Choosing a medical specialty is a significant decision for any aspiring doctor, fraught with considerations about the length and intensity of training required. Understanding which specialties are the most challenging to enter can guide new medical students as they plan their careers. This list aims to clarify these complexities by ranking various medical specialties based on their difficulty, offering insights from those already in the field.
Your votes help update and maintain the accuracy of this list, reflecting real-time changes and trends in the medical education landscape. Whether you are a medical professional, a student, or simply interested in the medical field, your participation enriches the resource, making it more valuable for everyone. Cast your vote today and see how your views compare with others in the community.
What Is the Most Difficult Type of Doctor to Become?
Neurosurgery is considered the most difficult specialty due to the complexity of the nervous system and the high risk of complications during surgery.
Neurosurgeon is a highly specialized medical profession focused on surgical treatment of disorders affecting the brain, spinal cord, and peripheral nerves. It requires extensive training, expertise, and precision to perform delicate procedures on the nervous system.
Education: Completion of a bachelor's degree, followed by medical school and a neurosurgery residency program
Training: 7-8 years of surgical training after obtaining a medical degree
Expertise: In-depth knowledge of neuroanatomy, physiology, and neurosurgical techniques
Skills: Exceptional hand-eye coordination, fine motor skills, and ability to work under high-pressure situations
Cardiothoracic surgery involves performing complex surgical procedures on the heart, lungs, and other organs in the chest cavity. It requires extensive training and expertise in both surgery and cardiology.
A Cardiothoracic Surgeon specializes in surgical procedures involving the heart, lungs, esophagus, and other organs in the chest. They are highly skilled doctors who perform complex operations to restore or improve the functioning of these vital organs.
Education: Completion of a bachelor's degree, followed by medical school (MD or DO degree).
Residency: Completion of a general surgery residency program, typically lasting 5-7 years.
Fellowship: Completion of a cardiothoracic surgery fellowship, which usually takes an additional 2-3 years.
Licensing: Obtain a medical license to practice as a surgeon.
Skills: Excellent hand-eye coordination, attention to detail, strong problem-solving abilities.
Orthopedic surgery involves the treatment of musculoskeletal disorders such as fractures, injuries, and deformities. It requires a high level of anatomical knowledge and surgical dexterity.
An orthopedic surgeon is a specialized medical doctor who diagnoses, treats, and manages disorders and injuries related to the musculoskeletal system. This includes bones, joints, ligaments, tendons, and muscles. They use surgical and non-surgical methods to address conditions such as fractures, arthritis, sports injuries, spine disorders, and congenital abnormalities.
Education: Requires completion of medical school followed by a residency in orthopedic surgery, typically lasting for 5 years.
Licensing: Must be licensed by the medical board of the respective country or state.
Specialization: Focuses on specific areas within orthopedics including sports medicine, pediatric orthopedics, trauma, hand surgery, and joint replacement, among others.
Extensive knowledge: Should have a comprehensive understanding of anatomy, physiology, biomechanics, and medical imaging.
Technical skills: Requires proficiency in performing various surgical procedures, including complex joint reconstructions and spinal surgeries.
Oncology is the study and treatment of cancer. It requires a deep understanding of cancer biology, genetics, and molecular mechanisms.
An oncologist is a medical doctor who specializes in the diagnosis and treatment of cancer. They are primarily responsible for providing care to cancer patients, including administering therapies, conducting research, and developing treatment plans. Oncologists work closely with other healthcare professionals to provide the best possible care for patients with cancer. They play a crucial role in the multidisciplinary approach to cancer treatment.
Medical Degree: Oncologists must complete a bachelor's degree, followed by four years in medical school to earn a medical degree.
Residency Training: After earning their medical degree, oncologists must complete a residency program in internal medicine for three years.
Fellowship Training: Following residency, aspiring oncologists must complete a fellowship program in oncology for two to three years to gain specialized training.
Board Certification: To practice as an oncologist, physicians must obtain board certification in medical oncology or another related sub-specialty.
Continuing Medical Education: Oncologists are required to participate in continuing medical education (CME) to stay up-to-date with the latest advancements in cancer care.
Gastroenterology is the study and treatment of digestive disorders. It involves complex diagnostic procedures and treatments such as endoscopy and colonoscopy.
A Gastroenterologist is a specialized medical doctor who focuses on the diagnosis and treatment of disorders related to the digestive system. Gastroenterologists are experts in the management of diseases affecting the esophagus, stomach, liver, pancreas, gallbladder, intestines, and colon. With an understanding of the complex functions and interactions within the digestive system, they provide comprehensive care and treatment to maintain gastrointestinal health.
