Need help deciding on specialty (MS4)

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504196

Hey everyone. Another I'm confused what to do with my life post. Goin into rotations I thought I'd end up in psych or fam med. Gen surg was my first rotation and found out I loved being in the OR. I have fourth year set up for gen surg but I'm having second thoughts:

Gen Surg: I love being in the OR and doing procedures. I love that gen surg involves medicine, critical care, and the chance to sub-specialize after 5-7 years if you want to. I enjoy how surgery is a skill that requires diligence and practice. And it just feels awesome to know that I could do surgery as a career someday. I don't mind the early morning and long hours at this point in my life but I was getting pretty burnt out with school overall at the end of third year d/t rotations and shelf exams which made me second guess how much of my life I want to devote to medicine. And of course I always hear surgeons say if you're happy doing anything else other than surgery then choose that. I've also heard that the enjoyment of surgery wears off after many years. I also am single right now and want to get married and have kids. I also have hobbies of reading, writing, lifting a few times a week ect that I'd like to keep going. Maybe even develop new hobbies.

Psych: I've always enjoyed neuroscience and psychology. I was an english lit and bio major and love hearing pts life stories. When I did my psych rotation I really enjoyed it. I had a really interesting case that I submitted for a case report. I enjoyed talking to ppl and feel that I am a good listener and am good at reading people and adjusting my personality to develop report with pts. And the hours were awesome. I didn't interact with too many of the psychotic/"difficult" patients which I heard can be challenging. I also at times got a little bored but it wasn't too bad. I guess nothing can really top the thrill of being in the OR. Also I enjoy medicine and worry that psychiatry will not be a lot of medicine. But there's a lot about psych that I find interesting especially mindfulness and how it can help treat certain disorders. And the idea of having much more free time with psych is beginning to be more appealing. I was all gung ho about the long hours of surgery and how I can handle it but now that I'm burnt out at the end of third year and trying to think about my future and I'm questioning how much I want to commit to work. Or maybe I'm just burnt out and will be fine after a little break I have at the end of May.

I did IM and enjoyed it and the flexibility and chance to subspecialize but three years of IM does not sound too appealing. EM was cool but I want more involvement with pts. Hated clinic and while family med is noble I definitely could not do it. Haven't done anesthesia but heard it's fun to do short procedures however time with patients is limited. Haven't done radiology and it has a great lifestyle but again I think I'd like to see pts more often.

Anyways I know the decision is up to me but just wanted to hear everyone's thoughts.
 
I also loved my gen surg rotation and seriously contemplated about switching into surgery (my 4th year is set up for medicine currently.)

But I realized that my desire for professional achievement only went so far and I couldn't give up living my life for it. I want to have kids soon and also spend time with my aging parents. Also, I feel like I could do any specialty and not hate it so I don't mind giving up surgery in that regard.

I would say though that if i literally gagged at the thought of doing anything besides surgery and couldn't imagine doing anything else, I would stick to surgeyr.
 
Hey everyone. Another I'm confused what to do with my life post. Goin into rotations I thought I'd end up in psych or fam med. Gen surg was my first rotation and found out I loved being in the OR. I have fourth year set up for gen surg but I'm having second thoughts:

Gen Surg: I love being in the OR and doing procedures. I love that gen surg involves medicine, critical care, and the chance to sub-specialize after 5-7 years if you want to. I enjoy how surgery is a skill that requires diligence and practice. And it just feels awesome to know that I could do surgery as a career someday. I don't mind the early morning and long hours at this point in my life but I was getting pretty burnt out with school overall at the end of third year d/t rotations and shelf exams which made me second guess how much of my life I want to devote to medicine. And of course I always hear surgeons say if you're happy doing anything else other than surgery then choose that. I've also heard that the enjoyment of surgery wears off after many years. I also am single right now and want to get married and have kids. I also have hobbies of reading, writing, lifting a few times a week ect that I'd like to keep going. Maybe even develop new hobbies.

Psych: I've always enjoyed neuroscience and psychology. I was an english lit and bio major and love hearing pts life stories. When I did my psych rotation I really enjoyed it. I had a really interesting case that I submitted for a case report. I enjoyed talking to ppl and feel that I am a good listener and am good at reading people and adjusting my personality to develop report with pts. And the hours were awesome. I didn't interact with too many of the psychotic/"difficult" patients which I heard can be challenging. I also at times got a little bored but it wasn't too bad. I guess nothing can really top the thrill of being in the OR. Also I enjoy medicine and worry that psychiatry will not be a lot of medicine. But there's a lot about psych that I find interesting especially mindfulness and how it can help treat certain disorders. And the idea of having much more free time with psych is beginning to be more appealing. I was all gung ho about the long hours of surgery and how I can handle it but now that I'm burnt out at the end of third year and trying to think about my future and I'm questioning how much I want to commit to work. Or maybe I'm just burnt out and will be fine after a little break I have at the end of May.

I did IM and enjoyed it and the flexibility and chance to subspecialize but three years of IM does not sound too appealing. EM was cool but I want more involvement with pts. Hated clinic and while family med is noble I definitely could not do it. Haven't done anesthesia but heard it's fun to do short procedures however time with patients is limited. Haven't done radiology and it has a great lifestyle but again I think I'd like to see pts more often.

Anyways I know the decision is up to me but just wanted to hear everyone's thoughts.

Sounds like you really enjoy gen surg, but are just a little burned out. See how you feel after taking your break.
 
If you like the OR, have you tried anesthesiology?
 
Not many surgeons choose between gen surg and psych. They choose between gen surg and surgical subs/IR/GI/Cards/Pulm-critcare and more rarely anesthesia/EM. Just based on the fact you are down to those two options if I were you I'd choose psych.
 
Sounds like you enjoyed surgery the most. However, if you also enjoy psych and think you could be happy doing it, I would give it serious consideration as well, especially lifestyle is important to you.

You said you have 4th year set up for surg, are you doing a surgical sub-I? I would try to schedule a psych elective sometime this summer and compare that to a surgery sub-I.

This is super clichè, but I guess it's repeated for a reason: is the OR your favorite place in the world or in the hospital?
 
thanks everyone for all the responses. Have not done anesthesia yet but I do enjoy talking to patients and helping them solve problems which is why psych is very appealing. I also found out today that I was accepted for an away in psych in a part of the country that I really want to live so that may sway my decision as well. Maybe I'll just do my surgery electives in June and July and do the psych away in August and make my decision then...
 
A surgical subspecialty might suit you just fine. You can get plenty of face time with patients and long-term continuity of care in something like plastics, for example. Or vascular.
 
Don't do surgery. Sounds like you are already burnt out and surgical residency will only make this worse.

I suspect you liked surgery because it was your first rotation, not because it's such a good fit.

Imagine 100+ hour work weeks for the next 7 years... still want to do it?

Go with something else. Maybe psych?
 
Do Surgery and subspecialize if you'd like and don't listen to the outside noise.
 
Working with severe and pervasive mental illness you will have to stay up to date with general medicine, due to the nature of the demographic and the drugs used to treat them. Don’t write off psych because it seems “easy”.
 
I truly cannot say this enough, but only do surgery if you can't see yourself doing anything else. Especially general slavery surgery. The road is truly painful and you will make concessions in ways you never thought. But if you're all in, then welcome to the club and let's get working. Cheers.
 
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