I'm a current intern in Australia, but with resident medical officer positions beginning to open up, I am tossing up between which pathway to set myself up for in the future. I'm curious when and how you decided on your specialty/area of practice. The perspectives of various fields seem so different as a student and now as a doctor, to the point now that I'm not sure which I would most enjoy. I'm currently tossing up between Emergency Medicine and General Surgery (particularly Breast & Endocrine) after narrowing down other fields I could not see myself doing. I'd appreciate any advice on how you came to your decision, and for those in Emergency Medicine and General Surgery, to offer insight into what it's like practising as a Consultant. For my reasoning of EM vs Gen Surg: I've always liked very hands-on things, looking at the big picture and doing, more than thinking. I've enjoyed both surgery and general medicine throughout being a medical student and working as a junior doctor, but haven't fallen in love with a particular area of yet. In general, I don't want to be so specialised or non-clinical that if I was to encounter a medical issue outside of my specialty, that I'd struggle to manage it acutely. As a side note, since I've had a major interest in aviation since childhood, I am also interested in aviation medicine, with plans to obtain an Australian Certificate of Civil Aviation Medicine later this year. Whether or not I'll practice this on the side in the future, I'm not sure, but I thought it'd be nice to have the added training. Factors I'd like to consider in my career include: Family & life balance Availability of hands-on procedures Income vs hours worked Ability to practice privately General happiness in working in the specialty I've narrowed down to: General Surgery (Particularly breast & endocrine subspec) due to ability and flexibility to perform a wide range of procedures in many environments as well as specialised procedures, while balancing a decent lifestyle (for surgery). I am told that this area would also allow elements of medicine in general patient care. Emergency Med due to (correct me if I'm wrong), better work-life balance, acuity of work and hands-on procedures, flexibility to move into other acute medicine such as Retrieval Medicine. Any advice on how you came to decide your specialty +/- any advice re: the above fields would be greatly appreciated!