Thread by @ilanarosman

I forgot to add another important issue when thinking through all of this (particularly related to specialty choice & costs of medical education) - drastically different compensation between specialties. 1/

https://twitter.com/ilanarosman/status/1504098803309293569

Why does a dermatologist make so much more money than a pediatrician? (And for that matter, why do adult specialists make more money than pediatric specialists?) Obviously, a complex area, including billing structures & prioritization of procedures over preventative care. 2/

Not a surprise: lifestyle & compensation play a major role in specialty choice (it played a role for me too). If we didn't see such drastic differences in these elements between specialties, I bet the application process & the Match would look very different. 3/

I know this is not a popular topic, but important to recognize & address. I'm NOT saying everyone applying to derm is doing it for $$. That's simply not true. However, we also can't expect students w >$400,000 in debt to not consider compensation when choosing a specialty. 4/

As I mentioned earlier, decreasing the costs of medical education would also help in this regard, but physician compensation, work hours, and related issues should also be part of the discussion. x