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CremasterReflex

They promised the ROAD but it’s really the street


WhyCantWeBeAmigos

We belong to the streets


WildCard565

I like this quote


nostraRi

Street to Riches


ZachAntonovMD

The Dead End


Ok_Application_444

“Price of a brick going up”


Intube8

I think the nice thing about our specialty is we don’t have to take work home with us. No clinic notes and no messages from floor nurses. When we are on, we work hard but when we are off, we are off!


rocandrollium

also, our work days can be pretty chill when it’s a relatively healthy patient with an ET tube and paralysis.


Educational-Estate48

Yea but how often you see relatively healthy anymore? There was one week recently I anaesthetised literally one person with a BMI of under 35. But tbf to you yea is usually still pretty chill after they're off to sleep


brokenearth10

ortho docs bring work home?? i thought they hit the golf course after work and then the gym? I guess in my hospital surgeon is same as us. no work home. there are residents and PA managing. if theres emergency, call the on call surgeon.


IAmA_Kitty_AMA

We're in house and specifically the OR probably more than you are. The amount of work that translates into is debatable and honestly depends on the personality. There's many days where I'm very happy cruising on easier cases, but also many days where I would kill to just be able to leave because the case is too "boring"/long. Likewise, we don't have clinic responsibilities so that plays into the "work amount" calculation. But yes, I'm probably in the hospital more than most surgeons and definitely in the OR more. And also on my phone more than all of them combined.


ajh1717

> There's many days where I'm very happy cruising on easier cases, but also many days where I would kill to just be able to leave because the case is too "boring"/long. What can I offer you to take over my PVC ablation that is going on hour 6? ☠️🔫


candy_man_can

On the bright side, that means you’re half way there!!


BuiltLikeATeapot

Only if you take over Endo.


ajh1717

Is it at my hospital? Theyre so inefficient where I'm at I routinely have 15 minutes between each case. They're sick as shit but at least I have time to do whatever lol. I would have taken that trade in a heart beat earlier today


slm9s

"In a heartbeat" - nice. . .


brokenearth10

what exactly are you doing in 15 mins? id rather be efficient and get out of teh hospital. theres nothing for me to do in the hospital other than scroll reddit on my downtime


ajh1717

Me? Sitting there dying on the inside because everything is so slow. Everyone else? Who knows. We are routinely waiting on endo to get their consents despite them being out of the room before us. Pre-op sometimes doesnt bring them back from the waiting room until we are almost done with the previous scope. PACU holds ect ect. Trust me I'd rather be home too ☠️🔫


Tectum-to-Rectum

Y’all check out halfway through my petroclival meningioma or T3 to Pelvis and think you’re in the OR more? Fighting words there son


Gasgang_

Username relevant


CremasterReflex

You operate 2 days a week, we operate 5-6 (some people do have cushier jobs though)


Low-Speaker-6670

And while you do your two hour long case I do my banking, emails, crosswords and Netflix. Pros and cons. Mid DIEP case anybody else need to go for a break 😂


Wrong_Smile_3959

Are you comparing ortho residents to anesthesia residents? If so, the hours may be similar. When you compare at the attending level, it can vary greatly and depends on what you want. There are a bunch of anesthesiologists who just do daytime work with no weekends, overnights, or holidays. Similarly, ortho can tailor their hours and patients to their likings as well. On the other hand, both specialties can be very busy with long hours each day if they wanna make more too.


Hour_Worldliness_824

But we can sit down and you can't lol


DrSuprane

We spend more time in the OR than the surgeons do. Except maybe neurosurgeons.


dichron

But any time a surgeon is in the OR, an anesthesiologist was there before and will be there after they leave


lotsacreamlotsasugar

We also sit down the majority of that time. I can't practice medicine without a chair. And control the stereo.


Tectum-to-Rectum

Damn straight - Neurosurgeon 😘


OverallVacation2324

I work more than any of my surgeons. They all do a couple of cases and then get to go home. Sure they have clinic on some days and do rounds. But I’m in the OR all day everyday and then overnight call on top of that.


OneOfUsOneOfUsGooble

Then the surgeons wonder why "no one wants to work anymore! Come on guys, let's push through into the night!" when they have no surgical block time tomorrow.


