6 EASIEST Doctor Specialties | Least Competitive Residency Programs
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- Äas pĆidĂĄn 26. 07. 2024
- These are the 6 least competitive specialties to match into for residency. Do any of these surprise you? Let us know your thoughts with a comment below!
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TIME STAMPS:
01:12 - Family Medicine
02:36 - Physical Medicine & Rehabilitation
04:06 - Anesthesiology
05:29 - Pediatrics
06:45 - Psychiatry
08:08 - Emergency Medicine
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Day in the Life of a UCSF Psychiatrist: âą Day in the Life - UCSF...
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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).
I would love to take a short quiz to find out which medical field is right for me! There's too many options!
Thereâs one with the AAMC but idk how accurate it is and itâs long. Like it said that may brother who is in anesthesia should go into path or derm and it said I (I want to do derm) should do anesthesia
Shauna Schiffman I know this is generic advice, but I advise that you be selfish in what specialty you choose. Of course choose a job that will make you happy, but also make sure it doesnât mess with the kind of lifestyle you want to live. I am an emergency doc, and I love working in the ER but I enjoy having half the month (at least) off...AND NO PAGER!
I guess what I am trying to say is that we all felt this calling to be a doctor. And we have all made sacrifices to serve others. But you got to put yourself in the forefront when you choose a specialty. Your patients will benefit significantly from you being happy in your chosen specialty.
Richard Wood I really appreciate that you said this. I am getting my BS in nursing right now and want to apply to med school after I am done. One of the things that attracted me to nursing was the ability to work three twelve hour shifts. Is most of emergency medicine like that? Long shifts with more days off? If so that would really help me figure out what direction I am going. Thanks.
NickkOfTime it absolutely is like this. It is probably the most flexible job in medicine. Some people make a career becoming a traveling ER Doctor working 24/7 for 7 days straight at a rural ER or become part of a big corporate medical group (CMG) where they mandate you work 16 10hr shifts a month. There are a lot of ER docs who work the 3 12hr shifts/week stint.
Richard Wood Wow! I really appreciate the information. That really helps me figure out a plan for what direction to aim for. Thanks!
Iâm surprised about anesthesiology and emergency med. They used to be really competitive.
EM still is though.
EM doesn't require practically any research, and there's lots of spots. Anesthesia has competitive fellowships now that subspecialty training is way more common now
Most people are. 20 years ago anesthesia was very competitive. Hasnât been that way in a while. EM was never very competitive
EM is only competitive if you really want to do EM but do a bad job on your EM rotations. EM matching relies much more heavily on letters (SLOEs) than other specialties. There are a wide variety of programs and many spots, you just have to be willing to give up that big city intense ER training to be sure to match which many people generally avoid so their match list can be unrealistic if they have a weak application. This happens in IM and other specialties too, just not as much I believe
Anesthesiology is getting more and more competitive in the Netherlands... When I got in, it was relatively easy :)
*If you think you're not smart enough to become a doctor, think again.*
Everyone starts out the same: helpless sacks of meat, knowing nothing except how to breathe, drink, and sleep. Not everyone is destined to be a doctor, but don't let "I'm too dumb" be the ONLY reason you have for not pursuing a medical career you're interested in. Actually, this goes for any career.
Have a good day, fellow internet stranger friend :)
Friend this was uplifting! Thank you
Unfortunately, intelligence is also largely genetic, lol. Definitely not the only factor, but it is a false image to say that we are all on a level playing field. Dozens of other factors also make the playing field uneven. Socioeconomic status, upbringing (more or less enriching environments), etc.
You don't need to be intelligent to become a doctor, you must just study hard
Amen! I had lower scores in high school compared to my friends, went into another degree, and 2 years later I'm starting med school! Brains are great but passion is also important
@@afarensis9720 in my faculty with 150+ students in the first class, there are even dumb ones who can't grasp the difference between strong and weak acids but get along by memorizing everything
1. Family Medicine
2. Physical Medicine and Rehabilitation
3. Anaesthesiology
4. Paediatrics
5. Psychiatry
6. Emergency Medicine
O K easiest to MATCH into.
