The 3 questions for residents and attendings!!

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drivesmecraazee

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1- Which is your speciality?

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

🙂

p.D: excuse my english!!
 
1. General Surgery, Vascular Surgery

2. Internal Medicine (for either Cardiology or Gastroenterology), Diagnostic Radiology (only for Interventional Radiology), OB/GYN (only for GYN Oncology)

(And the following is not to ignite a flame throwing match with anyone, but the OP asked for reasons why)

3. Emergency Medicine -- A first year med student "rotation" in EM ruined it for me when I went to our county hospital in New York City, one of the busiest such EDs in these parts, and found most of what EM docs did, IN MY OPINION, was: 1) triage and consult everyone in the house, 2) dealt with too many chronic issues that were chronically ignored (i.e., the acute care specialists were doing more urgent management of chronic crap gone wrong), 3) dealt with too many patients who never went to their PMDs and thus landed in the ED, 4) babysat patients in the ED just waiting for the primary team to scoop them up and admit the patient, 5) and never got to see what happened to the patients after being admitted (not that any of them ever seem to care). I went into the rotation wanting to like it, thinking that's real medicine. "Jack of all trades." Could do a little bit of everything as an EM doc, I thought, but found that to be inaccurate for me. At my county hospital the EM guys were involved in the trauma resuscitations in the slot, but the Trauma Surgeons were always called and either always muscled in or just took the patient up to the OR. So it seemed to me wholly unsatisfying.

Pediatrics -- Pretty self-explanatory, I think. Dealing with parents of sick kids is a big, BIG turn off.
 
Castro Viejo said:
3. Emergency Medicine -- A first year med student "rotation" in EM ruined it for me when I went to our county hospital in New York City, one of the busiest such EDs in these parts, and found most of what EM docs did, IN MY OPINION, was: 1) triage and consult everyone in the house, 2) dealt with too many chronic issues that were chronically ignored (i.e., the acute care specialists were doing more urgent management of chronic crap gone wrong), 3) dealt with too many patients who never went to their PMDs and thus landed in the ED, 4) babysat patients in the ED just waiting for the primary team to scoop them up and admit the patient, 5) and never got to see what happened to the patients after being admitted (not that any of them ever seem to care). I went into the rotation wanting to like it, thinking that's real medicine. "Jack of all trades." Could do a little bit of everything as an EM doc, I thought, but found that to be inaccurate for me. At my county hospital the EM guys were involved in the trauma resuscitations in the slot, but the Trauma Surgeons were always called and either always muscled in or just took the patient up to the OR. So it seemed to me wholly unsatisfying.

Pediatrics -- Pretty self-explanatory, I think. Dealing with parents of sick kids is a big, BIG turn off.
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Not to get OT here but I have to ask:
NYU, Downstate or Einstein?

And word on the Peds thing. I am a parent and the parents of sick kids drive me nuts. I thought I wanted to do Peds for about 45 minutes at the beginning of my rotation, but my first parent interaction took care of that.
 
drivesmecraazee said:
1- Which is your speciality?

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

🙂

p.D: excuse my english!!
Click to expand...

And now to answer the questions:
1. IM --> Oncology research track

2. Path - Good lifestyle, easy to get back to the lab, decent pay, no rounding
Derm - Why I would want to do it is self-explanatory (phat lewts, sw33t hours and hot babes among others), why I didn't do it is that I tried to write a personal statement about it and nearly sh@t myself laughing at how ridiculous it sounded.

3. Any surgical specialty - Just really not my bag personality and culture-wise. I actually enjoyed being in the OR as a student but while I could do that for 8 weeks, a lifetime of it would have been suicidal.
 
1 Pathology
2 IM
3 OB/Gyn. I am really just not interested in sharing the miracle of life several times a day. The surgeries are kind of gross and they are all on the opposite sex, which made me feel weird. And there is way too much downtime interspersed with emergencies. No free time at all.
 
1. Ortho --- why? because it rocks (rock hands in the air)

2. IM (cardiology, intensive care), radiology (interventional), Gen surg

3.
a. Psychiatry --- too much talking not enough doing
b. OB/Gyn --- all the residents i rotated with where mean, spiteful, and evil. ok, let's just say,(in my best Mos Def voice) "I had a bad experience."
c. Peds --- sick and dying kids make me sad.
 
