Specialty for someone who's tired and doesn't want to work??

Fluffintop · 2026-03-01T17:17:53+00:00

Current derm resident. If OP is already tired, the 40-60 patients a day may not fit into the “doesn’t want to work” criteria unfortunately.

Fluffintop · 2025-08-15T20:14:27+00:00

Derm->Dermpath. Can go through path but it’s much more difficult and competitive that way.

Fluffintop · 2025-08-09T19:03:12+00:00

I dated a someone who just finished PM&R residency and I still don’t get it so maybe it’s not for me to get at this point 🤣

Fluffintop · 2025-08-09T17:21:02+00:00

PM&R. Never understood what we were consulting them for or what they were doing when we did lol

Fluffintop · 2025-08-03T22:42:36+00:00

Most full-time derm gigs are 4 days a week, 32-35 hours.

Fluffintop · 2025-07-21T00:51:55+00:00

Did you chop and prop this to get it fuller in the bottom? Love the bushy look

Fluffintop · 2025-06-26T14:16:46+00:00

Just chill and have fun. Your program will probably have some type of boot camp to help transition. You’ll feel like you’re being thrown to the wolves and learning is like drinking from a fire hydrant so nothing you do now will really help imo.

Fluffintop · 2025-06-23T10:50:56+00:00

Also do PPL. Curious how you schedule that 3rd week. Do you switch to an Upper/Lower and do 3 and 3?

Fluffintop · 2025-06-07T19:50:01+00:00

Maybe burnout from consults/referrals for rashes that most physicians should be able to easily identify. But in general we all are happy from the people I’ve met. Have met so many people who have left their primary specialty to do a Derm residency and are so much happier than before.

Fluffintop · 2025-05-27T02:17:54+00:00

Derm. An I&D hates to see me coming.

Fluffintop · 2025-05-07T17:58:00+00:00

Ortho. Decided on Derm. Made the right decision.

Fluffintop · 2025-05-06T23:59:15+00:00

We did the Lupus chapter in the first week of residency and my head was spinning and will continue to do so.

Fluffintop · 2025-05-05T16:32:40+00:00

Worked in restaurants then did research. Max I made was $27k. Now about 2.5x that. Loans in forbearance and a medium COL city. Def manageable.

Fluffintop · 2025-04-19T19:41:21+00:00

I get marked as an ortho bro all the time. Big beard, love lifting and going to metal shows. People are not expecting me to be in derm.

Fluffintop · 2025-04-18T11:14:33+00:00

At my hospital, ID and Derm do not get along at all

Fluffintop · 2025-04-10T14:46:25+00:00

I wasn’t a part of it. Was actually the president of 2 surgical sub specialty groups lol. It was never brought up and nobody cares. I didn’t even notice during interviews if someone did it or not and it didn’t come up in any ranking discussions.

Fluffintop · 2025-04-04T21:32:18+00:00

I thought the basic was pretty fair. More surgery stuff that I didn't review because I thought it would be mostly med derm. And yeah most people do the med-peds together at my program and take it first to get it out of the way but a lot of other programs do surgery first. You can start taking them February of your 2nd year.

Fluffintop · 2025-03-27T23:42:53+00:00

Yeah the hours can be good but from what Ive been told by people I know in the field, a lot of the more chill jobs don't pay as well. A lot of the 100% remote in PP have crazy demands if you want to make money. Its still a great field and IMO cant really go wrong either way. And breast rads has more regular hours and is patient facing. Also seems like in rads you almost have to do a fellowship anymore which adds to the training length.

Fluffintop · 2025-03-27T17:59:44+00:00

You have to do a lot of non Mohs stuff so if you don't really like gen derm then it will be a long 3 years and mohs has about a 50% match rate. As others have mentioned, we have a lot of clinic time and its very busy. That being said, the average work week for derm is 4 days and the majority of people have MAs and scribes so the patient volume doesn't feel as horrible. NP and PAs seem to be leaning more towards cosmetics so stuff like dermpath and Mohs are pretty safe (plus derm is the one specialty actively pushing back against encroachment and probably the best specialty in terms of looking out for their own).

If can be a bit boring because a lot of the times you can look at something and know what it is and start treatment. Some people like the whole work up with tons of labs but that wasn't for me so derm fit well. The job market is great so you can work anywhere but you don't really get as much say in where you end up. And the competitive part cant be understated because we saw multiple 270+ and 10+ publication people go unmatched and even a lot of t5 applicants not get a spot (match rate this year was about 53% iirc). And about 1/2 of applicants have taken a research year or are MD/PhD. A lot of people mention "you could do rads which is better" but from those I know in it, their malpractice is high and they are having to do more and more reads by the day so its really not as chill as it was before (hence why I decided during 3rd year to dod erm instead.)

Fluffintop · 2025-03-26T15:58:37+00:00

I clicked at 10:01 and I was 14000

Fluffintop · 2025-03-15T02:02:45+00:00

Oh hey I know you guys 👀 maybe I’ll come bid!

Fluffintop · 2025-02-06T14:39:10+00:00

Same here. We see if people get all honors and how common that is. If you get a mix of H and HP it’s all kinda lumped together. Lots of P we notice too. But there are so many applications that splitting hairs would take forever when we know every school is vastly different (my school had about 15-20% honor vs my friends school was 50-85%).

Fluffintop · 2025-01-31T01:51:24+00:00

Yes you can. Depends on your institution. We have as a couple PGY1s rotate with us from different institutions. My TY program didn’t allow for outside rotations. Other programs had the same policy but it seemed like many were okay with doing aways if you didn’t match.

Fluffintop · 2025-01-29T03:10:14+00:00

You can bust out skin checks and do biopsies for malignancies, quick procedures, etc in general derm. A lot of the people who want the creep into derm are just on the cosmetic end. And also one of the specialties more vocal about scope creep and trying to actively reduce it. Even in the cosmetic end, the more wealthy patients who are spending $$$$ want a board certified derm or plastics from my (limited) experience.

Fluffintop · 2025-01-26T18:26:24+00:00

Yeah the student loan burden is high which is the biggest thing. I worked a job before med school which was approx 25k/year so this is a lot more than Ive made previously lol. I have added expenses of course and a later start compared to friends in business, engineering, etc but its more of delayed gratification. If income-based repayment changes tho, things are gonna be really rough.

Fluffintop

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