Hospitalist here. I graduated last year. I was initially considering a PCP position. But the reality of the situation is I don't think you can do good medical care seeing 30 patients a day. Even 20 is pushing it for me. And that fact alone made me want to do hospitalist medicine where I see half that number of patients and get most of the year off. That and not wanting to do as many prior authorizations and dealing with FMLA paperwork. It's just way too much.
Very helpful video, Dr. Kevin! Emergency medicine has traditionally been a popular specialty among medical students, due to its unique challenges, fast-paced nature, and potential for immediate impact. But recently has become less desirable, due to the impact of COVID-19, economic workforce projections, and growing clinical demands outpacing pay. Also, medical students don't want to be the future scapegoats for emergency departments operating in broken health systems. 🙌❤
You should make a video on the specialties that are less competitive on your rankings but have deceptive match rates on initial data. For example PM&R had something like a 60% match for DOs and in the 80s for MDs, possibly due to it being a common "backup" for ortho applicants
About those additional primary care spots...Last year the AMA stated these spots will address the primary care physician shortage. Really? Ive never heard of someone wanting to go into primary care and not finding a spot. (Provided they passed step exams etc). Absolute smoke and mirrors from AMA.
You can find the Competitiveness Index in the Most and Least Competitive guides as well as the corresponding blog here: medschoolinsiders.com/medical-student/facts-from-the-2024-nrmp-match/ Spreadsheet access at the bottom of the post.
@@kevinjubbalmd Thank you! Would it be a possibility to also include osteopathic and US IMG/non US IMG in the future for the speciality competitiveness index so more applicant types could gauge their competitiveness?
@@kevinjubbalmdI was born and raised in Costa Rica but also a US citizen. I did medical school in Costa Rica-> so what would I be? Just showing these terms do not portray all the options well enough. I’d say-> US- IMG. Also, you said FMG is oversees-> F is for Foreign, Costa Rica would be Foreign, without crossing any sea, lol. I guess if I wasn’t a US citizen I could be a Non- US IMG, or FMG. There should be clarity on these terms tbh.
If you are a US citizen LPR or have a work permit to legally work in the US, they use the term IMG for you vs if you need the program to sponsor your J-1/Hb1 visa, they use the term foreign medical graduate. They could make it simple by using US IMG & Non US IMG, but nooooh. I love Dr. Goljan, they love to create confusion in medicine 😂 as per the pathologist.
You showed a picture of the fill rate of I.M. saying this makes "I.M. look more competitive." However, when they say fill rate they don't mean a specialty is more competitive based on how much much it is filled. They mean a specialty is more competetive based on home much it is not filled. I think you got that wrong or backwards. Please show the other stat a.k.a. I.M. having many unfilled position = less competitive vs say neurosurgery having 0 or 1 unfilled position or hwatever the number is = very competitive.
Please don't use the 1 snake vs 2 snake as a distinguisher of MD vs DO (caduceus vs rod of asclepius). They're both supposed to be one snake. The American Medical Association (historical MD, but now combined) uses one snake. At my MD medical school, we only used one snake. The 2 snake comes from Hermes and has to do with business, and people use it for medicine when it doesn't really have to do with medicine in general.
Also the data suggesting over saturation in emergency medicine has seen a ton of pushback. In all likelihood it was not an accurate model due to attrition being highly underestimated
IM/EM is not at all competitive is not at all correct. bYou should do a video on competitiveness within a specialty. Yeah IM overall is bottom quartile competitiveness due to supersaturation with smaller 'mom&pop' community programs but try to match a top tier IM residency. They're just as competitive of applicants (AOA, Steps, Pubs, etc) as the surg bros. Saying oh IM/EM is bottom quartile and is easiest to match isn't saying the whole picture.
@@kevinjubbalmd My point is if you're going to dig deep into the details of the match demographics, doesn't seem representative to blanket address big specialties as whole. Top tier IM is just as competitive as surg. Might just be me coping as a MS2 thinking I want to go into EM/IM
OSM-1 here just so you know a lot of us dont care for OMM/OMT we just have to get through it but we learn all the same material as MD’s and have to take 2 additional board exams being the Comlex 1 and 2 on top of Step 1 and 2 to be considered just as competitive as MDs but what do I know 🤷🏻♂️
I am the exception here… I have 99% on my step 2, honor across all rotations, I am from a top 30 achooo and I have many research published. And I didn’t match… I chose IR and my March rate was99% and I didn’t match… someone explained to me why that happened???? My school deans were shocked because I am number one student there.. explain to me how did something like that happened????
