1. LifeStyle Consideration

1.1 - Priorities & Prejudice

Three Highest Priorities when Choosing a Medical Specialty

  1. Job Satisfaction
  2. Lifestyle after Training
  3. Impact on Patient

Medical students in their first month of training have already considered their specialty preferences, despite limited exposure.

However, students are not fixed in their specialty preference. Our findings further support previous results but expand what students consider when choosing their specialty early in their training.

Medical educators and administrators who recognize and understand the importance of these considerations may further enhance career counseling and medical education curricula

1.2 - 3 Ps - Purpose, Passion & Personality

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1.3 - Framework in Deciding Wisely - Stepwise Approach

Step 1: Medical vs Physicians’ Physician vs Surgical

Step1: Medical vs Physicians’ Physician vs Surgical

The first step is to decide between medical vs surgical vs Physician's' Physician

Medical

Hospitalist

Critical Care

Neurology

Physicians' Physician

Radiology

Histology

Anesthesiologist

Surgical

Gen Surgery

Trauma Surgery

Neurosurgery

Step 2: Understanding Spectrum of Care

Step 2: Understanding Spectrum of Care
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Step 3: Spectrum Lies Within Specialty

Step 3: Spectrum Lies Within Specialty

  • HyperAcute
    • Stroke
  • Acute/Critical Care
    • Neurocritical Care
  • Chronic Care
    • Headache/Epilepsy/MS
  • End-of-Life Care
    • Palliative Care
  • Preventative/Primary Care
    • MS
  • Palliative Care

Step 4: Understanding Training Pathways

Step 4: Understanding Training Pathways

US (In most, IM to subspecialty training)

Intern > Resident > Fellow

US (Neurology, Psychiatry etc)

Intern > Psychiatry > Subspecialty

Also applicable to select surgical SS

Other Countries

Internal Medicine > Neurology > Subspecialty

Step 5: Plan Ahead - Life Evolves

Step 5: Plan Ahead - Life Evolves
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1.4 - Moral Injury [Burnout]

Moral Injury [Burnout]

1.5 - Women in Medicine

Women in Medicine