Name: 如何選擇一個特殊的｜6個步驟 (How to CHOOSE A SPECIALTY | 6 Steps)
Uploaded: 2021-01-14T11:03:57.000Z
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In a future doctor's life, there are few decision as important and nerve-wracking as

Everything from your life during medical school, to your life in residency, to your life beyond

residency are all dramatically influenced by this singular decision.

How much time will you have for your family?

Will you be burned out and miserable or will you love what you do?

This is how you should go about choosing a medical specialty.

We'll cover the thought processes and practices you should go through to ultimately land on

But an important part of the decision making process is hearing from other doctors and learning

what drew them to their field, what they love about it, and what they wish they did differently.

For that reason, we've started an all new series called The Insiders Scoop

available exclusively on the Med School Insiders blog, where we highlight individual doctors

If you'd like to receive updates any time a new specialty is featured, be sure to subscribe

to our newsletter at MedSchoolInsiders.com/newsletter.

AAMC on medical student specialty choice revealed

that over the course of medical school, most medical students change their preferred specialty.

Only a quarter of respondents indicated the same specialty between matriculating and

I initially started medical school wanting to go into pediatric gastroenterology but

I ultimately switched to plastic surgery.

I go over that journey and the process that led to my decision in a video on my vlog

Interestingly, students that had the highest rate of congruence, meaning they did not change

their specialty, chose orthopedic surgery at 50.2%, pediatrics at 42.9%, and neurosurgery

I'm not quite sure what to make of those numbers.

We now know that the specialty you decide on has tremendous immediate as well as long term

We also know that most medical students end up changing their mind over their 4 years

So where do we go from here and how can we create a system to decide on the best suited

Most commonly, people refer to compensation as a significant factor to help sway your

I don't blame them, particularly when medical students graduate with close to $200,000 in

I've covered the top paid specialties in a previous video,

including the factors that lead to certain specialties being highly compensated and others

While compensation is important, I would argue that most physicians are quite comfortable,

and compensation differences between specialties will be far less important than other factors

in helping you lead a happy and fulfilling life. Therefore, compensation should NOT

be a primary or even secondary factor in making your decision.

Other, more important factors to consider include what type of relationship and interactions

you want to have with your patients, the work-life balance you desire, how much or little you

enjoy performing procedures, the types of patients you generally work with, and

Does the specialty excite and captivate you?

Can you imagine doing this for the rest of your life?

Often times, medical students fixate on rare cases or procedures that are particularly

However, it's important to remember that these zebra cases are few and far between.

More importantly, determine whether or not doing the bread and butter, meaning the

things you are more likely to see day after day, is something you can actually live with.

help you narrow down a category or group of specialties for you to deliberate on.

First, what organ system or clinical questions do you find the most exciting and stimulating?

If you enjoy pharmacology and physiology, anesthesia may be a good fit for you.

If you love anatomy, like I did, then consider a surgical specialty.

If you are fascinated by the brain and how it works, then neurology or neurosurgery are

Next, assuming you plan to practice clinically,

do you want direct patient care or indirect patient care?

Indirect patient care would include specialties like radiology or pathology.

Direct patient care would include most everything else.

Next, assuming you want to have direct patient

care, determine whether you'd like a primarily surgical practice, where the operating room

is the focus of your day-to-day, or a primarily medical practice, where procedures are relatively

Surgical specialty examples would include general surgery, plastic surgery, orthopedic

Medical specialties include internal medicine, pediatrics, psychiatry, family medicine, and

other less procedurally focused specialties.

On average, these medical specialties emphasize patient relationships and clinical reasoning, but

will often require a high degree of patience.

You can also opt for a middle ground, like urology, dermatology, OB/GYN, or anesthesia

Another important consideration when answering this question is the level of patient contact

Do you enjoy talking to patients and forming long-term relationships?

And if so, internal and family medicine provide ample opportunity.

Or do you prefer brief and efficient patient interactions?

If so, emergency medicine, anesthesiology, and many surgical specialties are better suited for

Now when I first started medical school, I remember thinking that work-life balance wasn't important.

This is a common sentiment amongst pre-med and medical students.

However, by the time you reach the end of medical school and have been put through the

wringer, you begin to realize how important lifestyle is.

It's easy to simply correlate challenging or unpredictable work hours with higher rates

of burnout, but it's more nuanced than that.

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如何選擇一個特殊的｜6個步驟 (How to CHOOSE A SPECIALTY | 6 Steps)

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