Some of you may or may not know that I'm a podiatrist and I'm going back to DO school next year. One thing I learned is that it's MUCH better to do some rotations, talk to some docs and get a really good feeling what the reality is within any given specialty. You need to find out what you like, what you're good at and what you can comfortably imagine doing in the next 20 years or so.
Podiatry is pretty hands on including surgery. I am nearly incompetent when it comes to mechanics and 3D movement (two talents that come in handy in podiatry). I'm a lot better theorizing and imagining abstract scenarios (like doing mental detective work when someone comes in with a vague complaint). I also learned that my mind works much better as a generalist rather than a specialist (I feel more comfortable knowing a moderate amount about a lot of things rather than a lot about a limited field). I also discovered that surgery isn't as interesting to me as I thought it would be.
So, my choices are the following:
1. Emergency Medicine. Set hours, generalist, variety of pathology, not terribly competitive, portable (can be employed in most parts of the U.S.) and the pay is good.
2. Primary Care. I think I would like Internal Medicine, but I know from what other docs have told me that the hours can be brutal. Also, your patients don't tend to get better. There can also be a lot of call. You are the gatekeeper, though, and you'd certainly be busy no matter where you worked.
3. Radiology. Really competitive (especially DO), no patient contact, which can have pluses and minuses, good hours, great pay. These people are geniuses, though. I did a month at L.A. County when I was a pod resident and the attendings blew me away.
4. Family Practice. Money's not so great, but my wife is an attorney! Good general medicine without a lot of terrible pathology, needed everywhere (especially underserved areas), competition from NP's and other peripheral health providers. I've heard, though, that it can be kind of monotonous.
I wouldn't want to do OB/GYN because of the malpractice and the possible psycho who might target me...
No surgery. Too much call and too much residency (it's more brutal than you might think)
No ortho. If I can't be comfortable with podiatry....
No derm. Why? Because I could never get a residency!!!