SS 27 : A Deep Dive Into OB/GYN Residency Match Data

Session 27

This week I'm breaking down and reviewing the match data for OB/GYN. There are a handful of surgical specialties thought to be a good mix of medicine and surgery specialties. OB/GYNE is one of them along with ophthalmology, urology, and ENT. If OB/GYN interests you, take a listen to this episode to see what you need to do!

[02:30] Match Summary

Table 1 of the NRMP Main Match Data 2017 shows the summary of the match and OB/GYN is listed separately from everything else having its own category. There are 241 OB/GYN programs. Compared to other specialties, Surgery has 267 programs, Internal Medicine has 467 programs, Emergency Medicine has 191 programs.

While OB/GYN has 241 programs, there only 1, 288 spots available compared to Emergency Medicine with 191 programs but there are 2,047 spots. That's almost 800 more spots even if there are 50 less programs. Hence, there are less spots per program in OB/GYN.

Out of those 1,288 spots, there were 1,202 U.S. Senior applicants. This means there are less of them applying than there are spots available which is a good thing. (For our conversation, U.S. Seniors based on this data specifically talks about allopathic medical students. The NRMP is the match for allopathic medical schools.)

There are a total of 1,753 students applying. Aside from U.S. Seniors, there could be physicians in another country applying for OB/GYN residency here in the U.S. They could be Caribbean grads, DO students, etc. Only 81.4% of the U.S. Seniors matched so out of 1,202 U.S. Senior applicants, only 1,049 matched and 153 did not match. There could be a number of reasons students are not matching for residency. Maybe they weren't competitive enough or they interviewed poorly. Or maybe they didn't apply to enough residencies or performed poorly on their audition rotations.

[05:45] SOAP and PGY-1

For OB/GYN total, 100% of spots were filled. If for some reason you're trying to Scramble, which is now called SOAP, for OB/GYN in 2017, there were no spots available.

There are only 19 PGY-1 OB/GYN spots, Typically, for OB/GYN spots, you have medicine, surgery, or a transitional year which is a mix of medicine and surgery. It's pretty interesting that OB/GYN has a prelim year. This is for the students that need to SOAP and the students that didn't match maybe they were able to get a PGY-1 spot. However, there is no discussion about OB/GYN having any PGY-2 positions. I'm wondering what happens to these students once they finish their PGY-1 spot.

So there were 19 programs and 23 positions offered, which seems to be just an extra spot for interns, and then 8 programs went unfilled. 142 U.S. Seniors applied and 202 total applicants and only 6 U.S. Seniors matched. As to why this is the case, they probably applied to both categorical OB/GYN spot and the prelim spot so you get a lot more applicants to the PGY-1 spot that hopefully matched in the categorical and didn't need to go onto the prelim year. If that's the case, they wouldn't have matched in terms of how the algorithm works because they are two different programs.

[09:00] Specific Applicants and Trends

Table 2 shows who matched in the specialty. For OB/GYN, there are 1,288 spots for the categorical programs and all spots were filled. 1,049 were filled by U.S. Seniors so 81.4% of all spots went to U.S. Seniors who are those still in school. 11 of those spots went to U.S. graduates who are students that went to an allopathic or MD school who aren't in school anymore that possibly reapplied or took a year off to do some research. There are 123 osteopathic/DO students matched into an allopathic OB/GYN categorical spot.

Outside of the U.S. allopathic and osteopathic students, 64 U.S. IMGs matched into an allopathic OB/GYN categorical spot and 41 non-U.S. citizen IMGs matched. So 105 graduates from a non-U.S. medical school matched.

Table 3 shows the growth of programs year over year (2013-2017). For OB/GYN, it's been growing around 4.5-4.7% every year and this is a good pace.

Table 8 shows the percentage of applicants filled by U.S. Seniors from 2013-2017. 81.4% of those that matched were U.S. Seniors in 2017, 77.5% in 2016, 79.8% in 2015, 76.5% in 2014, and 76.2% in 2013.

