<p>Okay, this is more for the current med students and the soon to be current med students who are applying and may get questions on desired specialties during their interviews. Now that I'm on my clerkships, and in less than a year my colleagues and I will be picking our specialties, many people are offering us advice...and for the most part it is lame things like "find what you love and then do that". Luckily, my peds clerkship director is great, and as part of our debriefing gave us this little sequence to use to sort of gauge what is important to us, and see how that might fit with specialties we're considering. It's not perfect, but it's probably the best advice I've gotten from someone so far in how to look at my desires and how each specialty can match up. You really need to be honest with yourself when doing this. Dont' rationalize things and say lifestyle isn't important to you because you think you want to be a neurosurgeon.</p>
<p>Things to consider:</p>
<p>FAME - Do you want to be that doctor who shows up at a cocktail party and everyone knows who you are? We're not talking Dr. Gupta/CNN fame, but a variety of factors like the wow factor, or the respect within your field, or the respect other doctors/persons in your community give you. For example, neurosurgeons certainly garner that WOW when they meet someone. Other people want the notoriety from their patients and that's it. A General Pediatrician isn't likely to get the same response as the Neurosurgeon. Other people want to be well respected in their community, really be seen as a pillar - these people might prefer to end up in a small town and be THE DOCTOR. Other people might want to be in a larger city, but want other doctors to say "when Dr. X speaks, pay attention" these might be your med school faculty who are focused on general areas of medicine. </p>
<p>FORTUNE - I don't think I need to explain this, but keep in mind your financial goals. No doctor is going to have trouble paying the electric bill. But some people want a Mini Cooper, others a Lexus, and some want the Lamborghini. Some people must have a vacation home. So pay does matter in keeping you happy if you have certain financial expectations.</p>
<p>LIFESTYLE - Another self explanatory one. If you want 9:30am to 4:30 pm clinic hours with no call, there are some things you simply CANNOT be. Other people love being called into the OR at 3am.</p>
<p>BRAIN CANDY - do you like knowing a little about a lot of things, finding out your limitations and then passing patients along to someone who knows more? Or would you rather know everything about one little part of the body? Can you handle the complex problems where it's never really clear what's going on, the sort of case where you entertain the patient while nature cures the disease? Or does uncertainty drive you crazy?</p>
<p>So just some things to think about. Try going through and ranking 1-4 what is most important to you (things can tie if you really can't decide). </p>
<p>From here, you might also keep considering the standard things I've mentioned in the past - what type of patient population do you want to work with (ie kids vs adults), do you want to be more procedural in nature, or is giving a pill sound like a great idea for you. Do you want acute conditions or chronic ones? Do you want to build long term relationships with patients, do you want to never see them again, or never see them in the first place?</p>