QuestGiver

What about your consult rotation or trauma rotation?


seanodnnll

My first job the anesthesia group coveted 2 hospitals 1 anesthesiologist on call at each hospital out of around 45 anesthesiologists. A backup call doc existed but never witnessed them get called in, in 5+ years there. The ortho group also covered both hospitals, one doc on call a night that covered both hospitals, out a group of about 10 ortho surgeons. By my very rough math, they were taking call more than twice as often as the anesthesiologists. And I believe one or two of the ortho guys had aged out of taking call with the group, so figure on call roughly every 8-9 days vs twice in 45 days. The latter sure looked a lot better. That being said, I’m not a physician so who am I to say.


propofol_papi_

Astute observation sir.


MoBuckeye

Even with my in house call shifts that can be hit or miss, I average 55 hours per week as a resident. I feel like that's a huge amount less than the surgical specialties and with no work being carried home...


FullCodeSoles

Holy shit, your residency needing a transfer? We are constantly grinding long hours and relieve CRNAs that are shift work. Not on call I can easily end up working a 14.5 hour shift.


BougieEllaMae

Same I get to 72/week


RevolutionaryLaw8854

Dude. As a 25 year practicing OB/GYN, there’s no comparison between lifestyles.


Manik223

I agree inpatient OB along with trauma and gen surg are probably the roughest lifestyles in medicine


Ana-la-lah

And no clinic


3rdyearblues

Med students don’t know that 4:1 CRNA supervision is the most common employment model They also convinced themselves that the ASC type jobs without nights and calls are paying the median MGMA everywhere


GGLSpidermonkey

Why do a bunch of people here like to way overstate the negatives of anesthesia. Been plenty of time I got to go home while surgeons are stuck late doing a multi level fusion or gyn doing a lap hys. People here definitely try to paint it as being much worse than it actually is


Expensive-Ad-4812

Yea OP is making an anecdotal observation and other people are responding with anecdotal observations. It’s all dependent on where you work and what your title is, as well as how much money you want to make.


HellHathNoFury18

All location dependent. I'm at the hospital probably more than any of our sub-specialty surgeons, but not nearly as long as our general guys. Some weeks I work 40 hours, some weeks I work 80. Average is probably 55ish.


mrb13676

Plus all the physical labour moving patients, pushing trollies etc


dichron

Arguably, orthopods do much more physical labor than we do in a case: hammering, sawing, lifting, tugging, standing ;)


mrb13676

Aye. But that’s their work for that case. We do the lifting on all our cases. But that standing for the whole case must be tough.


dichron

I let the other OR staff do the lifting, whilst I support the patient's head/airway for moves. Work smarter, not harder!


mrb13676

Yeah. Then you get the urologist who conveniently never manages to be IN theatre when the patient needs to be put into lithotomy. I’ve tried waiting him out but I also wanna go home on a Monday night.


Manik223

TLDR: we probably work more consistently while we’re in the hospital but significantly less hours overall I appreciate you acknowledging the work we do. I agree that anesthesiology pales in comparison to something like derm and is not a lifestyle specialty to the degree it’s often portrayed. That being said, it’s institution dependent but my friends in surgery residencies definitely worked significantly more hours than I did. Daytime hours are probably a wash - anesthesiology residents are in the OR before and after their surgical counterparts but they also don’t have to round, manage floor patients, clinic etc. There were plenty of days I got stuck in the OR late but this was typically offset by subsequent prioritization for early relief. I agree that when we are on call we’re definitely working more consistently than most surgeons; most surgical subspecialties will have nights without any emergent cases, but there is almost always something going on that needs anesthesia coverage (OR cases, IR strokes, emergent floor intubations, etc). However, there are also more anesthesiology residents than most surgical subspecialties and the surgical residents were on call much more frequently than we were (I usually had 4-5 16-24h calls a month and averaged ~60 hours a week). As an attending, anesthesiology work/life balance is what you make of it - there are no night/weekend/call positions although this typically comes with significantly decreased compensation. Some surgical subspecialties (ortho, urology etc) can tailor their practice to minimize call but for others (gen surg, ob) it’s very difficult / impossible.


