OBGYN vs. IM please help!

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

gordyfish41

New Member
Advertisement - Members don't see this ad
Hello everyone! I have been going crazy over this decision and would really appreciate your guys’ help.

Im a 4th yr DO (F) preparing for boards rn (Step 1 P, planning on taking Step 2). Fell in love with my IM rotation last Fall and was sold (or so I thought). I was alr liking some more of the procedural aspects of other rotations later on, but had OBGYN 2 mo ago and am utterly confused. I love everything gyn even the surgeries and am not the type of person who is afraid to jump in to help. A lot of my med school experiences involve advocating and raising awareness for marginalized communities and women experiencing SA, things Im truly passionate about. One of my school requirements is a rural rotation and it ended up being an OBGYN outpt rotation so I have been on that for 2 months; it’s the only outpt i actually like. However, I am not in love with OB, even though deliveries were cool and I did found myself tearing up, OB f/u visits and just OB in general felt more like manual labor than practicing medicine. Also the lifestyle seems strenuous. I want to be able to have somewhat of a balanced lifestyle and am scared my body wont keep up with OBGYN esp in residency. And I dont want to sell my soul to be on call to deliver babies. I was told that I could have whatever life I wanted in OBGYN after residency including part-time, but I am just not sure what to do.

What I love about IM is that it challenges me and I feel like im helping actual sick people, and I am interested in some of the specialties as well (heme/onc, pcc, endo). The lifestyle seems awesome 7on7off, Id have time to do the things I care about (working out, have a family etc), but am also worried about the 6 years potentially including fellowship. The best of both worlds would be these IM women’s health focused tracks but there are only a few and at more prestigious programs and idk how attainable that would be.

I have all my auditions scheduled in IM and subspecialties and idk how I would even get OBGYN auditions atp (I had applied to a couple when I thought I might do it, but didnt hear back). My attending said she can get me an audition at a prestigious program but that is only 1 and Im not sure if that is fine for my odds of matching if I decide to apply. I passed with honors the comat though. I feel like I cant know for sure what specialty until I do my IM audition in July-Aug bc it has been so long since I have experienced it, but thats cutting it so close!

For additional context I am planning on couples matching with a US MD (IM) hoping to stay on the East coast.

Wanted to ask if anyone had any insight on choosing a specialty?
What are my odds of matching OBGYN if I did end up pursuing it and boards go well?
Any other advice/recommendations?

Thanks in advance!