Menu Icon Search
Close Search

The Big Question: What Specialty Should I Choose?

Created March 14, 2013 by Anita Taylor
Share

 

 

It is Match Week and Jennie, a third year medical student, is starting to panic. She has talked to many of the fourth years as they chose where to apply for residency, went on interviews and decided how to rank the programs. They all seemed to be so sure of their specialties.

Jennie, however, is not at all sure. Pediatrics, psychiatry, and family medicine all seem intriguing. But, how to make a decision? She is worried that she won’t select the specialty that will be satisfying for her.

Indecision about one’s specialty choice occurs in all years of medical school. In fact, of the approximately 38,000 applicants eagerly awaiting the outcome of this week’s National Resident Matching Program I believe that some are still asking themselves,  “Did I select the right specialty? What could I have done to confirm that this is the right lifetime career choice for me?”

First of all, let me assure the readers that medicine is the only profession that has a niche appealing to every personality type. There is more variety in clinical skills and settings than in any other type of work activity.  You can work in a hospital, medical office, or laboratory. You can be the physician for a sports team, on a cruise ship, or in a nursing home. You can do research or administrative activities in any medical specialty. You can serve as a physician in an urban, suburban or rural geographic location in the United States or internationally.

In addition, there is not just “one perfect” specialty for each person. You can be satisfied in more than one of the specialties that share commonalities. Examples of some of these clusters of specialties are:

  1. Primary care specialties with first-contact, long-term relationships with patients requiring coordination of services (family medicine, general pediatrics and general internal medicine)
  2. Surgical specialties with hands-on, immediate gratification (all surgeries, gastroenterology, invasive cardiology, obstetrics and gynecology)
  3. Consultant specialties with use of technology (nuclear medicine, radiation oncology) or little or no direct patient care responsibilities (pathology, preventive medicine, radiology)

Physicians with skills and interest in each of these clusters often share values and similar personalities. There is a reason for medical stereotypes such as the “kind family doctor,” the “decisive surgeon,” and “the detail-oriented pathologist.”

Even before you are accepted to medical school, it would be helpful to spend some time in figuring out the answer to the question, “Who are you?” One good way to do this is to analyze how you spend your time and energy–educational majors, work and volunteer activities, organizational involvement, and recreational pursuits. The satisfaction (or dissatisfaction) you experienced with these decisions may have implications for your medical specialty choice.  Knowing yourself will also make you a better candidate for acceptance to medical school.

As you begin medical school, I suggest three specific activities:

  1. Use self-assessment resources (such as the SDN specialty selector) to test and analyze your initial specialty interests.
  2. Observe physicians in clinical settings and analyze your comfort in these settings.
  3. Learn about various specialties through resources (books, specialty organization websites, and journals) and by attending departmental grand rounds and student specialty organizational meetings.

There may be fleeting flirtations with a variety of specialties, but you will start medical school with core values and lifestyle preferences that, I have found, tend to remain stable four years later.  By knowing yourself and using available resources, you can decrease the amount of uncertainty and stress associated with choosing a medical specialty.

About the Author

Anita D. Taylor, M.A. Ed. is Associate Professor Emeritus of Family Medicine and formerly Assistant Dean for Student Development at the Oregon Health & Science University School of Medicine, Portland, Oregon. She is the author of How to Choose a Medical Specialty, Fifth Edition.

// Share //

// Recent Articles //

short coat logo 2015 with title
  • The Modern Opioid Epidemic

  • Posted September 23, 2016 by Short Coat Podcast
  • Close your eyes, and picture an opioid abuser. If you’re like me, you see a man in a flophouse or dark alley. He’s cooking up heroin in a spoon over a lighter. Maybe he has a loop of tubing around his upper arm, and he’s shooting the heroin into a vein in the crook of...VIEW >
20160922_chembooks
improve your CARS score
  • Six Tips to Help You Pass Your Shelf Exams

  • Posted September 21, 2016 by ExamGuru
  • The shelf exams are something many schools now require students to take and a significant part of third year clinical rotation grades. By preparing well in advance and understanding as much as you possibly can about the exams, you’ll be able to compete better against others taking the test. Related...VIEW >
minorities and the mcat
how to succeed in physiology
short coat logo 2015 with title
  • Shocking the Habits Away

  • Posted September 16, 2016 by Short Coat Podcast
  • This week, Dave volunteers to wear a device that’s received a lot of buzz lately, Pavlok.  It’s creator says that through classical conditioning it will help eliminate bad habits–nail biting, unhealthy eating, procrastination, for instance.  It’s ubiquity on Dave’s social media feeds this past summer got Dave thinking about how much of human disease is based in...VIEW >

// Forums //