Anesthesia is an AI [artificial intelligence]-proof job [for now]

Today’s inane image of the day:

Sometimes you’ll find me outside of the hospital. Pictured here is my guilty pleasure: reformer pilates [$10 off at my studio – join me!]. I always feel amazing after a class. I guess teaching pilates could also be considered another “AI-proof” job?

I feel like everyone’s talking about AI taking jobs. It seems like the tech world has been impacted by the AI boom with reductions in force. I’ve heard that those that managed to keep their jobs are using AI-generated code in place of an entry-level coder. They are AI-augmented workers. It’s crazy to think that when I was growing up, computer programmers/software engineers had the most stable job prospects. After all, we rely so heavily on computers and the software that runs on them!

Growing up in an immigrant household with a scarcity mindset, it was always on my mind that I wanted to select a stable career. One that would always have stable job prospects. The typical teaching was that doctors, lawyers, and engineers would always have work. I think that even in this day and age of AI, this continues to ring somewhat true.

I was having a conversation with someone about AI and it came up that we will still always need judges. We will always need a human to render decisions based on the rules that we’ve set forth. That’s a very human job. So there are avenues for lawyers.

And we will always have physical products that need engineers to be part of the design/creation/maintenance.

But anyway, I’m a doctor, so I’m going to speak on the field I practice in.

Specifically, I am an anesthesiologist and an ICU physician. When I was deciding whether or not to do a fellowship after my anesthesiology residency, I actually opted for critical care medicine because I thought it was an insurance policy for if anesthesiologists were to become obsolete. One thing you should know about the field of anesthesia is that we’ve seen a lot of ups and downs over the last few decades. There was a time where anesthesiologists struggled to find work which then set the stage for a huge shortage of anesthesiologists so the pendulum swung dramatically the other way and people were being paid crazy salaries.

Currently, I believe we are in a bubble in the anesthesia market. The job market is so hot. There are some really nice salaries being offered. People have been jumping ship from groups because groups down the street are poaching them with more money for less work. Why would you pass up that offer?! But history tends to repeat itself so I am skeptical that the demand for anesthesia services will remain this high.

Either way, you came here to read a rant about how my job [the anesthesiologist part; maybe I’ll tackle the ICU part at a later date] is AI-proof. Apparently this Forbes list agrees with me. (The author should have investigated the difference between a nurse anesthetist and an anesthesiologist since CRNAs were #1 and we were #11 on this list. I’ll interpret this as because the training pathway to become an anesthesiologist is longer and more expensive, it fell lower on the list.) (Also of note, 7 out of the 20 on that list are medically-related so I guess those of us in medicine picked wisely!)

So… let’s get into it:

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Day 209: The digital world is a huge distraction

Today’s inane image of the day:

If only this photo could show just how worn down my keyboard is… 

The problem: internet/technology is a huge distraction and time warp
More and more, I’m finding that the urge to check my phone or computer for the latest updates on Facebook, Twitter or my favorite blogs is impossible to overcome. I always tell myself that I’m going to close my laptop and switch my phone to silent while I study, but when the inevitable need to look up an unfamiliar term or find a better explanation for a concept comes up, so does my laptop cover. At that point, I decide that it can’t hurt to check up on at least one of my favorite sites for updates… only to find that an hour has been wasted on the latest from my Facebook news feed or refreshing my Google Reader for new updates from Wayfaringmd or Dr. Grumpy.

This is what our generation grew up with
When my family got our first computer, I remember spending every evening tinkering around the settings, instant messaging my friends that I had seen only an hour prior, or discovering the infinite depths of the internet. The world was literally at our finger tips… all we had to do was apply pressure to a specific pattern of keystrokes and we could get the latest news, relearn how to knit, or even figure out how others were getting into medical school. Anyway, the point is that as I matured, so did the internet and the technology that can be used to access it… making it something that our generation grew up with.

A semi-recent study shows that the current generation would rather text rather than talk — admittedly, I fall into this category because many times it’s more convenient to do so [imagine sitting in the silent reference room of a library and you have to ask someone you’re studying with a question — definitely more appropriate to use instant messaging/text] or the question is so small that it wouldn’t warrant a full-blown conversation [are you wearing business casual for tomorrow’s event?]. But in the end, yes, I am more comfortable sending a text rather than chatting over the phone.

An interesting NYT piece, “Growing up digital, wired for distraction” really delves into the issue I’m facing now: “…computers and cell phones, and the constant stream of stimuli they offer, pose a profound new challenge to focusing and learning.” This. Exactly. The scariest part of all of this is that medical school doesn’t really forgive these kind of distractions — in order to keep up, we need to find fail-safes to avoid being sucked into the time warp. If we do not overcome this challenge, then we may find ourselves facing more bumps in the road.

What has been done
I’ve considered trying to unplug from everything as one of my favorite physician bloggers, Wendy Sue Swanson [Seattle Mama Doc] did during her online sabbatical, but it isn’t the most realistic thing for me to do at this point [Facebook has been an important medium for our class to exchange important information, alert each other of upcoming deadlines, etc]. Furthermore, I am just starting to discover and gain traction in healthcare social media communities, so leaving would feel a lot like taking two steps backward.

Another way to address the issue is by blocking specific websites for a period of time. One tool I found just by Googling “block sites for studying” is an add-on called “LeechBlock” for the Firefox browser. I don’t use Firefox, so this wouldn’t really help me. On the other hand, the site “Hack my study” contains a browser-specific tutorial for blocking sites. This seems like something I will probably have to use in the future.

Where to go from here?
One of my favorite non-medical blogs, A Cup of Jo [she’s a Michigan native, too!], recently posted this article asking readers if we really are as busy as we think. The idea is that we actually exaggerate how busy we truly are [claiming to work 80 hours, but in reality it’s actually less than 60; claiming to sleep only 6-7 hours/night but really sleeping more than 8, etc] and don’t realize what we are really doing with the 168 hours we have each week. The way to resolve this issue is by keeping a time log — similar to a food log for those of us on diets. From there, it becomes glaringly obvious that a lot of our time isn’t spent on high priority tasks.

Right now, I am not in such a terrible position that I cannot buckle down and study when I need to [yes, I can study for hours without checking my laptop], so I don’t plan on doing a complete online hiatus. On the other hand, I will probably turn to these drastic measures come this time next year when the Boards will be looming. But I do think it might be telling to start a time log [I’m start by trying this program] and assessing where I could optimize my activity. Even if it doesn’t lead to a drastic improvement in time-management, at least it’ll be one way to see how I’m spending my weekly 168 hours. I’ll keep you updated on the numbers.

Do you feel like the digital world is a distraction? What do you do to alleviate the problem?

Day 43: The intersection of patient interaction and technology

Today’s inane image of the day:

Another image from my last trip to South Haven, MI — you’ll notice that on gloomy, rainy days, I just want to look at photos of beautiful, calming landscapes.

If you have ~20 minutes, please spend them watching Dr. Abraham Verghese’s Ted Talk — he’s an extraordinary speaker and the subject of his talk [human touch and the return to one-on-one physical examination] is extremely relevant to everyone [since all of us are patients ourselves!].

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