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Specialty Assessment
This is definitely putting the cart WAY ahead of the horse, but I took one of those specialty assessments. There are a few online, and after reading the thread on SDN, I took the assessment after weighting different factors about what I prefer and do not prefer. The assessment takes into account the factors that you adjust via a sliding scale, I'll have to find the link for it, but essentially a "low number" in the results is good, and a "high number" in the results is bad as far as matching your chosen preferences. The factors include the following, and this list isn't all-inclusive:
- caring for patients
- continuity of care
- autonomy
- diversity
- personal time
- expertise
- income satisfaction
- creativity
- certainty of outcomes
- clinical decision-making
- patient decision-making
- (several others)
The most important things to me were diversity, autonomy, creativity, clinical decision-making, interacting with other physicians/members of health-care team and sense of accomplishment. I noticed that my results tended to skew towards a bunch of surgical fields. I'm not really sure how else to interpret the results, and some of my top results were specialties I had not really thought about, for instance my number one, pulmonary/critical care medicine I hadn't really considered. As I've mentioned before, this is mainly a thought exercise since I have not even applied yet, and I'll have a much more solid idea of what specialty to pursue if and when a) I get accepted somewhere and b) once I start clinical rotations and get more exposure to them.
Here are my top 10:
- Pulmonary/Critical Care Medicine (16.85)
- Radiation Oncology (19.04)
- Vascular and Interventional Radiology (21.31)
- Otolaryngology (21.39)
- Neurological Surgery (21.62)
- Emergency Medicine (22.16)
- Gastroenterology (22.93)
- Orthopaedic Surgery (23.4)
- Urology (24.76)
- Sports Medicine (24.88)
I wasn't really thinking much about #1, #2, #3, #5, #7. To be fair, I hadn't given much thought to specialty choice in general, other than knowing a particular specialty I'm not particularly interested in, due to dating a woman during her intern year in that field.
My bottom 10 (worst to least-worst for me according to my preferences, I suppose?):
- Child and Adolescent Psychiatry (134.53)
- Psychiatry (117.45)
- Radiology - Diagnostic (84.63)
- Pathology (79.89)
- Obstetrics & Gynecology (78.87)
- Medical Genetics (77.64)
- Preventive Medicine (76.74)
- Endocrinology, Diabetes and Metabolism (74.11)
- Geriatric Medicine (68.18)
- Infectious Diseases (67.52)
I guess psychiatry is just not a good match for me. If I matched into psychiatry I must be wearing Bad Idea Jeans. I didn't think it would be that wide a discrepancy, but damn those are some big ass numbers™. I didn't have a high preference for schedule, or continuity of care, or certainty of outcomes. I'm okay with ambiguity (kind of like the ending of Inception, lol).
I have a wide band of specialties that seem like good matches outside of the top 10, from the low 20s to 40, including vascular surgery, plastic surgery, cardiology, neonatal-perinatal medicine, general surgery, nephrology, anesthesiology, thoracic surgery, ophthalmology, family practice and physical medicine & rehabilitation. After that it gets more spread out from 40 to to "bottom 10."
What does this all mean anyway? Hell if I know. While I was dating the intern, it was a game to guess what specialty I would end up in. I guess if I get in, we'll find out, a few years from now!
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