WORST Doctor Lifestyle Specialties

These are the worst lifestyle specialties for doctors, meaning the physicians with the least predictable and worst hours, lowest pay, and most challenging work.
The lifestyle quality of a specialty comes down to three main factors: (1) the hours you work, meaning the predictability and total number per week, (2) the amount of money you make relative to the amount of work put in, and (3) the quality or substance of your work.
Some medical students choose more challenging specialties because they love the specialty and lifestyle is a secondary or tertiary consideration. After all, lifestyle should NOT be your primary consideration when choosing a specialty.
💌 Sign up for my weekly newsletter - medschoolinsiders.com/newsletter
🌍 Website & blog - medschoolinsiders.com
📸 Instagram - / medschoolinsiders
🐦 Twitter - / medinsiders
🗣️ Facebook - / medschoolinsiders
🎥 My KZbin Gear: kit.co/kevinjubbalmd/
👀 Hand Picked Productivity Tools: www.amazon.com/shop/medschool...
🎵My Study Playlist: open.spotify.com/user/1231934...
TIME STAMPS:
00:00 Introduction
02:06 General Surgery
04:28 Primary Care
06:05 OB/GYN
07:05 Surgical Specialties
08:39 Overlooked but Critical Factors
LINKS FROM VIDEO:
Best Lifestyle Specialties: • Best Doctor Lifestyle ...
How to Choose a Specialty: • How to CHOOSE A SPECIA...
Choosing a Doctor Specialty: • Choosing a Doctor Spec...
Caribbean Medical School Playlist: • Caribbean Medical Schools
#medicalschool #specialty #premed
====================
Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[@MedSchoolInsiders]

We’ve officially launched channel memberships! Become a member today and get early access to new videos, priority reply to your comments, and help us discover which videos to cover next with members-only polls! Click to "JOIN" button above to learn more! See you on the other side =)

[@OBWATTA]

IR

[@OBWATTA]

Do a video on IR

[@azlinaosman4478]

Oooo

[@YesToLifeAlways]

what is scope creep...as soon as i finish family medicine....i am not sure if i will work as a full time family doctor or i might end up doing something completely different

[@MoniTbitu]

Unpopular opinion: lifestyle is THE most important aspect to consider when choosing a specialty, and NOT your "passion."

[@brittany1484]

wholeheartedly agree

[@adls04]

Right, you wanna be on call when ur 60? It's the most important factor.

[@a.d.w8385]

Agree.

[@michab.r.1854]

@@KB-TAYLOR Well what you find interesting still matters. Nobody can truly be happy or even stomach having to work a job they never loved for 40+ years. This is why so many doctors are killing themselves. Consider ALL the main pillars of choosing a specialty, never just one of them.

[@joeburreaux7953]

The real unpopular opinion is salary being the most important aspect.

[@chidinma7289]

I think Lifestyle should be an important consideration when choosing a speciality. It’s literally your lifestyle and the burnout rate for doctors is already a problem

[@mario125ww]

Yep and I know people say that people shouldn't go into medicine because of the money or lifestyle but come on you shouldn't be sacrificing your livelihood to survive. So I think it's a fair question to ask since outside factors such as family, hobbies, and kids matter

[@snamorsixteen]

This is why i chose radiology

[@user-tp5qu7zu2l]

I'm thinking of Dermatology because of lifestyle but I really want to do surgery!!! Why isn't there a surgical speciality with good lifestyle?! 😩

[@bananalol2065]

@@user-tp5qu7zu2l if you're gonna get it into dermatology just because of the lifestyle, remember that it's gonna be just as worse. Enjoying what you do in everything is important, choose wisely! 💫

[@user-tp5qu7zu2l]

@@bananalol2065 ikr, that's why I'm soo confused as to what I should do 😣

[@FIDEL_CASHFLOW_]

I was a private investigator that worked for a large firm in my area. Wife of a neurosurgeon suspected her husband of cheating and she came from a prominent family in the area and had tons of cash so she paid for a month straight of surveillance on him, 24/7. So for 30 days straight you followed him in 8-hour shifts per person. The dude literally probably spent more time at the hospital than he did at home. His wife was in constant communication with our team and she would let us know if he got woken up at 2:00 in the morning to have to go in and perform a surgery and this happened multiple times a week. We would follow him the hospital at like 3:00 in the morning and he wouldn't leave the hospital until five or 6:00 p.m. sometimes a little bit later. Yeah the dude drove $200,000 black Lamborghini and lived in a 6 million house but to me it just didn't seem worth it.

[@matthewmorrison3703]

Surgeons have a high suicide rate.

[@shreyasrivastava7745]

Wat was the conclusion afterall, did he cheat his wife??😅😅

[@FIDEL_CASHFLOW_]

@@shreyasrivastava7745 Yes he was cheating with a nurse at the hospital.

[@SAJ.GAMING]

in my opinion its defenitely not worth ....so i did MD internal medicine 🤩

[@Joh1002mm]

Haha that’s convenient t

[@tlucero6994]

I had a burned out surgery attending in med school gave me some of the best advice - “after you do something 200 times it’s going to be boring, but I guarantee you’re still going to like your free time”.

[@mustang8206]

Good point

[@osirusj275]

Means free time is better than exciting jobs?

[@aluminiumknight4038]

​@@osirusj275no. It means no job is exciting enough to take up all of your time

[@blueberrymuffin4921]

@@osirusj275 Exactly. Who needs exciting jobs when you can rather have the time to live an exciting life?

