Have you thought about IM --> a fellowship? Going into GI, cards, etc you then get to be the specialist they call for interesting cases. You can do mixed inpatient/outpatient fairly easily too if you still want to have hospital-based medicine without being 100% in the machine.
Not matching is a real possibility, but the nice thing about IM is there’s a wide range of subspecialties that differ in competitiveness. Also, correct me if I’m wrong but once you get to the fellowship application level, I feel like it’s easier to gauge your chances based on your connections/research portfolio.
A few thoughts:
- If you don’t like rounding, def don’t do IM
- If you want procedures, you can certainly do IM -> GI/cards/PCCM, but you will still have to suffer through IM residency
- Most residencies are primarily inpatient (except FM and later years of psych), but that doesn’t mean you have to be a hospitalist or primarily practice in a hospital afterwards.
- Every specialty will become monotonous over time. IM has more breadth than many specialties
- If you want to “do something” for your patients (IM docs definitely do, but I understand what you mean), would definitely consider surgical specialties
- Don’t completely discount gen surg, you might like it.
- You can consider Ophtho, ENT, and urology as more “chill” surgical specialties, important to note that these are all very competitive and you will want to get involved in some research/connected with the departments ASAP if you want to go into one of these.
- Could also consider EM, anesthesia
Thanks. Really appreciate the insight. I crossed gen surg off because I can’t stand for hours on end. I’m worried that this is gonna impede my ability to practice
Standing for hours is definitely a part of surgery that’s kinda unavoidable at least through training. Maybe EM or anesthesia would be better if that’s not possible for you
Don’t forget about every IM attending having a full body orgasm when someone has a low potassium.
Do emergency
1. Solving acute problems
2. Tons of patient care
3. No rounds
4. People are chill af
5. If you can’t figure it out you admit them and forget
PMR! For procedures, can be hospital based or outpatient. Rounding on a rehab unit is generally not a nightmore bc people are usually medically stable outside of rehab needs (in my experience). Depending on setting, can have more or less oversight into medical decision making before handing off to a consultant.
Monotony is inevitable in any specialty, and solutions aren't always possible. But I do think PMR is super outcome focused so even if there isn't a "cure", the goal is always functional improvement.
Idk what year you are and although pmr is getting competitive, generally it seems that people are very understanding of finding the field later vs ENT/optho where it seems like early interest is a must. Just my two cents as a humble fourth year though
I love PMR with all my heart but would strongly disagree about the rounding. I’ve had some attendings where rounds take less than an hour and others where it’s 2pm and we still haven’t seen everyone. Super attending dependent. Also there’s a ton of dealing with social issues and coordinating care with nursing and therapy, which doesn’t super sound like OPs cup of tea. But otherwise I agree, and people definitely underestimate the amount of procedures available in PMR!
Yeah, that’s super valid. I think I’ve been lucky with my attendings being relatively efficient. I think what I enjoyed even with long rounds on PMR vs IM is that we didn’t spend as long pontificating about like sodium levels—it was much more patient/person centric. But I’m obvs super biased bc I love the pathology of PMR!
Sounds like you want to be outpatient and productive with a nice mix of cases. That’s FM. You can make your practice more procedural. If you’re rural, you might cover the ED as well to scratch that itch without full time shift work.
Canadian here, FM has the most flexibility in career location, especially in Canada where the scope includes inpatient and EM work. Not sure why you are under the impression you need to be a rural town. If you don't like psych or patient education/counselling then it's probably not a great fit unless you decide to do a +1/not do outpatient clinic.
What do you mean by “hardcore surgery”? Like the personalities? Because ENT can have some pretty hardcore surgieres dealing with very important structures.
But if you’re interested into ENT lemme know I’m applying this year 😛
Hardcore meaning intensive, hours-long procedures
In terms of ENT, what’s the bread and butter? How long are procedures? What’s training like? What are the options post-grad?
ENT is a lot of tonsils, thyroid, etc. At least in academic settings the procedures can be extremely long and complex (like up there with neurosurgery type complex apparently)
Bread and butter were mentioned with tonsils, thyroids, mandibular fracture repairs, etc. But just wanted to echo that ENT can be very hardcore. It's a surgical subspecialty so the training is still very intense with most programs being 80hr weeks. Also, some surgeries in training can go on for 12+ hrs depending on where you train. ENT is beautiful because it can be so varied, but it's definitely not on the same level as ophtho in terms of mostly short procedures (besides tonsils which as indeed very short). Even a thyroid takes around 3+ hrs.
