A marginalist analysis that assumes that the person making the decision doesn’t know their own intentions & is just another random draw of a ball from an urn totally misses this factor.
Happily, this factor has not been missed by either my profile or 80k’s work here more generally. Among other things, we looked at:
Variance in impact between specialties and (intranational) location (1) (as well as variance in earnings for E2G reasons) (2, also, cf.)
Areas within medicine which look particularly promising (3)
Why ‘direct’ clinical impact (either between or within clinical specialties) probably has limited variance versus (e.g.) research (4), also
I also cover this in talks I have given on medical careers, as well as when offering advice to people contemplating a medical career or how to have a greater impact staying within medicine.
I still think trying to get a handle on the average case is a useful benchmark.
Happily, this factor has not been missed by either my profile or 80k’s work here more generally. Among other things, we looked at:
Variance in impact between specialties and (intranational) location (1) (as well as variance in earnings for E2G reasons) (2, also, cf.)
Areas within medicine which look particularly promising (3)
Why ‘direct’ clinical impact (either between or within clinical specialties) probably has limited variance versus (e.g.) research (4), also
I also cover this in talks I have given on medical careers, as well as when offering advice to people contemplating a medical career or how to have a greater impact staying within medicine.
I still think trying to get a handle on the average case is a useful benchmark.