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CELPCareerMed

CELPCareerMeda LANGE medical bookTHE ULTIMATE GUIDE TOCHOOSINGA MEDICALSPECIALTYBrian Freeman, MDResident in Anesthesiology and Critical CareUniversity of Chicago HospitalsChicago, IllinoisAnd Associate AuthorsLange Medical Books/McGraw-HillMedical Publishing DivisionNew York Chicago San Francisco Lisbon LondonMadrid Mexico City Milan New Delhi San JuanSeoul Singapore Sydney Toronto

CELPCareerMedCopyright 2004 by The McGraw-Hill Companies, Inc. All rights reserved. Manufacturedin the United States of America. Except as permitted under the United States Copyright Actof 1976, no part of this publication may be reproduced or distributed in any form or by anymeans, or stored in a database or retrieval system, without the prior written permission of thepublisher.0-07-145713-5The material in this eBook also appears in the print version of this title: 0-07-141052-X.All trademarks are trademarks of their respective owners. Rather than put a trademark symbolafter every occurrence of a trademarked name, we use names in an editorial fashion only, andto the benefit of the trademark owner, with no intention of infringement of the trademark.Where such designations appear in this book, they have been printed with initial caps.McGraw-Hill eBooks are available at special quantity discounts to use as premiums and salespromotions, or for use in corporate training programs. For more information, please contactGeorge Hoare, Special Sales, at george [email protected] or (212) 904-4069.TERMS OF USEThis is a copyrighted work and The McGraw-Hill Companies, Inc. (“McGraw-Hill”) and itslicensors reserve all rights in and to the work. Use of this work is subject to these terms.Except as permitted under the Copyright Act of 1976 and the right to store and retrieve onecopy of the work, you may not decompile, disassemble, reverse engineer, reproduce, modify,create derivative works based upon, transmit, distribute, disseminate, sell, publish orsublicense the work or any part of it without McGraw-Hill’s prior consent. You may use thework for your own noncommercial and personal use; any other use of the work is strictlyprohibited. Your right to use the work may be terminated if you fail to comply with theseterms.THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NOGUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY ORCOMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK,INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THEWORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANYWARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIEDWARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULARPURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functionscontained in the work will meet your requirements or that its operation will be uninterruptedor error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else forany inaccuracy, error or omission, regardless of cause, in the work or for any damagesresulting therefrom. McGraw-Hill has no responsibility for the content of any informationaccessed through the work. Under no circumstances shall McGraw-Hill and/or its licensorsbe liable for any indirect, incidental, special, punitive, consequential or similar damages thatresult from the use of or inability to use the work, even if any of them has been advised of thepossibility of such damages. This limitation of liability shall apply to any claim or causewhatsoever whether such claim or cause arises in contract, tort or otherwise.DOI: 10.1036/0071457135

CELPCareerMedFor RebeccaWithout you, this book would never have been conceived. You are myinspiration—each and every day—for all that I do and all that I hope toachieve. Thank you for your love, for your never-ending support anddevotion, and for always being there with a soft “pet” whenever I needone. I am yours forever.

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CELPCareerMedFor more information about this title, click hereContentsInternet Resources Guide . . . . . . . . . . . . . . . . . . . . . . . . . . Inside Front CoverAuthors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiPreface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvPart 1. Planning Your Medical Career1. Choosing a Specialty: The Most Difficult Decision of Your Career32. The Specialization of Medicine . . . . . . . . . . . . . . . . . . . . . . . . . .133. Ten Factors to Consider in Specialty Selection . . . . . . . . . . . . . . .234. Personality Assessment: Are You My Type? . . . . . . . . . . . . . . . . . .355. Finding the Perfect Specialty . . . . . . . . . . . . . . . . . . . . . . . . . . . .456. Special Considerations for Women . . . . . . . . . . . . . . . . . . . . . . . .597. Combined Residency Programs . . . . . . . . . . . . . . . . . . . . . . . . . .718. Options for the Undecided Medical Student . . . . . . . . . . . . . . . .819. Applying for Residency: An Overview of the Match Process . . . . .8710. Love and Medicine: The Couples Match . . . . . . . . . . . . . . . . . . .10911. Top Secret! The Ultimate Guide to a Successful Match . . . . . . . .11912. Your Medical Career Beyond Residency . . . . . . . . . . . . . . . . . . . .137Part 2. Specialty Profiles13. Anesthesiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Brian Freeman, MD15114. Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Amy J. Farmer, MD16915. Emergency Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Jeremy Graff, MD181v

CELPCareerMedviCONTENTS16. Family Practice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michael Mendoza, MD, MPH, and Lisa Vargish, MD, MS19917. General Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Danagra Georgia Ikossi, MD and Jonathan Long Le, MD21318. Internal Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Jennifer Lamb, MD and Ian Tong, MD22919. Neurology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Tomasz Zabiega, MD25120. Neurosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .M. Jafer Ali, MD26721. Obstetrics & Gynecology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kelly Oberia Elmore, MD, LT, MC, USNR28122. Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Andrew Schwartz, MD29523. Orthopedic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .John C. Langland, MD30924. Otolaryngology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Daniel J. Lee, MD32125. Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Lisa Yerian, MD33326. Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Aaron J. Miller, MD34927. Physical Medicine & Rehabilitation . . . . . . . . . . . . . . . . . . . . . . .Vicki Anderson, MD, MBA36728. Plastic Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Gregory H. Borschel, MD38329. Psychiatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kathleen Ang-Lee, MD39730. Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Stephanie E. Weiss, MD413