Table 9 shows how popular OB/GYN is compared to all of the other specialties. 4.7% of all applicants who matched, matched into OB/GYN. To give you an idea of what that looks like, 7.4% matched into Emergency Medicine, 4.1% into Anesthesiology, 5.4% into Psychiatry categorical.

Table 10 looks specifically at U.S. Seniors who matched by specialty. 6% of all U.S. Seniors matched into OB/GYN. This is a good number. Table 11 shows osteopathic students who matched into OB/GYN.  4.2% of all osteopathic medical students matched into OB/GYN.

Table 12 shows foreign-trained physicians (international medical graduates) and only 1.6% of IMGs matched into OB/GYN. This makes sense since more of the subspecialties are harder to match into as an international medical graduate. Now compare this to 46% of all IMG's matching into Internal Medicine.

Just to give you a  comparison here for students who matched into Internal Medicine, Osteopathic students make up 23.5% (Table 11) and 25.6% for all applicants (Table 9) and 18.6% were U.S. Seniors. 25.6% of all applicants is kind of held up by the International Medical Graduates leaning into Internal Medicine.

[14:36] Applicant Choices by Specialty, Matched and Unmatched

Table 13 shows the applicant choices by specialty. For OB/GYN with 1,288 total positions available and all of them matched. 968 of U.S. Seniors that matched only ranked OB/GYN programs. 198 U.S. Seniors ranked OB/GYN as their first specialty and they had a different specialty after that. 36 students U.S. Seniors had a different specialty before OB/GYN. This is common but I personally can't understand ranking more than one career. This is your residency training. This is your specialty. While yes, it is possible to change careers at some point, don't you only want to do it once? I wonder how it feels like to open up your envelop seeing you matched into the specialty you didn't rank first. My advice is try to narrow it down to one program because the data shows that when you rank more than one program, it starts to work against you. There's probably some psychology working in there but it's interesting information.

Table 14 shows the ones that actually matched who ranked their specialty as their only choice. For OB/GYN, there are 890 that matched out of the 968 that applied as their only choice.

Figure 6 shows the percentages of unmatched U.S. Seniors and independent applicants who ranked their specialty as their only choice. OB/GYN is near the bottom for total unmatched percentage at 15.4%. This is pretty good since we covered Physical Medicine and Rehabilitation before and their unmatched rate is 27.5%. Family Medicine is 25.3%.

The majority of those unmatched applicants are the independent applicants. Unmatched U.S. Seniors is very small at 8.1% for OB/GYN (Pls. refer to Table 14). Compared to other specialties, this percentage is on the higher end of U.S. Seniors unmatched. Anesthesiology is only 0.9% of U.S. Seniors, Internal Medicine is 0.5%, PM&R is 7.1%. So even though the total unmatched rate is 27.5% for PM&R and OB/GYN is 15.4%, the U.S. Seniors unmatched is still pretty high at 8.1%.

Table 18 covers SOAP information for 2016-2017 and as mentioned earlier, the 1,288 spots available for OB/GYN went completely filled. When you look at this, Table 1 shows you all of those that matched pre-SOAP and if there are no programs available based on table 1 then obviously, no programs are available for the SOAP. With the OB/GYN prelim year (PGY-1), there were 8 programs, 9 spots available and 8 of those spots went filled.

[20:27] Charting the Outcomes 2016

Looking at Chart 5 of Charting the Outcomes 2016, the students that did not match were equal to or more than the number of different specialties ranked. Those that did not match rank more specialties in their match list than those that did match. So you're focusing your efforts on too many different places instead of honing in on one and putting all your cards on the table for one specialty. Based on the data, it shows that those who spread out too thinly and applied to more programs didn't match whereas those who applied to fewer programs actually matched. Hence, focus your energy on one specialty.

First, note that there is an overlap with a lot of different specialties. For example, diagnostic radiology can be very similar to interventional radiology.

