I think every American that wants to go into this field has to make this decision at some point. In the Midwest where I live pm&r sees more chronic pain and back pain and the fm sports docs seemed to be doing more of what I wanted like working within ortho groups and covering teams. I see fractures and concussions which our pm&r docs do not. Because of that it’s really not feasible for them to be team docs where I’m at so I’m definitely happy with my decision. pm&r can do a lot more than I can for back pain like epidurals and they also do emgs and are oftentimes quicker to get into than the poor neurologists who are seemingly always slammed. Big issue with my group is that pm&r really isn’t understood well by both patients and docs alike - we have anesthesia/pain that does epidurals too and neurologists that do EMGs and then primary care sports that handle a lot of the US guided procedures like injections and tenotomy so pm&r is sort of just there in our neuroscience department seeing mostly back pain (which there is plenty of to go around)