Ophthalmology or OBGYN- plz help

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soonmd1

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Hey Guys,
Here's the deal- involved with both ophtho and OB since first year, have been involved in woman's clinics but also ophtho research. Its time to make a decision and I still can't. Passionate about the subject matter in both fields!

Ophtho
Pros:
-helping people see!
-surgical, medical mix
-very specialized, no one can do what we do
-very visually oriented
-awesome lifestyle, plenty of time for outside interests

Cons:
-very specialized- potentially could get repetitive
-losing connection with the rest of medicine
-surgeries are very important, but not life and death
-a lifetime of people getting you confused as an optometrist
-optometrists

OBGYN
pros
-delivering babies!
- medical, surgical mix
-plenty of areas to subspecialize in (especially looking at mfm)
-specialty less likely to be threatened by mid-level providers
-real, open abdomen, blood and gore surgeries
-less specialized, but still have a specialist niche
-most of medical school does not seem irrelevant with OBGYN

cons
-life style life style life style ( although it could be more controlled in a large group)
- very malignant residency
-longer time to specialize
- areas you are dealing with not as, for lack of a better word, 'clean' as ophtho
- have to deal with more social issues
-malpractice

I am obviously not experienced enough to see the bigger picture in this situation. All the advice I have heard says I can't go wrong with either specialty. I could really use some advice, especially since I don't really have a clear idea about real world practice. I am going to post this on the OB forum too.

Thank you!!

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Seems like you like OB a bit more, minus the lifestyle. Ask yourself the following questions:

- Do you like microsurgery or macrosurgery more?

- Would you be happy looking at eyeballs all day?

- Do you like admitting and seeing patients in the hospital?

- Do you like to be in a super specialized field like ophtho where you are basically a consultant or do you like doing a bit of primary care?

To me these are the biggest differences between the two fields. In ophthalmology we obviously perform microsurgery, deal with eyes all day, rarely admit patients and rarely do inpatient consults (outside of residency), and don't do things like adjust a patient's blood pressure meds.

If you like blood and guts surgery and like being responsible for a patient's broader medical needs, then ophtho probably isn't right for you.

Hope this helps.
 
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