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Originally Posted by AKA_Monet
I didn't know dermatology is that competitive! How come? Just asking? Because it can lead to Plastic Surgery?
Did you get your general surgery program of your choice? Congrats if you did! 
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The most competitive programs are those that have high pay, low work hours and the fewest spots in the country. Dermatology is a very small residency with less than 1000 spots open per year in the country. You have to be top of your class to do dermatology...not because it is that difficult! People like that there are no dermatology emergencies to get you out of bed at night. Plastic Surgery is also a small residency program (smaller than dermatology) but you can also become a plastic surgeon after completing general surgery or ENT or Oral Surgery (DDS-MDs.) Dermatologists cannot do plastic surgery, but can perform injections and biopsies.
I did get my top general surgery choice, though, I dropped out of surgery for a much more competitive field, Radiology, after two years of back breaking work. General surgery, even after the 80 hr work week limit started, requires residents to work extremely long hours (up to 120hrs some weeks of my residency) and does not guarantee as high a salary as fields that demand much less time.