I am a current 3rd year internal medicine resident at a southern california residency. I have no idea what I am going to do after I finish. There are no particular fellowships that excite me. I just keep remembering that as a medical student I had always thought about doing family practice. Then somewhere in my fourth year, I kept hearing that since family medicine and intenal medicine are the same thing - why don't you just do internal medicine. So I ended up matching in internal medicine. Then as an intern, I tried to switch to family medicine - however my ego (won't get as respected in family medicine and its the same thing anyway) got in the way and I ended up staying in internal medicine. Now I am desperately unhappy and I wake up EVERY MORNING wishing I had done family medicine (because my deep down gut had always said so). For example, I always saw myself working as a kaiser family practice doc. I hate kaiser internal medicine because all they have you see is patients >65. Kaiser family practice is so much easier, fun, and nicer - you see a lot younger patients and a lot more preventive medicine type exams. I like to see younger patients (less than 65). I like seeing kids - but just once in a while just to keep me fresh. Someone please help me - i just don't know what to do from here.