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In a previous post/YouTube video, I discuss why I stayed in academic medicine. But with anything in life, where there are benefits, there are downsides. As a medical student, I remember reading and hearing about how academic medicine jobs included a lot of promotion pressures [to apply for professorship; which is why everyone is hustling/stressed to do research] and lower pay. This sounded like a terrible deal, so I never considered staying in academic medicine beyond residency [I knew I wanted training at an academic environment, but it didn't seem like a good long-term career fit]. Fast-forward over a decade later and here I am... in academic medicine [cue: face-palm emoji]. So even though I heard about the potential downsides of an academic medicine job, I decided it was still a good fit for me. The 4 downsides of being an academic physician that I go over in the video are: ✦ Academic promotion pressure As I alluded to above, in most academic medical centers, there is a requirement to work toward promotion within a specified amount of time. There are options for clinical and education tracks that physicians can usually pursue, which make the minimum requirements somewhat manageable. Unfortunately, the academic university I'm affiliated with is notorious for being extraordinarily challenging to get promoted through, so this adds another layer of pressure/stress to the process. Luckily, the set up of my job is such that I don't have a "requirement" to be promoted. This could always change, but this particular facet of my position is one of the reasons I could stomach staying in an academic position. ✦ Nonclinical work Most academic physicians are involved in various committees or organizations. Additionally, academic anesthesiology is unique because we often schedule a pre-operative phone call [usually the day before surgery when we get our assignments] with the residents in order to discuss the anesthetic plan and direct educational topics for the day [see below]. ✦ Trainee education Somewhat related to the nonclinical work section, many people don't realize that many academic anesthesiologist have a phone call the night before with our residents to discuss cases for the next day and direct education. I take this role very seriously and try to make the most of these phone calls [after all, both the trainee and attending have lives and the evening is supposed to be sacred], but they can be exhausting. When it is earlier in the academic year, many junior residents haven't yet had exposure to various cases so I spend more time ensuring my resident has all of the tools to be successful the next day. Sometimes these phone calls can be an hour long... and with two residents, I might be on the phone for two hours preparing for the next day! ✦ Lower salaries An important caveat to this section is that you cannot compare physician jobs on salary alone because the benefits that come with each position can vary tremendously. Additionally, the stress level of the work that is done at various anesthetizing locations can vary. Basically, it's nearly impossible to actually compare clinical jobs because ultimately a lot of work satisfiers or dis-satisfiers lie within the work environment/culture itself. Putting this aside... if you compare the academic anesthesiologist's contract and base pay with contracts from private practices or community hospitals, you'll find that the absolute salary amount tends to be lower in academic contracts. This is a function of the additional flexibility that most academic positions offer. In anesthesiology, clinical work is lucrative; so the more clinical time you spend, the more money you make. Academic jobs usually have a lower clinical time requirement that then translates into a lower salary. But, at face value, this certainly can be seen as a downside. Read a more detailed version of this description on my blog: blog.amandaxi.com. Let me know your thoughts on this video or questions you have below in the comments! ✦✦✦ Items used to create this video: Sony ZV-1 Vlogging Camera: https://amzn.to/333ztvZ Rode VideoMicro: https://amzn.to/3GhH9Ju 128 GB MicroSD card: https://amzn.to/3lE9uS9 Phone Ring Light: https://amzn.to/3EwrBRu Tripod: https://amzn.to/3rzUqZG CONNECT WITH ME: Blog: https://blog.amandaxi.com Instagram: / amandasximd Facebook: / amandasximd My essentials for being productive: https://www.amazon.com/shop/amandaeleven Graphics created with Canva: https://fave.co/3oUtdgg DISCLAIMER: I never record videos during active patient care. Opinions in my videos are mine and not representative of the organizations I am part of. Videos are meant for education and are not medical advice. Links included in this description may be affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you! Thank you for supporting my channel!