- Joined
- Dec 7, 2016
- Messages
- 653
- Reaction score
- 1,591
Right now I'm set up for two different paths. I went to an MSTP program fully intending to go into IM, subspecialize, start a lab, and try to create something worth translating. However, over the course of my PhD I happened to make some amazing surgical contacts and published work relevant to the surgical and medical counterparts of a particular field. Now I'm at a cross-roads between going into surgery or IM.
I've liked nearly every rotation. I loved the in-depth discussion of diagnosis and management of IM and the close bond l formed with my patients, both of which are notably lacking from surgery. However, I also feel the OR is a magical place, and I think I may feel left out of the action if I choose IM. I'm also extremely wary of the long and difficult training pathway associated with academic surgery (likely 7 years residency + 2-3 years fellowship). I wonder if taking on another long, high-intensity training program is outright masochistic, especially since this time around I'll be doing it with a family. I also worry that the very algorithmic nature of medicine and the rise of AI will make any non-surgical specialty somewhat boring to practice in 20-30 years.
My application for both specialties is strong (H in all rotations, multiple first author papers in decent journals, NIH fellowship, etc...), however, my general surgery application would undoubtedly be stronger than my IM/PSTP application. I have close contacts with some extremely well-known people in surgery as well as research and translational activity that likely stands out as extremely unique for surgical applicants. For PSTP, I don't have a CNS paper and I have almost no contacts in IM/subspecialties. FWIW, my med school is mid-tier. Given I like both specialties clinically, and given my career goals are focused around things that require a lot of clout (e.g., academics, research, pharma/biotech collaboration, translation), being able to match at a higher tier residency isn't something I should completely ignore when making these decisions.
Just looking for general thoughts, especially from people who've been in this position. As an MD/PhD, I want to learn everything and do everything. The thought of leaving something behind and never developing a skill set (broad knowledge base/deep patient connections vs. surgical skill/excitement of the OR) is distressing. How does one go about pruning away pieces of a career?
I realize this is a bit of a ramble and definitely "first world problems" when it comes to a medical career. Thank you all in advance.
I've liked nearly every rotation. I loved the in-depth discussion of diagnosis and management of IM and the close bond l formed with my patients, both of which are notably lacking from surgery. However, I also feel the OR is a magical place, and I think I may feel left out of the action if I choose IM. I'm also extremely wary of the long and difficult training pathway associated with academic surgery (likely 7 years residency + 2-3 years fellowship). I wonder if taking on another long, high-intensity training program is outright masochistic, especially since this time around I'll be doing it with a family. I also worry that the very algorithmic nature of medicine and the rise of AI will make any non-surgical specialty somewhat boring to practice in 20-30 years.
My application for both specialties is strong (H in all rotations, multiple first author papers in decent journals, NIH fellowship, etc...), however, my general surgery application would undoubtedly be stronger than my IM/PSTP application. I have close contacts with some extremely well-known people in surgery as well as research and translational activity that likely stands out as extremely unique for surgical applicants. For PSTP, I don't have a CNS paper and I have almost no contacts in IM/subspecialties. FWIW, my med school is mid-tier. Given I like both specialties clinically, and given my career goals are focused around things that require a lot of clout (e.g., academics, research, pharma/biotech collaboration, translation), being able to match at a higher tier residency isn't something I should completely ignore when making these decisions.
Just looking for general thoughts, especially from people who've been in this position. As an MD/PhD, I want to learn everything and do everything. The thought of leaving something behind and never developing a skill set (broad knowledge base/deep patient connections vs. surgical skill/excitement of the OR) is distressing. How does one go about pruning away pieces of a career?
I realize this is a bit of a ramble and definitely "first world problems" when it comes to a medical career. Thank you all in advance.