Since Childhood, everybody has chased the dream of having the workload lighten up once the education part of life is over. Same goes with medicine. Once into Medical School, we realize the amount of work we have to put in it. Every day Medical Students slog through various rotations, schedules, USMLE, reports etc. This list goes on. 

Once the medical school is over, getting into internship is a shocker. If you thought medical school was tough, then you have no idea what an internship would be like. Once the internship is over, the pressure does ease off in the later years of residency but not significantly. There is always more to do and learn.

So for those who wonder if being an attending physician is easier than residency or not, then the answer is NOT. The workload of an attending physician is similar to or worse than that of medical interns. But there are some good differences:

1) The scutwork and running around is reduced.

2) Number of patients the attending physicians take care of  are higher, but then their schedule is not interrupted by conferences and classrooms.

3) With experience, the medical decision making becomes easier and attending physicians do not have to refer to clinical data and research too often.

4) Compensation improves and takes the brunt away from hard work. 

So there is more mental work than physical work after becoming an attending physician, which is a blessing. But it is still hard work and for most of us. There is more responsibility, more rewards. How hard did you expect to work after medical residency?

Let us talk about taking a break after a medical residency program. Once we are through with the hard labor of medical residency program, the long hours, and the stress, which has haunted as for at least last three years, there is a natural tendency to take a break, To rest, to rejuvenate.

Lets consider the question of financial implications of taking a break after residency. Since you have not the started a Physician job, it is quiet clear that you will not be paid for this vacation time. Other thing to note is that your salary would almost quadruple after graduation. And so taking a break will cost you more than $10K for each month you do not work assuming your starting salary is $120K. This does not includes the money you will spend to enjoy that vacation. That makes it a very very expensive break!

You should rather start working at the physician job and then take a vacation maybe three to four months later which would be paid vacation at that time. So by delaying gratification by four months, you actually earned more than 15K. If you have a higher starting salary then 150K, then the stakes are even high.

The other issue to be discussed is the timing of your board examinations. Should you give board examination right after residency, or may be two or three years down the road?

The likely reason medical residents try to take a break is because of all the stress of examinations. But remember this stress is something that you have been used to already. So why not go through the stressful medical board exams, while you’re used to taking huge amounts of stress. Almost all hospitals require board certification for approving your privileges to the hospital. If you do not have privileges to the hospital, you cannot enter the hospital to work there.

The problem with delaying the boards is that the longer you are away from the residency graduation, the harder preparation you will need for the boards. It is the easiest to pass the medical board’s or specialty medical boards right after residency. Why? Right after residency the knowledge is fresh in your mind. That reduces the amount of readings you may have to do. Also it is the latest knowledge, which is most relevant for the medical board exams. Not to mention your recent practice in preparing for multiple in-house examinations does keep your efficiency at the highest.

So make sure you avoid these two big mistakes often graduating from the residency program. Number one, do not take a break right after residency whether to relax or to prepare for the board exams. It is not worth it. Number two, take your board exams right away.