Yes, you have 3 options for surgical specialites in OB/GYN but that
will be an ADDITIONAL
THREE or more years of a grueling fellowship (Gyn-Onc, REI, etc.) after an already demanding ob/gyn residency.
That's a total of
SEVEN more years of a residency salary and capitalization of the interest on your student loans (assuming you have govt loans which can no longer be deferred because of George Dubya's Bill, but must go into FORBEARANCE).
Yes some OB/GYN programs may work only 50hours/week (not sure how that's possible as there's A LOT of procedures to learn), but even if
dermatology was the same 50 hours/week, in dermatology you usually
are doing only consultations and outpatient clinic without carrying an inpatient service, so it will be less stressful and you'll have more time
to study for your Derm Boards and again
more time with your precious family.
You already are a PGY-1 and only have
3 more years of dermatology residency then you can finally be an attending, provide more for your family financially, and start paying off your loans! I have plenty of friends in Dermatology, who thought what you did during their intern year, but stuck through it and were HAPPY they did.
Our own OB/GYN Clerkship Director in medical school told us on our first day of the rotation: ".
About 85% of all practicing obstetricians have been sued for bad outcomes associated with pregnancy; literally hundreds of millions of dollars have changed hands." .
Yes, there's still malpractice in Dermatology but probably not at this extent that you would experience in Ob/gyn. And if you decided to not to ob and just do Gyn-Onc, again it's 3 more years after 4 years of ob/gyn residency!!!!
Please save your sanity and your relationship with your spouse and family and stay in dermatology.
Again this is
your decision but I personally think you should give Dermatology a chance next year as a PGY-2 since you worked so hard to get that very competitive spot.