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goldmirror

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What you say about obgyn is correct, though not all residencies are malignant. You would need to be out of a big urban area to do anything other than a D&C. You could do obgyn and do a fellowship like oncology or urogyn but those are quite competitive. Urology is a great field and you can do a lot more surgery as a generalist and fellowships are not as competitive because of that and also generalists make a ton. But in uro (and in other fields) the presence of a fellowship trained person can impact what you do if you are a generalist
 
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Can’t speak to OBGYN but Uro is a great field. Diverse pathology and surgeries, often great pay/QOL as an attending, grateful patients as many of our procedures are either curing cancer or significantly improving QOL.

Downsides are it is tough to get in, residency is a surgical residency and can be grueling. It will be tough but not impossible with no pubs, which may be a big deal for some programs but not others. A research year would definitely improve your odds or you can focus your away rotations and applications on less research heavy programs.
 
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Urology definitely better IMO, but as a urologist I am biased. Better QOL, pay, surgical/clinical mix, call, etc. Generalists are in very high demand and make as much or more subspecialists. Uro residency is very competitive. Publications/presentations will be required unless there is something else extraordinary on your application. It would be a good idea to talk to the urology program director at your school for a frank analysis of whether you might be competitive. Some of the GYN subspecialties seem kinda cool -- urogyn, reproductive endo.
 
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