1. IM --> Pulmonary/Critical Care (soon)

2. General surgery - loved surgery, loved the surgical way of approaching patient care in an interventional fashion, originally matched into gen surg, then realized that: a) I want my life to get much better after training and b) I prefer to be thorough and exhaustive in problem definition, so I switched. No regrets either way. Psych - Always found it very interesting.

3. General outpatient IM (funny thing about that...) - hate begging patients to do what they need to do, prefer immediate results. Pain management - self explanatory.
 
Disclaimer - I am presenting my OWN point of views to answer the OPs question. Please do not get offended. Again these are my OWN point of views.

1-Family Medicine (but planning on doing a second residency in General Surgery after completing by current residency).

2-General Surgery (still alive), Orthopaedics, ENT, Neurosurgery, Interventional Radiology.

3-Internal Medicine (and all its derivatives).:scared:

Internal Medicine = I am NOT the "medicine" type. I am a surgeon at heart😎 I never liked IM, boring attendings, talk talk talk and talk some more with no real action. To me IM is mostly babysitting nursing home patients. Plus I do not like having adults only as patients. Also I hate spending too much time on the floor/wards. And the idea of a "hospitalist" scares the hell out of me. It is just depressing.

And for those of you how are wondering, "then why did you choose FM as a back up" Well:

-FM is more "colorful". You see adults, peds, and Gyn/ob.

-FM training (at least the ones I applied to) involves doing/performing many procedures...Scopes, Vasectomies, tubal ligations, C-sections, skin stuff...

-FM training involves rotations in surgery. At my program (which is procedure heavy) residents first assist on all the surgeries of the day. There are no surgery residents. We are a very unopposed program.

-I do not spend most of my time on the adult wards. I also go to the peds, NICU, L&D, OR, ER, and the clinic.
 
1. Radiology
--Every single week, I know exactly what time I have to be at work and exactly what time I leave work.
--See every interesting case in the entire hospital, yet don't have to talk with patients.
--Very broad spectrum of medicine--speak with surgeons, pediatricians, OB's, internists, etc on a daily basis...and a lot of what they do is going to be based on what I say.
--Eat when I want to, go to the bathroom when I want to.
--Sleep the entire night in my own bed and never work overnight...ever.
--12 weeks a year vacation.
--No rounding. No note writing.
--High end physician pay.
--A "complicated" case might take 15-20 minutes. You don't get bogged down and plod along with the same patient for hours/days/weeks. There is always something new and different.

2. Pediatrics
--Kids are great. For the most part their problems are of no fault of their own. They usually only have one or two things wrong with them and are not multiorgan system train wrecks. They usually get better. Childrens hospitals as well as the people who work in them are generally more happy when compared to their adult counterparts.

3. Surgery...or any specialty that involves ample OR time.
--There are plenty of exceptions, but the arrogance in general is horrible. This gets passed down to scrub techs, circulators, etc. SICU nurses are even a different breed than MICU or CICU ones.
--The prevailing attitude that something is wrong with you if you are not willing to work 80+ hour work weeks, 16 hour days, sacrifice family time, etc...as if you are not "man enough" and are somehow and inferior person. The defense coping mechinisms that a lot of surgeons have naturally developed are the only thing that keep them from just being miserable human beings.
--Standing in one place working in a narrow space for hours and hours at a time does not appeal to me at all.
--The constant early mornings, the uncertainty of when you actually will be able to get off at the end of the day, the things that come up that keep you in the hospital late at night and make you come back in the middle of the night and on weekends. These things don't seem like that big of a deal when you are 25, but they become much more significant when you are 40 with a family.
 
1- Which is your speciality?

Psychiatry

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

I actually started out in internal medicine. Had I stayed I probably would have done a palliative care fellowship because I liked the counseling and spiritual components. But I definitely made the right move Sometimes I think I should have gone to grad school and become a psychologist.

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

Anything even slightly surgical. (I even hated the procedures in medicine, Except for tapping ascites, which was kind of fun in an odd way.) I don't have the greatest hand-eye coordination in the world (though not in an obviously impaired way) and doing anything invasive to a patient always made me very very anxious. Plus personality-wise, surgery and I would never have been a good fit.