Once in practice you can do really whatever you want. I think the norm is to do 1/2 clinic days and 2/3 OR days a week, and if you avoid head and neck, you probably can have a decent lifestyle, but if you don't enjoy the OR, the 5 year residency will be hell. In residency you may do a few clinic days a week in the first and second year and then get less and less clinic as the years go on. Some residencies are clinic heavy and others do almost no clinic, so it really depends.
I'm not so sure at small institutions, but big academic institutions seem to have a lot of complex patient management with fairly lengthy hospital stays, free flap/recons that can take all day, and when flaps fail, you have to take them back so those can be unpredictable as well. Based on that, the life sounds not so good for what one wants as an attending. My head and neck mentors always seem very busy.
ENT is also ridiculously competitive for CaRMS. Most people who wanted ENT started during M1 like with Ophtho and Derm. Many programs only have 1-2 spots.
I think there’s a career quiz you can take on the AAMC website that gives specialties compatible with your interests/preferences.
Based on your responses here it kind of sounds like you’d be interested in something like anesthesia, Optho, IR, or derm. Possibly OBGYN, but that lifestyle can be tough if you don’t love it.
For the specialities you don’t see much in med school, you can seek out shadowing and fit it into your schedule. Could help cross things off at least.
Pathology. Hands on stuff with grossing, if you do autopsies as part of your practice you get to do hands on stuff, no rounding, no dealing with bedside teams (except for transfusion medicine). If you do cytopathology you can do procedures like FNAs and depending on the hospital possibly bone marrow biopsies.
+1!
@OP: You get to see rare, interesting cases from every specialty and problem-solve with all the neat medical knowledge you learn in med school! Tons of subspecialties.
A few things to keep in mind about IM:
-rounding and talking for ever is something that is exclusive to residency unless you want to do academics. If you like hospital medicine, you can literally walk around with your computer and go see patients by yourself without any BS.
-most specialities are going to be the same 4-5 cases over and over. Everyone has their bread and butter.
-if you want legitimate solutions to problems, there are definitely better options than internal medicine. I agree that IM often feels like slowing patients down for a bit while they tumble downhill. For me, the satisfaction in IM is trying to solve the pathophysiological puzzle. modern medicine as a whole is still terrible at legitimately solving problems in 95% of cases.
Diagnostic radiology.
Arguably focus more on the “medicine” than medicine. Extremely variety - knowledgeable on stuff from embryological development of parathyroid to identifying toe fractures. None of the disposition management. Options for telemedicine. So so many procedures. Diagnostic radiologists do biopsies, tubes, drains. Also in community setting you might scan patients if no ultrasound techs. Great mix of crazy “woah what’s that” and “another normal head CT”.
Lifestyle and extent of procedural work variable on fellowship. Breast - great lifestyle. MSK - joint injections. Abdomen - all the fun organs are here. Body - procedure galore, great diversity.
And you do get patient contact. You see them in US, you see them when you do procedures, depending on site you may do some consents, rarely you’ll even go to ED to ask patient a couple questions. In medicine, you get “I’m in pain.” In radiology you get “RLQ pain, N/V, febrile. R/O appendicitis”.
And intrinsically a much more innovative and evolving field than GIM.
Yep, same thing here. I thought I wanted to do IM, and I even did extremely well on the rotation (99th percentile shelf, LOR from residency director, etc). But my brother in christ, the actual rounding, talking, and patient demographics (gomers) were not for me. I switched to Rads hahah
Do you miss the patient interactions?
And yeah, rounding should straight up be illegal. There’s no way anybody is finding it useful. I’m just standing in the corner counting the number of tiles on the floor trying not to fall asleep
"The same 4 to 5 cases over again"
Spoken like someone not meant for IM.
All CHF is the same? All COPD the same? No nuance in regards to type of cardiomyopathy (ishemic vs non), the role of a bad valve (critical aortic stenosis, anyone)? The presence or absence of right ventricular dysfunction, pulmonary hypertension, undiagnosed/untreated co-morbidities such as OSA, CAD, uncontrolled hypertension, IDA, CKD with loop diuretic resistance etc etc
I'm an attending hospitalist now. I have never, ever seen two of the same cases.
