Help. What specialty suits me?

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Miss Education

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Hello All. I am posting this thread within Psych because I have a certain admiration for psych docs' abilities to be analytical, non-judgmental, and provide good advice. That being stated, I'll get to the point.
I am in my transitional year in medicine and am having a bit of a problem choosing a specialty. I have been reading Brian Freeman's book "The Ultimate Guide to Choosing a Medical Specialty," taking personal personality assessments, and overall taking time to be completely honest and accepting of my strengths and my weakness.
So about me- I am a highly independent, self-motivated, and studious person. I have done well in every specialty, but I am not interested in all of them. I realize that I enjoy working in environments that are very relaxed with high autonomy and minimal/no supervision. I like to work at my own pace. I do not like late hours or call. I do not like rounding on patients for hours. I also don't really desire to clinically manage or treat patients, particularly patients with chronic, unremitting conditions. I like seeing immediate results in treatment, or otherwise. I thoroughly enjoy researching and ultimately finding a diagnosis based on the clinical information, recommending a treatment plan, but not particulary providing the treatment. I enjoy reading, and prefer to read rather than see patients. I find that I am really good at memorizing diagnostic criteria and treatment for many disease processes. I also love to teach; I've felt very gratified helping other med students and residents when they have questions. I do not like diagnostic ambiguity. I find that my happiest days are when I am free to do my work in a quiet space without someone hovering over me or constantly critiquing my performance. In addition, I am more of a solo flyer, and prefer independent duties rather than team related jobs. Mind you, I do not have an issue working with people. Most people say I am quite friendly, sociable, and laid back. Nevertheless, I avoid certain personalities and environments that I've come across in certain specialties, which is why I've eliminated surgical residency. Moreover, I want regular 9-5 hours, preferably 4-5 day work weeks. I am a pretty confident and self motivated person, yet very laid back; I want a practice where I am in control and I am my own boss. Based on an assessment I took, I am best suited for derm, psych, path, and radiology. Does anyone have any advice/assessments about any of these specialties? Are there any other specialties I should consider? Are there any other resources I should look into for making my final decision? Thank you for your time.
 
Hello All. I am posting this thread within Psych because I have a certain admiration for psych docs' abilities to be analytical, non-judgmental, and provide good advice. That being stated, I'll get to the point.
I am in my transitional year in medicine and am having a bit of a problem choosing a specialty. I have been reading Brian Freeman's book "The Ultimate Guide to Choosing a Medical Specialty," taking personal personality assessments, and overall taking time to be completely honest and accepting of my strengths and my weakness.
So about me- I am a highly independent, self-motivated, and studious person. I have done well in every specialty, but I am not interested in all of them. I realize that I enjoy working in environments that are very relaxed with high autonomy and minimal/no supervision. I like to work at my own pace. I do not like late hours or call. I do not like rounding on patients for hours. I also don't really desire to clinically manage or treat patients, particularly patients with chronic, unremitting conditions. I like seeing immediate results in treatment, or otherwise. I thoroughly enjoy researching and ultimately finding a diagnosis based on the clinical information, recommending a treatment plan, but not particulary providing the treatment. I enjoy reading, and prefer to read rather than see patients. I find that I am really good at memorizing diagnostic criteria and treatment for many disease processes. I also love to teach; I've felt very gratified helping other med students and residents when they have questions. I do not like diagnostic ambiguity. I find that my happiest days are when I am free to do my work in a quiet space without someone hovering over me or constantly critiquing my performance. In addition, I am more of a solo flyer, and prefer independent duties rather than team related jobs. Mind you, I do not have an issue working with people. Most people say I am quite friendly, sociable, and laid back. Nevertheless, I avoid certain personalities and environments that I've come across in certain specialties, which is why I've eliminated surgical residency. Moreover, I want regular 9-5 hours, preferably 4-5 day work weeks. I am a pretty confident and self motivated person, yet very laid back; I want a practice where I am in control and I am my own boss. Based on an assessment I took, I am best suited for derm, psych, path, and radiology. Does anyone have any advice/assessments about any of these specialties? Are there any other specialties I should consider? Are there any other resources I should look into for making my final decision? Thank you for your time.

The two sections of your preferences that I highlighted occur frequently in psych. Pharmacologically speaking, most psychotropics do not lend themselves to "immediate" results. Second, psych disorders can be long standing chronic conditions for many people. Medications can help, but patient compliance with psychotropics is often poor (due to side effects) and relapses and symptom recurrence are common in chronic conditions. Lastly, diagnostic ambiguity is also quite prevalent in psych. Because psych diagnoses are ALL syndromes (no biologic markers), and are on a continuum of severity and deviation from "normality," the diagnoses themselves are very different animals in comparison to many other medical disorders. Forensic psych and C/L psych is good option for those who enjoy the assessment and diagnostic work, but not so much treatment implementation. Otherwise, most inpatient and outpatient psych work consists of both. And you will be required to do both aspect during residency.
 
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