My only evidence for my statements come from what applicants and the students state when I ask them. Anecdotal, not evidence based.
The fact is that "lifestyle" does not mean a specific thing. To some, like those working ER for lifestyle reasons it means working long shifts less frequently, for someone else it may mean working days with no call, for others it may mean taking call but no more than x number of days per month. The discussion about this makes it clear that those that have commented have their own views of what a desirable lifestyle is. Of course there are trade offs. Many of us could make more money and some of us could have an easier work schedule in private practice than in academics or in academics than in private practice. We prioritize and then decide which thing we want to give the most emphasis to.
By the way it appears from recent income data that appeared in medical economics that general surgeons had the highest percent jump in income of any group in 2001. I think they have also gotten the most TV drama time.
The point about self-respect is well taken. Is that self-respect improved when you do something that really make a difference in a person's life even if they don't recognize it? Is it when a group of like minds pats you on the back? We all like to be recognized for our accomplishments at times.
Family physicians who are willing to work in rural areas must have a service to society mind frame. My point was that if they have that and give up personal time, then there may be times that income or respect from others may help that person persist on their mission. I remember when I was in residency and the chamber of commerce from Burns, OR came to recruit a physician to their rural community. They brought slides of a banquet held annually to thank the doctors in the town for being there. Don't you think that kind of activity goes a long way toward feeling respected? I certainly do.
Stephen L. McKernan, ND, DO, FAAFP
Service Disciplines and Modern Medical Education
Serving, Scut, and Work Hour Limits
Character, Color, Admissions, and Physicians