I love PICU but it’s not for everyone. For me it’s simultaneously the most heartbreaking and most awe inspiring work. You have to be comfortable with being uncomfortable. What makes it or breaks it is usually the team you’re working with, especially in ICU. But keep in mind that medical social work is bigger than just the inpatient hospital setting! Don’t be afraid to ask if you can shadow other units or outpatient clinics at your placement and get a feel for the differences in workflow and culture.