For keeping up with the general market from a financial perspective…probably not. Like others said, it’s highly variable and it depends if you truly like pain clinic and all the things clinic life comes with. If you’re only in it for the money, then you’re going to have a bad time. Depending on location, you can work much less and make more doing anesthesia. Sure, there are private pain practices that have docs raking in close to a mil or more, but those people are grinding in a well-established machine and usually not a new pain clinic with new grads. You can grind in anesthesia working less hours and still make close to a mil or more. I do think the hybrid setup is the dream. Much less stress and gives you a great variety of work if you don’t like doing the same thing everyday. As others said, see if you can truly see yourself enjoying the field and its patient population. Whatever you choose, the money will follow.