Education and Training: Extensive medical education, including completion of medical school, residency training in internal medicine, followed by a gastroenterology fellowship
Expertise: In-depth knowledge and understanding of the pathophysiology, diagnosis, and management of a wide range of gastrointestinal disorders
Procedures: Performing endoscopic procedures such as gastroscopy, colonoscopy, and endoscopic retrograde cholangiopancreatography (ERCP)
Diagnostic Skills: Ability to interpret diagnostic tests including imaging studies, laboratory tests, and biopsies to accurately diagnose digestive disorders
Therapeutic Interventions: Administering and managing medical treatments, medications, and interventions for various gastrointestinal conditions
Plastic surgery involves the reconstruction and reshaping of the body. It requires a high degree of artistic skill and surgical precision.
A plastic surgeon is a specialized medical professional who focuses on improving the appearance, function, and reconstructive aspects of the human body. They perform both cosmetic and reconstructive surgeries to enhance various body parts. The field of plastic surgery requires extensive training and expertise to achieve the desired results while ensuring patient safety and well-being.
Specialization: Focus on cosmetic and reconstructive procedures
Length of Training: Minimum of 11 years of education, including medical school, residency, and a fellowship in plastic surgery
Medical Knowledge: In-depth understanding of anatomy, physiology, and surgical techniques
Patient Evaluation: Ability to assess patients' needs and desires for surgical procedures
Surgical Skills: Proficiency in performing complex surgeries with precision and aesthetic outcomes
Obstetrics and gynecology involve the care of women's reproductive health, pregnancy, and childbirth. It requires extensive knowledge of both obstetrics and gynecology.
An Obstetrician/Gynecologist, commonly referred to as an OB/GYN, is a medical doctor specialized in the management of female reproductive health and providing care during pregnancy, childbirth, and postpartum period. They are experts in both obstetrics (childbirth) and gynecology (reproductive system health).
Education: Completing a four-year undergraduate degree, followed by four years of medical school, and a four-year residency program in Obstetrics and Gynecology.
Scope of Practice: Diagnosing and treating diseases and disorders of the female reproductive system, providing prenatal care, managing high-risk pregnancies, performing deliveries, providing postpartum care, performing surgeries (including C-sections and hysterectomies), and addressing issues related to contraception and menopause.
Medical Licensing: Must pass the United States Medical Licensing Examination (USMLE) to obtain a medical license to practice.
Specialized Knowledge: Extensive understanding of female anatomy and reproductive system, knowledge of fetal development and childbirth procedures, expertise in gynecological surgeries, and ability to provide compassionate and sensitive care.
Continuous Learning: OB/GYNs are required to stay updated with medical advancements and practices through continuing medical education (CME) courses and conferences.
Pulmonology is the study and treatment of respiratory disorders. It requires expertise in the diagnosis and management of conditions such as asthma, COPD, and lung cancer.
A pulmonologist is a medical specialist who diagnoses and treats diseases and conditions related to the respiratory system. They focus on preventing, diagnosing, and treating conditions such as asthma, chronic bronchitis, emphysema, pneumonia, and lung cancer. Pulmonologists also provide care for patients with sleep disorders like sleep apnea and perform lung function testing to evaluate lung health. They work closely with other healthcare professionals to provide comprehensive respiratory care.
Education: Completion of medical school and a residency in internal medicine followed by a fellowship in pulmonology
Expertise: In-depth knowledge of the anatomy, physiology, and pathology of the respiratory system
Diagnostic Skills: Ability to interpret diagnostic tests such as chest X-rays, CT scans, and lung function tests
Treatment Options: Proficiency in prescribing and managing medications, inhalation therapies, and ventilator support
Interventional Procedures: Skills in performing bronchoscopy, thoracentesis, lung biopsies, and other minimally invasive procedures
Infectious disease specialists diagnose and treat infections caused by bacteria, viruses, fungi, and parasites. They must keep up with the latest developments in infectious disease research and treatment.
An Infectious Disease Specialist is a medical doctor who specializes in the diagnosis, treatment, and prevention of infectious diseases. These medical professionals play a crucial role in managing and controlling the spread of infectious diseases within communities and healthcare settings. They are highly skilled in identifying and managing various types of infections caused by bacteria, viruses, fungi, and parasites.
Length of education: 10-15 years
Education requirements: Bachelor's degree, medical degree, residency in internal medicine, fellowship in infectious diseases
Licensing and certification: Licensed medical doctor, board certified in infectious diseases
Continuous learning: Required to stay updated with advancements in infectious diseases through continuing medical education
Diagnostic skills: Expertise in interpreting lab tests, medical imaging, and clinical symptoms to diagnose infectious diseases
Cardiology is the study and treatment of heart disorders. It requires a deep understanding of the heart's anatomy and physiology, as well as the latest advances in cardiology research and treatment.