Probably the interview, I know of a couple of programs and admission committee members that eliminated top students just because of their performance during their interview or because of the student’s attitude/behavior during an the elective rotation with their program…
@@G_17. I wish I knew exactly what the story is… and when I told people nobody believed me when I said I didn’t March… they told me to stop with the bad joke… I applied to top programs and middle ones and a low ones.. and I interviewed with all of them… they all praised my performance and I walked happy from all of them… I had over 40 interviews… I lost my faith in the system totally… my dean literally cried in her office for me… as this was never heard of before…. Not sure if I should try again at this point… what am I going to improve upon? My grades are perfect, published with top school programs, honor on every rotations, great recommendations letter from program directors…. So what else to do here!!!!! I am so disappointed
Find the Specialty Competitiveness Index here: medschoolinsiders.com/medical-student/most-competitive-specialties/
Hospitalist here. I graduated last year. I was initially considering a PCP position. But the reality of the situation is I don't think you can do good medical care seeing 30 patients a day. Even 20 is pushing it for me. And that fact alone made me want to do hospitalist medicine where I see half that number of patients and get most of the year off. That and not wanting to do as many prior authorizations and dealing with FMLA paperwork. It's just way too much.
Half of the year off? What does that mean?
Hospitalist do 7 days on 7 days off or 14 days on and 14 days off
@@yahyapatel6203 i would be literally pulling my hair out by the 2nd day off, calling into work and asking to come back.
@@mydearrileyhe works 26 weeks out of the year, 7 days on then 7 days off
Very helpful video, Dr. Kevin! Emergency medicine has traditionally been a popular specialty among medical students, due to its unique challenges, fast-paced nature, and potential for immediate impact. But recently has become less desirable, due to the impact of COVID-19, economic workforce projections, and growing clinical demands outpacing pay. Also, medical students don't want to be the future scapegoats for emergency departments operating in broken health systems. 🙌❤
You should make a video on the specialties that are less competitive on your rankings but have deceptive match rates on initial data. For example PM&R had something like a 60% match for DOs and in the 80s for MDs, possibly due to it being a common "backup" for ortho applicants
Wait so my heroes in PM&R are potentially just unmatched ortho bros😮?!
Been waiting for this since the day i saw results come out!
Thanks for tuning in
About those additional primary care spots...Last year the AMA stated these spots will address the primary care physician shortage. Really? Ive never heard of someone wanting to go into primary care and not finding a spot. (Provided they passed step exams etc). Absolute smoke and mirrors from AMA.
Awesome video Kevin, can you make a video of future of primary care including pediatrics given the compensation and up creep of mid levels
great video like always!!
Great video but where is the Med School insiders specialty competitiveness index? I cannot find it in the description.
same
You can find the Competitiveness Index in the Most and Least Competitive guides as well as the corresponding blog here: medschoolinsiders.com/medical-student/facts-from-the-2024-nrmp-match/
Spreadsheet access at the bottom of the post.
@@kevinjubbalmd Thank you! Would it be a possibility to also include osteopathic and US IMG/non US IMG in the future for the speciality competitiveness index so more applicant types could gauge their competitiveness?
It's easier to use the terms US-IMG and Non-US IMG I think.
That's probably a clearer way, I just learned FMG vs IMG!
@@kevinjubbalmdI was born and raised in Costa Rica but also a US citizen. I did medical school in Costa Rica-> so what would I be? Just showing these terms do not portray all the options well enough. I’d say-> US- IMG. Also, you said FMG is oversees-> F is for Foreign, Costa Rica would be Foreign, without crossing any sea, lol. I guess if I wasn’t a US citizen I could be a Non- US IMG, or FMG. There should be clarity on these terms tbh.
@@charlesclintonmdsimple, if you are an american citizen and did your medschool outside the US or Canada, you will be called an US-IMG .
If you are a US citizen LPR or have a work permit to legally work in the US, they use the term IMG for you vs if you need the program to sponsor your J-1/Hb1 visa, they use the term foreign medical graduate.
They could make it simple by using US IMG & Non US IMG, but nooooh. I love Dr. Goljan, they love to create confusion in medicine 😂 as per the pathologist.
The distinction you made on IMG vs FMG is unsubstantiated. IMG/FMG is used interchangeably.
The correct terminology used is US IMGs and Non US IMGs.
