I have a question about older students in med school? Do they tend to have plans for FP or IM or maybe EM? Are any of these people looking at longer residency periods needed for surgery or cards or GI? Another problem with surgery might be concerns about manual dexterity and the extra harsh nature of surgical residencies.
Here is a question.............if you do a surgical residency and then, due to age, find your dexterity is lacking or you can't stand for long periods, can you switch to FP or IM or would you have to do an FP or IM residency? I suppose if you were in cards or GI, you could be a general internist. Could a general surgeon switch to FP with no additional residency?
Thanks a lot !!
You're way off, which is fine, but I suggest that you pick up the Iserson's guide to residency which explains all this reputably.
The way things are supposed to go: you figure out during 3rd/4th year rotations what you want to specialize in. You do elective rotations at hospitals that host residencies in your specialty. You apply to residencies in that specialty, you match, you go study that specialty, you take licensing exams for your specialty. Then you can do a fellowship to subspecialize, and take some more licensing exams. So, for example, you would do an IM residency, and then do a cardio fellowship. Some surg subspecialties are part of an integrated residency, and some require a full general surg residency followed by a subspecialty fellowship.
If you want to try to apply for residencies in multiple specialties, it can be done, but the workload of managing elective rotations, interviews and parallel sets of LORs etc. is probably not manageable. Trying for EM and IM is more manageable than trying for surg and IM.
Lots of people start a residency and then change their mind. When this happens, you start residency all over again. You get no credit on a surgical residency for FM: if you bail out of surg 3rd year, you have 3 more years of residency before you can be licensed in FM.
I'll start med school at 42. I would LOVE to do surgery. My eyes/back/knees/dexterity are excellent. My longevity is probably good (mom still works full time at 73) and I'm committed to fitness as a long term survival/sanity strategy. I have NJBMD's example to follow (she started med school at 45 and just finished her vascular surg residency). I shadowed several surgeons (DO and MD) and my housemate is a surgeon.
I expect to find out by mid-3rd-year whether I can handle surg, physically and emotionally. There's a months-long surgical rotation in 3rd year, during which (if I'm at a decent site) I'll be up all night, scrubbing in, going through the rigors with surgical residents. Long before 3rd year I need to have grades, LORs, board scores and probably research consistent with the pursuit of surgery. I expect to know by the end of 1st year which surg residencies I'm going to want to aggressively pursue, whether I actually pursue them or not.
But the list of specialties I'm NOT interested in is much shorter than the list of specialties I think are cool. I could go in any number of directions, and it's premature to speculate on my interests until I've done rotations.
Best of luck to you.