Orthopedic surgery vs. infectious diseases is one of the biggest debates among medical students interested in physiology. Both specialties allow you to explore the complex workings of the human body and use your skills to improve patient outcomes. However, they also have significant differences, such as the scope of practice, the work environment, and the training requirements.
How do you decide which one is right for you? In this article, we will provide helpful information and tips to help you make an intelligent decision on orthopedic surgery vs. infectious disease and find a fulfilling career that matches your interests and abilities. We will also help you evaluate practical factors such as job availability, salary, and training duration.
Orthopedic Surgery vs. Infectious Diseases: Salary and Job Security
Orthopedic surgery might be your specialty if you want to earn a lot of money and have a steady demand for your services. But be prepared for a competitive job market, even if you graduate from a prestigious program.
Infectious diseases, meanwhile, offer more job openings. You can easily find a hospital that needs infectious disease specialists, and the career outlook is positive, even if the salary is not as high as orthopedic surgery. But infectious disease also comes with some challenges, such as higher burnout and less job security, which we will discuss later.
According to recent data, orthopedists earn an average annual salary of $573,000, while infectious disease specialists earn less with an average of $262,000. Of all medical specialties, only plastic surgeons have higher average annual salaries than orthopedists, with plastic surgeons earning $619,000
Orthopedists earn $573,000 annually, while infectious disease specialists earn less with $262,000 annually
Orthopedic Surgery vs. Infectious Diseases: Competitiveness
Here we can assess the competitiveness of a specialty by looking at the unmatched rate – the % of people who apply and do not match their preferred specialty. Orthopedic surgery was the 2nd most competitive residency in the 2022 Match, with a 34.2% unmatched rate among US Seniors. Only plastic surgery had a higher percentage of 37.3%.
Orthopedic surgery had a 34.2% unmatched rate, while internal medicines had a 2% unmatched rate among US seniors
To pursue a career in infectious disease, you must first match into an internal medicine residency. Among US Seniors, the unmatched percentage for internal medicine residency was only 2%, making it less competitive than other residencies. However, this does not mean that infectious disease is less competitive. After completing your internal medicine residency, you will still need to match into a fellowship, which is generally more competitive than matching into a residency.
Below is the unmatched percentage among non-pediatric fellowships with >100 applicants. The unmatched percentage of US Seniors applying to the infectious disease fellowship was 3.2%, making it less competitive compared to most fellowships with >100 applicants.
Training Path: Residency
The training pathways for orthopedic surgery vs. infectious diseases are not the same. Infectious disease involves a two-year infectious disease fellowship following a three-year internal medicine residency. Orthopedic surgery involves a five-year orthopedic residency.
Infectious diseases fellowships are typically less competitive than orthopedic surgery residencies. Your USMLE scores, med school, and research are the main things for residency applications. Research is also a big thing for fellowship applications, and your residency program counts more, but your USMLE scores matter much less.
Orthopedic Surgery vs. Infectious Diseases: Work-Life Balance
Work-life balance is a crucial factor for many medical professionals. Infectious disease specialists often enjoy a better work-life balance due to the nature of their work. They usually have predetermined working hours, leading to more predictable schedules.
In comparison, orthopedic surgeons often have demanding surgical schedules and may work long hours in the operating room. They may also be on-call for emergencies such as trauma or accidents.
On average, orthopedic surgeons and infectious disease specialists work 52.9 and 53.1 hours per week, respectively, ranking them above the middle of medical specialties
Orthopedists and infectious disease specialists both work similar hours, around 52.9 and 53.1 per week, respectively.
Orthopedists require more documentation, such as referral letters and diagnostic tests, resulting in an estimated 14 hours of admin/paperwork per week. The estimated physician admin/paperwork hours were not provided for infectious disease, but you can see estimated paperwork hours for other specialties below.
Orthopedists work on admin/paperwork an average of 14 hours per week.
Training Duration and Subspecialties
The training duration is a key aspect to consider when choosing between orthopedic surgery vs. infectious diseases. Infectious disease has a two-year fellowship training period following a three-year internal medicine residency, while orthopedic surgery requires a minimum of five years of residency after completing medical school.
After completing an orthopedic surgery residency program, some surgeons may choose to pursue additional fellowships to further specialize in a particular aspect of orthopedic surgery. This can increase the length of your orthopedic surgery training.
Orthopedic Surgery vs. Infectious Diseases: Job Satisfaction and Burnout Rates
Job satisfaction plays a significant role in career fulfillment. According to various studies, orthopedic surgery tends to have higher job satisfaction rates than infectious diseases. Many orthopedists express contentment with their career choice and would choose it again if given the chance. Additionally, orthopedic surgery has lower reported burnout rates than infectious diseases.
According to recent data, orthopedic surgery ranked near the upper end of all medical specialties with 95% of orthopedists stating that they would choose the same specialty again, while infectious diseases ranked slightly lower with 88% of infectious disease specialists feeling the same way.
Orthopedists reported a 95% job satisfaction rate, while infectious disease specialists reported slightly lower satisfaction with 88%
That being said, the burnout rate for orthopedic surgery was 45%, near the lower end of all medical specialties. In comparison, infectious diseases specialists had a burnout rate of 58%, ranking near the upper end of all medical specialties.
Orthopedists have a burnout rate of 45%, while infectious disease specialists have a notably higher burnout rate of 58%.
Orthopedic Surgery vs. Infectious Diseases Comparison
To provide a visual overview, here’s a table comparing orthopedic surgery and infectious diseases:
| Aspect | Orthopedic Surgery | Infectious Diseases |
|---|---|---|
| Average Salary | High, especially those focusing on high-demand joint/spine procedures | Lower than orthopedic surgery |
| Job Security | High demand field as population ages. Injuries and sports will ensure job stability. | High demand due to increasing rates of infectious diseases and outbreaks |
| Training Path | Typically involves 5 years of orthopedic surgery residency | Typically involves 3 years of internal medicine residency, and 2 years of infectious diseases fellowship |
| Lifestyle | Predictable work schedule and increased opportunities for time off, but involve on-call responsibilities for trauma or accident cases | Typically more regular working hours. |
| Administrative Paperwork | Moderate documentation requirements for surgery notes, consults, and orders. | Low documentation requirements |
| Job Satisfaction | Generally high, satisfaction tied to successful surgeries and patient outcomes | Lower |
| Burnout Rates | Low to Moderate, depending on the workload and stress associated with surgical procedures | Higher |
| Personality | Detail-oriented, mechanically inclined. Enjoy operative procedures. | Analytical, enjoy medical puzzles |
Please note that this table serves as a general comparison. To determine the most suitable career for you, consider your personal and career priorities and goals.
Concluding Thoughts
Choosing the right specialty between orthopedic surgery vs. infectious diseases depends heavily on your priorities. To determine this, try reverse engineering your ideal life and identify your top priority. A helpful exercise is to write down the top five things you want to achieve in your career and personal life. Knowing these priorities will make finding a career that aligns with them easier. Often, the biggest obstacle is not a lack of knowledge about different fields but a lack of self-awareness about our preferences.
