With all due respect to WCI, I think it would have been very hard to devote as much time as he has if he were in a surgical specialty with lots of call responsibilities and working basically all day on weekdays. This is not to say Emergency medicine is easy, but just that it has some flexible features that potentially allow you to explore side interests. Not all specialties will allow this.
It might be interesting to write about this sometime-- but it isn't just specialty that allowed me to have the time and energy to pull this off. Easier specialty, lots of evening and night shifts, independent spouse, lifestyle focused group, shorter shifts, new hospital contract that took a long time to ramp up etc.
I agree it would be exceedingly difficult for any full-time surgeon to have done it.
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