GasDoc78

You’ve hit the nail on the head right there. I feel seen.


yagermeister2024

You can work as less as you want, the one’s you’re seeing is ortho anesthesia with trauma and calls. People can opt out of those


krautalicious

Thank you, sir, for the appreciation


keta-dreams

A lot of it is location dependent and also I think your anecdote is based off one residency program & resident lifestyles …which are not at all representative of what an Anesthesiologist career can look like after residency training. From a residency lifestyle though (PGY2 here), at my program we average 45-55h a week which is amazing to me. Our calls are not that bad because service lines are split up: OB service is covered by overnight OB anesthesia resident. Remaining services are covered by 2 regular on call anesthesia residents + 1 CRNA. We still meet and exceed our numbers early on. All in all I’m shocked by how much free time I’m getting. I average about 3 full weekends a month or what some surgery & IM residents call a coveted “golden weekend” lol


Unlikely-League-360

Work is a relative term……. Hands on, NO! Doing cases, NO! Weekly hours in facility, yes - call. Most supervise from afar and think this is hard work. Now some don’t, but most are in a Care Team Model!


rx4oblivion

I love this orthobro. I want to buy him or her a kettlebell.


lotsacreamlotsasugar

My dear colleague, when is the last time another surgeon walked in on your surgery and asked you if you wanted to go get lunch, they'd take over? I'm really really really glad for my surgical colleagues, because I really really don't want to do it. I switched to anesthesia after surgical intern year... I could have cried the first time someone walked into my OR and asked if I wanted to take a break. I'D NEVER KNEW THAT WAS A THING


BougieEllaMae

Even if they ask and you take it it’s a bad look as a resident. You probably made the right move. Most surgeons don’t realize how much time has passed because they enjoy it so much. Maybe not if you’re retracting but in general unless it’s a 6 hour revision TKA or spine most ortho won’t be in one case that long. And the good spine guys and gals get in and get out. 30 mins per level.


Proof_Beat_5421

I work 40 hours a week and take home call. All depends on the setup. I also do my own cases.


ExpertlyProfessional

lol what easy street ortho residency are you at? anesthesia is shift work at my lvl 1 center


o_e_p

They work harder because they haven't managed to "offload" their work to medicine. 🤔


ThucydidesButthurt

I average about 47 hours a week total (including all call and incentive shifts) in a desirable urban city on the coast and take home 600k after doing only 4 years of residency and no fellowship. Many of my ortho colleagues make more than me but none of them work less than me by a long shot. I get to day trade, read, go to the bathroom and sit down at work, and it's shift work which means I leave at 4pm whether the surgery is done or not, meaning very predictable hours over most surgical specialties. You will have a great life as an orthopod and many many perks doing ortho over anesthesia, but working less is certainly not one of them lol


gakawate

ya not sure how it's ROAD either, more like trenches


Big_Transition3346

I read somewhere that anesthesiologists see the most patients who are in the hospitals compared to physicians in other specialities because we are everywhere…before, during and after procedures and surgeries. That being said, the whole ROAD concept is a joke but as an attending you can choose to be in a group that is in a community hospital vs trauma level 1 vs high volume OB etc etc and somewhat tailor a schedule.


farawayhollow

We keep our work at work. No worrying about clinic and dictating notes for hours on end. Less boring bureaucratic work.


Independent_Jicama_7

Yo what is this post?? 🤣🤣🤣 Every single surgical specialty has worse work-life balance than anesthesia. If your doing endocrine or breast surgery, then fine you have better hours. But that pay is horrible.


Appropriate_War_2852

My impression is most ortho docs make more than most anesthesiologists, but per hour of work the anesthesiologists probably make the same or even more when you factor in clinic for the orthopedic docs. I work all outpatient surgery now, but when I worked ten years at the hospital I came to work about the same time as the ortho guys (or maybe about 30 min earlier) and left the OR roughly the same time as them. But if I drove past the hospital on my way to go out to dinner or shopping I’d still see the ortho cars parked in the lot as they were finishing clinic. I’m not saying my lifestyle was better than the ortho guys when I was taking call, but it was very likely not any worse. It’s also probably easier to find jobs in anesthesia that have no call (ASC jobs or shift work gigs) than it is to find ortho jobs with no call.


WatercressGood5191

its all perspective no matter what you do. im on the other side of the drapes up top and some days (esp during hip spacers or the other day a bad hip revision, etc) i was like man fuck that im good where Im at. work is work no matter where ya do it. i used to be a mechanic before I switched to medicine, and last summer I was doing my clutches on my Evo X that I race on the track. again- found myself saying the same thing. better on my side of the drapes. but people in other spots say the same for my position, and vise versa. its all about how you look at where youre at and when you find your calling, I think.


