SAN FRANCISCO – Various career paths open to newly board-certified rheumatologists – and some of the pros and cons for each – were explored at the 2023 Fellows Conference of the Coalition for State Rheumatology Organizations.
CSRO’s annual Fellows Conference aims to helps rheumatology fellows-in-training transition into future roles as practicing physicians, said Christopher Sonntag, MD, a 2nd-year rheumatology fellow at Roger Williams Medical Center, Providence, R.I., and the Fellow-At-Large representative on CSRO’s Board of Directors. He will launch his own career at Washington Regional Medical Center in Fayetteville, Ark., close to where he grew up, when his fellowship winds up in June.
“I started going to CSRO meetings in 2019, when I was still a resident,” said Dr. Sonntag, who fell in love with rheumatology in medical school. “This conference is a great opportunity for fellows. They can learn a lot of critical issues and skills that we just don’t get enough information about in our training, basic things we ought to know about: how insurance works, medical benefits, and the like.”
Job seekers in a specialty in short supply like rheumatology have some competitive advantages, but that varies by locality in a volatile health care market. “The job I ended up taking was not one where they were initially looking to hire another rheumatologist,” Dr. Sonntag told this news organization. The Fayetteville hospital already had two busy rheumatologists, but after Dr. Sonntag had unsatisfying interviews at six other groups, he called them back and they decided to go ahead and hire him. He said the position provides an acceptable work-life balance, as well as opportunities to teach. He hopes eventually to create a rheumatology fellowship program.
Models and Career Paths
Decisions about one’s career path are very important, said CSRO’s president, Gary Feldman, MD, a rheumatologist at Pacific Arthritis in Los Angeles. “We want your choice to work for you,” he told attendees. “We need you to be happy [in your jobs] for the next 30 years. You are the future.”
Dr. Feldman cited a recent Medscape salary survey of 13,000 full-time physicians from 29 specialties, which ranked rheumatologists 22nd in average annual income at $289,000. Total income may not be the first consideration in pursuing rheumatology as a career, Dr. Feldman noted. The same Medscape survey revealed that 60% of rheumatologists believe they are fairly compensated. “Something else is going on, something to do with work/life balance, which is complicated,” he said.
Other contributors to their career fulfillment may include the in-depth, long-term therapeutic relationships rheumatologists develop with their patients who have chronic, incurable illnesses; the ability with new treatments to make such a difference in managing their pain and discomfort; and engagement with giving good medical care that is centered on the patient’s experience.
“We have drugs that work to make our patients feel better. Patients come to us with no idea what’s going on, and we can turn their lives around,” Dr. Sonntag noted.
Other important career-oriented questions to ask, Dr. Feldman said, include:
What is important to you?
Who are you going to be working alongside?
How much autonomy, agency, security, or risk are you comfortable with?
What is your best balance between being a physician and an entrepreneur?