O K All these arenât easy to practice but they are easy to match into
manish Ranjan âLearn your place and let the real doctors do their job.â WHAT THE HECK THIS IS TOO FUNNY
O K The video isnât stating that psychiatry is an easy specialty. It is stating that it is EASIER to MATCH INTO. Youâre confused, I am a PA student at Creighton University and i have also heard this
O K Psychiatry is an extremely hard specialty but the point of this video is to indicate which specialties are easier to GET INTO. Watch the video before you attack people for stating what the video said.
Used to like neurosurgery because the complexity, but fell in love with family medicine after seeing the doctors. Highly inspirational seeing how they care for and know their patients
Family Medicine is the best for me. I get incredibly bored doing the same thing over and over. There's not a day in my comunity health center I'm not challenged by something new.
@QueenB123 Literally same here, I've wanted to be a pediatrician but come to realize that i want to be a family medicine physician.
lmao neurosurg to family med.. sounds like someone got their step 1 score back
aakksshhaayy youâre brown so you may not understand itâs not all about prestige and money.
@@ext230 ohhh you said it đđ
Heck yes! Future anesthesiologist, here! This just made my day.
Just an FYI anesthesia has gotten more competitive the past 2 years. Itâs competitiveness fluctuates a lot and programs are not going unfilled anymore. Iâm just letting you know since youâre interested in the field. That said itâs still definitely not one of the more competitive specialties
@@jeffcrawford9515 Thanks. Still gonna work my butt off just the same.đ
Christi Thompson definitely late but you got this dude! Iâd like GI or derm but I know they will take a lot of work.
I feel this!
Anesthesia was very competitive last year and seems that way this year. Waiting for match in a few days.
I worked at an emergency department for a few months and can agree that abdominal pain and chest pain are a huge chunk of the patients that come. The next closest problem is probably headache.
Rabe Alsilwadi or psych
Definitely, cardiac-related pain, digestive pain, or skin damage. Headache-related pain could also be a sign of high blood pressure.
My daughter is going into emergency medicine, and her husband in internal medicine. She loves the fast pace and variety of cases she had during her rotations. Plus the shift work schedule will come in very handy when she decides to become a mom, she thinks. Great info! Thanks.
Imagine having the strength to deal with druggies for 30 hours only to come home and be a mom. Omg couldnât be me, but Iâm happy for her
@@rheatarachand2577 she's only working 12 hour shifts, for 3 or 4 days a week and loving it so far. But yeah, the number of drug cases is sad.
Hey Kevin, can you make a video on Psychiatry? I would really like to learn more about this field. Love your videos! :)
I'm pretty sure he did a "Day in the Life" video a while back. It follows around a psych resident, so the format is different from this one, but still interesting and informative.
Thanks for covering this, Dr.Jubbal. To me, this is one of the MOST informative med-school based channels on CZcams.
The best channel I know ! Congratulations to the team !
I find it really cool how you framed not choosing pediatrics as a "challenge you wouldn't be excited to take on for the rest of your life."
There are some specialties I was interested in, but I now wonder if I only like them because of the supposedly easy lifestyle. This vid reminded me that every specialty has it's stressors and that I should think deeply about what challenges I'd love to face every day--thanks Dr. J!
This is some great info! These might not be competitive, but they're still fulfilling!!
Thank you for this Dr Jubbal!
Do a most fun doctor specialties video
Yess please
C yeah I guess but he did heart my comment so maybe itâs possible
Love your videos straightforward and honest
A successful and coherent atmosphere in the OR requires that Surgeon and Anesthesiologist are at equal ground, there is no "second in command". There are two different roles here and one cannot do their work without the other. An Anesthesiologist needs to be comfortable taking charge of a patient when $*** hits the fan during a case and also to be the patient's advocate when deciding on the risks of surgery + anesthesia. Of course, my bias as an Anesthesiologist and probably Dr. Jubbal's bias having been on the surgical side. Teamwork.
Teamwork is dream work! While I agree with you, Iâve witnessed many anesthesiologists being treated poorly by surgeons
@@MedSchoolInsiders This is true, especially when you compare junior vs senior anesthesiologists. Where I work, there is an atmosphere of mutual respect which makes for a great work environment. Zero tolerance for anyone being treated poorly. We have had both surgeons and anesthesiologists who have had to remediate via anger management therapy!