Chart 8 shows the mean number of research experiences from U.S. Allopathic Seniors and OB/GYN is higher for those that matched at 3.2, a decent number right in the middle of the pack. Orthopedic surgery is at 4 and Otolaryngology (ENT) is at 5.1. Those that did not match for OB/GYN had 2.8 so not a lot fewer.

Chart 12 shows the percentage of U.S. Seniors who are members of the AOA (Alpha Omega Alpha), the honor society for medical students. For OB/GYN, 15% matched while 2% of those that did not match were AOA.

[23:25] Contiguous Ranks, Step 1 & 2 Scores, Top 40 Schools

Moving down to the OB/GYN specific information Table OB-1 (Page 123), the mean number for contiguous ranks that matched was 12.5. If you've listened to any of these deep dives before, you will know that this is one of the key indicators of who's going to match and who's not. You are more likely to match when you rank more programs. Those did not match had 6.7 mean number of contiguous ranks. So those who matched almost doubled than those who did not match.

For those that matched, the mean Step 1 score of those that matched was 229 versus 214 for those that did not match. Mean Step 2 score was 244 for those that matched while 230 for those that did not.

The tenth on the list indicates the percentage who graduated from one of the 40 U.S. medical schools with the highest NIH funding. I get a lot of students asking if it matters where to go to medical school and the I always tell them it doesn't matter unless you have aspirations of being a top academic person at Harvard or Stanford and then think about going to some of those more elite schools. But for OB/GYN, specifically, 31.2% of those that matched came from one of those 40 schools. This goes to say that most of the students are coming from somewhere else. You don't have to go to an elite school to match into OB/GYN. On the other hand, 29.8% of those that did not match went to one of the top 40 U.S. medical schools based on NIH funding. To me, this doesn't tell anything about the quality of schools, it just means the school does a lot of research and it's good at writing grants for money.

[26:25] Medscape Lifestyle and Compensation Reports 2017

Looking at the Medscape Lifestyle Report, it tells us that OB/GYNs are pretty burned out, being the second highest on the list at 56% next to Emergency Medicine at 59%. Slide 3 shows the severity of burnout and OB/GYN is near the top at 4.3 in a scale of 1 to 7 (where 1 equals “It does not interfere with my life” and 7 equals “It is so severe that I am thinking of leaving medicine altogether.”) When you look at all of the specialties listed here, none of them dropped below 3.9 so it seems everybody is on the way out. This is one of the questions for premeds out there, why do you want to enter this? You have to be ready to answer that question on your interviews. Slide 18 shows which physicians are the happiest, OB/GYN is right in the middle at 69% happy outside of work and 32% happy at work.

Moving on to the Medscape Compensation Report 2017, OB/GYN is near the middle but lower than half at $286K as the average annual physician compensation. Orthopedics is first at $489K and Pediatrics at the very bottom at $202K. Slide 18 shows which physicians feel fairly compensated and OB/GYn is near the bottom at 48%. Whether they would choose medicine again, OB/GYN is second from the bottom at 72%, just above Neurology at 71% while Rheumatology is on top at 83% followed by Psychiatry at 82%. Whether they would choose the same specialty again, OB/GYN is pretty near the bottom at 76%. It looks like not a lot of OB/GYNs are happy with their chosen specialty.

[29:30] Final Thoughts

With a lot of OB/GYN not very happy with their career, more so, not choosing the same specialty again. But information is power. Knowledge is power. So take this information and use it to your advantage. A lot of people go into specialties not knowing enough about the specialty or what their life is going to be like and this why we have this podcast. Take this information and use it so you can best make an informed decision.

Links:

NRMP Main Residency Match Results and Data

Charting the Outcomes 2016

Medscape Lifestyle Report

Medscape Compensation Report

MedEd Media Network

Transcript

Introduction

Dr. Ryan Gray: Specialty Stories, session number 27.

