{"id":17,"date":"2008-04-30T11:03:57","date_gmt":"2008-04-30T16:03:57","guid":{"rendered":"http:\/\/blogs.nejm.org\/pov\/hiv-id-observations\/index.php\/2008\/04\/30\/so-young-doctors-get-a-life-whither-idhiv\/"},"modified":"2008-04-30T11:03:57","modified_gmt":"2008-04-30T16:03:57","slug":"so-young-doctors-get-a-life-whither-idhiv","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/so-young-doctors-get-a-life-whither-idhiv\/2008\/04\/30\/","title":{"rendered":"Young Doctors &#8220;Get a Life&#8221; &#8212; Whither ID\/HIV?"},"content":{"rendered":"<p>A front-page article in <a href=\"http:\/\/online.wsj.com\/article\/SB120942599600151137.html?mod=WSJBlog\">yesterday&#8217;s Wall Street Journal <\/a>says that younger\u00a0physicians (definition:\u00a0 younger than I am), &#8220;intent on balancing work and family,&#8221; are choosing specialties that allow them to control their hours.\u00a0 The content of the article will be familiar, including:<\/p>\n<ul>\n<li>The rise of the hospitalist movement<\/li>\n<li>A decline in those entering primary care fields<\/li>\n<li>The pros and cons of this change (a better-rested, more-balanced doctor vs. the inevitable lack of patient\u00a0continuity &#8212; gone is the &#8220;hero model of the lone ranger who is there 24\/7, 365&#8221;)<\/li>\n<li>Ways that specialties with unpredictable call (such as obstetrics) are adapting to this trend<\/li>\n<\/ul>\n<p><!--more--><\/p>\n<p>Not discussed in any detail, but obviously also critically important, is that many\u00a0doctors have hundreds of thousands of dollars of debt from student loans. Why would these\u00a0doctors choose a field that is both less predictable and less remunerative than\u00a0one of the &#8220;ROAD&#8221; specialties (as one med student recently called them) &#8212; radiology, ophthalmology, anesthesiology, or dermatology?<\/p>\n<p>Which brings me to Infectious Diseases and\/or HIV Medicine as specialties.\u00a0We certainly can&#8217;t compete with the ROADs of the world in terms of predictability of call\u00a0and per-hour\u00a0compensation, and the complexity of our cases (and, no doubt, our obsessive tendencies) make us\u00a0notorious for long hospital hours.\u00a0 (One of my colleagues was nicknamed &#8220;Dr. FILO&#8221; &#8212; for &#8220;first in, last out&#8221; &#8212; to describe his hospital schedule.)<\/p>\n<p>So where does ID\/HIV fit into this new reality?\u00a0Will we lose the best and brightest young MDs?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A front-page article in yesterday&#8217;s Wall Street Journal says that younger\u00a0physicians (definition:\u00a0 younger than I am), &#8220;intent on balancing work and family,&#8221; are choosing specialties that allow them to control their hours.\u00a0 The content of the article will be familiar, including: The rise of the hospitalist movement A decline in those entering primary care fields [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,4,5,6],"tags":[436,497,601,867],"class_list":["post-17","post","type-post","status-publish","format-standard","hentry","category-health-care","category-hiv","category-infectious-diseases","category-medical-education","tag-hiv-medicine","tag-infectious-disease","tag-medical-student","tag-specialties"],"post_mailing_queue_ids":[],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/17","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/comments?post=17"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/posts\/17\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/media?parent=17"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/categories?post=17"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/hiv-id-observations\/index.php\/wp-json\/wp\/v2\/tags?post=17"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}