[@kristenglasgow3761]

Surgeon in practice for 7 years. Did a burn crit care fellowship. Do trauma, burns, gen surg and crit care. Love what I do. Would have been bored to tears in medicine. Was told though that I would never get married, never have a family, never spend time with friends, etc. Happy to say I’m HAPPILY married, have date night every week. I am a mom and dedicate time to my child with plans to grow our family. I have wonderful friends and a family I see regularly. Learning to say no helps. Choosing a hospital culture that fits for you helps. 2 of my partners are also women with kids. Yes I work long hours but moved close to the hospital so I get to come home on call and put my baby to sleep. The advice that was given to me by another female surgeon (got really tired of non-surgeons trying to tell me how horrible surgery is)was that if I truly loved surgery then do it but make choices within the field to fit the life you want. I might work all night but I have the next day off to do what I want, plus I make enough to have a maid service, nanny and Gardner to do the things that are not quality time I could be spending with the ones I love.

[@BD-rj8wb]

Thanks for sharing!

[@scarsound]

This comment gave me so much hope as a prospective med student Thank you for sharing 💕

[@Everglow95]

Thank you for sharing your experience. I am about to start my surgical job but people always make me question my decision and give me negative thoughts as if I'm going to regret my choice in a couple of years. I believe that work life balance is a choice and it is doable! only lazy ones blame not having a balance on their chosen specialities

[@minasmid8786]

There are a couple of very important differences between men and women. But good for you.

[@anoohyakavuri2898]

❤❤❤

[@tesscrelli783]

Me: not a doctor Me: not even subscribed to this channel Also me: "Oh yes, this will be useful information in my future."

[@sunnyside7369]

Never know! You might have a convo with somebody who's considering medical school and your insight might actually help them on their journey!

[@abby41tuff]

me too lmao.

[@daftmeme1081]

Same here🤣🤣🤣

[@yonpark6245]

I'm a doctor and I thought this was a good take on it :)

[@vidalskyociosen3326]

@@yonpark6245 I'm just nobody, but I approve your message.

[@marialemos2363]

Please make a video "So you wanna be an oncologist?" Pleasee

[@sharvari3166]

Yes please do

[@nataliapolakova9057]

Agree ✨

[@Toogaytoofunction]

Please 🙏🏽

[@kabauny]

I just posted this on another video. So I thought I share: I Can't tell you what's like to be an oncologists since it's been only two weeks since starting fellowship, but I can tell you what I know about the field and the application process. HO obviously is a subspecialty of IM. It's a 3 year fellowship. There are some subspecialties, but all of them except for transplant is non-ACGME accredited. HO is very research focused because our understanding of cancer is still at its infancy. What this means is that we are making medical decisions largely based off clinical trials rather than application of physiology and molecular biology. I would love to tell you we know the exact mechanism of every cancer and have tools to combat these abnormalities, but the science is simply not there yet. This is a great career opportunity if your goals is to advance the practice of oncology. There are two spectrums of HO fellowship: research and clinical. If your goal is to organize physician initiated clinical trials (rather than drug company initiated), you are going to want to go to a more research focused institution. These are typically your most "prestigious" centers like MD Anderson, Sloan memorial, NIH, Farber-Dana, etc.. (it's actually Dana-Farber, but Dr. Sidney Farber is actually the physician-scientist that founded the institution and Dana is just the money people). These institutions are typically 18 months of learning HO, and then 18 months of research. If you only want to contribute to the field of oncology by enrolling patients to clinical trials or simply practice (without any focus on academia), you probably want to go to a clinically focused institution, where you are seeing patients 80-90% of your 3 years. To get into the fellowship, regardless of the type you choose, the strength of your application is demonstrating your commitment to research. I would argue the quality of your publication matters more than quantity, although there is a threshold of quantity as well. I would do maybe 7-10 things. These could be abstracts, posters, presentation, and obviously publications. I would have at least 1 first author paper or a co-author of a high impact journal. Letters only matter if the institution know the writer, which I would argue is one of the few reason why a training in a competitive residency is important. To sum up, HO is a truly Evidence Based Medicine, more so than any other field. It's an exciting, where the practice is constantly changing because of better understanding of oncology. You are also taking care of patients at their most vulnerable state, so you owe it to them to be the best doctor you can possibly be. If you want to contribute the science, go into a research focused fellowship. If you want to help as many people as much as possible now, go to a a clinically focused fellowship. If you want to do both, you can go to either one and see less patients but spend the rest of the time on enrolling patients to clinical trials. Get a feel for what you like. And if you know you want to be in academia, start setting yourself up now by getting a good step score, to go to a good IM residency, and start research now. Nothing shows commitment more than showing half a decade of research experience. This is a lot of information, and I hope it helps. haha. PS. There is a whole field of heme I ignored.

[@bubacarrjabbie1113]

That will be awesome.. Can't wait for it

[@dunkinherdonut8471]

I greatly appreciate those who are willing to go into any medical fields. The world needs more of you guys. Sincerely.

[@ruskov5685]

Appreciate that

[@virginiamoss7045]

I agree. Our health care system in the US is a horrible mess. We have to import foreign doctors to meet the need here. Why is this? One reason is that medical schools limit the number of medical students so that all doctors out there won't have to worry about competition from other doctors for patients. There's a disconnect here between the medical schools and reality. They turn away talent that we all could use. Makes no sense at all and causes us all to suffer low-quality medical care. Medical personnel are always hugely rushed and even more so now that corporations own everything and press mercilessly for more and more profit at the expense of patients who can't even afford to pay for much of the poor medical care we have in the US. Total mess!

[@MostafaAhmed-bp7ce]

​@@virginiamoss7045 if you think healthcare in the USA is then I have bad news for you lmao

[@virginiamoss7045]

@@MostafaAhmed-bp7ce "Is" what? What is your bad news?

[@francinewintzmbbs4977]

Thank you! ❤

[@wannabedal-adx458]

Neurosurgeons are like Investment Bankers, they make a ton of money, but have no time to spend it!!