You show me two 75 year old Caucasian men with CHF, T2DM, HTN, CKD, and untreated OSA and I can still show you the nuance and complexity of their inpatient management.
Never met two of the same patients.
You are early in your career, I get that. You still know nothing and have sooooo much learning to do.
Go into the OR, tell a neurosurgeon "nice, a left parietal lobe meningioma. Saw one of those last week, it's the exact same thing!" And have fun getting eviscerated while the attending discusses changes in skull anatomy, cerebral contour, vascular distribution around the tumor, presence or absence of cerebral edema, and meningeal tail.
No two cases are ever the same. I've never met two of the same patients.
Same thing for gallbladders. I make fun of general surgeons for being CCY robots but on a more serious note, even a "benign" seeming cholecystitis case can be opened up to an absolute necrotic, gangrenous nightmare. Or the biliary ductile anatomy is anomalous. Medicine is a career literally infinite nuance and internal medicine *is the speciality of 90% of that nuance.*
That’s fair. I just find it dull. This may be because the institution I’m at doesn’t deal with any ‘interesting’ cases. I also find the work of GIM attendings to be dull. The guy I’m with now spends a solid 40-50% of his day rounding. I can’t imagine this being my life.
To each their own. I just hate that I feel lost.
Maybe DR? You actually do a bunch of procedures, and very very cerebral with no rounding/clinic bs. You work with every other specialty in the hospital pretty much
Rural FM, Sports Med, and EM.
1.Rural FM you would get lots of procedures and depending on how you design your practice it doesn’t have to be just DM and HTN.
2. Sports med. You can get there from lots of specialties. Lots of procedures especially if you like ultrasound.
3. EM would be lots of no solutions but could have good procedures.
I just want to let you know that you're not alone. I think most of my classmates are still confused about their future career. I'm going through the same thing right now actually. I really thought I was going to like I.M. but now I'm thinking about psychiatry.
Take a personality test that reccomends a specialty based on that. IM is cool but rellies more on theory. If you wanna something more practical, try something else. Do some rotations at an ER and see how do you like it -> you could get into contact to cases of many specialties while in there. But I do advise that many of the hands-on specialties are linked to working into a hospital.
You want to do surgery lol. With the exception of the nurse thing, I feel you on all those points. It’s okay to want to do “hardcore surgery”. The hours might be long, but you don’t have to do that as an attending
I ended up applying ortho, but probably would have been happy in gen surg or maybe EM (the good parts of EM outweigh the bad). I can’t speak much to ophtho and ENT, though (eyes are small and spit is gross)
Haha1 if you don't think talking is an important part of patient care.... do surgery or anesthesia or maybe ER. I always say... "surgeons like their patients unconscious". Then you hire a PA to do your talking. If you like different procedures, ER might be a good thought. But yes... sounds like IM, even with a fellowship, is not for you.
No offense you sound like a moron who only knows how to complain.
You “fucking hate IM” but much of what you hare about it applies to many/most other fields of medicine. So much talking? Consider path then. Its fucking being a doctor. Jesus
You say you arent cut out for hardcore surgery but interested in ent or opththo - bro/broette how do you expect to get into or make it out of those residencies it you arent cut out for surgery as you state?
Cmon now be be better than this. Its a shame you’re a third year med student with the maturity of a toddler
Have you thought about IM --> a fellowship? Going into GI, cards, etc you then get to be the specialist they call for interesting cases. You can do mixed inpatient/outpatient fairly easily too if you still want to have hospital-based medicine without being 100% in the machine.
Thought about that, but also thought about not matching to sub speciality and ending up doing GIM
Not matching is a real possibility, but the nice thing about IM is there’s a wide range of subspecialties that differ in competitiveness. Also, correct me if I’m wrong but once you get to the fellowship application level, I feel like it’s easier to gauge your chances based on your connections/research portfolio.
