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This reminds me of a line from a buddy of mine who is an anesthesiologist:
Anesthesia is mostly intense boredom interspersed with moments of shear panic
True 'dat!
This reminds me of a line from a buddy of mine who is an anesthesiologist:
Anesthesia is mostly intense boredom interspersed with moments of shear panic
Awe come on guys - this will be fun! I'll start.
1. Dermatology - you can see exactly what the problem is. Plus treatment options include: 1) Topical steroids and 2) biopsy.
2. Somewhat surprising: Anesthesia. Its definitely easier to get into, especially compared with Derm. There aren't that many drugs to know but you do need to know when to use them. You have to be good at airways - that is not so much knowledge as it is skill. I think it requires a lot of skill but less knowledge.
I'm not running around here saying that a Whipple is a piece of cake cause I saw one as a 3rd year med student (or any kind of surgery, for that matter).
I would say Family Medicine in an institutional setting, or in a group with other doctors (Not family medicine in a rural setting)
You can probably handle 99% of the patients straight out of med school.
If you want, you can go get more knowledge in procedures and ob-gyn.
If you don't want to deal with it, ship it off.
That actually would be the opposite of the conventional wisdom. Most people can intubate; there are some more difficult ones, including fiberoptics, which are much more challenging and really require practice. Many of the regional blocks require a fair bit of skill, skills that aren't taught very well in other fields.
However, most anesthesiologists are excellent critical care physicians which requires a huge database of knowledge. I was perfectly comfortable with the SICU rounds run by anesthesia attendings; they knew their stuff, AND could do procedures.
Some of the specialties where are MUCH less likely to have a patient die under your care than anesthesiology:
...
Psychiatry
...
Sure all of these specialties will have people die but not usually while they are in your physical presence and you are not usually the one that is expected to acutely prevent their death.
...
SICU rounds run by an anesthesiologist? I had no idea that anesthesiologists could stand in for a critical care attending or a surgeon who specialized into surgical critical care, . . . i.e. Pulmonary/Critical Care people learn a lot about vents, ID, and I wouldn't expect that to be part of the training of anesthesiologists! (I.e. patients with ARDS on a ventilator usually aren't going to be surgical candidates, . . . and so how would an anesthesiologist obtain experience outside of a SICU rotation in residency?) The pulmonary/Critical Care attendings I have seen manage surgical patients knew a lot about pulmonary processes because they really specialized in that stuff, did bronchs etc, . . . and likewise the Surgery attendings in the SICU had great knowledge about how to manage surgical residents, especially their ability to detect subtle signs that a patient needed adjustments in management or when to go back to OR decisions made in conjunction with reading their own CTs. I guess I also like the other poster i am ignorant about the training that anesthesiology residents receive as I thought mostly it involved intraoperative monitoring during surgery?
I guess I also like the other poster i am ignorant about the training that anesthesiology residents receive as I thought mostly it involved intraoperative monitoring during surgery? . . .
(I.e. patients with ARDS on a ventilator usually aren't going to be surgical candidates, . . .
I agree it is easier to get into than Derm, yet that gap is narrowing every year.
Sorry to be coming late to this thread, and I'm really not trying to make this into a micturition contest, but lets think about what the phrase "under your care" means.
This whole conversation brings back to mind the morning when I returned a page and heard "OPD, the Medical Examiner would like to talk to you about one of your patients."
There is something about a patient suicide that just seems to intensify this idea that one is expected to be able to prevent a patient's death, even if not (hopefully) "in your physical presence".
Therefore, anesthesiology is only mildly competitive like emergency medicine.
I agree. Anesthesiology is definitely moderately competitive, similar to EM.
Let me rephrase my badly phrased original thread....
Of the fields the fields that are the easiest to get into....Psychiatry, Family Medicine, Neurology, PMR, OB-Gyn and IM....which would require me to memorize the least and achieve a 100k per yr salary working 40 hrs a wk. I'm thinking it would be Psychiatry. I think their job is an important one but requires less memorization than some of the other fields and a cusher lifestyle.
I'm not ragging on it as a specialty. I'm just tired of seeing it lumped with radiology, ophthalmology, and derm in terms of competitiveness. Meanwhile, people generally roll their eyes on this board at emergency medicine as if anyone can just sign up for it.
I agree too. Top programs are competitive, but the field as a whole is not that competitive. There are tons of spots available.
Anybody read The House of God? We anesthesiologists didn't even have to apply for positions in residency. During med school, we received letters reading, "Do you want to be an anesthesiolgist? [Y/N]" I circled "Y." Several years later, I got another reading, "Would you like a job with an anesthesiology group for big money? [Y/N]" Again, I circled "Y" and here I find myself. No application, no tests, no requirements for "real" knowledge. Amazing, isn't it?
-PMMD
SICU rounds run by an anesthesiologist? I had no idea that anesthesiologists could stand in for a critical care attending or a surgeon who specialized into surgical critical care, . . . i.e. Pulmonary/Critical Care people learn a lot about vents, ID, and I wouldn't expect that to be part of the training of anesthesiologists! (I.e. patients with ARDS on a ventilator usually aren't going to be surgical candidates, . . . and so how would an anesthesiologist obtain experience outside of a SICU rotation in residency?) The pulmonary/Critical Care attendings I have seen manage surgical patients knew a lot about pulmonary processes because they really specialized in that stuff, did bronchs etc, . . . and likewise the Surgery attendings in the SICU had great knowledge about how to manage surgical residents, especially their ability to detect subtle signs that a patient needed adjustments in management or when to go back to OR decisions made in conjunction with reading their own CTs. I guess I also like the other poster i am ignorant about the training that anesthesiology residents receive as I thought mostly it involved intraoperative monitoring during surgery? . . . upon googling it , it appears that there is a critical care fellowship for anesthesiologists after residency, maybe that is what is required for an anesthesiologist to work as a sicu attending?
Anybody read The House of God? We anesthesiologists didn't even have to apply for positions in residency. During med school, we received letters reading, "Do you want to be an anesthesiolgist? [Y/N]" I circled "Y." Several years later, I got another reading, "Would you like a job with an anesthesiology group for big money? [Y/N]" Again, I circled "Y" and here I find myself. No application, no tests, no requirements for "real" knowledge. Amazing, isn't it?
-PMMD