[@Shanaevaz]

I actually wanted to a neurosurgeon lol but now im rethinking it. Im not trying to bust my brain lol

[@SK-mr6ov]

@@Shanaevaz how can you want to be a neurosurgeon and not know this kmao

[@Shanaevaz]

@@SK-mr6ov lol thats y I said I am rethinking it lol

[@luqmanhisham6093]

@@SK-mr6ov what about neurologist (my current ambition), do i still get to live a convenient lifestyle? 🥺

[@SK-mr6ov]

@@luqmanhisham6093 yea you’ll have time, tbh once you’re an attending physician then you can pretty much build your own schedule and how much you want to work. It’s all up to you

[@gerald479]

My mom was an OB GYN and I can confirm that it is very sporadic and time consuming. She missed many holidays, especially Christmas and would wake up at like 3 am and do 48 - 72 hour shifts just to get back home and go back in a few hours. Honestly I think it depends on how good you are at being an OB GYN but she was at work most of the time.

[@aishwaryakapse4560]

Its very hectic 🤧😟😟😟

[@NateB]

It’s about how good you are at negotiating.

[@imsungjaesmelody.thesnorte5623]

I’m doing gyn obs rotation and I spent 48 straight hours in the delivery room and theatre. And now I have to go back after few hours again. I hate this

[@thedeathbreaker3701]

​@@imsungjaesmelody.thesnorte5623 can I know then why u chose medical because I am in that road can u say ?

[@_anime_shawty7654]

​@@imsungjaesmelody.thesnorte5623 damn

[@turquoisetortoise6330]

I understand and agree with Dr. Jubbals philosophy that one should take responsibility for everything in their life such as making themselves competitive for a good lifestyle specialty. However, I think the main problem here is systemic. Not everyone can be a dermatologist or plastic surgeon no matter how hard anyone studies or improves their study strategies in med school, so shouldn’t the focus be on pushing for legislation that protects the interests of physicians that want to go into less desirable specialties like primary care? There is already a primary care physician shortage, and I don’t think that it is right that people who decide to sacrifice so much of their time and effort for this field get punished in the end.

[@marlonmoncrieffe0728]

Protects them HOW?

[@angelrs_11]

Thank you! Why isn’t anybody questioning the CEOs and business people inflicting this torture on doctors and healthcare workers

[@a.d.w8385]

I agree. I was wondering why something isn't being done to help these medical workers. Why can't Family Medicine Doctors be paid more? Why doesn't our government invest in ways to lessen student loan debt. I don't know. I just know it doesn't have to be this way.

[@a.d.w8385]

@@angelrs_11 Agreed.

[@liv0003]

I agree with you. If everyone and also his mother want to pursue dematology for examples who the hell will cover the role of a family doctor or pediatrician or oncologist etc etc? The population needs doctors and surgeons of all types, we don't just need dermatologists🤦

[@imdoc7872]

I’m an internal medicine physician who works as a hospitalist. I work half the year in a 7 days on 7 days off schedule and make at least $360 per year. The most I’ve made was $420 working a few extra shifts and covering a natural disaster. I find my job very exciting as I get to treat very sick patients and do procedures.

[@kristinafamn]

wait, you make $360 a *year* ?

[@imdoc7872]

@@kristinafamn lol. $360k

[@kristinafamn]

@@imdoc7872 oh

[@sherrywong8612]

omg $360k, appealing enough fighting for USMLE but i know it will be really really tough.

[@isaurak6693]

**cries in NHS**

[@JulesVi]

"Or perhaps you're outraged and so offended that I listed your specialty in this video": actually I LOVE that you mentioned my future specialty! Amazing and incredibly useful video, as always

[@Born2Losenot2win]

Yep same, it’s nice to be recognized for all the hard work some specialists do. They deserve more credit.

[@FacundoMD]

JOKE: How do you hide a $20 bill from a neurosurgeon? Pin it to their kid. ER DOCTOR HERE !!!! NICE CONTENT ! I DO LOVE THE EXCITMENT AND SAVING LIVES ! STAY SAFE EVERYONE !!! PLS

[@notme5128]

LMFAO IT TOOK ME LIKE 10 SECS TO FIGURE THAT OUT!!!!

[@arniedyljadol2201]

I... don't get it 😭😭😭

[@enterusername2855]

@@arniedyljadol2201 they never see their kids

[@vgt1117]

😂😂😂😂😂

[@onetallgirl1369]

that was actually funny! I literally laughed out loud!

[@pagingdoctormegan]

Thanks for all of the wonderful information... again. These videos grounded in realism helped shape my path when working towards applying to medical school. Now I've applied and created my own KZbin channel!

[@ashajones1787]

I haven't commented on your videos in a long while, but I have been watching. Thanks for another informative video, you got me interested in the field of surgery, especially general surgery😊 keep up the great work!

[@satwikskatti]

I’m a general surgery resident, my life is living hell!! Can’t remember the last time I had full 7-8 hours of sleep. Just like he said, I applied for plastic surgery but couldn’t match, so had GS as my back up!!

[@sakibkhan00]

are you a resident in india or US

[@Saudigoat123]

@@sakibkhan00 does it matter ? Lol

[@sakibkhan00]

@@Saudigoat123 😔😔😔

[@anthonym1625]

Why is your life hell and do you regret going into medical school? Any advice

[@satwikskatti]

@@anthonym1625 as I said, I don’t get enough time for myself. And no, I don’t regret med school. I always wanted to become a surgeon, yes it’s hard but there always a pot of gold at the end. “Suffer now and Rejoice later” is my Motto.