After that, I'd probably stay away from pediatrics, which is interesting given that I went to med school intending to become a pediatrician. I just really don't like to see children hurting and I felt like a monster every time I tried to look into a toddler's ears. Plus children are very powerless and oftentimes, their parents are the problem and that's so hard to address. It's why I'm not doing child psych either even though I know how much it is needed. Send me the messed up parents to work with directly. 🙂
 
drivesmecraazee said:
1- Which is your speciality?
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General Surgery/Breast Surgical Oncology

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)
Click to expand...

Entering Med School: IM, probably Cards

3rd Year: Ortho or Plastics; Ob-Gyn for a few weeks

Applied to Integrated Plastics but didn't match; General Surgery was a back up

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

🙂

p.D: excuse my english!!
Click to expand...

Peds - it was awful. The parents, the attendings, even the kids bugged me. I don't tolerate whining well. I hated doing things to them that hurt because I knew they didn't understand. The NICU was sort of vaguely interesting, though.

Rads - too much sitting; not enough patient interaction

Path - I get migraines looking at slides under the scope (although funny that operating under a scope didn't bother me). Besides, I sucked at it...everything looks the same to me.😀
 
1. Neonatology

2. Although not a big fan of adolescent medicine, I spent two months on child psych and would have considered it except that the route was via adult psych residency. No way I was going to do that.

3. Pathology - I never was good at histo or gross anatomy.
 
gutonc said:
Not to get OT here but I have to ask:
NYU, Downstate or Einstein?
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Actually I've been in all three at varying points in my life as a medical student or resident, so I'll have to say that they all contributed to my NEVER wanting to be an EM doc. (And they're pretty much all the same except for the varying amounts of trauma... I think Downstate would probably be the most trauma heavy and NYU the least.)
 
1: Neurology: most fascinating field of medicine and basic science. I think it is one of the few which can really grow and develop. I love the organization of the CNS. Im looking at going into Neurocritical care as I love the ICU and working with physiology and the brain

Many ppl tell me they considered neuro but "pts dont get better", etc. No different than treating htn or rheum in medicine or taking the gallbladder out of an obese person. You never "fix" them in this country. I think if neuro had a procedure, it would rapidly become one of the most competative as people tend to gravitate towards money and lifestyle (why else would people be willing to kill for GI to have the opportunity to play in feces all day)

2: Transplant surgery, trauma surg, neurosurg: I love anatomy, really liked the seduction of the OR, "actually doing something" feeling. Hated the militaristic attitude and way they treat people in surgery. Lifestyle of Neurosurg sucks and you have to do back cases all week for 1 brain. Trauma was reaaly fun as a med student, but I cant picture it as fun when Im 40. Now that Im on the other side, Im glad, I hate working with surgery now and am glad to have come to my senses before the match.

3: Derm, rads, optho, psych, PMR, FP.
Dont want to work w/ vain 40yr old women trying to look 18. Dont want to spend all day in the dark. Boring as hell. Crazy people. Fibromyalgia! I dont want the "list" of problems and never feel like u know enough
 
1. EM
2. I could have done a lot of things, I was interested in a lot of stuff, but never really liked any of the clinics. But if I had to I know I would have been happy with any one of them. I actually liked Trauma Surgery a lot, but like someone else said, I dont like standing around in the same place for long periods of time. I really dont mind the 'not knowing when you go home', but on my multiple trauma surgery rotations, a lot of the time we spent taking about spleens and they would fill in a lot of slots with general surgery stuff. Overall I think its a great field
3. OBGYN, i definitely would quit medicine all together if someone told me I had to do this, I'd go into my family business, hotel/motel management easy haha. Pretty much this is the only field that would make me do this. I dont mind seeing the acute care stuff like vaginal bleeding, abdominal pains, emergency/complicated labors and stuff, but the general/normal labors and prenatal care just drove me nuts in med school. IF anything i had to do this, maybe I could do neonatal/prenatal care/specialty.
 