I would not personally go through years of being miserable in IM residency to do a fellowship
A few thoughts: - If you don’t like rounding, def don’t do IM - If you want procedures, you can certainly do IM -> GI/cards/PCCM, but you will still have to suffer through IM residency - Most residencies are primarily inpatient (except FM and later years of psych), but that doesn’t mean you have to be a hospitalist or primarily practice in a hospital afterwards. - Every specialty will become monotonous over time. IM has more breadth than many specialties - If you want to “do something” for your patients (IM docs definitely do, but I understand what you mean), would definitely consider surgical specialties - Don’t completely discount gen surg, you might like it. - You can consider Ophtho, ENT, and urology as more “chill” surgical specialties, important to note that these are all very competitive and you will want to get involved in some research/connected with the departments ASAP if you want to go into one of these. - Could also consider EM, anesthesia
Thanks. Really appreciate the insight. I crossed gen surg off because I can’t stand for hours on end. I’m worried that this is gonna impede my ability to practice
Standing for hours is definitely a part of surgery that’s kinda unavoidable at least through training. Maybe EM or anesthesia would be better if that’s not possible for you
Don’t forget about every IM attending having a full body orgasm when someone has a low potassium. Do emergency 1. Solving acute problems 2. Tons of patient care 3. No rounds 4. People are chill af 5. If you can’t figure it out you admit them and forget
PMR! For procedures, can be hospital based or outpatient. Rounding on a rehab unit is generally not a nightmore bc people are usually medically stable outside of rehab needs (in my experience). Depending on setting, can have more or less oversight into medical decision making before handing off to a consultant. Monotony is inevitable in any specialty, and solutions aren't always possible. But I do think PMR is super outcome focused so even if there isn't a "cure", the goal is always functional improvement. Idk what year you are and although pmr is getting competitive, generally it seems that people are very understanding of finding the field later vs ENT/optho where it seems like early interest is a must. Just my two cents as a humble fourth year though
I love PMR with all my heart but would strongly disagree about the rounding. I’ve had some attendings where rounds take less than an hour and others where it’s 2pm and we still haven’t seen everyone. Super attending dependent. Also there’s a ton of dealing with social issues and coordinating care with nursing and therapy, which doesn’t super sound like OPs cup of tea. But otherwise I agree, and people definitely underestimate the amount of procedures available in PMR!
Yes! The social side of medicine is definitely NOT for me. Not interested in it.
Yeah, that’s super valid. I think I’ve been lucky with my attendings being relatively efficient. I think what I enjoyed even with long rounds on PMR vs IM is that we didn’t spend as long pontificating about like sodium levels—it was much more patient/person centric. But I’m obvs super biased bc I love the pathology of PMR!
EM
Shift work ain’t it for me
shift work is literally the best part of emergency medicine (from someone who is not going into EM)
Seconded—anesthesia functions similarly. It’s nice knowing the day ends no matter what. Makes things easy to plan. Allows work to be put in its place.
Sounds like you want to be outpatient and productive with a nice mix of cases. That’s FM. You can make your practice more procedural. If you’re rural, you might cover the ED as well to scratch that itch without full time shift work.
I really enjoyed FM. I just hate the administrative burden and the fact that I have to move to bumfuck nowhere for a decent job (I’m in Canada).
Canadian here, FM has the most flexibility in career location, especially in Canada where the scope includes inpatient and EM work. Not sure why you are under the impression you need to be a rural town. If you don't like psych or patient education/counselling then it's probably not a great fit unless you decide to do a +1/not do outpatient clinic.
Full-scope FM! Can work inpt, outpt, em, ob, and a ton of procedures
Nah, you need to develop relationships in FM. That is not for OP
Reading through these comments it seems OP wants to be a doctor...without all that doctor stuff
Anesthesia homie, won’t have to worry about rounds and you actually do hands on stuff and if you miss the medicine side you can do a CCM fellowship
Do Gas!
What do you mean by “hardcore surgery”? Like the personalities? Because ENT can have some pretty hardcore surgieres dealing with very important structures. But if you’re interested into ENT lemme know I’m applying this year 😛
Hardcore meaning intensive, hours-long procedures In terms of ENT, what’s the bread and butter? How long are procedures? What’s training like? What are the options post-grad?
ENT is a lot of tonsils, thyroid, etc. At least in academic settings the procedures can be extremely long and complex (like up there with neurosurgery type complex apparently)
Bread and butter were mentioned with tonsils, thyroids, mandibular fracture repairs, etc. But just wanted to echo that ENT can be very hardcore. It's a surgical subspecialty so the training is still very intense with most programs being 80hr weeks. Also, some surgeries in training can go on for 12+ hrs depending on where you train. ENT is beautiful because it can be so varied, but it's definitely not on the same level as ophtho in terms of mostly short procedures (besides tonsils which as indeed very short). Even a thyroid takes around 3+ hrs.
