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 //

  • Residency Caps: What Medical Students Should Know

  • Posted January 24, 2017 by Brian Wu
  • Due to their complexity, residency caps don’t make for scintillating news. Outside the medical field – where the debate rages on – not many people are aware of the issue. But nonetheless, these caps on the number of residencies available to US medical students is incredibly important, not only to aspiring doctors but to the...VIEW >
  • From “Book Rat” to Neurologist: An Interview with José Cavazos, MD-PhD

  • Posted January 23, 2017 by Suzanne Barston
  • As a child, José Cavazos, MD-PhD, was a self-proclaimed “book rat”. So, it makes sense that his career path was clear after reading a book. “I stumbled into the literary work—meaning the autobiography—of Don Santiago Ramón y Cajal. He’s a Nobel laureate, the discoverer of the neuron, from Spain,” said Cavazos, speaking to SDN at...VIEW >
  • Case of the Week: An unusual presentation from sub-Saharan Africa

  • Posted January 20, 2017 by Figure 1
  • A 15-year-old boy presents with rough, corrugated plaques on his hands, wrist, feet, and ankles. The presentation appeared shortly after birth and has worsened over the years. The soles of his feet, as well as his face, abdomen, and palms, remain unaffected. He is otherwise well. What’s the cause of this striking skin abnormality? Related...VIEW >
  • Teaching Future Doctors About Addiction

  • Posted January 19, 2017 by Natalie Jacewicz
  • Jonathan Goodman can recall most of the lectures he’s attended at the Stanford University School of Medicine. He can recite detailed instructions given more than a year ago about how to conduct a physical. But at the end of his second year, the 27-year-old M.D.-Ph.D. student could not remember any class dedicated to addiction medicine....VIEW >
  • What is Bipolar Disorder?

  • Posted January 17, 2017 by Open Osmosis
  • You’ve probably heard someone with a moody personality described as “biopolar.” However bipolar disorder, sometimes known as manic depression, is a very different state than this colloquial term. Biopolar disorder is a type of mental disorder affecting millions of people who experience periods of extreme lows, known as depression, as well as periods of extreme...VIEW >

// Forums //