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- Jun 23, 2010
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I am almost half way through my second year of pediatric residency and have always known that I want to pursue fellowship. I came in with a good amount of GI exposure from medical school where I saw a diverse range of GI pathology, transplant patients and overall very sick children. I loved the field and was pretty sure that I wanted to pursue GI fellowship. I never had much ICU experience but had a feeling I would like it, and needed to rule it out.
..Fast forward to now. I am currently doing residency at a mid-size program with a completely different GI population. A lot of gastroparesis, chronic abdominal pain, and very little transplant exposure other than those who are many years out and stable. Everyone, including myself, dreads seeing this population and unfortunately it has worn on me as well. To make matters worse, I realize I am less happy in general in an outpatient setting which makes up a large portion of the field.
I did PICU for the first time first rotation of second year and I loved the fast decision making, use of physiology and collaboration with multiple different teams. It is sad, but I feel that I have a tough personality which can handle it. I spoke with my attendings who agree I would be a good fit and have offered to mentor me, hook me up with research, etc. I was pretty confident about making the switch...until I attended the national GI conference and realized, again, there was a lot about GI I loved and that everyone was so happy. Now I am more conflicted than ever.
As far as my CV goes, I already presented at the GI conference and am working on publishing 1 case report (and another in the works). I am involved in an IBD transition study, though most of the work is being conducted by an adult GI fellow due to my schedule. My PICU attending has given me a lead on an ICU project which sounds exciting..but If I move forward, and end up doing GI, I do not want to make it seem like I am unfocused.
I know that nobody can make my decision for me, and ultimately I have to weight the pros and cons of each, but I was wondering if anyone else is in a similar decision or has been in the past. What did you ultimately decide and why? Otherwise, does anyone else have any insight? Thank you!
..Fast forward to now. I am currently doing residency at a mid-size program with a completely different GI population. A lot of gastroparesis, chronic abdominal pain, and very little transplant exposure other than those who are many years out and stable. Everyone, including myself, dreads seeing this population and unfortunately it has worn on me as well. To make matters worse, I realize I am less happy in general in an outpatient setting which makes up a large portion of the field.
I did PICU for the first time first rotation of second year and I loved the fast decision making, use of physiology and collaboration with multiple different teams. It is sad, but I feel that I have a tough personality which can handle it. I spoke with my attendings who agree I would be a good fit and have offered to mentor me, hook me up with research, etc. I was pretty confident about making the switch...until I attended the national GI conference and realized, again, there was a lot about GI I loved and that everyone was so happy. Now I am more conflicted than ever.
As far as my CV goes, I already presented at the GI conference and am working on publishing 1 case report (and another in the works). I am involved in an IBD transition study, though most of the work is being conducted by an adult GI fellow due to my schedule. My PICU attending has given me a lead on an ICU project which sounds exciting..but If I move forward, and end up doing GI, I do not want to make it seem like I am unfocused.
I know that nobody can make my decision for me, and ultimately I have to weight the pros and cons of each, but I was wondering if anyone else is in a similar decision or has been in the past. What did you ultimately decide and why? Otherwise, does anyone else have any insight? Thank you!