CELPCareerMedCONTENTSvii31. Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Derek Fimmen, MD42932. Urology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Jane Lewis, MD443Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .457

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CELPCareerMedAuthorsM. Jafer Ali, MDResident in Neurosurgery, Department of Neurosurgery, University ofMichigan Hospital, Ann Arbor, [email protected] Anderson, MD, MBAResident, McGaw Medical Center of Northwestern University, RehabilitationInstitute of Chicago, Chicago, [email protected] Medicine & RehabilitationKathleen Ang-Lee, MDResident, Department of Psychiatry, University of Washington Medical Center,Seattle, y H. Borschel, MDThe Ethel C. Coller Research Fellow, Department of Surgery; Plastic SurgeryResident, Section of Plastic Surgery, University of Michigan Medical School,Ann Arbor, [email protected] SurgeryKelly Oberia Elmore, MD, LT, MC, USNRResident, Department of Obstetrics and Gynecology, Naval Medical Center,San Diego, [email protected] & GynecologyAmy J. Farmer, MDResident, Division of Dermatology, University of Chicago Hospitals, xCopyright 2004 by The McGraw-Hill Companies, Inc. Click here for terms of use.

CELPCareerMedxAUTHORSDerek Fimmen, MDResident, Department of Radiology, University of Chicago Hospitals, n Freeman, MDResident in Anesthesiology and Critical Care, University of Chicago Hospitals,Chicago, [email protected] a Specialty: The Most Difficult Decision of Your Career; TheSpecialization of Medicine; Ten Factors to Consider in Specialty Selection;Personality Assessment: Are You My Type?; Finding the Perfect Specialty;Special Considerations for Women; Combined Residency Programs; Optionsfor the Undecided Medical Student; Applying for Residency: An Overview ofthe Match Process; Love and Medicine: The Couples Match; Top Secret!The Ultimate Guide to a Successful Match; Your Medical Career BeyondResidency; AnesthesiologyJeremy Graff, MDResident, Department of Emergency Medicine, Alameda County MedicalCenter, Highland Hospital, Oakland, [email protected] MedicineDanagra Georgia Ikossi, MDResident in General Surgery, Department of Surgery, Stanford UniversityMedical Center, Stanford, [email protected] SurgeryJennifer Lamb, MDResident, Department of Internal Medicine, Stanford University Hospitals,Stanford, [email protected] MedicineJohn C. Langland, MDOrthopedic Surgeon, Steindler Orthopedic Clinic, Iowa City, IowaOrthopedic Surgery

CELPCareerMedAUTHORSxiJonathan Long Le, MDResident in Plastic Surgery, Department of Plastic Surgery, University ofCalifornia, San [email protected] SurgeryDaniel J. Lee, MDAssistant Professor, University of Massachusetts Medical School; Director, TheSounds of Life Center, UMass Memorial Medical Center, Worcester,Massachusetts; Lecturer, Department of Otology and Laryngology, HarvardMedical School, Boston, Massachusetts; Research Associate, Eaton-PeabodyLaboratory, Massachusetts Eye and Ear Infirmary, Boston, yJane Lewis, MDResident in Urology, Harvard Program in Urology, Harvard Medical School,Boston, [email protected] Mendoza, MD, MPHResident, Family Practice Residency Program, University of California, SanFrancisco and San Francisco General [email protected] PracticeAaron J. Miller, MDAttending Pediatrician, Jacobi Medical Center, Bronx, New [email protected] Schwartz, MDResident Physician, Mount Sinai School of Medicine, The Mount SinaiHospital, New York, New [email protected]

CELPCareerMedxiiAUTHORSIan Tong, MDResident, Department of Internal Medicine, Stanford University Hospitals,Stanford, [email protected] MedicineLisa Vargish, MD, MSResident, Family Practice Residency Program, University of California, SanFrancisco and San Francisco General [email protected] PracticeStephanie E. Weiss, MDChief Resident, Department of Radiation Oncology, The Sidney KimmelComprehensive Cancer Center at Johns Hopkins, Baltimore, [email protected] OncologyLisa Yerian, MDResident, Department of Pathology, University of Chicago Hospitals, hologyTomasz Zabiega, MDAttending Neurologist, Joliet Pain Center, and Medical Director of PracticeDevelopers of Illinois, Inc., Joliet, [email protected]

CELPCareerMedPrefaceThree years ago I was a confused third-year medical student, not having any ideaabout the next step in my education and professional training. Deciding on a career in medicine was easy; choosing a specialty, on the other hand, was agonizing. Like my classmates, I felt overwhelmed by the number of choices. I imagined myself as a future surgeon or emergency medicine physician, but afterextensive research and clinical experiences, I soon discovered that anesthesiology was the perfect fit. I realized at the time that medical students need a goodwritten resource to guide them through this difficult career-defining decision.This is when the idea for The Ultimate Guide to Choosing a Medical Specialtywas born. Today’s doctor-in-training requires as much information as possible tomake a confident decision, but has little time to gather it. A single comprehensive resource, this book provides detailed insight into each field and allows students to quickly and easily compare specialties under consideration.SPECIAL FEATURES An “insider’s look” into different areas of medicine—specialty chapters written by residents who recently made their career decisionsCandid and revealing descriptions of each specialty, including the pros andthe cons, plus salary information, employment data, match statistics, andmuch moreProfiles of the major medical specialties, including those to which medicalstud