Switching into OB from IM - Success Stories

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

medstudent0786

Full Member
Joined
Mar 20, 2020
Messages
21
Reaction score
0
Hi all,

Just wanting advice and inspiration from those who switched into OB after PGY-1 in IM (or any other speciality).

I know I should confide in my PD, and keep a look out for off cycle positions on CREOG.

Any success stories out there?

Members don't see this ad.
 
Members don't see this ad :)
ERAS. I think it’ll be hard to find an off cycle position given how competitive the field has become. I think you have to bite the bullet and reapply. It is also unlikely your IM experience will count towards any OB time. So you’ll have to be an intern again.
 
  • Like
Reactions: 1 user
ERAS. I think it’ll be hard to find an off cycle position given how competitive the field has become. I think you have to bite the bullet and reapply. It is also unlikely your IM experience will count towards any OB time. So you’ll have to be an intern again.

I don’t mind being an intern again. My only hesitation is the fact that I’ll be a third time applicant.

I didn’t MATCH the first time (only applied to Ob) because was my application was late and I didn’t get many interviews.

The second time, I applied to both Ob and IM, and got many interviews, but didn’t match Ob.

This will be my third time applying to Ob, so just wondering how my application will be viewed.
 
I honestly am not sure if ERAS shows how many times you’ve applied I don’t look that closely at applications. I also don’t think PDs remember which applicants have crossed their paths before but some might but what I am sure of is that your previous applications will come up. You can spin it as a positive as some who is so committed to the field they keep reapplying. What exactly is your draw to OB ? You can do a lot of women’s health in IM, there is a fellowship for it and you can have a very productive career through that. If you want more specifics about my switch you can PM(?DM)
 
  • Like
Reactions: 1 users
I honestly am not sure if ERAS shows how many times you’ve applied I don’t look that closely at applications. I also don’t think PDs remember which applicants have crossed their paths before but some might but what I am sure of is that your previous applications will come up. You can spin it as a positive as some who is so committed to the field they keep reapplying. What exactly is your draw to OB ? You can do a lot of women’s health in IM, there is a fellowship for it and you can have a very productive career through that. If you want more specifics about my switch you can PM(?DM)

Thank you so much for your advice!

Also, because I’m new, I don’t know how or even if I can PM you! Let me figure that part out.

My draw to Ob is the surgical aspect, and women’s health. I’ve always been fascinated with the reproductive system, complex cases with clinical and surgical challenges. the opportunity for social intervention and advocating for women, etc.
 
I think if you are interested in surgery other than csections OBgyn May not be the best option. To do any sort of meaningful volume of surgery in practice you pretty much have to do a fellowship in FPMRS, onc or MIGS all of which are more competitive than obgyn residency or resign yourself to practice in rural areas. In cities with an abundance of subspecialists it is becoming less common for generalists to do these cases and it will become less and less appropriate for generalists to be doing major surgery. The other components that draw you to obgyn you can get via a women’s health fellowship as I mentioned earlier
 
  • Like
Reactions: 1 user
ERAS. I think it’ll be hard to find an off cycle position given how competitive the field has become. I think you have to bite the bullet and reapply. It is also unlikely your IM experience will count towards any OB time. So you’ll have to be an intern again.


Can you give some info as far as your application type? US MD/US DO/US IMG/nonUS IMG? Scores? How many interviews did you have and what did you do from 1 year to the next to better your application?
 
Can you give some info as far as your application type? US MD/US DO/US IMG/nonUS IMG? Scores? How many interviews did you have and what did you do from 1 year to the next to better your application?

I was US MD, from top 25 school with scores in 250s and was switching from substantially more competitive specialty. Had letters from my attendings and PD and no OB letters. Met with PD in my institution before applying
 
  • Like
Reactions: 1 user
I think if you are interested in surgery other than csections OBgyn May not be the best option. To do any sort of meaningful volume of surgery in practice you pretty much have to do a fellowship in FPMRS, onc or MIGS all of which are more competitive than obgyn residency or resign yourself to practice in rural areas. In cities with an abundance of subspecialists it is becoming less common for generalists to do these cases and it will become less and less appropriate for generalists to be doing major surgery. The other components that draw you to obgyn you can get via a women’s health fellowship as I mentioned earlier

If someone is interested in the intersection of women's health and surgery, are there other residencies that are better for this besides taking a chance on the gyn fellowships?
 
If someone is interested in the intersection of women's health and surgery, are there other residencies that are better for this besides taking a chance on the gyn fellowships?

yes. literally any surgical specialty. Urology: there are substantial outcome differences in women and men with bladder cancer who undergo cystectomies (though in urology doing female/male recon or onco on any meaningful level usually but not always requires a fellowship, certainly not to same degree as in gyn especially if you’re not in big cities, also Uro fellowships not Nearly as competitive as gyn because you can still do vast majority of urologic surgery and make a crap ton of money as a general urologist ). Stones In pregnancy Ortho: osteoporosis affects more men than women, not sure how that breaks down in terms of rates of fracture and what you see in office but still some relevance. Gen surgery/trauma/GS sub different outcomes in men and women, and breast surgery is the Most obvious intersection.

I mean if you’re specifically interested in disorders of the female reproductive and urinary tracts gyn and then maybe some uro. If you are more interested in advocacy/social justice obgyn is really the only option but Even people who focus on that don’t do that much operating and usually function as generalists (Family planning fellowship trained people included.
You have to decide the focus of your career. I chose obgyn because I wanted to do gyn onc really no way to do that through another specialty, switched to urogyn because I like research in the field, patient population and don’t have to live in the hospital, now realize would have been just as happy as a urologist because I just like the GU tract.
Figure out what body system you like and then look at the intersection of that and women’s health, you’ll find it.
if you’re more interested in social justice then then oath of least resistance is honestly FM/IM and a women’s health felowship
 
  • Like
Reactions: 1 user
yes. literally any surgical specialty. Urology: there are substantial outcome differences in women and men with bladder cancer who undergo cystectomies (though in urology doing female/male recon or onco on any meaningful level usually but not always requires a fellowship, certainly not to same degree as in gyn especially if you’re not in big cities, also Uro fellowships not Nearly as competitive as gyn because you can still do vast majority of urologic surgery and make a crap ton of money as a general urologist ). Stones In pregnancy Ortho: osteoporosis affects more men than women, not sure how that breaks down in terms of rates of fracture and what you see in office but still some relevance. Gen surgery/trauma/GS sub different outcomes in men and women, and breast surgery is the Most obvious intersection.

I mean if you’re specifically interested in disorders of the female reproductive and urinary tracts gyn and then maybe some uro. If you are more interested in advocacy/social justice obgyn is really the only option but Even people who focus on that don’t do that much operating and usually function as generalists (Family planning fellowship trained people included.
You have to decide the focus of your career. I chose obgyn because I wanted to do gyn onc really no way to do that through another specialty, switched to urogyn because I like research in the field, patient population and don’t have to live in the hospital, now realize would have been just as happy as a urologist because I just like the GU tract.
Figure out what body system you like and then look at the intersection of that and women’s health, you’ll find it.
if you’re more interested in social justice then then oath of least resistance is honestly FM/IM and a women’s health felowship

Thanks, this is super helpful.
 
Top