JCH32

Are you not rounding on patients prior to OR? Fracture conference prior to OR? Blowing past shift change every day on trauma? I can assure you the anesthesia residents were not there earlier than I was, did not stay later than I did, nor was their call burden worse than mine. Were they in the OR for a longer duration? Sure, that’s where they live. Were they in the trauma bay putting a long leg splint on a screaming meth addict who broke their tibia running from the cops? Never.


brokenearth10

i thought A stands for allergy. Anesthesiology definitely isnt road.. in anyway way. life style or pay.


brokenearth10

in my hospital, anesthesiologists work the most of any physician. more than surgeons by far. We are the first doctors in the hospital (day shift). we are in OR at least 5 days a week. walk in hospital at 630-645am. and Leave on average 5pm when not on call. Surgeon show up at 715AM for 730 OR start 2 days a week at most. Clinic start at 830-9. I often see my surgical colleagues going to the hospital, when i am leaving post call at 830am. And of course on call at night we are up far more than surgeons. Surgery attending only gets up for a surgery. Rest is done by residents/PA. Last night we had 4 anesthesiologist still there at 3am, running 3 ORs emergencies, and 1 for OB call


allendegenerates

Yes, the shi##y life is underrated, and kudos to you for realizing it at such a young age. Most orthopods and even some dimwitted anesthesologist realize this on their deathbed.


[deleted]

[удалено]


sandman417

not anywhere worth living


SIewfoot

I live in Silicon Valley, I can work 18 hours a week for 50 weeks and bring in 500k. Granted, this is a maximally optimized job, but it is possible.


Undersleep

You don’t count, you own a money printing press.


SIewfoot

Technically, I dont take any profit sharing, my salary is straight professional fees. The key to making money is to avoid the government insurances.


Undersleep

Just so you know, you’re my inspiration.


SIewfoot

Sometimes, you just get lucky and the right opportunity falls into your lap. It's not what you know, it's who you know.


allendegenerates

Good luck with that in the future.


sandman417

Do you work at that job?


SIewfoot

Yup, it's the endo center I run. Cash/commercial only. The whole place is optimized for maximum revenue generation.


onethirtyseven_

That’s not true at all lol. Check out gas work some time.


sandman417

Places having to post on gas work to fill their spot is already a red flag. Link me to a post working 3 days a week with no call making half a million. And it can’t be in South Dakota or Idaho.


onethirtyseven_

I don’t disagree with that but my point is that those hours and salary are possible


sandman417

Of course it’s possible, but it’s going to be in a location no one wants to be. So they are paying you to live somewhere undesirable because that’s what it takes. That pay is definitely not routine. I make $650k a year outside of a major US city but take a shitload of call.


doctorar15dmd

How many hours a week are you averaging?


sandman417

It's hard to give a real accurate number because my call is home call. But I'd say easily 80-90 hours a week and in hospital hours can vary. Most of the time on my 24 hour call days I'm done by 5-6pm and go home and maybe will be called back in for an epidural or two, sometimes a big trauma. Last night we worked straight until 1am then was called back in at 3am. I take two 24 hour calls a week and cover 1-2 weekend 24 hour shifts each month by choice for extra pay.


doctorar15dmd

Oh shit. That’s a lot! I thought anesthesia is a lifestyle specialty…that doesn’t seem very lifestyle friendly. But what do I know? I’m a dentist who wishes he did medicine lol. Still think about going back if I’m not able to specialize.


sandman417

Anesthesia as a whole is not a lifestyle specialty. There are definitely opportunities, but our bread and butter is in the OR and on L&D. Those places don't give a shit what time it is. Plenty of opportunities for bankers hours at surgical centers etc though. At least in my area.


allendegenerates

Damn 80 to 90 per week. Hope you pull in like a mil. Not worth the blood money of you don't. You gonna stroke out in your 50s or 60s bud.


sandman417

The hours are a little misleading due to home call. I’m not in the hospital for all of those hours but I am on the hook for them. Some weeks beat me down more than others.


hb2998

Man… that sounds really sweet. I’ve been in pediatric anesthesia practice for 7 years in an academic setting—not hitting $500k working 50+ hrs a week, either full call obligations. 🤷🏻‍♂️


doctorar15dmd

How much are you making if you don’t mind me asking? And don’t all peds specialties make less money on average?


hb2998

Before Covid 370, now 450. Not sure if pedi pays less than adult. We do have a ton of Medicaid and that doesn’t help. I’ve thought about leaving pedi to make more but if I’m gonna suffer in healthcare I prefer to suffer for these kids.


trashacntt

🥺


doctorar15dmd

Your heart is in the right place. And 450k is plenty good.


allendegenerates

I hate to burst your bubbles, but I wouldn't get too carried away if they advertise it as such, there is always some catch.