I initially became interested in anesthesia via an interest in possibly doing cardiac anesthesia...I have since developed an interest, however, in both critical care and pain, probably because (1) i enjoy them, albeit to a lesser degree than cardiac, and (2) given the prevailing political winds, I think that the best way to safeguard my future in the coming decade (read: enjoy my job while making, at the very least, greater than 220K/year) is to be able to function, in whole or in part, completely independent from the OR. Is this line of reasoning correct? Is the specialized skill set in cardiac anesthesia protected? Is Pain Medicine the best way to survive? Ultimately, which fellowships are sufficiently specialized as to "safeguard one's future?"