i think i may be crazy.....confused....whatever

this whole specialty picking thing has been killing me for years......

im now about to be a pgy 3 (finishing pgy2 in an extremely competative to match specialty and I did an IM internship for pgy1)............then about a week ago, i decided that i really wasnt that happy with my field for different reasons....so i looked for a pgy2 spot in internal medicine yesterday...and shockingly...i found one! now that it comes down to it, i am really scared to switch.....i dont know what it is....maybe its just that its such a competative field im switching out of (maybe the most competative)...and the program i would potentially be going to for IM is not great but very cushy......not to mention that the fellowships im considering in im (allergy...not sure if ill match or if i ll like it......and endocrine.....very very low reimbursement....and the IM place with a spot for me maybe be difficult to get some fellowships from...i dont know what to do! i dont have the guts to leave....i need to decide in the next 2 days....this is crazy! this sucks! there is definatelysomething wrong with me............:( :( :(

i think i may be crazy.....confused....whatever

this whole specialty picking thing has been killing me for years......

im now about to be a pgy 3 (finishing pgy2 in an extremely competative to match specialty and I did an IM internship for pgy1)............then about a week ago, i decided that i really wasnt that happy with my field for different reasons....so i looked for a pgy2 spot in internal medicine yesterday...and shockingly...i found one! now that it comes down to it, i am really scared to switch.....i dont know what it is....maybe its just that its such a competative field im switching out of (maybe the most competative)...and the program i would potentially be going to for IM is not great but very cushy......not to mention that the fellowships im considering in im (allergy...not sure if ill match or if i ll like it......and endocrine.....very very low reimbursement....and the IM place with a spot for me maybe be difficult to get some fellowships from...i dont know what to do! i dont have the guts to leave....i need to decide in the next 2 days....this is crazy! this sucks! there is definatelysomething wrong with me............:( :( :(


:eek: how many more years do you have to go in this specialty........i would strongly reconsider if not many......finish up, practice for at least a year,....and then make the plunge into an im residency if you are still suicidal.
gl

i still have 3 years left of this....thats still a lot, ive only done one year so far of it.....thanks for commenting, write back

What is it about IM that you like so much?

i like that in IM, you get a very broad based education which is good, and that in fellowship you have the opportunity to decide not to want to use all of it....

also....some of the fellowships such as endocrine, rheum, allergy....you can do mostly outpatient...very little call.....if you have a good business mind, you can make money in these fields...and you can def hire people to work under you possibly

private practice doesnt require a lot of overhead

also......i dont think i like making very huge decisions about medical care which i am doing now......in these fields i can do that...

even if i pick a field like GI, i still wont be making life/death decisons every day, the call might be a little worse....

the only thing worrying me about endocrinolog/rheum is A. i might be wrong and not be able to make much doing them B. i might not have enough patients in that field and have to see primary care patients

and its also kind of a feeling


let me know