Whether you’re a premed or a medical student, you've answered the calling to become a physician. Soon you'll have to start deciding what type of medicine you will want to practice. This podcast will tell you the stories of specialists from every field to give you the information you need to make sure you make the most informed decision possible when it comes to choosing your specialty.

Welcome to the Specialty Stories Podcast, my name is Dr. Ryan Gray, your host for the show today. I also host several other podcasts, so if this is the first time joining me here, go check out www.MedEdMedia.com.

OB/GYN Match Data 2017

Today we're going to dive into the OB/GYN match data. Now in this podcast sometimes we dive into match data, sometimes we have an interview with a specialist. I'm hoping next week to have a great interview for you with a trauma surgeon, but this week we're going to dive into OB/GYN match data.

Now the match data is provided by, or is found on the NRMP website. So if you Google ‘NRMP match data for 2017,' you will be taken to the NRMP website www.NRMP.org. Click on the Results & Data 2017 Main Residency Match. It's a huge PDF, 124 pages. So all of that information that we're going to discuss, and review, and talk about is found in that document.

So OB/GYN is a very interesting specialty. There are a handful of surgical specialties that are thought to be a good mix of medicine and surgery. OB/GYN is one of those. Ophthalmology is one of those. Urology, which we heard from a week or two ago, is also one of those. And there's one more escaping the top of my head right now. But there are a handful, there's about four typically that are thought of to be great medicine and surgery specialties. So check those out if you're interested in surgery but you want some medicine as well.

So diving into Table 1, again from the NRMP match data, www.NRMP.org 2017 match data, Table 1 shows just all of the summary of the match. And OB/GYN is listed separately from everything else, and meaning it's not under medicine, it's not under surgery, it has its own category, and there are 241 OB/GYN programs. So 241 different specialties. And to give you an idea of how many that is, surgery there's 267 so a little less than surgery. You're looking at internal medicine, obviously huge, 467 programs compared to 241. Emergency medicine is 191, so OB/GYN has more programs. There are only 1,288 spots though. So if you look at emergency medicine, there's 191 programs, but there are 2,047 spots. So almost 800 more spots, even though there are 50 less programs. So that's something to keep in mind. So there are less spots per program in OB/GYN.

Out of those 1,288 spots the number of applicants- there were 1,202 US senior applicants. So there are less US senior applicants applying for the total number of OB/GYN spots meaning- let me rephrase that. There are less US senior applicants applying than there are spots available, which is a good thing. And again, remember for our conversation, US seniors based on this data is specifically talking about allopathic medical students. The NRMP is the match for allopathic medical schools. Now it will give us a breakdown- if this is your first time joining us, it will give us some information about DO applicants as well.

Applicant Stats

So there were 1,202 US seniors applying, 1,753 total students applying, or total people applying. Because remember they could physicians in another country applying for OB/GYN residency here in the US. They could be Caribbean grads, DO students, et cetera.
So the number of students matched, only 81.5% roughly of the US seniors matched. So out of the 1,202 only 1,049 matched. So 150 or so didn't match. Now there could be a number of reasons for that. Maybe they weren't competitive enough, maybe they interviewed poorly, maybe they didn't apply to enough residencies, maybe they performed poorly on their audition rotations. There are a lot of reasons why a student wouldn't match in a residency. So it's something to think about.

The OB/GYN total, 100% of the spots filled, so that's something to keep in mind. If for some reason you're trying to scramble, or what they call SOAP now, for OB/GYN at least for 2017 there were no spots available to SOAP so to speak. Now there were- what's interesting, there are 19 PGY1 only OB/GYN spots. This is something I didn't really know about until I just looked into it. So typically PGY1 spots, you have medicine, and you have surgery, or there's what they call transitional. A transitional year which is a mix of medicine and surgery. I didn't know there was an OB/GYN prelim year. So that's interesting. So this is for the students that need to SOAP, and the students that didn't match. Maybe they were able to get a PGY1 spot available.