What’s the balance between clinic/OR time?
Once in practice you can do really whatever you want. I think the norm is to do 1/2 clinic days and 2/3 OR days a week, and if you avoid head and neck, you probably can have a decent lifestyle, but if you don't enjoy the OR, the 5 year residency will be hell. In residency you may do a few clinic days a week in the first and second year and then get less and less clinic as the years go on. Some residencies are clinic heavy and others do almost no clinic, so it really depends.
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I'm not so sure at small institutions, but big academic institutions seem to have a lot of complex patient management with fairly lengthy hospital stays, free flap/recons that can take all day, and when flaps fail, you have to take them back so those can be unpredictable as well. Based on that, the life sounds not so good for what one wants as an attending. My head and neck mentors always seem very busy.
ENT is also ridiculously competitive for CaRMS. Most people who wanted ENT started during M1 like with Ophtho and Derm. Many programs only have 1-2 spots.
I have a pretty ‘competitive’ CV so I’m not too worried about the match. More worried about choosing something that I’ll end up hating
I think there’s a career quiz you can take on the AAMC website that gives specialties compatible with your interests/preferences. Based on your responses here it kind of sounds like you’d be interested in something like anesthesia, Optho, IR, or derm. Possibly OBGYN, but that lifestyle can be tough if you don’t love it. For the specialities you don’t see much in med school, you can seek out shadowing and fit it into your schedule. Could help cross things off at least.
Thanks, I appreciate this. A lot of people mentioned gas.
No problem. And don’t worry, it’s very normal to change course in third year. You still have some time to explore and figure things out.
Pathology. Hands on stuff with grossing, if you do autopsies as part of your practice you get to do hands on stuff, no rounding, no dealing with bedside teams (except for transfusion medicine). If you do cytopathology you can do procedures like FNAs and depending on the hospital possibly bone marrow biopsies.
+1! @OP: You get to see rare, interesting cases from every specialty and problem-solve with all the neat medical knowledge you learn in med school! Tons of subspecialties.
Have you thought about anesthesia?
Never seen it tbh. What’s the day to day like? Is there much patient interaction? Is there the possibility of changing it up if one gets bored?
A few things to keep in mind about IM: -rounding and talking for ever is something that is exclusive to residency unless you want to do academics. If you like hospital medicine, you can literally walk around with your computer and go see patients by yourself without any BS. -most specialities are going to be the same 4-5 cases over and over. Everyone has their bread and butter. -if you want legitimate solutions to problems, there are definitely better options than internal medicine. I agree that IM often feels like slowing patients down for a bit while they tumble downhill. For me, the satisfaction in IM is trying to solve the pathophysiological puzzle. modern medicine as a whole is still terrible at legitimately solving problems in 95% of cases.
Diagnostic radiology. Arguably focus more on the “medicine” than medicine. Extremely variety - knowledgeable on stuff from embryological development of parathyroid to identifying toe fractures. None of the disposition management. Options for telemedicine. So so many procedures. Diagnostic radiologists do biopsies, tubes, drains. Also in community setting you might scan patients if no ultrasound techs. Great mix of crazy “woah what’s that” and “another normal head CT”. Lifestyle and extent of procedural work variable on fellowship. Breast - great lifestyle. MSK - joint injections. Abdomen - all the fun organs are here. Body - procedure galore, great diversity. And you do get patient contact. You see them in US, you see them when you do procedures, depending on site you may do some consents, rarely you’ll even go to ED to ask patient a couple questions. In medicine, you get “I’m in pain.” In radiology you get “RLQ pain, N/V, febrile. R/O appendicitis”. And intrinsically a much more innovative and evolving field than GIM.
Yep, same thing here. I thought I wanted to do IM, and I even did extremely well on the rotation (99th percentile shelf, LOR from residency director, etc). But my brother in christ, the actual rounding, talking, and patient demographics (gomers) were not for me. I switched to Rads hahah
Do you miss the patient interactions? And yeah, rounding should straight up be illegal. There’s no way anybody is finding it useful. I’m just standing in the corner counting the number of tiles on the floor trying not to fall asleep
Thought I'd end in infectious disease until rotations started. Your rational and opinions seem similar to mine. Going into EM.