I want to become an anesthesiologist in the future, how is the work like daily?
@@nto514 How are CRNAs and Residents treated where you work if there are any?
Where do YOU work? I wanna work where you work. Cos I also see your photo, Man Anesthesiologist. I was about to write "Dr.", then I remembered that only the surgeon is the doctor. đ
Psychiatry dream here I come! Thank you for the wonderful video âșïž
i have doctors throughout my family, including one psychiatrist (other side is all engineers lol) i want to study psychiatry in medical school, glad to see that you guys talked about it for a little more insight. Thanks!
same!
I hope one day you guys will make a video on "so you want to be a thoracic surgeon". Keep up the good work! Your videos are what I come to when procrastination is there.
I would love to have a video on medical oncology like a day in the life or anything.
I find iy absolutely mindblowing how different it is in Brazil. Around here, Anesthesiology and Psichiatry are among the top 5 most competitive specialties. And psychiatrists make TONS of money too, perhaps one of the top earning specialties. Emergency Medicine is practicaly non-existent in Brazil, ERs and even ICUs being mostly run by recently gradutated doctors without any specialty, ufortunately.
And Family Medicine is virtualy unkown by the gerenal public, but the government has been making efforts to strengthen the Primary Care.
I would love to see an in depth video about dermatology, similar to one of those â so you want to beâ videos. Although I do my own research, itâs nice to hear things from another persons point of view.
I'm surprised at how different anaesthesiology is there compared to where I work, South Africa. I almost choked when you said it's a great lifestyle
In North America it is. Not in my native country, Russia where you also do the intensive care and usually either dead or a finished mentally handicapped by mid-fifties. Sad âŠ
Thank you for showing the whole list in the beginning instead of dragging it out through the whole video
I hope we get a "So you want to be a psychiatrist" video soon! Here in Italy psych isn't the most competitive specialty either. However, psychiatrists definitely have to take call and work nights and weekends just like any other doctor working in the hospital. Private practice is a different story, of course. I'd love to know more about the differences and similarities of the profession in other countries such as the US :)
Please make a âso you want to be a psychiatristâ video!
I want to become a psychiatrist too!!!
Sameee
PLEASE
YES PLZZZ!! iâm thinking about it toooooo
Yesssss
Hi Kevin I love your videos it has really changed my life e thanks alot :-)
I hope that you do the least competitive sub-specialities in internal medicine like (endocrine, pulmonary, cardiovascular, infectious disease and etc)
This explained so much Iâm a sophomore in high school and everyoneâs like what do you want to do, and I wasnât sure what I wanted to do. First it was PT, then sports medicine physician, and then ER physician. I still wanted to be involved with sports medicine and I have researched and researched and couldnât find out if an Er doctor that specializes in sports medicine was even a thing. Your video was awesome and explained so much!!
Also I always thought I had everything planned out and now Iâm in high school and want to be in the medical field but have never taken any medical classes and I donât have any room in my schedule while Iâm in high school so if anyone knows if that would be a huge set back in the future that would be awesome to know!
Itâs best to just relax and learn the things you love when you start your medical classes and rotations,you canât be worrying about specialty if you havenât even started medical classes.One step at a time
Thank you! Great video
Hey, I'm proud to say I've gave them a fun time presenting with a tension pneumothorax đ had VATS 3 weeks later
Imagine the bottom of compensation being $231,000
Imagine 400k debt from school boi
đȘđżđŠ”đœ
The bottom is actually much lower than that, less than $200k
This is average for the lowest paid specialty. Many doctors are paid less than this and many are paid more
Med School Insiders Iâm aware of the concept of average; thank you for acknowledging that the distribution around the average is quite wide.
@@MedSchoolInsiders guess I heard the video wrong my badđ€·ââïž
My daughter and her husband both couples matched in PM&R and Family Med respectively... It was both of their first choice and both are very happy so far!
Can you do a stand-alone video on emergency medicine?
Yes
Iâd really appreciate a âSo you want to me a paediatric surgeonâ video. Including match rate, competitiveness, average USMLE scores for internationals etc etc PLEASE đđœ
Probably in the future :)
very difficult my best friend is a pediatric surgeon job before that was u s marine corps fighter pilot
30 years specializing in osteopathic manipulative medicine. All cash practice, super high demand, great niche, and 45 min per patient. I get paid 100% of what I charge and make more $ than I could spend. No call, no emergencies. Chill medicine. Very high demand.
