Enjoying core rotations, but nothing has "clicked". Looking for advice

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Bisferiens

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Fellow med students--how common is this?

I've finished medicine, surgery, neuro, peds, and ob/gyn (starting psych in a few weeks) and nothing has really caught my eye enough to want to pursue it further. Sure, I've enjoyed my rotations, but I leave each one thinking "Meh, I'm happy for the opportunity..but I'm glad it's over."

I feel like I'm exactly where I was at before even starting 3rd year and I'm starting to get worried that nothing will really stand out and whatever I end up selecting will be half-hearted. I've spoken to my mentors, deans, and friends about this issue and I feel like it hasn't been well-received. I've heard from more than one person that maybe I shouldn't go on to residency if nothing is really appealing (they say this because I took a break during school to get my MBA). Is this advice something I should really consider at this point or is it too early to start thinking about other options outside of medicine?

What would the wonderful SDN community recommend to someone who enjoyed medical school, loves helping people, and loves pathophysiology, but isn't finding a calling in the hospital?

The first question you may ask is, "Do you like patient care?" My answer is yes, but internal medicine was my least favorite rotation because I felt like I wasn't able to fix anything. I felt like all I could do was symptomatically manage my patients and this was very unsettling (I guess I like the feeling of immediate, more so than delayed, gratification). In theory, I love all the mechanisms of disease (I was the guy that read Robbins cover-to-cover) but I realized that treating patients with these diseases was much different, and not something I particularly enjoyed.

The next question you may ask is, "Well, how did you like surgery?" I actually really enjoyed surgery, and I love the idea of being able to see the immediate results of my work. I like the OR quite a bit because I like using my hands and fixing problems on the spot. The only thing that makes me hesitant about surgery is the lifestyle. I'm really big on family and want to be a great husband/father that makes it home for dinner on most nights. Maybe it's just where I go to school, but I never felt like any of the residents/attending really cared if they made it home to see their loved ones.

Perhaps you may next inquire about other interests I have. I love teaching and want to be in academics. I want to watch students learn and grow and I want to incorporate this into my practice in the greatest sense.

Another question you might have is, "Okay Bisferiens, what are you potentially competitive for?" I've done well in school (top 15%) and have 270+ on Step 1. I go to a good school and have received honors on all of my rotations, except neuro (high pass). I have two very non-specific publications that aren't very impressive, but I have a lot of involvement at my school. I tutor/TA weekly, serve on our admissions committee, mentor students, etc.

Is there something I should be doing currently that may not be obvious?

I apologize for the long post, but I'm confident that many of the wonderful contributors on this forum have much wisdom to impart on this matter.

All my best,

Bisferiens
 
definitely go psychiatry

every work-addicted surgeon started as a medical student who thought he could still have a great work-life balance
 
I'm surprised someone as totally fabulous as yourself isn't enjoying medicine
 
Check out some of the lesser known sub specialties- ENT, optho, urology, etc. people who enjoy surgery but want a better lifestyle often enjoy these fields. I felt similarly about medicine and surgery and chose to go into Rad onc. There are a lot of fields out there that you don't see on your core rotations. If you enjoy patient care I wouldn't pursue non- clinical options just yet.
 
I would like hard again at either gen surg or one of the specialties. Residency doesn't last forever, and you can be a general surgeon with a reasonable lifestyle as an attending. Trauma, transplant, and ****show heart patients may be the bread and butter of academia, but that's not what most general surgeons are doing after residency.

Plus, all of the surgical specialties (including ENT and urology and ortho) have tough residencies, so don't spring for one of those as "surgery on easy mode".
 
Fellow med students--how common is this?

I've finished medicine, surgery, neuro, peds, and ob/gyn (starting psych in a few weeks) and nothing has really caught my eye enough to want to pursue it further. Sure, I've enjoyed my rotations, but I leave each one thinking "Meh, I'm happy for the opportunity..but I'm glad it's over."

I feel like I'm exactly where I was at before even starting 3rd year and I'm starting to get worried that nothing will really stand out and whatever I end up selecting will be half-hearted. I've spoken to my mentors, deans, and friends about this issue and I feel like it hasn't been well-received. I've heard from more than one person that maybe I shouldn't go on to residency if nothing is really appealing (they say this because I took a break during school to get my MBA). Is this advice something I should really consider at this point or is it too early to start thinking about other options outside of medicine?

What would the wonderful SDN community recommend to someone who enjoyed medical school, loves helping people, and loves pathophysiology, but isn't finding a calling in the hospital?

The first question you may ask is, "Do you like patient care?" My answer is yes, but internal medicine was my least favorite rotation because I felt like I wasn't able to fix anything. I felt like all I could do was symptomatically manage my patients and this was very unsettling (I guess I like the feeling of immediate, more so than delayed, gratification). In theory, I love all the mechanisms of disease (I was the guy that read Robbins cover-to-cover) but I realized that treating patients with these diseases was much different, and not something I particularly enjoyed.

The next question you may ask is, "Well, how did you like surgery?" I actually really enjoyed surgery, and I love the idea of being able to see the immediate results of my work. I like the OR quite a bit because I like using my hands and fixing problems on the spot. The only thing that makes me hesitant about surgery is the lifestyle. I'm really big on family and want to be a great husband/father that makes it home for dinner on most nights. Maybe it's just where I go to school, but I never felt like any of the residents/attending really cared if they made it home to see their loved ones.

Perhaps you may next inquire about other interests I have. I love teaching and want to be in academics. I want to watch students learn and grow and I want to incorporate this into my practice in the greatest sense.

Another question you might have is, "Okay Bisferiens, what are you potentially competitive for?" I've done well in school (top 15%) and have 270+ on Step 1. I go to a good school and have received honors on all of my rotations, except neuro (high pass). I have two very non-specific publications that aren't very impressive, but I have a lot of involvement at my school. I tutor/TA weekly, serve on our admissions committee, mentor students, etc.

Is there something I should be doing currently that may not be obvious?

I apologize for the long post, but I'm confident that many of the wonderful contributors on this forum have much wisdom to impart on this matter.

All my best,

Bisferiens

I feel the same. There are a lot of us out there. .. Well except you killed step /rotations and most of us didn't.

Derm uro ent for you.
 
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Consider ophthalmology.

I second this. Some surgical fields like ophthalmology actually provide a very controllable lifestyle.

Others correct me if I am wrong, but you can have a nice lifestyle with ENT, obviously plastic surgery, and in some cases, orthopedic surgery

Not all surgrical specialties are neurosurgery-intense. Also consider how many years you want to spend in residency. Ophthalmology is only 3 I believe. Obviously, some of these specialties have intense residencies, but think about life after residency. It can be sweet.
 
Thought of any of the primary care-ish medical subspecialties? I.E. Endo, ID, etc.? Maybe pulmonology? Given the lifestyle you want and after reading the rest of your post, I think these might be attractive to you. You'll have to endure an IM residency before your fellowship, but would be worth it if you enjoy one of these fields.
 
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