What specialty would you have gone into? Would you have even chosen to go to medical school?
My username says it all...
I don't see how you're satisfied in derm if you loved neurosurgery. The specialties seem like polar opposites in almost every way.
I would have chosen a specialty that made me
smarter, taller, more eloquent in social situations, grow fur, learn to speak Spanish and a variety of other languages like Swahili, a better team player, qualified to host a game show in Arabic, think like a butterfly and sting like a flea, have shiny teeth and healthy gums, become alcohol intolerant on Tuesdays and Thursdays, capable of flight, a fantastic badminton player, proficient in figurine design and manipulation, a competent but much unloved magician, a whale rider, a taco vendor, a sales rep. for Payless Shoe Source, a finless dolphin, a dolphinless fin, an unencumbered B movie actress, a Quaalude addict on the path to recovery, a post-supernova galaxy, a differential equation, better than gravity, the originator of nanotechnological circuitry that restores hearing to deaf children, humble to the point of exhaustion, prideful to the point of exuberance, painfully literate, an expert on nostalgia, a turnip made of diamonds, an overripe orange, a car salesman with a penchant for forgery, a Saturday morning cartoon, a laser-guided missile, a 3rd grade teacher who has given his first F and feels bad about it, a Jeopardy champion, a Wheel of Fortune runner up, a broken dictation machine that consistently omits the word oblong from sentences, a blind airline pilot who senses aircraft directionality using his heightened ability to detect minute fluctuations in the electromagnetic spectrum, a horse whisperer, a frog shouter, and an expert on Thai-infused New Orleans Cuisine.
How's that manic episode working out for ya?
...a Jeopardy champion, a Wheel of Fortune runner up...
If you are a sadist, I would also recommend REI, but in my opinion, it's not worth being abused for 4 years in an OB residency to obtain.