Great job! Just did a series of videos on Psychiatry for those who are investigating or interested in the specialty!
Pediatritian neonatologist here. Its the best in the World. Just do what you love /hug
Woah I had no idea! I want to be an Emergency Medicine Doc when I grow up and just clicked on this vid for fun but wow!
One week I want ob/gyn the other I want cardiothoracic surgery the other anesthesiology and the other psychiatry. This is like choosing a career all over again đđ
PM&R is also becoming a very common specialty for DOâs since we can use OMT
According to my work as internship doctor I totally agree with every single word here đ
Aiming to apply psychiatry next year! A little worried tho since I'm hearing in recent years psych is getting more competitive and that 'psych is the new derm'
It's more competitive than Internal Medicine at this point, and I am surprised to see it on this list.
8:57
Itâs funny how you said that because I was talking to my emergency medicine doctor I was shadowing and I said that is it true that Iâm the operation room you can go upstairs and assists and he says no thatâs tv bullshit
âOr at least theyâre supposed too.â
*OooOoo~ tea*
Very nice!
Can you please make a video about the pain management specialty? Iâve watched a ton of your videos but none of them, except this one, includes that specialty. Iâm eager to learn more!
Subspecialty of anesthesia, but there's a career path through EM and PM&R. Usually heavily biased towards interventional pain modalities like injections and spinal cord stimulators.
No specific specialty as mentioned earlier but once youâre an anesthesiologist/psychiatrist/physiatrist/internist you can do a separate pain residency of 2 years. In Canada at least. If youâre an anesthesiologist, you can do a 1 year pain (acute or chronic) fellowship or that extra pain residency.
Is it possible to do a PM&R video? Maybe Day in the Life/ Lifestyle or the journey through into that field
i currently want to be either an anesthesiologist or an emergency medicine physician so this is great lol
What infographics program do you use to make your videos? So well done!
Could you please cover internal medicine? I'm really interested in it so I'd really appreciate it.
Can you do this, but for fellowships on NRMP? Or at least all the IM ones? That'd be super helpful.
family medicine doctors are awesome â€ïž
Please do a video on universal health care in the US, and what it would mean for doctors and patients soon!!
I'm butt hurt. The easiest field is obviously Martian Nueroscience. I had my fellowship with Carl Sagan while we road the Viking lander together into the interestellar wind and it was EASY.
Youâre right. I need to do a follow up video now
What is that?
Hahađ
I would love a âso you want to be a psychiatristâ video. Iâm working on my BA in child and youth counselling and am trying to decide if I take the med school route to become psychiatrist or my PyscD to become a clinical psychologist
Do u have all the pre reqs?
Walrus not yet. Iâm in the first year of this program, so I still have time to get the pre-reqs for either direction
If you can hack the the drinking from a firehouse that is medical school and are a good text taker: I say go for the MED school route and specialize in Psych. It is a long path but my friends who went this route have a wonderful quality of life. And in my opinion, sometimes itâs nice to pawn off the time consuming therapy part to the PsycD/psychologists/social workers. Unless the therapy part is the most fascinating part, then by all means absolutely ditch getting an MD/DO and get that masters/PHD in psychology.
@@masonlee1228 Great idea! Nice tip!
Hey, been loving your videos, and am planning to study medicine in 3 years. I wanted to ask you if you could make a video about a specialty like Traumatology.
Thereâs no traumatology specialty per se. Youâre either an orthopaedic surgeon or a general surgeon who specializes in trauma. Yet they donât operate on the same types of injuries (bones vs soft tissues)
Can you do a video on the potential for being a part time physician? After being a physician for a decade or so, Iâd like to know if you can drop down your hours, or even go in part time off the bat
Pm&r - an amazing field.
I thought OBGYN was an easy one, and that psych was hard.
Could you make a video like this but with the military medical options? Such as field surgeon, pilot physician, military family med etc?
Gunning for EM!
"In the ED we see the most exciting 30 minutes of every specialty, then hand them off to the appropiate department"
I heard that once, and after i started volunteering during my 1st and 2nd year at my school's hospital three times a week, i definetly share the feeling.