Castro Viejo said:
1. General Surgery, Vascular Surgery

2. Internal Medicine (for either Cardiology or Gastroenterology), Diagnostic Radiology (only for Interventional Radiology), OB/GYN (only for GYN Oncology)

(And the following is not to ignite a flame throwing match with anyone, but the OP asked for reasons why)

3. Emergency Medicine -- A first year med student "rotation" in EM ruined it for me when I went to our county hospital in New York City, one of the busiest such EDs in these parts, and found most of what EM docs did, IN MY OPINION, was: 1) triage and consult everyone in the house, 2) dealt with too many chronic issues that were chronically ignored (i.e., the acute care specialists were doing more urgent management of chronic crap gone wrong), 3) dealt with too many patients who never went to their PMDs and thus landed in the ED, 4) babysat patients in the ED just waiting for the primary team to scoop them up and admit the patient, 5) and never got to see what happened to the patients after being admitted (not that any of them ever seem to care). I went into the rotation wanting to like it, thinking that's real medicine. "Jack of all trades." Could do a little bit of everything as an EM doc, I thought, but found that to be inaccurate for me. At my county hospital the EM guys were involved in the trauma resuscitations in the slot, but the Trauma Surgeons were always called and either always muscled in or just took the patient up to the OR. So it seemed to me wholly unsatisfying.

Pediatrics -- Pretty self-explanatory, I think. Dealing with parents of sick kids is a big, BIG turn off.
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I think the following the patient part really just depends on the person. I'm sure if by some random way you ended up in EM, you would be the type that sees what happens to patients the next couple of days until they are discharged.

Almost every patient i see, even if we discharged and sent to a clinic, I look back at what happened. In our residency, and most, you are required to submit a particular number of patients that you followed. We have to do 4 a month, which is a very small number. I follow more than 4 every day. It also depends on what type of system you have I guess, ours is very easy, its all on the computer and even all the clinic notes are on the computer.

I'm sooo surprised how many people dont follow in clinics once we see them. I've sent folks to optho, dermatology, in cases I was SURE they would follow there to make sure we were right with the dx, or just to make sure it wasnt' more extensive, and then they dont go there, or maybe went elsewhere.

All of the ones we admit are really easy to follow and the surgical ones are easy cause if they go to surgery you can just read the surgical op note haha.

But like you said I dont think everyone follows. and its especially important to follow while you are in residency so you know if you made the right admit or right initial dx, otherwise you keep repeating your same mistake thinking its right ahah.
 
I thins this is a pretty good thread. Just hope that nobody here gets offended, all the opinions are personal and depends of one's experience in a certin program...so chill...you all choosed what you wanted (hope there are n regrets).
Let's keep this alive. Everyone should feel free to post.
 
1. Physical Medicine and Rehabilitation
2. Radiology, Neurology, Orthopedics, Cardiology via IM. Luckily for me I can do some of all of the first three in my #1!!!
3. Internal Medicine, Peds, OB/Gyn
 
1. FM (and SM soon) - the most relevant specialty to most people on most days

2. Peds (job satisfaction), Pulm/CC (bad asses), and ID/HIV (save the world)

3.
a. Any Surg/OB - I like procedures, but life's too short and I get bored easily
b. Rads/Path - Reminds me of "Office Space".
 
lowbudget said:
1. FM (and SM soon) - the most relevant specialty to most people on most days

2. Peds (job satisfaction), Pulm/CC (bad asses), and ID/HIV (save the world)

3.
a. Any Surg/OB - I like procedures, but life's too short and I get bored easily
b. Rads/Path - Reminds me of "Office Space".
Click to expand...


Ohh man!! This is one the funniest movies ever!!! It just rocks!!

What does SM stands for?
 
1. Anesthesiology w/plans for a CCM fellowship - get to do procedures, "internists of the OR," love physiology/pharm/critical care

2. Pulm/CC - actually applied IM 1st for this, but can't stand the chronic management and non-compliance; EM, neurosurgery. Actually had a very difficult time deciding during med school - very happy with my decision though.

3. Ob/Gyn - for reasons already mentioned; FM
 
drivesmecraazee said:
1- Which is your speciality?

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

🙂

p.D: excuse my english!!
Click to expand...

