Quantcast

Do you choose your residency or does your residency choose you?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Piglet2020

Full Member
5+ Year Member
Joined
Apr 21, 2016
Messages
428
Reaction score
572

Members don't see this ad.
Fun question^

Wondering since I know I’m bad at picking multiple good options (like a kid in an ice cream shop).

Thoughts? How do you know this specialty is the one? Is it like a spirit animal where it chooses you?
 
  • Like
Reactions: 1 user

FlavivirusProtease

Full Member
2+ Year Member
Joined
Aug 4, 2017
Messages
474
Reaction score
988
Fun question^

Wondering since I know I’m bad at picking multiple good options (like a kid in an ice cream shop).

Thoughts? How do you know this specialty is the one? Is it like a spirit animal where it chooses you?

It's a little bit of both.

Basically you apply to whichever residencies you want. Some of them will invite you to interview.

After the interviews, you'll rank all the residencies you've interviewed at and all the residencies will rank everyone who interviewed there.

All of those rankings from all the medical students and all the residencies then go into a magical algorithm on a computer, and the computer gives everyone the residency they will be going to (If they matched) on match day.

Once the computer gives you your residency, you're stuck with that one, no matter how far down it is on your rank list, so it's important to rank according to where you want to go. Some people try to game the system by ranking alternatively, but I don't think that's actually effective.

You know which specialty is the one because of the clerkships you've been doing in your 3rd year. Those'll tell you what you like and what you don't like to do.
 
  • Like
Reactions: 1 users

HomeSkool

Excelsior! ASA Member!
Lifetime Donor
5+ Year Member
Joined
Sep 13, 2013
Messages
1,855
Reaction score
8,556
When I was an MS4, I had a dream. In my dream, I was walking through the woods with no destination and no path. A great bear of wisdom and power appeared before me. In one paw it grasped the Sword of Step 1, in the other it clutched the Spear of LORs. Its voice was as thunder, but to my ears its growls and snarls became words, its speech taking the form of song. "Thou shalt follow thy path into nephrology," the transcendent bear intoned. Then as it turned to leave, it struck its head on a branch and fell before me, senseless and unresponsive. I remembered what I had learned: "GCS 8, intubate." As I secured the endotracheal tube and confirmed appropriate placement, I decided to become an anesthesiologist. True story.
 
  • Like
Reactions: 26 users

Anti-PD1

Brain/Spine/Nerves
5+ Year Member
Joined
Dec 29, 2016
Messages
647
Reaction score
1,664
It's like dating. You choose each other. That's why it's called a match. (Not a Tinder match, this match lasts 3-7 years, not 23 hours).

A wise chairman told me, when you open your letter on match day, that's your family. Love your family.
 
  • Like
Reactions: 5 users

gonnif

Rule One: Take a Breath
Lifetime Donor
10+ Year Member
Joined
Jul 26, 2009
Messages
24,256
Reaction score
41,602
When I was an MS4, I had a dream. In my dream, I was walking through the woods with no destination and no path. A great bear of wisdom and power appeared before me. In one paw it grasped the Sword of Step 1, in the other it clutched the Spear of LORs. Its voice was as thunder, but to my ears its growls and snarls became words, its speech taking the form of song. "Thou shalt follow thy path into nephrology," the transcendent bear intoned. Then as it turned to leave, it struck its head on a branch and fell before me, senseless and unresponsive. I remembered what I had learned: "GCS 8, intubate." As I secured the endotracheal tube and confirmed appropriate placement, I decided to become an anesthesiologist. True story.

Have you been in the medicinal whiskey again?
 
  • Like
Reactions: 9 users

CherryRedDracul

Actually a man.
7+ Year Member
Joined
Oct 12, 2012
Messages
2,078
Reaction score
4,188


But how do you figure out which specialty is right for you? You'll hopefully find out what you're drawn towards during your clerkship year.

The problem is that there are your set core rotations (e.g. IM, general surgery, OB/GYN, etc.) with a few elective clerkships (e.g. orthopedics, PM&R, radiology) sprinkled here and there.

