Choosing Peds

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There are a lot of other options besides just IM and peds... anesthesia, neuro, psych, pm&r, all which are specialties and don't deal with the daily "eat healthy, stop smoking, take your meds" of IM.
 
I like primary care though. I didn't care for Neuro or Psych. I did not rotate thru Anesthesia, but I don't think I'd like it, since I'm not big on critical care, pulm, etc.
 
I like primary care though. I didn't care for Neuro or Psych. I did not rotate thru Anesthesia, but I don't think I'd like it, since I'm not big on critical care, pulm, etc.

In that case, you sound just as lost as me! 😕
 
You sound like a perfect candidate for a proper family medcine residency that specializes in prenatal and pediatrics.

As a a general rule, pediatrics is a sub-speciality (and not primary care) in most of the world and the vast majority of outpatient (and some inptient) peds is well within the scope of family medicine.

A good FM resident is supposed to manage anything in the outpatient setting. Just because many choose to neglect that aspect or refer to pediatricians is a choice, not a reality.
 
Have you considered adolescent medicine?

It's primary care, there are no babies to kiss or baby talk to perform, the interactions easily split the gap between adults and kids, and the problems are rarely so dreary.

Obviously there's a fellowship, but I think there are plenty of opportunities within larger group practices to "specialize" even without the fellowship training. There are plenty of general pediatricians who do prefer baby talk and wouldn't mind being able to hand off their teenagers. Salary considerations are pretty much going to be similar to other general pediatricians.

If you are more academically inclined, a fellowship is probably required. But it may also lead to some other different opportunities depending on what your focus might be (ie STD's or sports med). You may end up working closely with school districts and their athletic trainers or the Health Department on various initiatives.
 
If you're torn between pediatrics and IM why not Med-Peds? You can go into a fellowship of either field when you're done. So if you get through and decide you love peds you could practice as a general pediatrician or become a pediatric X fellow. Vice versa you can decide you hate peds, go into IM and specialize in geriatric medicine. Whichever route you end up, with med/peds you don't have to decide now.
 
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