1. internal medicine

2. going into medical school, i thought i wanted to do ortho. but i quickly learned in my gross anatomy class during my 1st year that i really didn't care for anatomy.


3. dermatology.
 
drivesmecraazee said:
1- Which is your speciality?

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?

🙂

p.D: excuse my english!!
Click to expand...

I am going to join in, although I have only just prematched.

1) Family medicine.

2) A) Internal medicine - I applied to 10 programs and got one interview, but realized I wanted to be able to do urgent care and be a cruise ship doctor. Cruise ships only take FM and EM , and so wanted to be able to be a cruise ship doctor.
B) psyche - I did 3 psyche rotations in school. 1 state in-patient core, 1 in-patient prison hospital elective, and an out-patient elective. I felt I could do alot of good there, but realized I could not stand the feeling of never being "done" - it seems the problems go on and on. With FM I can remove a toenail and then go "DONE!". I like having the feeling of being done.

I went back to med school with the idea of being in family medicine. My first rotation was family medicine and I loved it. Then I did OB/gyn and loved it. Then I did pedes and it was okay. Then I did IM and loved it. Then I did PMR and loved it. When all was said and done I loved all my rotations (except only LIKED pedes) - and in family medicine I can do a bit of all of them. I LOVED cardiology - in the family medicine residency I am going to I will learn to do treadmill stress testing, and can have an EKG in the office. I loved pain mgmt/epidurals - I know a guy in FM who does epidurals all day.

3) Pedes as a stand alone - depressing when they are really sick, and otherwise I get tired of screaming all day long. I mean full out screaming. My pediatrics preceptor was the neonatology instructor at a ACGME residency - one day I noticed he kept his stethoscope in ALL day - he told me he used them partially as ear plugs, kept them in to help muffle the screaming.

Surgery, derm, ENT etc - not smart enough. My board scores suck.
 
1. EM

2. Rads, IM, Path, Neuro, Gas...I had a lot of broad interests as a student. I probably could have been happy doing any one of these with the exception of IM (in hindsight). Now, I couldn't imagine doing anything but EM.

3. OB/GYN - disgusting, weird nurses, annoying fathers/husbands, screaming kids, involuntary defecation while everyone is saying, "that's okay, that's okay, everybody does it." No they don't! It's disgusting.
Surgery - I enjoyed my surgery months, but I have chronic back issues and simply can't stand in the same place for more than 30 minutes.
 
JackBauERfan said:
But like you said I dont think everyone follows. and its especially important to follow while you are in residency so you know if you made the right admit or right initial dx, otherwise you keep repeating your same mistake thinking its right ahah.
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I agree with you. Actually at least one of the EM docs at my institution will follow patients upstairs every once in a while. And, surprise, I consider him one of the best EM docs I've ever met. Smart. Manually good. Technically proficient. Can run circles around most other physicians in the hospital with his knowledge of acute care stuff (and even some chronic crap too). But he's an exception. I see him all the time above the first floor and I ask, "Dude, what the hell are you doing up here?" Following patients. All the time. As you said, he's interested if his hunch of a diagnosis was right.

He's a good man and a model EM doc.
 
VALSALVA said:
1. EM

2. Rads, IM, Path, Neuro, Gas...I had a lot of broad interests as a student. I probably could have been happy doing any one of these with the exception of IM (in hindsight). Now, I couldn't imagine doing anything but EM.

3. OB/GYN - disgusting, weird nurses, annoying fathers/husbands, screaming kids, involuntary defecation while everyone is saying, "that's okay, that's okay, everybody does it." No they don't! It's disgusting.
Surgery - I enjoyed my surgery months, but I have chronic back issues and simply can't stand in the same place for more than 30 minutes.
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Holly ****!! I respect people who choose it an their choice, probably they actually DID had a good experience but......OB/GYN sounds like freakin hell to me!!!! It's definetly one of my "no-ways" for now, but it's just a preliminary idea and it's not based on experience, so I'll wait till I get to that rotation, I might even like it...😱
 
Castro Viejo said:
I agree with you. Actually at least one of the EM docs at my institution will follow patients upstairs every once in a while. And, surprise, I consider him one of the best EM docs I've ever met. Smart. Manually good. Technically proficient. Can run circles around most other physicians in the hospital with his knowledge of acute care stuff (and even some chronic crap too). But he's an exception. I see him all the time above the first floor and I ask, "Dude, what the hell are you doing up here?" Following patients. All the time. As you said, he's interested if his hunch of a diagnosis was right.

