Showing posts with label specialty choice. Show all posts
Showing posts with label specialty choice. Show all posts

Sunday, May 3, 2015

To be or not to be.....a generalist

Hello MiMers!

I'm nearing the end of my Family Medicine residency and am struggling with the age-old question: To be or not to be?....a generalist.

I've always loved the variety and scope of FM. To me, there is such great appeal of being a jack-of-all-trades kind of doctor. I love being the first point of care, collaborating with specialists, seeing new and unfamiliar problems, and flying by the seat of my pants. Growing up in Canada and being surrounded by a culture of Family Medicine has undoubtedly shaped my love for general practice.

That being said, after countless hours of studying, rotations, patient care, and hard work, I am sometimes weighed down by the questions, "What am I GOOD at? What's my area of EXPERTISE?" Sure, there are the things that I see everyday and feel pretty comfortable with: Diabetes, high blood pressure, back/shoulder/knee pain, asthma, preventive care to name a few. But this always comes with the knowledge that I'm not necessarily an EXPERT in those fields. Can I really be giving my patients the best care for their problems if I'm not an endocrinologist (diabetes)? orthopod (shoulder pain)? pulmonologist (asthma)? Could I give a thoughtful, professional-level lecture on any of those subjects?

I've been seduced many times during residency into doing a fellowship. At one point, I've seriously considered a fellowship in geriatrics, OB, EM, sports med, palliative care, dermatology and HIV/AIDS (to name a few). But I can never seem to commit myself to narrowing down to one subject. I find myself getting back to the same fear of getting pigeonholed into one area and losing my ability to be a generalist. It is quite a humorous mind-loop that I get into time and time again.

Ladies, lets discuss. What do you love about being a specialist? Or a generalist? I'd love to hear your thoughts.

Sincerely,
HulaMed

Monday, August 4, 2014

MiM Mail: How happy should you feel in residency about your specialty?

I am a third year psychiatry resident and a mother to a precious 21 month old little girl. I often find myself wondering how happy I should feel as a resident in my specialty. I was very ambivalent about choosing a specialty and considered family medicine and pediatrics as well. I ultimately chose psychiatry because I felt it would be less stressful and offer a better lifestyle. I also tend to not believe in myself and wondered if I could handle the rigors of those other specialties. As a resident I often wonder if I made the wrong choice. I don't hate my specialty but often find myself wondering if my personality would have been a better for the aforementioned specialties. Sometimes i feel "too nice" for psychiatry and I despise emergency psychiatry and the legal aspects of the field. I have thought about finishing psychiatry and then completing another residency but I just don't feel that I have the stamina for that and want to work part time as soon as possible. I'm just wondering if others have struggled and ultimately found happiness in their field? I'm hoping my feelings are related to burnout and don't indicate I will never find fulfillment in psychiatry.

Thursday, July 11, 2013

MiM Mail: Choosing a specialty when you like a lot and love nothing

Hello MiM,

I am new to your blog but have recently spent countless hours reading past posts to hopefully gain some insight (and to avoid studying for step 2). I am a MS4 who just finished 3rd year rotations and am desperately trying to figure out what I am going to do with the rest of my life. Honestly, I did not have that "Ah-ha" moment in medical school when I found something I absolutely loved and knew it was what I was destined to do. I liked most of my rotations, of course some more than others, but nothing blew me away, and I am very disheartened by this.

Right now I am trying to choose between applying to Ob-Gyn and Internal Medicine. Very different, I know. But I like Ob a lot - dealing with relatively younger, healthier patients, working with just women (mainly), and being a surgical and medical specialty is appealing. It was definitely my favorite rotation of third year. However, I never pictured myself as an OB and to be frank, I am quite terrified of their perceived lifestyle. I am 27 years old, married to my high school sweet heart and love of my life, and my family is everything to me. We do not have any kids yet, but definitely want 2 or 3 in the (near) future. My mother was a stay-at-home super mom who never missed a school function or dance recital. Obviously, choosing a career in any field of medicine means that that won't be me; however, I feel if I become an Ob-gyn it will be that much more difficult. I really like delivering babies, but am I still going to like it when I am 45 years old at 3am or when I am missing my child's school play?

If I chose internal medicine, I am basically saying "I haven't decided what to do yet" and it gives me an extra year to put off the decision. Internal medicine has so many different fellowships that I feel I will be keeping my options open. And although I am a big fan of the OR, a non-surgical specialty will help with my hours and my call schedule.

Basically, I like a lot, and love nothing and I am hugely disappointed by this. I have wanted to be a "doctor" since I was a young girl, and have worked so hard to obtain my MD; but, right now I feel lost.

As a woman, I feel it is so much harder to choose a specialty. At the end of the day my family is number one and I want to do what is best for them. At the same time, I have spent so much time and money and worked so hard to get where I am that I don't want to sell myself short. I feel like I have to choose between what is best for me personally and professionally.

Sorry for the insanely long rant. I just really need some solid advice - really ANY advice at all. Please help me, MiM!

Sincerely,
One confused MS4