We have to do a medicine and surgery AI as well as neuro and 4 electives. How does one go about scheduling their 4th year if they don't know exactly what they want to do? If they think they are interested in a particular field, say radiology, do you want to focus your electives in that field or take the approach where you just want to broaden your education with other electives (such as ICU, cardiology, etc)? People say 4th year is supposed to be easier than 3rd but it doesn't seem to be that way from what I know about it! We can get as much as 2 months of vacation if scheduled properly and there are a bunch of "individual studies" rotations. I am torn between the idea of killing myself with hard but interesting rotations or just trying to take the easy way out and figure out what is necessary for a good residency background (since this will prob be the last time for a real vacation). Any thoughts?