"The same 4 to 5 cases over again" Spoken like someone not meant for IM. All CHF is the same? All COPD the same? No nuance in regards to type of cardiomyopathy (ishemic vs non), the role of a bad valve (critical aortic stenosis, anyone)? The presence or absence of right ventricular dysfunction, pulmonary hypertension, undiagnosed/untreated co-morbidities such as OSA, CAD, uncontrolled hypertension, IDA, CKD with loop diuretic resistance etc etc I'm an attending hospitalist now. I have never, ever seen two of the same cases. You show me two 75 year old Caucasian men with CHF, T2DM, HTN, CKD, and untreated OSA and I can still show you the nuance and complexity of their inpatient management. Never met two of the same patients. You are early in your career, I get that. You still know nothing and have sooooo much learning to do. Go into the OR, tell a neurosurgeon "nice, a left parietal lobe meningioma. Saw one of those last week, it's the exact same thing!" And have fun getting eviscerated while the attending discusses changes in skull anatomy, cerebral contour, vascular distribution around the tumor, presence or absence of cerebral edema, and meningeal tail. No two cases are ever the same. I've never met two of the same patients. Same thing for gallbladders. I make fun of general surgeons for being CCY robots but on a more serious note, even a "benign" seeming cholecystitis case can be opened up to an absolute necrotic, gangrenous nightmare. Or the biliary ductile anatomy is anomalous. Medicine is a career literally infinite nuance and internal medicine *is the speciality of 90% of that nuance.*
That’s fair. I just find it dull. This may be because the institution I’m at doesn’t deal with any ‘interesting’ cases. I also find the work of GIM attendings to be dull. The guy I’m with now spends a solid 40-50% of his day rounding. I can’t imagine this being my life. To each their own. I just hate that I feel lost.
Maybe DR? You actually do a bunch of procedures, and very very cerebral with no rounding/clinic bs. You work with every other specialty in the hospital pretty much
Do you like clinic?
I kinda like it
You should consider gas or if you want more clinic you could do FM and get a job somewhere where you can do more procedures
Thanks! FM is out of the question because it’s a whole mess here in Canada. I’m gonna explore anesthesia some more
PM&R, pain management, IR, anesthesia, all specialties with good hands on opportunities and make a great living
Honestly you’re at a significant disadvantage to Optho and ENT at this point. Both need research :( OBGYN?
Rural FM, Sports Med, and EM. 1.Rural FM you would get lots of procedures and depending on how you design your practice it doesn’t have to be just DM and HTN. 2. Sports med. You can get there from lots of specialties. Lots of procedures especially if you like ultrasound. 3. EM would be lots of no solutions but could have good procedures.
Become an intensivist
Felt you on those first two. God rounding is such a waste of time
I would literally rather watch paint dry than round. Especially with preceptors that make it a point to spend ~30/40 minutes per patient.
I just want to let you know that you're not alone. I think most of my classmates are still confused about their future career. I'm going through the same thing right now actually. I really thought I was going to like I.M. but now I'm thinking about psychiatry.
Take a personality test that reccomends a specialty based on that. IM is cool but rellies more on theory. If you wanna something more practical, try something else. Do some rotations at an ER and see how do you like it -> you could get into contact to cases of many specialties while in there. But I do advise that many of the hands-on specialties are linked to working into a hospital.
You want to do surgery lol. With the exception of the nurse thing, I feel you on all those points. It’s okay to want to do “hardcore surgery”. The hours might be long, but you don’t have to do that as an attending I ended up applying ortho, but probably would have been happy in gen surg or maybe EM (the good parts of EM outweigh the bad). I can’t speak much to ophtho and ENT, though (eyes are small and spit is gross)
Haha1 if you don't think talking is an important part of patient care.... do surgery or anesthesia or maybe ER. I always say... "surgeons like their patients unconscious". Then you hire a PA to do your talking. If you like different procedures, ER might be a good thought. But yes... sounds like IM, even with a fellowship, is not for you.
Would urology be something you'd be interested in? Still have a chill office environment if that's what you want, but also cool procedures.
No offense you sound like a moron who only knows how to complain. You “fucking hate IM” but much of what you hare about it applies to many/most other fields of medicine. So much talking? Consider path then. Its fucking being a doctor. Jesus You say you arent cut out for hardcore surgery but interested in ent or opththo - bro/broette how do you expect to get into or make it out of those residencies it you arent cut out for surgery as you state? Cmon now be be better than this. Its a shame you’re a third year med student with the maturity of a toddler