[@m3hkiath3diza36]

I honestly LOVE these videos and give me insight on the medical field as I have been surrounded by it for all my life 😅. I am particularly interested in pediatric and OBGYN (I hope I’m able to do both) because I have always wanted a job associated to advocating/helping children and women. I love the idea of being a surgeon because it is VERY challenging and you have the power to solve medical problems hands on, which I believe is a rare privilege. I would love if you did a video on pediatric surgeon(I’ve seen them pediatrician and OBGYN which were awesome). Keep up the good work. 😊

[@rhui6631]

When I was a 3rd year the breadth of the specialty and lifestyle aspects are what drew me to OBGyn from other surgical subs. I feel like in general having healthier (on average) patients (how often are patients excited to see you at the hospital?), an easier transition from heavy (OB) to lighter (Gyn) workloads over the course of your career if desired, and the opportunity to augment your care to your patients as they age, all make up for the perceived chaotic hours and malpractice stuff the specialty can be known to throw at you. When I thought about "lifestyle", ultimately those types of things were the most important. Im sure those viewpoints are similar for anyone going into these "poor lifestyle" fields tho. Content is excellent as always.

[@batfan932]

Wanting to do a Primary Care specialty (Peds) and then looked into Maternal-Fetal Medicine (OB/GYN). No time to cry when you're always at work. However, I learned that your colleagues account for a lot of how much you can take as a physician. If you have colleagues that will share the load when you need to take a well-needed vacation and you do the same for them, it makes your work-life balance that much better.

[@SamueleLopez1234]

I really am interested in neurosurgery and feel passionate about working in that field. But it’s so unfortunate that they are so overworked and there isn’t a way to be a neurosurgeon and have a “healthy” life style :(

[@ruskov5685]

Same

[@miateez008]

Same :(

[@NateB]

Just negotiate better. Make your first question in the interview whether you can be the first person to set up a shift work scheme, and who else are they also hiring to help with neurosurgery?

[@Learningworlds123]

Yeah, I fail to see why they cannot negotiate and take less load but still work quality. Sounds fishy

[@thehendentist1959]

"Family medicine doctors only make about $240,000 per year, whilst the average specialist makes $350,000" *cries in British*

[@jesusmanuelbritoguerra6660]

How much do they make in the UK?

[@noscoper1993]

I may add Cries in German

[@thehendentist1959]

A consultant specialist salary starts at £82k ($111k) and goes up to £110k ($150k). For GPs, salaries start at £58k ($79k) and go up to £88k ($121k). Ofc there is potential for private work etc in some specialties but you would need to do a lot to make as much as an American doctor

[@angelrs_11]

Cries in student debt

[@fatihk1194]

Remembering 240k Turkish liras make only 24k euro in reality. And this is much higher than average specialist doctor salary. Not talking about 36 hour shifts, hierarchy and stress. Cries in Turkish.

[@mistermanhattan5838]

First year med student, here. I’m enjoying the hustle! Amazing how this seems so far away even though I’ll be there (relatively) soon.

[@nstorm2415]

I remember what an internal medicine dr told me when i asked him about how it was to work in that specialty, he told me he liked it, but recomended me to always take my vacation time and never pospone it, he made the mistake if going 2 years straight without vacations and working really hard because he liked having the extra money, and he ended up getting sick for working non stop.

[@davidgentile4576]

I own many businesses and I didn't have vacation sometimes for 7 years at times. I never complain because I loved what I've done and I didn't make nearly the kind of money these people do. I would love once to go to a doctor's office and see some people walk in that you know I messed up and walk out normal. I guess that would be quite a joke. I would love also to hear a doctor once say to their customer. You're in your mid 80s and you seem to still be getting around pretty good instead of coming here why don't you go take a nice Cruise what's something else you might like because whatever it is they have we can't fix. LMAO

[@dagmarvandoren9364]

The wife's many time get arrogant asnd overspent depending of their background.... They don't do rthe work....

[@shovanabajracharya]

Please explain what's the "vacation time" in internal medicine. How often do you get it?

[@julieschubert7418]

I would love to see a possible video on MD/PhDs. their schooling, different options available to them after schooling, average work life/balance, salary, etc.

[@Cosmuex]

That would be an amazingly helpful videos

[@71kakarot]

PhD in what?

[@faithlesshound5621]

@@71kakarot Maybe he wants to compare medical practitioners with other scientific professionals, or with non-medical academics? All three are options for clever kids.

[@sasquatch8268]

@@faithlesshound5621 There are MD/PhD programs and typically take 8 years to complete versus only 4 years if you were to just get an MD

[@faithlesshound5621]

@@sasquatch8268 Those combine a medical degree with advanced research in one of the basic sciences in the middle of the course. The USA does not have PhDs in clinical subjects: which is fair enough, since even a fresh MD rarely knows enough to conduct research on a clinical subject. There are other combined programmes such MD & MPH (master of public health). Also MD/JD, or did I make that up?

[@tshephangmoswete1286]

I remember it was 2018 when I discovered this channel in my first year of undergrad hoping to go to med school and becoming a doctor (South Africa). Now having completed that and currently doing my honours degree, I will be writing the south african equivalent to MCAT in a few months and may very well get accepted next year if God be willing. It feels surreal that I am at the door from literally dreaming of this since 2018. What's even cooler, Med school insiders was there from the beginning. THANK YOU TO THE MSI team and of course Dr. Jubbal. you guys rock!

[@letsgogetit77]

Fellow South African here , goodluck Tshephang! ❤️

[@kishalan9795]

South African too, good luck man!

[@ihuomaotika2656]

Congrats and goodluck

[@zimelemngoma6262]

Pathology offer great lifestyle and money

[@emeralff881]

How’d it go?

[@camiloiribarren1450]

Very important to keep in mind! Thanks

[@serenawilliams6514]

I have already looked into Family Medicine and Pediatrics as a medical specialty. It is not about money to me but about helping people and seeing families live healthy lives and taking care of them. I might be rich like a surgeon, but at least I can spend time with my husband and kids. We really need more pediatricians and family medicine doctors especially since a lot of med students see to go into specialties that pay more but not in demand.