Unforunately, if you don't see all and experience all the specialties that are out there, you may not know what you're missing out on. And sometimes, even after people match into a specialty and start residency, they learn about these other specialties later on and sometimes wish they chose that specialty instead.

I know people who switched from OB/GYN to IM after their first year of training. I know several former ortho residents who switched into radiology. I know another person who switched from general surgery to anesthesia. But switching isn't easy, especially if you're trying to switch into a more competitive specialty.
 
Last edited:
  • Like
Reactions: 1 user

21Rush12

19h 58m 21.67595s; +35° 12′ 05.7783″
7+ Year Member
Joined
Jul 29, 2014
Messages
2,336
Reaction score
4,465
When I was an MS4, I had a dream. In my dream, I was walking through the woods with no destination and no path. A great bear of wisdom and power appeared before me. In one paw it grasped the Sword of Step 1, in the other it clutched the Spear of LORs. Its voice was as thunder, but to my ears its growls and snarls became words, its speech taking the form of song. "Thou shalt follow thy path into nephrology," the transcendent bear intoned. Then as it turned to leave, it struck its head on a branch and fell before me, senseless and unresponsive. I remembered what I had learned: "GCS 8, intubate." As I secured the endotracheal tube and confirmed appropriate placement, I decided to become an anesthesiologist. True story.

HomeSkool you’re going to wake up my neighbors if you keep making jokes like this
 
  • Like
Reactions: 1 user

Alejandro

Physician
10+ Year Member
Joined
May 26, 2008
Messages
736
Reaction score
235
I think you have to like what a specialty does, but I think you have to also have a feeling of "I FOUND MY PEOPLE!" If you don't, I still feel its an awkward fit and ultimately may not be the best choice. Who you work with, and how well you jive with everyone in your specialty matters.

...And be like HomeSkool. :p
 
  • Like
Reactions: 1 user

HomeSkool

Excelsior! ASA Member!
Lifetime Donor
5+ Year Member
Joined
Sep 13, 2013
Messages
1,855
Reaction score
8,556
Have you been in the medicinal whiskey again?
In my defense, @Piglet2020 started it by talking about spirit animals. Plus, I was thinking about this while I wrote that post:
bearacha_export.png
 
  • Like
Reactions: 5 users

Oso

Full Member
7+ Year Member
Joined
Jan 17, 2014
Messages
2,676
Reaction score
7,068
When I was an MS4, I had a dream. In my dream, I was walking through the woods with no destination and no path. A great bear of wisdom and power appeared before me. In one paw it grasped the Sword of Step 1, in the other it clutched the Spear of LORs. Its voice was as thunder, but to my ears its growls and snarls became words, its speech taking the form of song. "Thou shalt follow thy path into nephrology," the transcendent bear intoned. Then as it turned to leave, it struck its head on a branch and fell before me, senseless and unresponsive. I remembered what I had learned: "GCS 8, intubate." As I secured the endotracheal tube and confirmed appropriate placement, I decided to become an anesthesiologist. True story.

While reading the first half, I decided I was gonna comment "and that great bear of wisdom was Oso"

Then I finished reading :grumpy:
 

HomeSkool

Excelsior! ASA Member!
Lifetime Donor
5+ Year Member
Joined
Sep 13, 2013
Messages
1,855
Reaction score
8,556
While reading the first half, I decided I was gonna comment "and that great bear of wisdom was Oso"

Then I finished reading :grumpy:
It could still be you. Accidents happen to everyone, and I'm an equal-opportunity resuscitator. Plus, look at the pic I put in my last post. That thing couldn't possibly be any more badass.
 
Last edited:
  • Like
Reactions: 1 user

Alejandro

Physician
10+ Year Member
Joined
May 26, 2008
Messages
736
Reaction score
235
oh yay! sounds good. @HomeSkool i'll call you for my difficult airway pages :D :D

also re: your spirit animal has a mallimpatti of -2 however has significant sharp teeth making him/her a difficult intubation. lololol
 
Top