Help me pick a specialty!

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mosquitoman

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I am currently a 4th year student, starting the whole ERAS process.
Since starting med school I have been interested in surgery and EM.
Throughout the 3rd year I really like all of my rotations (except for psych because I felt that everyone got the same meds and there was no medicine involved).
I am currently doing a surgery sub-i (vascular) and am enjoying it, but the hours are nuts. I wake up ~4am and get home ~9-1030 most days. This isn't bad as a student, but I can't imagine working these or similar hours as an attending with a family. My em sub-i is a bit later - I have two (one in sept, one in Oct).
There are pros and cons to each... and then there are many surgical sub specialties that I may enjoy but just have not had a lot of exposure to - urology, ent and they have better hours from what I hear. But I'm not sure how I can even think of applying to those if I did not complete a sub-i/get lors from those fields.
I don't want to end up in one field wishing I had done something else and I also don't want to end up in a field where I have no life outside of the hospital.

My ideal field has procedures, makes a big impact on pt life and at the same time allows for a decent lifestyle

Appreciate any advice
 
Since starting med school I have been interested in surgery and EM. ... Throughout the 3rd year I really like all of my rotations (except for psych because I felt that everyone got the same meds and there was no medicine involved).

I don't want to end up in one field wishing I had done something else and I also don't want to end up in a field where I have no life outside of the hospital.

My ideal field has procedures, makes a big impact on pt life and at the same time allows for a decent lifestyle

Emergency medicine.

I say this for a number of reasons, but biggest among them is the fact that I think that "liking" surgery isn't enough. Given the demands and the harshness of the specialty, you have to love surgery, even to the exclusion of other parts of your life which you might have had in other fields.
 
Do EM physicians get a good feeling from helping out patients or is everyone also so pissy and sent away for consults that they are rarely appreciated?

I've seen this mentioned, just curious.
 
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