[@Ai-Future]

What is the difference between family and internal medicine? Are internal medicine and family medicine threatened to be oversaturated by nurses practitor ? What are specialties that will be most threatened by it?

[@autumn399]

Is pediatrics a good speciality?

[@sachintommy2246]

“Dreaded rotation among third years” 😂😂😂 way too accurate. Catching my first few babies was fun but I got tired of it really quickly

[@CB73666]

We weren’t even allowed to do that when I was a 3rd year. Residents caught the babies, Med students only caught the placenta….

[@constantlearner148]

Great Video Med School Insiders , Can you also make a video on "So you want to be an Oncologist" , "So you want to be a Hematologist", "So you want to be a HematoOncologist" . Looking forward to this

[@dannyvandan_]

Daaaaaaamn Kev, back at it again!

[@drfifteenmd7561]

With the white coat! 🤣

[@ksdb9248]

Thank you for mentioning Primary Care in this video. It is funny how some people think that Primary Care Physicians (Family Medicine, Internal Medicine, Pediatrics) have an easy job with an easy lifestyle. Those who think that are not Primary Care Physicians. High patient loads, Having to deal with multiple medical issues in a short office visit time, Continuity of care and follow-up, Continuous tasks and messages, Dealing with insurance company prior authorizations and requirements, Stressing over meeting quality metrics, Taking call, and Continuous Charting that never seem to end. How can anybody think that Family Medicine is an easy job?

[@shovanabajracharya]

How often do you get late night calls from the hospital?

[@supalaplic9641]

I find working with chronic patients alot more depressing than surgery/emergency med/intensive care etc. I'd rather stay awake than watch people suffer

[@zglrd8938]

Neurology was a painful rotation.

[@flyingdutchman9053]

Something most people never consider.

[@faithlesshound5621]

That's what medicine is about, by and large. There are lots of sick and disabled people who need help. Why limit yourself to the minority who can be cured completely and quickly? Insurers don't like the sick and disabled either, so they get a poor deal from insurance-based systems, as in the USA. I suppose before the war bright young MDs didn't want to deal with TB and syphilis either.

[@ruskov5685]

@@zglrd8938 neurology is the best

[@YogiYarnham1709]

Be warned on OBGYN. You will pay out the ass in malpractice insurance. My family friend (and physican who birthed me) stopped delivering babies just because it was costing $60K a year just to keep his license.

[@conman1395]

I'd argue lifestyle should be the number 1 thing you consider when choosing your specialty. If you like what you do for a living, but can't keep up with relationships, your own health, being/creating a family, then you're thing to end up hating it anyway. You have to think realistically about what else in your life is important.

[@folumb]

Also, I think you overlook cardiothoracic surgery and abdominal transplant. Trauma surgery is shift work at most institutions where a level 1 certification is present as these centers have all the required specialties and the staffing to do this.

[@drsuessl]

I worked in the ER for years, but it never occurred to me the crazy hours that organ transplant doctors kept (until I became a liver transplant patient). They can be woken up at any hour, go in and prepare for surgery, just to find out that the organ is not suitable for transplant. It happened 3 times before just the right one came along. All this doesn’t include all the hours spent reviewing the patient and the patient’s progress, all pre op and post op care for ALL OF YOUR PATIENTS. 😬🤪

[@alexpersaud246]

Unpopular opinion 2.0: Chose lifestyle, scope over passion. You'd be amazed how fast your passion for a specialty diminishes once it starts to affect your lifestyle and you're one one many. That's why I chose neurology (clinical), I absolutely hated Neuro but it had the most scope and I welcome the challenge. Now I'm in love ❤.

[@diksha6057]

It is true? Really?

[@alexpersaud246]

@@diksha6057 yess!

[@aha-death2282]

Definitely need this

[@frogprincessss]

Best thing about being a neurosurgeon is that even though a lot of patients present in dire conditions, it is also a specialty that will allow you to do more for patients - save lives, improve limb function etc. Working crazy hours isn't definitely for everybody but this really depends on what you want in life. Lifestyle consideration should be the most important factor in choosing a specialty. One's interest evolves, but a person's lifestyle will remain and can impact a person's entire future.

[@letitiajeavons6333]

You can also save lives of rather famous people. People like Ronald Reagan and Congresswoman Gabrielle Giffords have needed neurosurgeons after assassination attempts.

[@vvvintagedarling]

Once again, another fantastic video! Although, I was just wondering what scope creep means and what issues it could cause? Thank you!!

[@Zhizza]

He is referring to that PAs and FNPs are becoming more numerous and may be taking away patients and eventually jobs from other primary care specialty in particular. Similar creep can be seen with CRNAs and anesthesia assistants in the anesthesia field

[@johnrossford7927]

Yeah transitioning from engineering to public health to medicine here. My master's thesis advisor, an anesthesiologist, assured me that ob/gyn was becoming a more manageable specialty to get into. I didn't realize that it was transitioning to shift work. While that would be nice, we'll see what my mentality will be once I get into medical school. I could go all out and grind, or settle for shift work, but shift work would make it much easier to do research on the side, which is a plan. A good idea would be 'so you want to be a medical scientist' for those of us, in public health, who want to do clinical work and research.

[@cocococonut8650]

Please do a "so you want to be a forensic pathologist" video

[@theaniyachantell4758]

You should make a video about forensic pathology , there’s really not a lot of information out there about it and I’m super interested

[@lonnisplace1459]

Yeah. I want to be an fp. I doubt I'll get into med school, but I'm gonna try my best. Being an fp is my dream and I'd like to learn more about it. It's not talked about a lot

[@putinsgaytwin4272]

When I was 18 I told my mum that I don't care what job I have, I just want it to have a good work life balance, have a nice boss, pay decent, relatively non-srressful etc. I ended up picking computer science

[@lukasz9395]

My Dad is a Neurosurgeon and most of his workmates died before they turned 60

[@alicia-hd2cs]

Worked to death?

