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Physician, Obstetrician and Gynecologist
Summary
Activities | Diagnose, treat, and help prevent diseases of women, especially those affecting the reproductive system and the process of childbirth. |
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Outlook | Faster-than-average-job growth |
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Median Income | $166,400+ per year in 2008 |
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Work Context & Conditions | Many physicians work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel. Increasingly, physicians practice in groups or healthcare organizations that provide back-up coverage and allow for more time off. |
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Minimum Education Requirements | M.D.
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Skills | Social Perceptiveness, Critical Thinking, Instructing, Active Listening, Writing, Service Orientation, Active Learning, Complex Problem Solving, Judgment and Decision Making, Coordination, Reading Comprehension, Speaking, Science |
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Abilities | Oral Expression, Speech Recognition, Deductive Reasoning, Problem Sensitivity, Written Comprehension, Speech Clarity, Inductive Reasoning, Oral Comprehension |
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Interviews | Matrice Browne |
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Job Description
Job Category | | Healthcare Practitioners & Technical |
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Job Description | | Obstetricians and gynecologists (ob/gyns) are specialists whose focus is women’s health. They are responsible for general medical care for women, but also provide care related to pregnancy and the reproductive system. Like general practitioners, ob/gyns are concerned with the prevention, diagnosis, and treatment of general health problems, but they focus on ailments specific to the female anatomy, such as breast and cervical cancer, urinary tract and pelvic disorders, and hormonal disorders. Ob/gyns also specialize in childbirth, treating and counseling women throughout their pregnancy, from giving prenatal diagnoses to delivery and postpartum care. Ob/gyns track the health of, and treat, both mother and fetus as the pregnancy progresses. |
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Working Conditions | | Many physicians—primarily general and family practitioners, general internists, pediatricians, ob/gyns, and psychiatrists—work in small private offices or clinics, often assisted by a small staff of nurses and other administrative personnel. Increasingly, physicians are practicing in groups or health care organizations that provide backup coverage and allow for more time off. These physicians often work as part of a team coordinating care for a population of patients; they are less independent than solo practitioners of the past.
Many physicians and surgeons work long, irregular hours. Over one-third of full-time physicians and surgeons worked 60 hours or more a week in 2006. Only 8 percent of all physicians and surgeons worked part-time, compared with 16 percent for all occupations. Physicians and surgeons must travel frequently between office and hospital to care for their patients. Those who are on call deal with many patients’ concerns over the phone and may make emergency visits to hospitals or nursing homes. |
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Salary Range | | Median annual earnings of obstetricians and gynecologists (ob/gyns) were $166,400+ in 2008. The middle 50 percent earned between $154,000 and $166,400+. The lowest 10 percent earned less than $95,300 and the highest 10 percent earned more than $166,400+
Total compensation for physicians reflects the amount reported as direct compensation for tax purposes, plus all voluntary salary reductions. Salary, bonus and/or incentive payments, research stipends, honoraria, and distribution of profits were included in total compensation.
Self-employed physicians (those who own or are part owners of their medical practice) had higher median incomes than salaried physicians. Earnings vary according to number of years in practice, geographic region, hours worked, and skill, personality, and professional reputation. Self-employed physicians and surgeons must provide for their own health insurance and retirement. |
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Education
Education Required | | It takes many years of education and training to become a physician: 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on the specialty selected. A few medical schools offer a combined undergraduate and medical school programs that last 6 rather than the customary 8 years.
Premedical students must complete undergraduate work in physics, biology, mathematics, English, and inorganic and organic chemistry. Students also take courses in the humanities and the social sciences. Some students volunteer at local hospitals or clinics to gain practical experience in the health professions.
