Hi, I'm hoping some current residents can chime in on their experiences...here's the deal: I'm just starting my fourth year and have no idea what I want to do. I'm curious what residencies will be LEAST like my IM rotations. I don't think I'm a very competitive applicant due to my horrible step 1 score. Everything else in my app is average. HP on every rotation (we have a P-HP-H system). I think I'll do really well on interviews. The only rotation I have really disliked is IM--I hate managing chronic illnesses and disease states (particularly ones caused by obesity, smoking, alcohol, poor diet, etc--preventable things). I hate doing H&P's because I am overly thorough to a fault....I dislike spending a lot of time writing long notes. I LOVE procedures--really enjoyed my time in the OR, especially the minor things they let me do on my own like draining abscesses, etc. The highlight of my third year was doing a paracentesis. I was pretty excited when I got my first ABG, too. LOVED my OB/Gyn rotation--favorite parts were the uncomplicated vag deliveries and lap surgeries. But I also loved following the baby after delivery and performing the newborn exams. Really enjoyed my Psych rotation, too. Favorite part was ECT (the closest thing I could get to a procedure!). I plan to start a family during/after residency and medicine will not be my life--my family will. Ideally I would like to work part time. So based on that I have cut out gen surgery and OB as options due to the schedules and call. Kinda unfortunate b/c I really like OB. I have prior experience working in an ER and I was an EMT, so I know I would enjoy EM as well. At this point I would honestly be equally happy if I matched into anything but IM or anesthesiology (pharm, physio, and math are not my strengths, nor do I enjoy them). I would really like derm and rads, too, but step 1 won't help there. I'm thinking my only hope due to my step 1 score is FM, but I'm afraid the residency will be similar to what I've experienced on my IM rotations. Aside from the addition of peds, how similiar/different is an FM vs IM residency? Oh, and I'm a DO student, so the AOA match is an option for me. I thought about a traditional rotating internship, too, but I don't want to tack an extra year on to residency and would prefer not to have to go through the match twice. I would love some advice!!!! Thanks everyone!