Time for another place for my followers doctor of med school! Fourth year current demand for residence will now know that it is October - Letters of Dean are out and (should) have been submitted, and now it's time to wait and get invitations interview! As I was applying for residency last year one of the questions that came up a bit 'was how I decided on a specialty. (I decided to dermatology, among other things, and I'm doing my preliminary year in medicine right now and I will start my part dermatology training in July - there are a lot of specialties that require a year "prelim" or transition as ophthalmology, radiology, anesthesia, etc.).
I'll spare you how I decided to dermatology specifically for another post, but today we will talk more about how to understand what might be right for you. I mean that before deciding on a specialty is a very personal choice and each will have a different answer as to why they chose their given specialties. The path to try to figure out what you like is long, and it really is best to wait at least until the third year to try to make up your mind on what you should actually apply truly. When I arrived at medical school I've thought about doing OB / GYN - I had worked at the clinic of women's health for poor women throughout undergrad and I really enjoyed it - but by the time I made my rotation OB / GYN third year ... well let's just say that my experience has changed my mind! There is obviously nothing wrong to know soon, just make sure you keep an open mind to everything you think you do not like, and to keep a critical eye when it comes to what you think you do not like. This makes sense? Of course, with that said, there are definitely things you can start doing in the years pre-clinical to help understand the wider parts of medicine that could be more fitting for you!
Some questions you can ask yourself during the first and second year - you prefer to store the anatomy and visualization of where things are in the body or working with the problems of physiology and think about how the organ systems? Like basic science or histology, or you do not want to approach the microscope again? Like radiological images and trying to find the disease in a movie?
If you really like anatomy, you prefer a more passive or active in exploring? If active, you might really like surgery - anatomy is at the forefront of surgery and you know every muscle, artery, nerve, etc. of any system in the body is that it focuses on! If you prefer a more passive role in exploring the anatomy, you might really like radiology - radiologists are other doctors who really know each ship and can manipulate the images in their minds to put together an anatomy of patients that is truly amazing .
If you like organ systems physiology and you can really enjoy medicine or intensive care, or even anesthesia (especially if you like pharmacology). In these fields, you are always thinking about feedback loops, electrolyte disturbances, etc. Do you really like the physical examination and the one that tells of a patient? Neurology takes very seriously the physical examination. Do you hate the physical examination and care more about what the patient is saying? Psychiatry could be more suitable for you. Like serious problems with quick fixes (MED emergency) or chronic problems with solutions longer (primary care). Children, women, elderly people? These are all things to keep in mind when thinking about what you might want to do.
At the end of the day, it comes down to the type of problems and how to solve the types of patients that you want to treat. One of the residents was working with gave me some advice I had not thought of before - "What is the most boring, bread and butter stuff that a document in that specialty ago What are guaranteed to make in their practice every? Day when there are interesting cases or rare? If you are happy to do this, you may have found your specialty. "It 'was obviously trying to convince me to go in the OB, since their" boring, every day "is providing the children. Pretty cool, but not for me. But the advice is something good to think for each field! If you're not sure what the basic things are in a camp, ask someone who practice in it!
Something that you should not make your decision based on? Money. For any of us who come from educations where money was very poor, the last thing you want to hear is someone who tells you that it is not all about money. I think what we really care though when it comes to money is stability. And whatever specialty you choose, as a doctor you will do enough to not have to worry if you afford the rent next month.
This early stage (ie in the preclinical years) the most important thing is to do well in classes and step 1 so as not to close the doors for you should want something more competitive. It mostly just keep an open mind! You will gain something from each of your clinical rotations, if you go in neurosurgery or pediatrics, so try to enjoy all of them! And listen to your heart - hear what makes you excited and happy again! I was on rotation "easy" where the hours were short, but what we did in those hours was so boring (to me) that the day literally dragged, and get out of bed every morning was tough! On the flip side, there were rotations where I have never seen the sun, but I liked what I was doing so much and had such great teams I liked to go to the hospital! Do not dismiss the feeling.
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Once you get to the clinical years, to try and attendings ask what they like their work and how they set their practice (do mostly work in the hospital, a mix of clinical and hospital, private practice, or for more activities research and teaching, the different set-up will surprise you)! And 'obviously great to talk with residents who have chosen this area as well, but try not dragged from them if they happen to be a little' less optimistic. The formative years are some of the hardest and you have no control of what you actually do during the day, so sometimes residents are not always the happiest. Do not ever let me down! But on the flip side, if every resident is miserable, which is something that is hard to ignore (and probably should not)!
I hope some of my rambling can help you as you think about what kind of dishes you might want to practice. As always leave questions or suggestions for places in the comments !!
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