Taking the Plunge

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digitlnoize

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Hello all,

I'm a 3rd year DO student trying to pick a specialty. My goal, if possible is to have my own practice, if possible, in whatever specialty I choose. Money is less important to me than the freedom to do things the way I want, although I'd be open to a nice group practice.

I have a few problems and would like some feedback/thoughts:

1. I found my FM rotation...challenging. The depth and breadth of knowledge required to do FM well seems much more difficult to me than knowing one organ system well. Is this a skill that gets easier with time and more training? I was working with docs who'd been in practice for 20+ years, and they just seemed so much better than I could imagine being. My guess is that this is a common feeling, and I don't want to rule out FM based on this alone, but it's still very daunting.

2. I didn't like the little kids that much. I haven't done Peds yet, but dealing with the little seems very draining to me. Especially when they're screaming, mom brought both siblings, and everyone is fighting to be heard. I've heard it's pretty easy to limit your practice to say, 10yo and up, but how feasible is that in practice.

3. I enjoyed my psych rotation a bit too much. Also, I'm "old" (32 now) and I like the idea of the lower overhead and easier/faster startup for a psych private practice. How difficult would it be to build something from the ground up at my age? Would I be retiring before the practice became profitable? Should I give up this dream now?

4. A classmate of mine also used to be interested in FM, but said of her rotation, "I feel like I had to send my patients to other doctors to get their problems fixed/diagnosed." For example, FM doc hears a murmur, sends the patient to the cardiologist to find out what it is. I don't fully agree, but I wanted to hear some other thoughts...

Thanks for the feedback gang, you've always been very helpful.
 
I was working with docs who'd been in practice for 20+ years, and they just seemed so much better than I could imagine being. My guess is that this is a common feeling

Not only common, but normal and expected.

I didn't like the little kids that much. I haven't done Peds yet

That's probably part of the problem. You'll likely be a lot more comfortable seeing kids once you have more experience, although whether you learn to truly enjoy that aspect of practice is something else. Fortunately, it's usually possible to tailor a practice to the things you do enjoy.

I enjoyed my psych rotation a bit too much. Also, I'm "old" (32 now) and I like the idea of the lower overhead and easier/faster startup for a psych private practice.

I think it would be difficult for an FP to successfully practice psych exclusively without being boarded (there are dual FM-psych programs out there).

A classmate of mine also used to be interested in FM, but said of her rotation, "I feel like I had to send my patients to other doctors to get their problems fixed/diagnosed."

I rarely refer patients for diagnosis. Most of my referrals are for procedures.
 
I think it would be difficult for an FP to successfully practice psych exclusively without being boarded (there are dual FM-psych programs out there).

Sorry, I should have been more clear. I meant that I'm considering doing Psych instead of FM...

Thanks for the responses though!
 
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