Is anesthesiology competitive now? It seems to have had the most drastic changes compared to just 2 years ago
We will have the NRMP data in summer and an updated video on competitiveness shortly after
@@kevinjubbalmdstill waiting homie
Look into Aga Khan University Medical School
You showed a picture of the fill rate of I.M. saying this makes "I.M. look more competitive." However, when they say fill rate they don't mean a specialty is more competitive based on how much much it is filled. They mean a specialty is more competetive based on home much it is not filled. I think you got that wrong or backwards. Please show the other stat a.k.a. I.M. having many unfilled position = less competitive vs say neurosurgery having 0 or 1 unfilled position or hwatever the number is = very competitive.
New Grand Seiko? Looks awesome - is it a souvenir from Japan?
Yes!! Shunbun SGBA443. Talk more about it on Jubbal& Cars RUclips channel :)
@kevinjubbalmd That’s awesome! Will check out. That’s been on my wishlist (dream list, really) for a while. Congrats!
I’m wondering what about US MD but an international student (visa requiring)
The Ibai Llanos cameo, was actually a weird crossover
Please don't use the 1 snake vs 2 snake as a distinguisher of MD vs DO (caduceus vs rod of asclepius). They're both supposed to be one snake. The American Medical Association (historical MD, but now combined) uses one snake. At my MD medical school, we only used one snake. The 2 snake comes from Hermes and has to do with business, and people use it for medicine when it doesn't really have to do with medicine in general.
Totally valid
I see what you did there with “fudging the data” 😂 👍
Apparently EM isn’t competitive for Americans but is difficult to match into as an FMG. What gives?
Away rotations are very important in EM. Many FMG’s can’t obtain this
@@joshb2686 may I ask why away rotations are PARTICULARLY important for EM and not IM for eg? Thanks
Also communication is hugeeeee in EM, most programs aren’t going to give an FMG a fair shot unless they get a chance to work with them.
@@joshb2686 communication is actually huge for FM and IM primary care in general lol
@@truthteller2711 sure, but the pace of EM is not really comparable
Also the data suggesting over saturation in emergency medicine has seen a ton of pushback. In all likelihood it was not an accurate model due to attrition being highly underestimated
Just commenting for the algorithm ❤️
Hey, I’m in kyoto too
why is there no combined residency for anesthesia and psychiatry??? i would have been a DO if so. I guess I will b an NP instead
You’ve got FMG and IMG mixed up
Nope
IM/EM is not at all competitive is not at all correct. bYou should do a video on competitiveness within a specialty. Yeah IM overall is bottom quartile competitiveness due to supersaturation with smaller 'mom&pop' community programs but try to match a top tier IM residency. They're just as competitive of applicants (AOA, Steps, Pubs, etc) as the surg bros. Saying oh IM/EM is bottom quartile and is easiest to match isn't saying the whole picture.
Obviously, and that applies to every single specialty. What's your point?
@@kevinjubbalmd My point is if you're going to dig deep into the details of the match demographics, doesn't seem representative to blanket address big specialties as whole. Top tier IM is just as competitive as surg. Might just be me coping as a MS2 thinking I want to go into EM/IM
That Osteopathic medicine is really going to bring a unique perspective to Emergency Room!....😂
Osteopathic physicians have been in ER’s for a very very long time. No need to be a dick
OSM-1 here just so you know a lot of us dont care for OMM/OMT we just have to get through it but we learn all the same material as MD’s and have to take 2 additional board exams being the Comlex 1 and 2 on top of Step 1 and 2 to be considered just as competitive as MDs but what do I know 🤷🏻♂️
I am the exception here… I have 99% on my step 2, honor across all rotations, I am from a top 30 achooo and I have many research published. And I didn’t match… I chose IR and my March rate was99% and I didn’t match… someone explained to me why that happened???? My school deans were shocked because I am number one student there.. explain to me how did something like that happened????
Interviews maybe, personal statement, extracurriculars. Im sorry that happened to you, you will match next cycle, don’t give up
Probably the interview, I know of a couple of programs and admission committee members that eliminated top students just because of their performance during their interview or because of the student’s attitude/behavior during an the elective rotation with their program…
@@G_17. I wish I knew exactly what the story is… and when I told people nobody believed me when I said I didn’t March… they told me to stop with the bad joke… I applied to top programs and middle ones and a low ones.. and I interviewed with all of them… they all praised my performance and I walked happy from all of them… I had over 40 interviews… I lost my faith in the system totally… my dean literally cried in her office for me… as this was never heard of before…. Not sure if I should try again at this point… what am I going to improve upon? My grades are perfect, published with top school programs, honor on every rotations, great recommendations letter from program directors…. So what else to do here!!!!! I am so disappointed
@@Hi-hb3mr thank you for your encouraging word 🙏🏻
Interview