[@immortal07]

This is really interesting to see the difference between the healthcare system in the US (I'm assuming) and how it's vastly different from us Asian countries.

[@sebastiansaik1656]

my mom is a NICU nurse and agrees completely with the OB/GYN its tough and if you mess up you can easily get sued

[@heavenphillips3867]

I had a difficult childhood and my escape from that was school so as I got older I grew to love school and when I started working I became a workaholic even after I moved out on my own. I absolutely love working, almost more than being at home.

[@ezinne241]

This is me too. I love school and don’t do well with too much down time. I’m starting my Obgyn residency soon!

[@carolynmayo8182]

I would like to see a video about hospitalists. My own PCP doesn’t see his patients when they are in the hospital You never know if the doctor who will see you can know your needs more than the PCP.

[@jondstewart]

My pediatrician I had from birth to age 5 was a fine man, always on call, board of directors of pediatrics at a hospital, and served on a school board as well. It’s not a listed specialty, but being a well-renowned pediatrician in early 1970’s Austin, Texas was a big deal. He had a heart attack at 44 and recovered after a few weeks, but couldn’t practice any more and converted his practice to child psychiatry with his specially trained child psychologist wife working by his side. In 1979 at the age of 50, he was receiving a heart transplant at Cedars-Sinai Medical Center in Palo Alto, California. The procedure failed. A good man and fine pediatrician taken away so early from a practice that took his life. Took great care of children, but not himself.

[@ryanjones7202]

Definitely consider lifestyle as the most major factor! I spent so much time prepping for the MCAT and medical school and once I was in HATED it. The workload was insane and non stop and all we heard was this was the easy part. I wanted to love what I do but I didnt want work to be all I do. I decided to step back and pursue other passions and now I am a Registered Dietitian specilaizing as an Advanced Practice Clinician working in high acuity settings mostly calculating tube feeds, TPNs, and patients with GI bleeds and my schedule is wonderful, the pay is pretty solid, and my debt is way cheaper! Please think of your lifestyle before choosing a career or specilaty cause working your life away is miserable yall!

[@kaylinray4873]

Primary care interest here, if no one goes to those speciality then there will be no one to take back over when crap hits the fan from scope creep failure 😬

[@fd_medic1736]

Cardiothoracic surgery is a very bad lifestyle. I love cardiothoracic surgery and am a aspiring cardiothoracic surgeon. Heart transplant can be 12hrs and patient may reject heart, cardiopulmonary bypass complications, anesthesia complications, etc. It gets crazy. I just shadow and volunteer to help as much as possible.

[@TheHpnumber1fan]

Genuine question: if it’s such a very bad lifestyle, then why are you aspiring for it?

[@fd_medic1736]

@@TheHpnumber1fan it may have a bad lifestyle but there many things to love like watching a heart stop for bypass and then restart after and now there better. It's amazing.

[@carlcool20]

@@fd_medic1736 Would you recommend people to chose CT surgery as their speciality? Also, would being one at the age of 40+ become tiring?

[@fd_medic1736]

@@carlcool20 depending on your personality would be a big importance of choice to go into CT surgery. And yes after 40 you could become tiring BUT THERE IS A WAY TO RESOLVE THAT. You can reduce your hours in private practice and do simple procedures that have low likelihood of complications such as bronchial termoplasy, Vats, etc

[@carlcool20]

@@fd_medic1736 Ah I see, thank you so much! When you say "depending on your personality", is there a way to know if I'm fit for the job or not? Like a website or a set of personalities I should have to become a surgeon? Also, do surgeons ever get a break? Like a week off (vacation) or even a day off? Sorry for asking more questions, I'm really curious

[@xishan01]

Thanks a mill Kev, could you make a so you want to be video on Haematology please, whenever you get a chance. Thank you.

[@lukasgisler]

If you build your own surgery business, then you hace the power to decide when you work, how long you work, and even if you work. THank you for your hard work doctors!

[@absolutetuber]

As a family medicine doc I can confirm...the lifestyle can sometimes be a drag. I work in a private practice with one other physician who has run the practice for 26 years, I arrived last summer. There was already a strong patient base for me to jump into so I'm busy 9-5 with a lunch break from 12-1. This winter I've typically seen anywhere from 18-25 patients per day, on busy days that number can jump to 30. I try to not turn anyone away that calls for an acute appointment. That way I can save my patients from going to an urgent care where they almost invariably get antibiotics for one day of a runny nose (I won't get on that soapbox though...) At the end of day its notes, notes, notes, and more notes. Also need to mix in a little FMLA paperwork for people who are sick and asking for time off. Add in a little disability paperwork here and there. Then there are some prior authorization calls to make because insurance companies can be like a stick in the mud. I work in a smaller city with a lot of outlying communities so our hospital is one of the "bigger" ones in the immediate area (its not really *that* big). We have a hospitalist the works M-Th during the day time only so every 9 weeks I'm on call. That means spending Friday-Sunday as the hospitalist rounding on patients and discharging them and then Monday-Thursday taking phone calls at night for any thing acute that comes up. During that week of call I can also get called in to assist with c-sections or for any peds patients that need admitting. The other 8 weeks are covered by the other family med docs in the area. The hospital part of the job pays decently in addition to what I make in the office. Overall, I'm very satisfied with my work and being able to see and do a lot of different things each day. My patients are great and I do enjoy work. Aside from the week I'm on call I don't work weekends and I'm usually home by 6-ish so I can't really complain too much about the lifestyle.