He's a good man and a model EM doc.
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Yeah i think thats one part a lot of EM residencies don't go overboard on and should. I mean, I dont think we should write one page write ups on admits we do or ones we discharge, but a lot of dx we give are not confirmed, they are just speculated and you should follow it to see if you are consistently right or consistently wrong haha.
 
drivesmecraazee said:
Holly ****!! I respect people who choose it an their choice, probably they actually DID had a good experience but......OB/GYN sounds like freakin hell to me!!!! It's definetly one of my "no-ways" for now, but it's just a preliminary idea and it's not based on experience, so I'll wait till I get to that rotation, I might even like it...😱
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I think you either really like ob or really dont'. From the first day I knew I was not gonna like it. I remember people saying how great it is the first time you deliver a baby, and I felt totally opposite that first time. And then like the other poster said, that attitudes of everyone in that area is soo weird/protective.
 
1. EM- still love it. Sick pts, crazy pts, funny stories, cool people...and life outside of the hosp! I will always find out what happens after pt's hit the floor if they were sick in the ED. If they are getting admitted for gastroparesis, yes, you are right, I do not care one bit what happens to them upstairs. I was bored with them before they got out of the ED.

* I am not saying I don't hope they don't do well, but just from a medical curiousity point of view I am not interested.

2. Surg / Critical Care- Still routinely think that these are the biggest studs in the hospital. Have a much better grip of medicine then people give them credit for and actually fix stuff. Fun,but...

3. Surgery / Ob/Gyn- surgery because I have never been so depressed by the end of a rotation in residency. I loved the work, but was miserable because I missed my wife / kid and doing normal human being stuff like working out, reading a book, etc. It doesn't really get much better after residency either. Ob/Gyn, well see above + spending all your time getting indescribable juices leaked on you...something just ain't right down there.
 
Castro Viejo said:
I see him all the time above the first floor and I ask, "Dude, what the hell are you doing up here?" Following patients. All the time. As you said, he's interested if his hunch of a diagnosis was right.
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And nobody whines about how he's violating HIPAA? :laugh:
 
Tired said:
And nobody whines about how he's violating HIPAA? :laugh:
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What? How so?

Edit: sorry, don't mean to derail the thread, but misinformation about HIPAA really bothers me.

For anyone who is interested, I found this from the HHS webpage.

Do the HIPAA Privacy Rule's minimum necessary requirements prohibit medical residents, medical students, nursing students, and other medical trainees from accessing patient medical information in the course of their training?
Answer:
No. The definition of "health care operations" in the Privacy Rule provides for "conducting training programs in which students, trainees, or practitioners in areas of health care learn under supervision to practice or improve their skills as health care providers." Covered entities can shape their policies and procedures for minimum necessary uses and disclosures to permit medical trainees access to patients' medical information, including entire medical records.

I definitely think that an ER physician following up on his patient to see if he did the right thing qualifies as "improving skills as a health care provider."
 
1. Anesthesiology -- It's the best parts of internal medicine only revved up in time and with lots of procedures. Minimal social issues yet still a decent amount of patient interaction.

2. Could have done Pathology: I actually really enjoyed path during second year and am pretty good with a microscope if I do say so myself. Possibly pediatrics--I surprised myself with how much I really enjoy children. I think they have some crazy pathophysiology and I kind of like how they're either super healthy with one acute problem or they'll have a longer PMH by two years old than I'll ever have in my life. Maybe Radiation Oncology--kind of sems like Anesthesiology in the sense that you know one thing really well that no one else in the hospital really understands at all. Meaningful patient interactions without having to deal with all the social issues.

3. General Surgery and Neurosurgery: I don't love anything in this world to the exclusion of everything else and I really think that's how you have to be to be happy in these specialties. I could never do Radiology--sitting in a dark room in front of a computer all day would make me seriously seriously depressed. Internal medicine--cool to read about but at least 80-90% of it is social issues and trying to fix years and years of people just abusing themselves. No thank you.
 
