1) I value family/friends more than I value medicine, and I don't think I will be able to cultivate the kinds of relationships I want based on where I am
2) As a physician, I likely will not get to spend the amount of time I want with my friends and family
3) I will be over $300,000 in debt by the time I graduate
4) I can see myself happily pursuing several other careers that still involve helping people, whether in the healthcare field or not
5) I do not care how much money I make
6) My desire to go to medical school went up and down throughout the application cycle, but I ultimately decided to go
Thanks!
MS3 here at TUSM. Hey man. Ive been there. I seriously considered dropping out, even talking to the Dean and everything. My advice to you is this: dont drop out without knowning what you're passing on. I'm sure you think you know what "medicine" is like. I did also first year. But the truth is you really have to do a rotation to have any idea what any given specialty is going to be like on a daily basis.
I thought I would love internal medicine, ended up hating it cause of the paperwork. I knew I would hate surgery because of the hours, I ended up liking it because taking care of surgical patients doesnt involve as much information overload as other specialties.
The reality is that its hard to tell how much you're going to like any specialty until you've completed medical school, and until you can safely say you don't like every specialty, its worth it to explore each.
The reason I put "medicine" in quotes above is because today, medicine is nonspecific, a category which contains many very very different jobs within it. Some of those work long hours, some dont, some are mostly paperwork, some are procedural, some focus on labwork, others consulting, others seeing patients, etc.
1. its very specialty specific. In ER for example, you work shifts, and can take as little as you want. Many attendings work 2-3 12 hour shifts per week, and have most of the week off. Pathology works 9-5, no call. Having a very high base salary puts you in a strong position, mainly, you can work part time or locum tenens in virtually any specialty and make much more than you would in any other career. Keep these things in mind. Medicine doesnt have to be terrible hours and stressful unless a) you want it to be or b) you want the money, which later on, you said you dont.
2. I get that you're gay and in a not gay-friendly location. But really, its pretty hard to date during med school, for anyone. You just take hit of those 4 years. Also, you can do away rotations as much as you want 4th year.
3. Youll be in debt but you are borrowing against future salary. If you lived after residency the way you do now, you could pay back the debt in a few years. The debt really isnt that much, it just seems like it. Also, if you wanted you could do HPSP. But as im sure you know the HPSP requires usually 4-6 years of service, much more than the required number of years to pay off the debt.
4. I dont really think you help people in medicine personally, I think its gotten to a point of assembly line management of patients. But im sure you could, if you wanted to. Many other careers also help patients in healthcare. In fact many other healthcare professionals, PA's, some skilled nurses, etc. could do almost the same job as a physician most of the time, but they get paid less. Why would you want to do that, when youve already passed the main limiting factor for those other jobs : getting into med school.
Anyways thats just my thoughts on the matter. Like to see what others have to say. TBH, im not sure im even going to go into clinical medicine, might work for pharma or do research after med school. But all in all I dont think med school can ever really hurt you, unless of course you have absolutely no interest in anything healthcare related and want to do MMA fighting or something.
People always talk about the whole stress and no time thing, but I think its really a self fulfilling prophecy. People have this image of medicine as being an all consuming career, so they only go into if they are willing to sacrifice. But in reality, there are many specialties in medicine with a very good lifestyle. A resident I met in my IM rotation told me he plans to do locum tenens for 3 months every year and sail around the world for 9 months. How could that be stressful at all? And thats IM, one of the easiest residencies to get into.