PGY2 Positions

Now what's interesting if you continue down on into the PGY2 positions, there's no discussion there about OB/GYN having any 2 positions. So I question what happens to these students once they finish their PGY1 spot; where do they go on? But there were 19 programs, 23 positions. So it seems like it's just an extra spot for interns, probably at programs that already exist that have normal OB/GYN programs possibly. Eight programs went unfilled, so that's kind of interesting for these PGY1 spots.

142 students applied for 23 positions, 202 total, only 6 matched. So my guess is that based on this data- it looks scary, like how can 142 students apply, but only 6 match of US seniors? Well the students that knew about these PGY1 only spots, they probably applied to both a categorical OB/GYN spot, and the prelim spot. And so you get a lot more applicants to the PGY1 spot that hopefully they matched in their categorical, and didn't need to go on into the prelim year. And so if that's the case, they wouldn't have matched the way the algorithm works because they're different programs. The algorithm would have matched them in the categorical which means they didn't match into the prelim year.

That's very confusing. Go look at the data, Table 1, Match Summary 2017 on the NRMP website. So there's the categorical OB/GYN programs, 241, 1,288 spots. And then prelim years for OB/GYN, 19 programs, 23 spots.

Alright so we're all learning something because I didn't know OB/GYN had prelim spots.

Alright so looking at Table 2, Table 2 tells us who matched in the specialty. So Table 1 tells us kind of generically how many people matched. Table 2 tells us specifically who matched. So when you look at OB/GYN, again there was 1,288 spots for the categorical programs, all of those spots were filled. 1,049 were filled by US seniors. We said that was roughly 81%- where did it go on my list? 81.5% of all the spots went to US allopathic seniors, so those that are still in school.

Eleven of those spots went to US graduates, so students that went to an allopathic or an MD medical school who aren't in school anymore that possibly reapplied, or took a year off to do some research. Eleven of those students matched.

Osteopathic Students Matching

Now here for the DO crowd, 123 osteopathic medical students matched into an allopathic OB/GYN categorical spot.

Outside of the US allopathic and osteopathic students, 64 US IMGs matched into an allopathic OB/GYN categorical spot, and 41 non-US citizen IMGs matched. So over 100 graduates from a non-US medical school matched; 64 being US citizens. So think of the Caribbean, think of schools in Israel, and Australia, and I think Scotland is another popular one for students to go to. Think of those schools, even possibly Canada as well. So most- again 81.5% are seniors, allopathic seniors, but a good chunk, 123 are osteopathic medical students.

OB/GYN Program Growth

One of my favorite tables to look at is Table 3 in the NRMP match data for 2017, and Table 3 shows us kind of the growth of programs year over year. So since 2013, when you look at the growth year over year for OB/GYN it's been growing around 4.5% to 4.7% every year, which is good. It's growing at a good chunk, a good pace.

Moving down to Table 8, Table 8 shows us year over year the percentage of applicants that are filled by US seniors. And so again, US seniors, allopathic, MD medical schools. When you look at 2017 for OB/GYN, 81.4% of those that matched were US seniors. In 2016, 77.5%. 2015, 79.8%. 2014, 76.5%. And 2013, 76.2%. There was a little bump in 2015, went back down and then came back up in 2017. So it seems to have a little bit of a small growth there. It would be interesting to see what it looked like in 2012 and previously.
Table 9 shows us how popular OB/GYN is compared to all of the other specialties. And so 4.7% of all applicants who matched, matched into OB/GYN. 4.7%. So to give you an idea of what that looks like, 7.4% matched into emergency, so very popular. 4.1% into anesthesiology. 5.4% into psychiatry categorical. So 4.7% for OB/GYN, and that's roughly the same looking back over the last couple years as well, which Table 9 also shows you.
And Table 10 which looks specifically at US seniors who matched by specialty, 6% of all US seniors matched into OB/GYN. That's a good number.