1. Anesthesiology

2. Gen Surg. Why didn't I choose it? Because I luckily did an anesthesia rotation for the hell of it in Sept. Never looked back. Could have done EM too. But I didn't rotate until late 4th yr.

3. Internal Medicine. Pontificating about microcytic anemia or diarrhea, getting dumped on by every service (except Gen Surg),bouncing GOMERS back to SNF's and Vent facilities not my bag, and endless rounding PLUS CLINIC is tantamount to torture. If I could make it through that then a fellowship in Pulm/CritCare, GI, Cards, whatever could seal the deal. I did enjoy Pulmonary/CC. But again, that friggen clinic.

I couldn't do Rads either. I wish I wanted it because its a rockstar field.
 
1. Ob/Gyn
2. Surgery, Pediatrics, Pathology, leaving medicine all-together and coaching Track and Field
3. Neurology, Psychiatry
 
1. Pathology- ability to make a huge impact on patient care (chemo/no chemo, surgery/no surgery, radiation/no radiation, immunosuppresants/no immunosuppresants, etc).

2. Radiology- love the interventional aspects

3. OB/GYN- too much estrogen

I really enjoy being a consultant, hence the interest in path and rads.
 
I wonder why residents and attendings from certain specialities haven't showed up yet...🙄
 
1. Gen Surg

2. OB (though I don't think I would like it now that I've done gen surg, I loved it as a student...)

3. Neurology, IM, PMR, ENT
 
drivesmecraazee said:
1- Which is your speciality?

2- Which could have been your speciality? (either it was your B plan, or you actually wanted to apply in a certain point of your life as student)

3- Which speciality you would have never, ever choosed? (your "no way in hell speciality) Why?
Click to expand...

1. ENT

2. Urology, Plastic Surgery, Interventional Cardiology

3. Ob-gyn,EM
 
1. EM (love it, every day is funny, work hard, and lots of diff medicine).
2. Critical Care or Surgery (loved it but in the end missing a huge spectrum of care)
3. Nothing, I really do enjoy all my rotations. Possibly Ob, but i still enjoyed that, I just enjoy medicine as a whole I guess 🙂.

We are also required to follow up on 6 patients per month and write them up as a small "case study". Not just during admission, we have to call them or their family and find out what happened in addition to the chart biopsy.

There are good and bad docs in all specialties, enough said.
 
1. OB/GYN- I like all the subspecialties and general OBGYN. I like the diversity in care (OR and clinic) and the patient population.

2. Anesthesia- liked my SICU and OB Anesthesia rotations...would consider Critical Care medicine.
Plastics- Reconstructive > cosmetics
Medical Oncology- but I could not tolerate 3 years of IM residency

3. IM- way too cerebral and inefficient...not enough hands on exp.
EM- I liked my rotation b/c of procedures and no rounding...but the patient came in w/ too much chronic crap and not enough true trauma/acute stuff
Radiology- boring
Pathology- Growing up I was fascinated with forensic path...but then I realized that watching Dr. G medical examiner, Quincy, and forensic files was not how it really was going to be in the real world.
Pedi- crazy parents and too much whining. I did like NICU/PICU though.
 
Castro Viejo said:
Actually I've been in all three at varying points in my life as a medical student or resident, so I'll have to say that they all contributed to my NEVER wanting to be an EM doc. (And they're pretty much all the same except for the varying amounts of trauma... I think Downstate would probably be the most trauma heavy and NYU the least.)
Click to expand...

Sounds like your ER experience was at Jacobi in the Bronx.
 
1. Surgery. With ultimately a fellowship of some sort.

2. Ortho, OB, Anesthesia/Critical Care (I need to be DOING something at all times, or I'd get bored). And although it seems odd to like both OB and Gen Surg, I thought being an OB and being a "generalist of sorts, who can operate" would be badass. Until I saw the typical operative skills of an OB/Gyn, and listened to how absolutely no one respected them as true surgeons). Plus, too much estrogen for my liking.

3. Radiology, Pathology. I desperately wanted to like these, and other lifestyle specialties. But as a student I was asleep in front of the PACS or the microscope (literally) and realized it wouldn't happen.
 
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