Did you NOT rank pathology ? I thought that is one of the (bottom) 5 least competitive subspecialty.
Future Team PM&R! â€ïž
Used to think I wanted to specialize in emergency medicine but after working in the ED for a few months, I can easily say this isn't for me. I really like consistency and not having to suddenly rush to work or being told to come in an hour late because there aren't enough patients to see. Night shifts multiple days in a row are also tough to recover from. Family medicine or internal medicine is definitely my first choice now!
You get to use your đ AND your đ§ .
Pm&r and psych are going up in competitiveness. Especially psych had a big uptick around 2017
PM&R is extremely underrated. In fact, the specialty is more high-tech than what is explained here. You have TONS of things to do (including injections and robotics) and you can pick whichever you want according to your interest. They deal with several human systems: musculoskeletal, neurology, and even cardiopulmonary system which is not mentioned here. Their patient ranges from babies to elderly patients. Their way of thinking is very different from other doctors, very patient-oriented and not just focused on "curing" the disease. Therefore, their relationship with patient is often great, not to mention their satisfaction rate of their lifestyle. It is truly a hidden gem that looks like a lump of mud for a medical student.
I am a Physiatrist/PM&R doc....graduated medical school in 1996 and finished residency in 2000. I totally agree!!
So you want to be an ER doc please!!
i am gynec doctor and i enjoy it from the deepest of my heartđ
Please do a video on âemergency physiciansâ
Rehab med is great. The DPT does all the work
You may also get physically hurt by your patience as well. 7:44. That's a part people tend to miss. But well said!
I would love to be in the OR but I'm kind of irrational and I suck at math, plus I'm not that good under pressure. But I would love to operate. What should I do?? I love the brain.
Family doctor being #1 doesnât surprise me, in my area, everyone wants to specialize so we have a mass shortage of family doctors. I work in a walk in clinic and the amount of people that donât have a family doctor is astounding. Something really needs to change.
Key word for that one: money family doctors are the least paid
Love the content ....
But when am I going to get a "so you want to be a peds surgeon"
I'm currently a medical scribe in an ED and I see many patients with shortness of breath, abdominal pain or chest pain. It does get exciting when someone comes into the trauma room or arrives with cardiac arrest. But there are also many patients that come in for trivial things like a cold or sore throat when they could just go to a clinic and get treatment there. There are also many patients that are homeless who come in repeatedly (multiple times a week) for alcohol intoxication or drug overdose.
Musab Shuaib How did you become a medical scribe?
Dai I looked up medical scribe on Indeed and found an opening with a company called ProScribe. They put you through online training and then on-site training which takes about a month. I suggest looking up ProScribe and see if they have any openings somewhere.
Musab Shuaib thx
When is neurosurgery video coming???
Been waiting for 2 months
Can't wait.
MEEEEE TOOOO!!!!!
Me too
@med school insiders
Same here
Thanks for the link. But stats from 2020 NRMP MATCH Outcomes for US Grads and IMG states otherwise...EM is still competitive.
Do you have any data I can read?
I want to go into family medicine! Sadly at my university, people are making fun of me for wanting to do that. Because it isn't a competetive speciality, they think every doctor of this kind is pretty dump. They all forget how important family medicine is and how important it is to be very good in it!
FM is the best for me! It's noy glarmourous, of course, but who cares? There's is no other specialty where you can bond so strongly with the patients, families and comunities and use that bond as a powerful diagnostic and therapeutic tool. I'm the one who takes care of gramma's back pain, daddy's smoking addiction, mama's pre-natal care and I'm the one who makes sure the kids are growing alright. My patients might even need to see other focal specialists, but I'm always the one coordinating their healthcare. In other words, I am the doctor they call theirs and for me it's the best thing ever. Besides, I hate hospitals.
@@zedasilva3 đđđ©șđ„°
How about aviation medicine, is it a good branch? I'm very confused , looks like I don't want to study a lot also need an easy life.
I live in a rural area and itâs almost impossible to find a family doctor here. Thereâs such a shortage of them. I only found one because sheâs already the doctor for my sister and mom
Can u do pathologist video tanks
The Swiss army knife of medicine!!