And then Table 11 tells us osteopathic students who matched into OB/GYN. 4.2% of all osteopathic medical students matched into OB/GYN.

And Table 12 rounding out those that matched into PGY1 spots, Table 12 shows us foreign trained physicians, so the international medical graduates. This is kind of interesting, kind of an aside, we used to call international medical graduates FMGs, foreign medical graduates, and it's kind of interesting how this table still kind of holds onto that name a little bit, the foreign trained physicians. And so OB/GYN for IMGs, only 1.6% of IMGs matched into OB/GYN, which makes sense. Typically more of the sub-specialties are harder to match into as an international medical graduate. Looking at internal medicine here, 46% of all IMGs matched into OB/GYN. And just to give you an idea, internal medicine for osteopathic medical students is 23.5% and for all applicants it's 25.6%, and for US seniors it's 18.6%. So you kind of see the 25.6% of all applicants is kind of held up by the international medical graduate crowd that is leaning towards internal medicine.

Applicant Choices by Specialty

Table 13 is interesting, and I don't think I've covered it in other episodes where I've done a deep dive into the residency data. Table 13 shows us the applicant choices by specialty. So when you look at OB/GYN, again 1,288 total positions that were available, 1,288 matched. Now US seniors, 968 of those that matched only ranked OB/GYN programs. 198 ranked OB/GYN as the first specialty, and then they had a different specialty after that first one. 36 students that matched into OB/GYN had a different specialty before OB/GYN.

Now I know this is common, the data is here, it's common, but I personally can't understand ranking more than one career. Right? This is your residency training. This is your specialty. And while yes, it is possible to change careers at some point, don't you only want to do it once? So for these 36 students that opened up their envelope and saw OB/GYN, which is not the specialty they ranked first, what did they feel like? So think about that as you're going through this process, and you're trying to figure out what you want to do, try to narrow it down to one program because the data shows that when you rank more than one program, it starts to kind of work against you and there's probably some psychology working in there as well. But interesting information.

So looking back at the information I just gave you, the Table 13 is applicant choices by specialty. And so those are applicants to OB/GYN, not the ones that actually matched. Table 14 shows us the ones that actually matched.

And so when you look at Table 14, unfortunately it doesn't give us the breakdown of first choice, not first choice, it just tells us those that ranked each specialty as their only choice. So that's a little bit of a bummer, but it gives you an idea of those that are applying to other specialties as well. So OB/GYN, 890 out of the 968 that applied as their only choice. 890 of the 968 matched.

Unmatch Rates

Figure 6 actually shows us the percentages of unmatched US seniors and independent applicants. So again US seniors are those allopathic medical students that are still in school. Independent applicants, everybody else. OB/GYN is near the bottom for total unmatched percentage at 15.4% which is good. We've covered physical medicine and rehabilitation before, and their unmatch rate is 27.5%. Even family medicine is 25%. So OB/GYN at 15.4% is pretty good, and the majority of those unmatched applicants are the independent applicants. Unmatched US seniors is very small at 8.1%. It's actually when you look at it, 8.1% compared to other specialties, 8.1% is on the higher end of US senior unmatched. So I kind of take that back. When you look at anesthesiology, their US senior is only 0.9%. Internal medicine, 0.5%. And let me find another one, physical medicine and rehabilitation is 7.1%. So even though the total unmatched is 27.5% for physical medicine and rehabilitation, and OB/GYN is 15.4%, the US senior unmatched is still pretty high at 8.1%. I'm not sure how that math works because if 41.2% are independent applicants, and 8.1% are US seniors, I'm scratching my head a little bit why it's so low on the list.

Anyway, moving on. I don't have all the numbers to crunch in front of me. I trust the graphs that the NRMP is putting out.

SOAP Information

So Table 18 covers SOAP information for 2017 and 2016, and as we mentioned earlier the 1,288 or 1,289 spots, whatever it was that were available went completely filled. So when you're looking at this as you look at it yourself, Table 1 shows you all of those that matched pre-SOAP. And if there are no programs available based on Table 1, then obviously no programs are available for the SOAP. With the prelim- the OB/GYN prelim years, the PGY1 only spots, there were eight programs, nine spots available, and eight of those spots went filled.

