specializations...what kind of doctor to become at the very end

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<p>Very true. Although it’s worth noting that dermpath is now firmly in the crosshairs just as cataract surgery and MOHS surgery once were. There’s a proposed 30-40% cut in reimbursement in that field. Anything that is high paying will eventually be targeted (see: dropping ophtho reimbursement, dropping MOHS reimbursement, dropping radiology reimbursement.) That’s just the way medicine goes.</p>

<p>As an aside back to ortho spine, I would recommend anyone interested in that field to not only shadow in the OR (the surgeries are fairly long especially if fusions are being performed anteriorly and posteriorly) but to also attend the clinics. I hate to be insensitive but those are some of the whiniest patients I’ve had the (dis)pleasure of encountering. Trying to alleviate their concerns and putting up with the length of the surgeries was enough to deter me from the field, high salary or not.</p>