Medscape has published their annual report about physicians satisfaction with their choice of specialty, the results depends on a survey done in USA each year. Overall satisfaction with one's medical practice seems to be stable from year to year. In last year's report, the specialties that ranked highest in overall satisfaction were dermatology (64%), psychiatry (56%), emergency medicine (54%), HIV/ID (53%), and pathology (53%). Those were nearly the same 5 specialties that topped the satisfaction scale in this year's report, although the percentages of those satisfied were somewhat down. Oncology moved up into the top 5 in terms of overall satisfaction. In the 2013 report, dermatology again topped the list, at 59%, followed by HIV/ID and oncology (53% each). Pathology and psychiatry came in next at 52% each. Emergency medicine dropped to sixth place. The specialties that showed the lowest overall satisfaction this year were similar to last year's ranking. In last year's report, the least satisfied specialties were plastic surgery (41%), internal medicine (44%), and diabetes/endocrinology (45%). Five specialties tied for next place: Nephrology, urology, obstetrics/gynecology, neurology, and general surgery all showed 46% overall satisfaction with their practice of medicine. Last year, 25% of internists said that they would choose the same specialty; this year it was 19%. Source