There comes a time in nearly everyone’s life where they have to make the decision on what they are going to pursue doing for a living. For most this occurs at the completion of high school, undergrad or graduate school. Not everyone makes a long term choice on the first attempt either, sometimes it’s not than easy to find what we want to do the rest of our lives.
For those pursuing an M.D. degree like my wife, a big decision has to be made around the completion of the third year of medical school. This time of their educational career pushes them to pick what specialty they will pursue. There are many specialties within the medical field and one must be chosen for residency. My wife was torn for a long time on what she would pursue.
After looking at many different specialties and experiencing these doctors’ daily operation, my wife has chosen OB/GYN. It appears to be the best mix of surgery and patient contact. My wife enjoys getting to talk with patients building a relationship with them. A lot of the dedicated surgery specialties have little time talking with patients and this is important to her. Family medicine has a lot of contact with patients getting to know them, but my wife would prefer to have a surgery aspect to her career.
So, how did she make the decision? What were some things that she considered when making this decision?
The (almost) Doctor’s Thoughts
Hi! So, when I first started medical school I thought I wanted to go into general surgery. I loved the idea of operating and being able to use my hands to fix a problem. I loved anatomy and wanted to spend every day getting to use that knowledge. I didn’t think I wanted long term patient continuity and I wasn’t sure about long clinic days.
The summer between M1 and M2 year, I did an anatomy elective that allowed me to focus on the female reproductive system. I was able to do my own dissection and learn about some common procedures. I fell in love with the pelvic anatomy. From there I started doing some more research. A not so secret secret: OB/GYNs are amazing surgeons! M2 year brought lectures and book work on the reproductive system and I came out of that class with a pretty good idea that this was the right field. But first, I needed to experience it in real life.
Some of my thoughts changed when I got into third year. I wanted to find a specialty where I could use my full potential. I wanted it to fit my personality. I wanted it to fit with my goals outside of medicine. Jacob and I started talking more about the life we wanted to have outside of medical school and residency. What were the goals we wanted for our life? For our family? That’s when I knew I needed to find a specialty that would also be supportive of my life outside of medicine.
As I went through each rotation I talked with the physicians about their lives, why they chose that field, and the highs and lows of that specialty. I crossed off some specialties right away. I didn’t want a lot of down time. I get bored a little too easily. I didn’t want super sick patients. Intensive care is a little too sad and frustrating. I liked kids, but I didn’t want to only take care of kids. By Christmas, I knew that I was between General Surgery and OB/GYN. I decided OB/GYN was the best option after my clerkship in January. The residents and attendings love their work and are happy even during the long hours. On service, I saw women in all stages of life supporting each other as they learn to become the best physicians they can be. The combination of surgery and clinic keeps the days interesting. I love that I will be able to care for women throughout their lives and be with them for some very important occasions. This specialty will allow Jacob and I to move back to a more rural community and fits well with our vision of the future.
Final Thoughts
Making big life decisions is hard. It causes a lot of stress and worry which makes the process difficult. I have found through our processes that considering the following can guide us on our path.
- What is the most valuable thing in my life?
- Is this decision the biggest thing in my life?
- If I were not to proceed with this decision, would I still feel satisfied in life?
- What steps can I take to eliminate other options?
- When it comes to careers, if I were to lose this opportunity, what else do I still have?
- How can this career help me achieve my life goals?
- Will my life goals be blocked by choosing this career?
- Will my job choice influence my family life positively?
- How can I have a career and a family?
- Does one choice offer better benefits?
- Do I feel that one will be a career and one a job?