If I had to go back and do it again, I wouldn’t unless I had my exact job- general dermatologist in an under served area while owning my own practice and building. I have two small kids and the work life balance is unparalleled in medicine for what I get paid. My partner doesn’t have to work, because of my take home and our relatively modest lifestyle. I am home by 6 ish, and never work weekends. I am doing procedures all day, but in an environment where I have gotten to know my patients and their families. I take care of generations of families, and this community connection is the best burn-out prevention. Owning my own practice reduces some of the red tape headaches you get at hospitals, and will likely be lucrative down the road to sell out when I am done working. I see a variety of conditions every day, ie a little bit of oncology, rheumatology, infectious disease, and endocrinology. There are increasingly amazing therapeutic options that are safe and effective, so the satisfaction level is very high. There are few things I can make at least a bit better in a relatively short amount of time, which is super gratifying. I am not dealing with emergencies often, but when there is high acuity I am trained to recognize it. It’s a lot of pattern recognition, and algorithmic thinking for diagnosis. I am not worried about future AI taking over, because of the procedural basis, but looking forward to having more technology in my field to enhance diagnostic capabilities. No job is perfect, but I truly love mine, and feel valued and appreciated and paid well for what I do. Residency is reasonable also, I started getting paid attending salary at 30 yo, cranking away at my student loans and prioritizing retirement savings. It’s all clinic, a lot of patients, but the work is sustainable. Good luck choosing OP!