Charting the Outcomes

Alright so let's move onto the Charting the Outcomes PDF that you can also get from NRMP. Again if you just Google ‘NRMP match data,' Charting the Outcomes is there. The 2016 version is still up, the one that I'm looking at right now.

Chart 5, and I'll go back to what I was just saying earlier about ranking more than one specialty. When you look at Chart 5, the students that did not match, all of them- all of them were equal to or more than the number of different specialties ranked versus the students that matched. Meaning those that did not match ranked more specialties in their match list than those that did match. So you're focusing your efforts on too many different places instead of honing in on one, and putting all of your cards on the table for one specialty. And based on the data, it shows that those that spread out too thin and apply to more than one program or applied to more programs than those that didn't match, those that applied to fewer programs actually matched. So focus your energy on one specialty.

Alright now there is some obviously overlap with a lot of different specialties. So diagnostic radiology can be very similar to interventional radiology. There are some programs that are opening up for interventional radiology. It's not on this list but could be something very similar. So there is some overlap. Obviously vascular surgery, general surgery, plastic surgery, orthopedics; a lot of the surgical fields overlap and maybe you could be completely happy in one or the other. So I'll give you that, that there is some overlap with some of these programs.

Now looking at Chart 8, the number of research experiences from US allopathic seniors, OB/GYN is actually higher for those that matched at 3.2 mean number of research experiences. So looking at orthopedic surgery, it's at 4. Otolaryngology, ENT is at 5.1. But OB/GYN at 3.2, it's pretty decent. It's probably right in the middle of the pack. So pretty research heavy for those that matched. Those that didn't match had 2.8, so not a lot fewer.

Chart 12, 15% of the OB/GYN US seniors that matched, 15% were AOA which is the Alpha Omega Alpha, the Honor Society for medical students. And only 2% of those that did not match were AOA. So doesn't necessarily mean that you have to be AOA, but pretty big difference there between those that were and those that weren't, based on who matched and who did not.

Alright moving down into the OB/GYN specific information, Table OB-1. OB-1 tells us (it kind of sounds like Obi-Wan)- OB-1 tells us a lot of data for OB/GYN. So those that matched, the mean number of contiguous ranks was 12.5. Now if you've listened to any of these deep dives before, you'll know that this is one of the key indicators of who's going to match and who's not. You're more likely to match when you rank more programs. Just the law of numbers and statistics just tells you that the more that you rank, the better your chances. And so those that matched, 12.5 was the mean number of contiguous ranks. Those that did not match, 6.7 was the mean number of contiguous ranks. So almost double those that matched versus those that did not.

Looking at Step 1 scores, 229 for Step 1 versus 214 for those that did not match. Step 2, 244 for those that that matched, 230 for those that did not.

NIH Funded Medical Schools

One of the numbers that I don't really cover, I haven't really covered, but I'll cover it here. If you're a premed student listening to this, number ten on this, the percentage of who graduated from one of the forty US medical schools with the highest NIH funding. So this is one of those where I get a lot of students saying, “Does it matter where I go to medical school?” And the answer I typically always say is, “No it doesn't matter, unless you have aspirations of being a top academic person at Harvard, or Stanford, or something else. Then maybe think about going to one of those more elite schools.” But for OB/GYN specifically, and from here on out I'll try to cover this number as well, it gives us the number- the percentage who graduated from one of the forty US medical schools, those that matched 31.2% of those that matched came from one of those forty schools. So just think about that. Most of the students are coming from somewhere else. You don't have to go to an elite school to match in OB/GYN.

