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I'm curious to know how many of those people would have also said that they're interested in/considering non-surgical specialties too. My guess is the number would be pretty high, making the results much less dramatic.
For contrast, we had about 40 people show up to our first internal medicine interest group meeting vs. the 120 people that showed up to the surgical interest group. Maybe that says something about the gunner tendencies of each group, but whatever.
29 people matched to surgical specialties (less if you don't consider ophtho a surgical specialty), 52 matched to categorical IM, IM/EM, or IM/peds.
My point is that most M1s have no idea what they want to do and have no real idea of what each specialty entails. Of course there are exceptions, but I thought my anecdote supports that.
For example: I had no real clue what otolaryngology was like. I just liked the basic science of it, and liked the idea of a "combined" specialty (which it really isn't). My list of top 5 specialties as an M1 was: ENT, neurology (lol), gen IM (lol), anesthesiology, pulm/cc. As an M4, it would have been: ENT, vascular, gen surg...everything else.