All right, here I am, a fourth year med student, deciding which specialty to go into. Its going to be rads or derm--admittedly a win-win situation--but I am quite torn! Here are my personal pros and cons. Yes, I know some of these would be different for other people. Pros of radiology: lots of high-tech (math & physics & computer science), lots of interesting & potentially high-impact research opportunities, good lifestyle & salary. Summary of pros: mentally challenging & great income. Cons of radiology: cold dark gray-scale rooms, isolation, no patient contact. Summary of cons: I don't want to spend my life sitting alone in a cold room looking at b&w images. Pros of dermatology: good patient population, bright & colorful, many interesting disease processes, good lifestyle & salary. Summary of pros: lots of fun in general. Cons of dermatology: fewer high-tech opportunities, fewer "big-impact" research problems to solve, lower salary than radiology (though still plenty good). Summary of cons: I don't want to end up healing the already healthy. So: anyone have suggestions to help me make the choice between the two?? No flame wars please!