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Steve  Immerman's avatar

Also, looking ahead, these students need to continuously evaluate everything they are doing from the perspective of exactly what they want to do in their future career. They have to pay attention to the demands and lifestyles of the attending physicians. The need to be alert to the complaints that the various clinicians have about their practices and the stresses that they endure.

They will ultimately have to choose a type of practice (university, large clinic, small group, solo) as well as a field of medicine or surgery. I have seen many students/residents go through training and end up in a field with a lifestyle that doesn't work for them.

I have interviewed many physicians looking for a position. I always ask them the open ended question: "What are you looking for in a practice?"

The new general surgeon graduate always answers with something like, "I want to see a lot of cancer work, but some trauma also, and I also would like to do some vascular."

The general surgeon changing jobs will answer, "I want $400,00 salary, 6 weeks of vacation, and call no more than one in three." When I further query "What about the case mix?" I usually get, "Oh, that doesn't matter".

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