[@lzeng78]

Sounds aweful

[@absolutetuber]

@@lzeng78 Its really not awful and I make good money.

[@timmy101able]

I m also a FM doc and I say FM is actually a life style field. People who are miserable in FM would be miserable in any field. 20 pts a day is less than 3 pts an hour.. I laugh when I hear docs complain about 20 pts a day.

[@creepypastabvb2401]

and how much is your compensation

[@timmy101able]

@@creepypastabvb2401 i m productivity based

[@kirstenroche8160]

One other contributing factor to the terrible lifestyle specialty surgeons are faced with, is that often they are the only specialist in that field for an entire hospital, or even an entire community! We have one pediatric neurosurgeon for my entire province of 5 million people. That means that doctor is literally the only one who can save these lives, and has worked every day for the past year without a single weekend or day off. Because without that doctor, there is no one capable of doing those life-saving procedures. SO awful.

[@singtweetypie]

I'm interested to know whether you are talking about BC or Alberta? This is disgraceful...and this is definitely a newsworthy story. Something needs to be done ASAP.

[@faithlesshound5621]

That reminds me of a fellow medical student who went to do a six week elective placement in rural Southern Africa. He was welcomed by the sole doctor, an expatriate, who said "Thank God you've come," got into his car with his family and went off on holiday. His friends said he was too traumatized to talk about his experience.

[@singtweetypie]

@@faithlesshound5621 OMG...can't even imagine how traumatizing this was for the medical student.

[@isaiahparis]

I think you’ve gone off your rocker. I hit like button anyway.

[@sunnyside7369]

Why do you think he's gone off his rocker?

[@mayohyuga3732]

Lifestyle should be one of the most important stuff, depending of how you want to manage your life then choose the specialty. This is the reason why so many doctors eventually start to hate so much their work, I know so many that they even suggest me to go to another medical specialty like dental, chiropractic, etc because the lifestyle is awful even you make a lot of money

[@sz7595]

I love neurology and neurosurgery, but my God is it depressing. You can never be highly enthusiastic about the outcome, you'll always be thankful, if it's just less bad for the patient.

[@ruskov5685]

Same as you since im 14 neurology and neurosurgery

[@laulaja-7186]

A specialty that is more common/ widespread may have the disadvantage of lower pay, lower respect, and being expected to compete more with others. BUT the flip side of that is, they have a choice of going more places and can shop around a lot more for a situation they actually like.

[@user1029xspl8dy]

Can you make a video discussing the recent concerns of the oversupply of EM physicians in the US labor market?

[@waleedmasood7594]

Hey can you make a video about hospital administration please? I would really like to get a better understanding of it since I like medicine but feel like my personality is a managerial type

[@pdub673]

Is a "So You Want to Be a Pathologist" in the works? I feel like this is an overlooked specialty that has lots to offer for someone with the right personality.

[@dimitrijejovanovic5939]

Especially the ones with morbid sense of humour and still bang to death metal 😂

[@NecisNiche]

I would absolutely love to see this

[@michab.r.1854]

Yes pleassse. I asked this on another video, but I think there are more popular specialties he’s trying to cover first.

[@rommyt7004]

Agreed

[@cassiemarshall5353]

I work in a pathology lab and totally agree! Most people don't realize it exists and how cool it can be

[@kristinemaealim7643]

In the present time "new normal" this is very helpful, thanks😀

[@afafahmad6240]

Please make a “So You Want to Be an Oncologist” and a “So You Want to Be a General Surgeon” videos

[@DMcF]

I remember MOPING - Medicine (Low pay), OB/GYN (rough lifestyle), Peds (low pay), Infectious disease (extremely low pay), Neurosurg (Long hours/hardest residency), General Surg (as above). I chose ER. Love it. I have a mega cush job and make ~410k (510k w/ bennies) a year in Cali after just a 3 year residency. I have time to focus on family and hobbies. Oh yeah - best part -- NO CALL! Downside is that I work a few nights a year - but I honestly don't mind them. The only other fields I could see myself doing are Uro or IR.

[@SC-gp7kt]

What exactly do you do?

[@stopharvesting3829]

Could you go over why the USMLE Step 1 is now a Pass/Fail, and if USMLE Step 2 is something to score higher on for specialty match considerations?

[@emullen93]

I love how CRNA’s “scope creep” are sighted as a problem for anesthesia but nurses have been administering anesthesia since before anesthesia was even a physician specialty…

[@djdhl_2758]

Primary care can be a great lifestyle specialty depending on a few factors - office environment, practice compensation structure, and efficiency. If you are efficient with your notes, you should be done with them and billing submitted when you exit the room. And if your practice is set up correctly, your staff should be handling the vast majority of your follow up and paper work. The standard work week for outpatient FM is 4 day work weeks and full time employment is closer to $300 than $240 for everywhere that isn’t NYC. Rural docs make a bit more.

[@saralowe_arts]

Great video! Could you do something on Clinical Pathology or lab pathology please! I can take the medical jokes and insults too ha ha. Thanks!

[@sacdaabdurhman]

"Success seems to be connected with action. Successful people keep moving. They make mistakes, but they don't quit." Remember that I believe in you 💜

[@aaronmccready4530]

way of the ghost playing on an open tab unironically fitting.

[@matheusppb]

Here in Brazil we have to do general surgery before every surgical especialty, except for neurosurgery ou cardiothoracic

[@julianefeliciano9990]

Requesting for a "so you want to be a family doctor" video!

[@mcdavid4606]

Neurosurgery resident here. Hours are awful but I wouldn't have it any other way. I feel like most surgical specialists share that mindset. Do what you love, doesn't matter if there are downsides.