The minimum educational requirement for entry into a medical school is 3 years of college; most applicants, however, have at least a bachelor’s degree, and many have advanced degrees. In 2008 there were 129 medical schools in the United States—104 teach allopathic medicine and award a Doctor of Medicine (M.D.) degree; 25 teach osteopathic medicine and award the Doctor of Osteopathic Medicine (D.O.) degree. Acceptance to medical school is highly competitive. Applicants must submit transcripts, scores from the Medical College Admission Test, and letters of recommendation. Schools also consider applicants’ character, personality, leadership qualities, and participation in extracurricular activities. Most schools require an interview with members of the admissions committee.
Students spend most of the first 2 years of medical school in laboratories and classrooms, taking courses such as anatomy, biochemistry, physiology, pharmacology, psychology, microbiology, pathology, medical ethics, and laws governing medicine. They also learn to take medical histories, examine patients, and diagnose illnesses. During their last 2 years, students work with patients under the supervision of experienced physicians in hospitals and clinics, learning acute, chronic, preventive, and rehabilitative care. Through rotations in internal medicine, family practice, obstetrics and gynecology, pediatrics, psychiatry, and surgery, they gain experience in the diagnosis and treatment of illness.
Following medical school, almost all M.D.s enter a residency—graduate medical education in a specialty that takes the form of paid on-the-job training, usually in a hospital. Most D.O.s serve a 12-month rotating internship after graduation and before entering a residency, which may last 2 to 6 years. |
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Recommended High School Courses | | Biology, Mathematics, English, Chemistry |
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Postsecondary Instructional Programs | | Psychology, Personnel and Human Resources, Administration and Management, Education and Training, Therapy and Counseling, Chemistry, Biology, Mechanical, Medicine and Dentistry, Education and Training |
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Certification and Licensing | | All States, the District of Columbia, and U.S. territories license physicians. To be licensed, physicians must graduate from an accredited medical school, pass a licensing examination, and complete 1 to 7 years of graduate medical education. Although physicians licensed in one State usually can get a license to practice in another without further examination, some States limit reciprocity. Graduates of foreign medical schools generally can qualify for licensure after passing an examination and completing a U.S. residency.
M.D.s and D.O.s seeking board certification in a specialty may spend up to 7 years in residency training, depending on the specialty. A final examination immediately after residency or after 1 or 2 years of practice also is necessary for certification by the American Board of Medical Specialists or the American Osteopathic Association. There are 24 specialty boards, ranging from allergy and immunology to urology. For certification in a subspecialty, physicians usually need another 1 to 2 years of residency. |
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Skills, Abilities, & Interests
Interest Area | | Investigative | Involves working with ideas and requires an extensive amount of thinking. |
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Work Values | | Social Status | Looked up to by others in their company and their community. |
Achievement | Get a feeling of accomplishment. |
Variety | Do something different every day. |
Social Service | Do things for other people. |
Security | Have steady employment. |
Ability Utilization | Make use of individual abilities. |
Co-workers | Have co-workers who are easy to get along with. |
Activity | Busy all the time. |
Autonomy | Plan work with little supervision. |
Recognition | Receive recognition for the work you do. |
Authority | Give directions and instructions to others. |
Compensation | Get paid well in comparison with other workers. |
Responsibility | Make decisions on your own. |
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Skills | | Social Perceptiveness | Be aware of others' reactions and understand why they react the way they do. |
Critical Thinking | Use logic and analysis to identify the strengths and weaknesses of different approaches. |
Instructing | Teach others how to do something. |
Active Listening | Listen to what other people are saying and ask questions as appropriate. |
Writing | Communicate effectively with others in writing as indicated by the needs of the audience. |
Service Orientation | Actively look for ways to help people. |
Active Learning | Work with new material or information to grasp its implications. |
Complex Problem Solving | Solving novel, ill-defined problems in complex, real-world settings. |
Judgment and Decision Making | Be able to weigh the relative costs and benefits of a potential action. |
Coordination | Adjust actions in relation to others' actions. |
Reading Comprehension | Understand written sentences and paragraphs in work-related documents. |
Speaking | Talk to others to effectively convey information. |
Science | Use scientific methods to solve problems. |