Now when you look at unmatched you go, “Well maybe the unmatched students didn't go to one of those,” and it's going to be a lot lower percentage of those that went to one of those schools. And it's actually right about the same at 29.8%. So 29.8% versus 31.2%, they went to a top forty US medical school based on NIH funding, which to me doesn't really tell me anything about the quality of the school, it just means the school does a lot of research and is good at writing grants for money. So not a big difference there.

MedScape Data for OB/GYN

Alright let's switch gears and dive into the MedScape data. So I love going over the MedScape reports, the Lifestyle Report and the Compensation Report as well. So I'll go over Lifestyle first, and the Lifestyle Report tells us that OB/GYNs are pretty burnt out. They're second highest on the list at 56%. Emergency medicine, which we've covered before, is the highest at 59%. So just trailing behind a couple from OB/GYN. That's one of those where you never want to be number one.

Looking at Slide 3 on here for how severe is your burnout, OB/GYN is near the top at 4.3. And so it's on a scale from 1-7, 1 equals it does not interfere with my life, 7 equals it is so severe that I'm thinking of leaving medicine altogether. So it's on the higher end, but when you actually look at all of the specialties listed here, none of them drop below 3.9. So everybody's kind of on the way out it seems like, which is one of those questions for the premed out there, is why do you want to enter this? You have to be ready to answer that question on your interviews.

Moving onto Slide 18, which physicians are the happiest, OB/GYN is right in the middle with around 69% happy outside of work, and 32% happy at work. Right in the middle of the pack. They're all pretty close together.

Compensation Report

Alright then moving onto the Compensation Report. So OB/GYN is near the middle, but lower than half at $286,000 as the average annual physician compensation. So orthopedics at the very top, pediatrics at the very bottom according to the Compensation Report from MedScape.

Looking at Slide 18, which physicians feel fairly compensated, OB/GYN is near the bottom at 48%. So only 48% of OB/GYN docs feel fairly compensated, which is interesting. The best question I think, ‘Would you choose medicine again?' OB/GYN second from the bottom at 72%. The bottom, neurology. So only 72% would choose medicine again. At the top is rheumatology at 83%. Psychiatry at 82%. So OB/GYN only 82%.

‘Would you choose the same specialty?' OB/GYN again pretty near the bottom at 76%. So a lot of the people that are responding to this are not very happy with their specialty of OB/GYN.

Final Thoughts

And that's all I have for you today about OB/GYN. Again I didn't leave you with a happy note with a lot of OB/GYN docs not very happy with their career. A lot not choosing to enter medicine again, a lot not choosing to choose the same specialty. But information is power, knowledge is power, so take this information and use it to your advantage. I think that a lot of people go into specialties not knowing enough about the specialty, not knowing enough about what their life is going to be like, which is why I have this podcast. So take this information, and use it so you can best make an informed decision. When we're talking to patients it's all about informed consent. So I am helping you with informed consent for choosing your specialty. It's a good way to think about it.

So with that, hopefully next week I will have a great interview for you with a trauma surgeon. And if I don't I'll have something else great for you. I hope you join us next week. Don't forget to check out all of the podcasts that we have to offer on the Med Ed Media network at www.MedEdMedia.com.
We'll see you next week.

Get the Podcast Free!

Subscribe in iTunes Google Play Music Subscribe to RSS

Listen to Other Shows

Leave us a Review and Rating!

Just like Yelp reviews or IMDB ratings help you choose your next restaurant or movie, leaving a 5 star rating and/or a written review is very valuable to The Premed Years. It allows us to be able to share our information with more people than ever before.

I am so incredibly thankful to those who have recently gone into our listing in iTunes to provide a five start rating and a written review of The Premed Years.

Subscribe and Download

iOS/Mac/Windows – You can subscribe to the show in iTunes. Or you could manually add the RSS feed to your aggregator.

Android/Mac/Windows – You can download DoubleTwist and use that to manage all of our past and future episodes

Please help us spread the word!

If you like the show, will you please take a moment to leave a comment on iTunes? This really helps us get the word out!

[/vc_column_text]