I am finishing up my first year of internal medicine and really cannot decide between those 3 specialties. I would love to have your input, advice, and thoughts in this decision. I will tell you about my personal pros and cons of each one.
General Internal Medicine – I love that you have a wide breadth of knowledge across everything. I love the patient relationships you can build in the outpatient and even inpatient setting. Additionally, I love that I virtually dictate what I want to do with my life, whether its inpatient vs outpatient vs administrative work vs just the overall ease of dictating your own scheduling. I do not like dealing with all the social dispo nightmares, and I really do not like being the middle man for all the consultants let alone call consultants and have to deal with uptight attitudes.
Cardiology- I love the heart, I love the coronary system. I love that it's such a prestigious specialty. I love that you're a consultant. I also love that it has both inpatient and outpatient variety and you can build close patient relationships. I also love that you could potentially go into a procedural aspect of it. I do not like the lifestyle it offers. I also do not like the lack of job opportunities (especially in southern California), and I do not like that I will most likely forget everything else in medicine unrelated to cardiology.
Pulm/Critical Care- I love hemodynamics, I love the breadth of knowledge you have to know. I love the critical care aspect of it, I love that it is procedural. I love that you pretty much know everything about medicine. I love that there are no stupid social situations (e.g. just downgrade to medicine). I am starting to like pulm more and more. I love the confidence that you feel like you can take care of anything. I do not like that you can not really build relationships with patients. I also do not like the lifestyle of it and the high burnout rate scares me.
There you go, the pros and cons for me for the 3 specialties. I would love to hear your input, any advice you have, or thoughts about each specialty. Thanks in advance!
Source: Original link