reimbursements from third parties (Medicare, insurers--now--in 2022). So much that it is no longer profitable to do epidural steroid injections and/or RF ablations in their offices. A Medicare adjustment downward in January 2023 ( in the middle of a marked inflationary period) will sink many dependent practices.....perhaps private psychiatry practices may be immune to a large degree depending, of course, on their payor mix. Third party payments, in general, are heading south FAST. Any specialty where you can control your market and destiny looks preferable to me for new med school graduates who plan to practice the next 40 years. For example: a dually-boarded internist (or family practitioner)/ psychiatrist would be in an ideal position to own a fee-for-service weight loss, couseling, life-style-change clinic. Incorporating the many services such practices entail (that people are willing to pay for!!) would provide for cash flow free of government and third party payor manipulations.
i would presume in psychiatry there will be continued need to document and potentially have issues to deal with. At the last there maybe patient issues to worry about.
One day? Some states already allow clinical psychologists to write scrips.I’ll bet one day we will see therapists prescribing SSRI’s….
I would add that this is not the only practice model though. I wouldn't make it a deciding factor. There is plenty of room for work-life balance in psychiatry, and there are plenty of jobs where you don't have to be available outside of office hours if that is what is important to you. One of my relatives practices at a clinic that goes to voicemail after business hours with an advisory to "note for your next appointment if the issue is not urgent and hang up and dial 911 if it is". So when he goes home in the afternoon, he is just as "off" as an anesthesiologist.This is highly dependent on your practice setting and how it is set up.
There are outpatient practices where the expectation is that you will respond to patient concerns/requests outside of your typical hours at the office. This is particularly true in private practice, especially if you’re not part of a big group where there is a coverage system. Many employed outpatient jobs, however, will have some sort of “call” system where there will be one psychiatrist responsible for responding to all these issues for the clinic on a given day.
Inpatient work is different, because there is generally a call system. Depending on the job, you may or may not have to take call as part of the job. My job, for instance, does not require that I do call, but I could sign up to be part of the call pool for extra money. Generally, if there is somebody on call, you can go home and not worry about anything until the next day.
Maybe others are different, but I do not document after I leave the hospital.