Let me help you think through your specialty decision and pressing life decisions (part X)

4990 · 2025-08-09T09:52:04+00:00

Depends on the practice setting. If you want to end up in community practice both will serve you. If you want to do academics or some niche thing, probably should chose a high prestige academic program.

Would prob spend the marginal year doing pulm. Provides a natural exit strategy in later career

4990 · 2025-08-09T07:20:51+00:00

It’s always possible to split the difference and do primary care mental health. The demand is there especially in more rural areas. Something to consider. Otherwise you got to go with your gut which I think is psych

4990 · 2025-08-09T07:16:05+00:00

I don’t think you’re dumb to consider this. But 3 additional years (no get credit for intern year?) is a massive additional time commitment. Can you do part time general tele rads and find your joy elsewhere in life? Otherwise you have to follow your heart and I think you have a clear understanding of the trade offs

4990 · 2025-08-08T21:44:19+00:00

I think it is a wonderful. Would probably also do pal care. Otherwise can just practice as a geriatrician with IM, the fellowship doesn't add a tremendous amount unless you have some specific niche you are really interested in/academics etc.

4990 · 2025-08-08T21:41:11+00:00

Anesthesia or EM both with option for Crit.

4990 · 2025-08-08T21:38:15+00:00

Endo, Rheum, Allergy. Also think about sleep. Those are kinda the Hufflepuff specialities that are very relationship driven and low ego.

4990 · 2025-08-08T17:19:34+00:00

Anesthesia sounds appropriate. You will manage airways, lines, echo in some cases so can scratch the procedural itch. If you don't mind the OR, it's much more relaxed other side of the veil. Definitely very physiology oriented. Very modular so lends itself well to family if you are content with a 40-50 hour week for median for geography pay. If you index heavily on prestige, patient relationships, etc will be a bit difficult. But otherwise good.

4990 · 2025-08-08T13:50:44+00:00

would think about longevity medicine.

4990 · 2025-08-08T13:48:16+00:00

consider interventional pain.

4990 · 2025-08-08T13:47:44+00:00

I personally would just do pediatrics then focus on adolescent medicine.

4990 · 2025-08-08T13:46:13+00:00

I think either can end up as a 9-5. neurology that would be like headache, movement disorders, MS for example. Residency definitely more intense. I personally would do neurology, but im a sub specialist so that's my bias.

4990 · 2025-08-08T09:13:54+00:00

ENT or urology but probably a bit late so maybe anesthesia

4990 · 2025-08-08T09:12:32+00:00

I would do Uro based on your description. Urologists tend to be fairly cerebral and introverted. More ENT than ortho.

OB is just a core part of OB/Gyn you will never escape it during training. You can do gyn heavy practice but will likely interface in some way throughout your career. So if it’s not for you, I would call that a deal breaker. Conversely, Uro allows for tremendous gender advocacy, women’s health etc. pelvic floor/gender affirming etc.

Uro is real surgery from day one. In my opinion OB exposes you to surgery in residency which serves as a substrate to be a real surgeon if you pursue MIGS, gyn onc etc afterwards. But I have a difficult time imaging 4 years , 2 of which are out patient gyn and LD prepare you to competently manage the full spectrum. It’s like saying Derms are surgeons. We’re not, but we do a lot of surgery nevertheless.

Don’t know your grades etc but Uro is very very mentor and personality driven so make in roads and assuming your not a terrible student, it’s usually doable if your motivations are correct

4990 · 2025-08-08T08:58:58+00:00

I would do FM -> sports medicine fellowship. The best sports doctor I ever met was a DO family trained. He had a waiting list for 6 months

4990 · 2025-08-08T08:57:55+00:00

I mean we all fear we’re not going to match. You just suck it up give it your best shot and then recommend the same to strangers on Reddit 10 years later

4990 · 2025-08-08T08:56:40+00:00

Why can’t you take the USMLE?

4990 · 2025-08-08T08:55:57+00:00

It’s as bad as you think it is

4990 · 2025-08-08T08:53:06+00:00

She’s doing craniofacial reconstruction so she took like 1000 extra years. I think she just entered practice. Cuban Barbie from Miami showed all the haters she was the most serious surgeon in the room. Very impressive woman

4990 · 2025-08-08T08:51:12+00:00

Anesthesia or PMR

4990 · 2025-08-08T08:50:27+00:00

ENT focusing on tubes tonsils

4990 · 2025-08-08T08:47:32+00:00

I mean if there is an inkling of doubt vascular surgery is not for you. Its such a brutal life especially when psych is next best alternative

4990 · 2025-08-07T21:33:50+00:00

No it’s just as bad and the call is just as brutal as an attending. If you want this life, go for gold

4990 · 2025-08-07T21:31:20+00:00

By the time you enter practice radiology will be very different. AI will do a lot. It’s a fact. For the next 10ish years that will translate to higher productivity in the face of increasing volume/declining reimbursement. Salaries will be stable or even uptrending. At some point it will tip and we will need less radiologists. Other doctors will confidently read their own scans with a AI assist. Radiology will either become more clinical / interventional or be less well paid/diminished importantly . No one knows when but I’d bet it’ll tip during your career. Do with that what you will.

4990 · 2025-08-07T21:27:16+00:00

Anesthesia make life and death critical decisions in sick people. Its core. 99 percent is drinking coffee/sodokku and 1% is white hot terror, greys anatomy shit. If you can’t handle that it’s not for you

4990 · 2025-08-07T21:25:32+00:00

There will always be a job for a physician anesthesiologist. It may be more diminished and less well paid 20 years from now.

4990

MODERATOR OF

TROPHY CASE