Not trolling and mean no disrespect with my question. Midway through M3, psychiatry is in fact at the top of my short list of specialty to pursue. The time to start choosing 4th year rotations is nearing and the sooner I can figure out the rest of my life, the better. I really love the mental aspect of health, talking to patients about their problems, etc. I'm fascinated by mental illness. That said, I really really love doing hands on things, high intensity, and really thrived in the OR during my surgery rotation. That said, I have a family and I don't want to spend the bulk of my life working and not seeing them. Surgery is out. Anesthesia and EM are also high on my list. The thought of doing an emergency chest tube or intubation brings me joy. Do any of you ever miss the more physical aspects of medicine? Ever feel like you're more of a therapist than a doctor (this is my biggest fear)? Think there can be middle ground for someone like myself; perhaps pursuing a pain fellowship or something else? Thanks for your help.