A cardiologist is a medical doctor who specializes in the diagnosis, treatment, and prevention of cardiovascular diseases and disorders. They are highly skilled in managing patients with heart and blood vessel conditions, using medical interventions, lifestyle modifications, and surgical procedures. Cardiologists work closely with other healthcare professionals to provide comprehensive care to patients with heart-related issues.
Years of Education: Minimum of 11-14 years (4 years of medical school, 3 years of internal medicine residency, 3 years of specialized cardiology fellowship)
Extensive Knowledge: In-depth understanding of the heart, blood vessels, and circulatory system
Diagnostic Skills: Expertise in interpreting tests and investigations like electrocardiograms (ECG or EKG), echocardiograms, stress tests, and cardiac catheterization
Treatment Options: Proficiency in prescribing medications, lifestyle modifications, and creating individualized treatment plans
Interventional Procedures: Ability to perform invasive procedures like angioplasty, inserting stents, cardiac catheterization, pacemaker implantation, and electrophysiology studies
Missing your favorite type?
Graphs
Discussion
Ranking factors for difficult type
Years of education and training
Consider the amount of time and education required for a specific specialty, including undergraduate studies, medical school, residency, and fellowship programs. Some specialties require more years of training than others.
Competitiveness of the specialty
Some medical specialties are more competitive than others, making it more challenging to secure a spot in a residency or fellowship program. Factors influencing competitiveness may include the number of available positions, the number of applicants, and the desirability of the specialty.
Board certification requirements
Different specialties have varying requirements for board certification, which may include a series of written and oral examinations, as well as the completion of specific case logs. Some board certifications are more challenging to achieve than others.
Technical and procedural skills
Some specialties require a higher level of technical skill and procedural expertise, which may be challenging to master. For example, neurosurgeons and cardiothoracic surgeons must possess advanced surgical skills, while radiologists need to be proficient in interpreting complex imaging studies.
Emotional and mental resilience
The level of stress and emotional demand in a specialty can impact the difficulty of becoming a doctor in that field. Specialties with high levels of responsibility for critical decision-making, patient outcomes, or contentious ethical decisions may prove more challenging for some individuals.
Work-life balance and lifestyle factors
Some medical specialties may require long work hours, on-call shifts, and high levels of workplace pressure, making it more difficult to maintain a work-life balance. This factor could influence the perceived difficulty of becoming a doctor in that specialty.
Research and academic expectations
Certain specialties may have higher expectations for conducting research, publishing articles, or presenting at conferences, adding another layer of challenge depending on an individual's interest in these areas.
Financial considerations
In some cases, the cost of education, amount of student loan debt, and potential future earnings can also play a role in how difficult it is to become a specific type of doctor. Specialties with higher earning potential may be more competitive or require more extensive training.
About this ranking
This is a community-based ranking of the most difficult type of doctor to become. We do our best to provide fair voting, but it is not intended to be exhaustive. So if you notice something or type is missing, feel free to help improve the ranking!
A participant may cast an up or down vote for each type once every 24 hours. The rank of each type is then calculated from the weighted sum of all up and down votes.
More information on most difficult type of doctor to become
Becoming a doctor is a challenging and rigorous process, requiring years of education, training, and dedication. However, some specialties are considered more difficult to pursue than others. The path to becoming a doctor in any field requires a strong academic background, dedication to patient care, and a willingness to continually learn and adapt to new medical advances.
Specialties such as neurosurgery, cardiothoracic surgery, and oncology are often considered some of the most difficult to pursue due to their complexity and demanding nature. Neurosurgeons, for example, must complete up to 14 years of education and training before practicing independently, and their work involves delicate procedures on the brain and spine. Similarly, cardiothoracic surgeons must complete extensive training in both cardiac and thoracic surgery, and their work involves complex procedures on the heart and lungs. Oncologists must also complete extensive training in the diagnosis and treatment of cancer, which requires a deep understanding of the biology of cancer cells and the latest treatment options.
In addition to the rigorous training required for these specialties, doctors in these fields must also possess a high level of technical skill, critical thinking ability, and emotional intelligence. They must be able to communicate effectively with patients and their families, manage complex medical cases, and make difficult decisions under pressure. Despite the challenges, many doctors find these specialties to be incredibly rewarding, as they have the opportunity to make a significant impact on the lives of their patients.
Explore other rankings
Check out some of the other recommended rankings on StrawPoll and make your voice heard.