Though what does a doctor do in PMand R. I worked in PMR for some time and I felt most work was done by physiotherapists and occupational therapists. Everything that is mentioned in the video is done by PT.
Please make a âso you want to be an operating room nurseâ video!
Very thorough excel doc, props! I think, however, that "AOA percentage" and "Top 40 NIH School" are flawed criteria in and of themselves because they automatically "score down" a specialty that accepts IMG (or DO) regardless of what the candidate actually accomplished in medical school. Furthermore, neither of those criteria are rated equal to Step scores or Publications by PDs. As I'm sure you agree, there are some very brilliant, well-published IMGs who complete a residency in the US.
Pediatrics can be a total joy. I have been one for over 30 years and I can honestly say I still love my work. Obviously you would only love pediatrics if you like children. Pediatric is a vocation within a vocation, if you are meant to be a pediatrician, you will be one, you won't even spend much time thinking about it. But if you work in pediatric oncology, you will need super strength of character. Watching kids suffer and die could break your spirit. But that isn't even the worst. The very worst thing you may have to deal with as a pediatrician is child abuse.
I'm guessing OB/GYN also falls into this category, right? Thank you so much for all you do!
I donât think so itâs a bit higher I think
How many sub internships should I do if I am going into pediatrics and anesthesiology?
3 of my top 4 specialties are in this video.
Getting into residency is gonna be a breeze!
Is internal medicine grouped in with family medicine??
So is Anesthesiology getting saturated or something? I always thought they be in high demand.
This is so different from Canada! Emergency Medicine and Ae are often top 10 in the most competitive specialties for residency
Is family medicine a respected specialty in Canada? I say that because the Canadian family medicine is very respected here in Brazil.
It's because all Canadian patients have health insurance...
In the USA imagine treating basic needs that have de-evolved to a near death situation because the patients can't afford basic medication or treatments. Which also means you don't get paid, because you can't get blood from stone.
Could you please make a video about anesthesiology? I'm really interested on how anesthesia works but at the same time I'm scared that I might not be able to handle the workload
Natemaeka CuriousTeen what are you referring too? After residency, anesthesiologists probably have the lowest workload of any physician.
The best personality fit for Anesthesia is someone who is calm under pressure, has moderate degree of risk tolerance, but also very detail oriented. Also, you have to be willing to work with and take instructions from the surgeon: table up table down, positioning of patient, hanging medications, etc.
What I meant was the hows the workload looks like in med school then residency to give me an idea on how I should balance my extra curricular and school. Sorry for wording it out incorrectly
Natemaeka CuriousTeen the workload is huge in med school! And get ready for intense test anxiety cuz you will be taking LIFE DECIDING EXAMS multiple times. Residency is hard but I miss being in the thick of it with my friends/fellow residents struggling together. I think the best gauge of how you will do in medical school is how well you do in your basic science classes as an undergrad and how well you work with others in a group setting. If you do well, then you can definitely hack medical school and residency.
Pm&r was one of the top 10 most competitive speciality to get into in past surveys. Based on scores yes its less competitive but due to the surge in applicants and the minimum amount of residency spots it has a low match rate. Scores aren't the only factor for that speciality and a poor predictor for "competitiveness"
This is also true for EM. Many students are steering clear due to lack of residencies and even fewer positions available for attending physicians (likely due to the increased number midlevel providers).
U must be in PMR
Thats what he said, Thatâs why he used other factors other than the step scores: Match rate, Publications, AOA Matriculants a NIH Top 40 MS.
Where does pathology rank in this list?
If you think the ER is not always fast paced then you've never been in South Africa. Johannesburg and Cape Town hospitals have to deal with numerous stabbings and shootings day, and its always fast paced.
Can you please make a lifestyle video for anaesthesiologist.
Iâm a jack of all trades so Iâm fine with General practioner
Same honestly
shame they make such little money relatively and they have a bunch of midlevels thinking theyre physicians
But a master of none
@@ambush4851 but better than a master of one
Ambush
Yea but Iâd rather have minimum knowledge of everything rather than limit myself to only one branch. If you have a heart problem you will NEVER see a plastic surgeon, pediatrician, psychiatrist, etc. but FP/GP will see everything. And in my personal opinion is this is the best and most honorable doctor type.