[@arcane4759]

1-general surgery 2-primary care 3-OB/GYN 4- vascular/trauma/Neuro surgeries

[@DrWAS101]

Interesting insights, but you're right. It all depends on your own personal choices

[@pistabacsi462]

If you cannot make 240k a year work then that’s on you. Working 4 tens and having 3 days off, no call, no gyn, sign on bonus and loan repayment options are a solid choice. I’ll put up with the extra charting hours no problem.

[@tarekalawad]

I know this is more for dental channels but can you make a video about OMFS if you have some info about. Thanks

[@isaks3243]

I'm far from the health care profession, but fall in the category of among the worst lifestyle specialties, and it is as a traveling pipe welder. I work a lot of hours, spend more nights in hotels than I do in my own bed, an extreme challenge every day cause my job is pretty much just solving problems in places where there isn't really enough space to solve those problems.

[@valentianarossaamanda714]

In indonesia, You only get burnout in residency since you have to work 24/7 and no pay... and lots of patients. But after graduate, time is something you can manage. You can choose your work time, negotiate on your payment if in private hospital, and surely, you can choose to have high maintenance life (which requires you to work like in residency, but this time getting paid), or a happy life since you have control in your life. Oh, and because of too many patients, the benefit is you are skilled perfectly. And that also saves lots of time when you already be the specialist.

[@BlingLingification]

Can you do a video on mid-scope creep in primary care? Need more info about why this is a problem. Mid-scope creep is occurring due to lack of physicians per 1000 people, so its happening because there are not enough doctors. Obviously, there are there ulterior motives as to why mid-scope creep is happening, but the impetus is an insufficient number of doctors.

[@faithlesshound5621]

One factor must be more cost-conscious management, both in public services and in private clinics. Health economists would probably argue for the cheapest and least-trained professional available to perform any particular service. "The market" would therefore allocate a lot of patients to bare-foot rather then fully-shod doctors, midwives rather than obstetricians, etc. Decades ago there was a faction in the WHO arguing for priests and witch-doctors rather than psychiatrists.

[@susanamorel527]

Can’t do surgeries without anesthesia…just saying

[@firionflame4435]

Please do a video on oncology. I'm currently stuck between anaesthesiologist and oncology

[@alishoja3289]

Nice👍🏻 thank you

[@jonduggan7433]

$240K/ year for a GP? Travel Nurses can make almost that amount if they pick up extra shifts and go to the right places.

[@Abby-qf8pu]

I’m only 13 but want to be in OB this video helped a lot. Even though it’s a hard lifestyle I want to pursue it.

[@TheExclusiveB13]

LOOOOOOOL. You probsbly won’t even make it to Med school kid

[@Abby-qf8pu]

@@TheExclusiveB13 If u love something u will pursue it. A lot of people give up because they don’t have much passion. So thanks for your concern.

[@davidwoods2298]

That's a noble goal. Good luck to you on your journey. There will always be naysayers and people who have nothing better to do than to try to quash your dreams, but your dreams remain in your hands. As long as you handle your business, you can make it.

[@NK-ih1fy]

@@TheExclusiveB13 why bring someone down? especially when they're this young

[@NK-ih1fy]

you can do it! I always talked about going into medicine and im a fourth year student now. its a tough journey, but I still believe its worth it

[@pharmacop]

It is really had for a surgeon to get a lifestyle. If a patient is on emergency then how can a Doctor bear it! May God bless the Doctors.

[@deviousmuffinz]

some of the info is dated. Primary care is set to have a 10% pay bump where as procedural and critical care specialties are going to see a 7% pay decline for medicare. You can also start a direct primary care clinic and gross around 500k with a much lower patient load and admin duties since you're the boss.

[@ashram12]

I don't know why I watched this since I'm not a med student and am too old to think about becoming a doctor. Anyway, I wanted to comment on the crazy hours: I've also worked crazy hours. I once worked 40 hours in the span of two days. And the industry I work in is ADVERTISING. I think that doctors, at the very least, have the consolation that their work IS important and meaningful. You guys are literally saving people's lives. Whereas my work in advertising is, in the scheme of things, really f-ing stupid. I'm wasting my life away trying to make rich people richer...so yeah.

[@shovanabajracharya]

So true. Advertising is basically just doing the same work back and forth repeatedly while in the end the client might even choose the first design or script. And these work hours wasted!!!

[@adicus1110]

I've realised that very few second generation doctors want to become surgeons if one of their parents is/was a surgeon

[@reva7825]

There are a lot of people who do it if their parents happen to run private clinics while it might be on pressure its still something.

[@biancadesousa]

My friend’s dad was a lawyer and they barely saw him. She has no plans to be a lawyer either lol

[@stardust628]

It's not true atleast from what I have seen. Many 2nd gen doctors have an advantage in choosing surgery

[@theholysynopsis5100]

@@stardust628 In what sense?

[@0s0sXD]

YOU'VE GONE OFF YOUR ROCKER KEVIN. GOSH DARNNIT

[@Zackar299]

As obgyn, i have bad lifestyle, often perform operation at midnight. But after study subspecialist in infertiliy....my work hour is good and predicted. And more money i get than a general obgyn.

[@myfavoritevideosofday580]

Do a video explaining which one is better between aesthetic or reconstructive surgeons. The pros and cons of both of them.

[@lkctom2546]

My primary care physician told me I shouldn't be a doctor lmao he was sick of the quality of life

[@daisymae1963]

Our daughter works in the operating room the doctor's she works with are specialists in different fields I can't imagine the things she sees.

[@MohamedAli-gz9ie]

All seem like rosy fields compared to ER, I’m an ER attending working LONG hours, dealing with angry patients and relatives from the long waiting time, and as expected not liked by people we consult, since it means more work for them too. Salary is on the higher side of the spectrum but regular 12 hour shifts with not a minute to spare, Huge loads of charting. All in all. Only a viable choice if you truly like to be a jack of all trades and master of non, it is still is better than being master of one.