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Abilities | | Oral Expression | Able to convey information and ideas through speech in ways that others will understand. |
Speech Recognition | Identify and understand the speech of another person |
Deductive Reasoning | Able to apply general rules to specific problems to come up with logical answers, including deciding whether an answer makes sense. |
Problem Sensitivity | Able to tell when something is wrong or likely to go wrong. This doesn't involve solving the problem, just recognizing that there is a problem. |
Written Comprehension | Able to read and understand information and ideas presented in writing. |
Speech Clarity | Able to speak clearly so listeners understand. |
Inductive Reasoning | Able to combine separate pieces of information, or specific answers to problems, to form general rules or conclusions. This includes coming up with a logical explanation for why seemingly unrelated events occur together. |
Oral Comprehension | Able to listen to and understand information and ideas presented through spoken words and sentences. |
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More Information
Related Jobs | | Veterinarian, Optometrist, Nurse, Registered, Physician, Surgeon, Dentist, Podiatrist, Chiropractor, Physician Assistant |
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Job Outlook | | Employment of physicians and surgeons will grow faster than average for all occupations through the year 2018 due to continued expansion of the healthcare industries. The growing and aging population will drive overall growth in the demand for physician services, as consumers continue to demand high levels of care using the latest technologies, diagnostic tests, and therapies. In addition to employment growth, job openings will result from the need to replace physicians and surgeons who retire over the 2008-18 period.
Demand for physicians’ services is highly sensitive to changes in consumer preferences, healthcare reimbursement policies, and legislation. For example, if changes to health coverage result in consumers facing higher out-of-pocket costs, they may demand fewer physician services. Demand for physician services may also be tempered by patients relying more on other healthcare providers—such as physician assistants, nurse practitioners, optometrists, and nurse anesthetists—for some healthcare services. In addition, new technologies will increase physician productivity. Telemedicine will allow physicians to treat patients or consult with other providers remotely. Increasing use of electronic medical records, test and prescription orders, billing, and scheduling will also improve physician productivity.
Opportunities for individuals interested in becoming physicians and surgeons are expected to be favorable. Reports of shortages in some specialties or geographic areas should attract new entrants, encouraging schools to expand programs and hospitals to expand available residency slots. However, because physician training is so lengthy, employment change happens gradually. In the short term, to meet increased demand, experienced physicians may work longer hours, delay retirement, or take measures to increase productivity, such as using more support staff to provide services. Opportunities should be particularly good in rural and low-income areas, because some physicians find these areas unattractive due to lower earnings potential, isolation from medical colleagues, or other reasons.
Unlike their predecessors, newly trained physicians face radically different choices of where and how to practice. New physicians are much less likely to enter solo practice and more likely to take salaried jobs in group medical practices, clinics, and health networks.
Physicians and surgeons held about 661,400 jobs in 2008; approximately 12 percent were self-employed and not incorporated. About 50 percent of salaried physicians and surgeons were in office of physicians, and 19 percent were employed by private hospitals. Others practiced in Federal, State, and local governments, including hospitals, colleges, universities, and professional schools; private colleges, universities, and professional schools; and outpatient care centers.
A growing number of physicians are partners or salaried employees of group practices. Organized as clinics or as associations of physicians, medical groups can afford expensive medical equipment and realize other business advantages. According to the AMA, the New England and Middle Atlantic States have the highest ratio of physicians to population; the South Central and Mountain States have the lowest. D.O.s are more likely than M.D.s to practice in small cities and towns and in rural areas. M.D.s tend to locate in urban areas, close to hospital and education centers. |
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More Information | | American Board of Obstetrics and Gynecology, American Association of Colleges of Osteopathic Medicine, American Osteopathic Association, American Medical Association, American College of Osteopathic Obstetricians & Gynecologists , Association of American Medical Colleges, Section for Student Services |
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References | | Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Physicians and Surgeons, on the Internet at http://www.bls.gov/oco/ocos074.htm
O*NET OnLine, on the Internet at
http://online.onetcenter.org/link/summary/29-1064.00 |
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