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  1. #1
    ARK
    ARK is offline Newbie 510 points
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    specialty switch after first year residency

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    I'm about to end my 1st yr residency in FM , I originally applied for it to attain a sports medicine fellowship but I've found that working in FM is NOT challenging
    I'm honestly considering switching to General Surgery ....am I crazy or what, I do have decent scores (mid 90s) but is it possible to switch and how .

  2. #2
    thethom is offline Senior Member 516 points
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    Is primary care sports medicine not challenging to you, since thats what you will eventually be doing? Think very carefully before switching to GenSurg. The hours are horrendous, and your time with friends/loved ones will most certainly change for the worse. If you are sure you want this and you are sure that you want to screw your program over by leaving, then yes, you could do it. You would have to reenter the match for a PGY1 position, and of course inform them that you have a year of residency under your belt.

    What was it specifically about family med that you didnt like (just curious)..?
    M.D. RUSM c/o 2009.
    Step 1: 260/99, Step 2CK: 236/98, Step 3: 244/99.
    Family Medicine Residency 2009-2012, Board Certified.
    Sports Medicine Fellowship 20012-2013, Board Certified.
    Adjunct Professor of Family Medicine, UNC-Chapel Hill School of Medicine.
    Currently in private Primary Care Sports Medicine Practice.

  3. #3
    ARK
    ARK is offline Newbie 510 points
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    thethom:
    thanks for the quick reply.....the outpatient clinic cases are boring( i admit procedures are interesting in the beginning) second fiddle participation in management and although there are extremely competent FM practitioners they don't get the social prestige other specialty enjoy..... honestly when i see my friends assisting in key hole surgeries and robotic surgeries i feel out of place where i am know

  4. #4
    IMG SURVIVOR's Avatar
    IMG SURVIVOR is offline Moderator 527 points
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    Quote Originally Posted by ARK View Post
    thethom:
    thanks for the quick reply.....the outpatient clinic cases are boring( i admit procedures are interesting in the beginning) second fiddle participation in management and although there are extremely competent FM practitioners they don't get the social prestige other specialty enjoy..... honestly when i see my friends assisting in key hole surgeries and robotic surgeries i feel out of place where i am know
    I will say that thetom had some really good points in his post.So I will repeat some of his points and add some of mines.

    1- To answer your question; Yes you can change to another specialty. I have seen it in the past. People doing one year of residency and then trying to change to another specialty.

    2-Now be aware that they will ask you the why, and you must have a VERY SOLID answer.

    3-Surgery,if that is what you like, good for you. follow your dreams, but have in mind you will not sleep during residency. The hours are really bad.
    Many people change from surgery to another residency because they say they have a life first or they have a family. I personally know a lady that after 2 years in surgery change to psiquiatria because it was easier, she had time to be with her daughter. And she is the happiest psych. resident. Wile in internal medicine everybody is tired she is still full of energy and saying what and easy day.


    Some people change specialty because they went ahead and accepted one that they did not like as a fallback plan. So in the following year they apply again. In one way you will not be out of residency and will be practicing, but if a program gives you a chance and then you live it will hurt the program, specially if its a little program.

    Also someone that will love that specialty had a year out of residency because someone took the position.

    Some people have even had the luck that the program accepted some of the months from the other program so he did not had to do the entire year. I know someone that change from FM to IM and they basicly accepted 3 months of electives and he did ICUmed,Cardio,ER, GI and some other stuff. He will end up only doing like 2 extra months and not one entire year. The only problem is that he is out of cycle.

    At the end do what you think is best for you in THE LONG TERM. One thing is what you WANT another thing is what is CONVINIENT for you on the long term. Trust me I had to learn that the hard away

    You have one year in residency that will help your application. Be honest with the Surgery PD, trust me they smell from a long distance.

    Also be open to accept a prelimanary position, it might help you if you dont get a categorical one.

    I hope you get a Surgery residency and that everything will go fine with you.

    GOD Bless and take care
    Moderator: USMLE AND Residency Forums.

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    why even bother with the obvious. Just know where you are need it and where you can help the most.

  5. #5
    thethom is offline Senior Member 516 points
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    ARK I used to think like you. That may be part of the reason I applied to gen, ortho, and neurosurgery programs. But lately I have been realizing it its not a life, its JUST a job, and that when you're 40 or 50, you're not gonna care as much about what you're doing, you'll just want to see your patients, get your work done, and get home to your friends and family, so I cancelled most of my surgery interviews (except ortho and neurosurg) and applied to family medicine.

    I think you should hang in there and you'll prob feel much more satisfaction in your sports medicine fellowship and subsequent work.

    Best of luck and let us know how things turn out...!

    -T
    M.D. RUSM c/o 2009.
    Step 1: 260/99, Step 2CK: 236/98, Step 3: 244/99.
    Family Medicine Residency 2009-2012, Board Certified.
    Sports Medicine Fellowship 20012-2013, Board Certified.
    Adjunct Professor of Family Medicine, UNC-Chapel Hill School of Medicine.
    Currently in private Primary Care Sports Medicine Practice.

  6. #6
    AUCMD2006's Avatar
    AUCMD2006 is offline Ultimate Member 6129 points
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    surgery is awsome-doing procedures is the best, the time i spend on the robot and the scopes is incredible....the closest thing i can bring it to is christmas morning when your a kid opening up and playing with new toys

    i can compare gyn to gen surg because the hours and workload is similar and i can tell you the hours suck. they take a toll on your family, firneds, and you in general and you really have to like what you are doing or you will end up bitter and hating life and there are plenty of gen surg and gyns who fit that...

    i had to choose between gen surg and gyn. i had a catagorical surgery contract signed and done then walked in to turn it in at 5:00AM and saw my attending in there with a cup of coffee at 72 years...i decided that was not gonna be me so i went with gyn just because it seemed to be more viable to options later on. like if i do general obgyn for a few years i can focus on various areas and do as much or as little surgery as i want. i know gyns who do just OB, or urology, some that do just Gyn..others branched out and do just plastics, or focus on other areas like sexual dysfunction and build a practice areound that..i guess i can also do primary care..

    choose carefully. the only thing above i disagee with is taking a prelim spot. don't ever take a prelim spot since they almost never lead to a catagorical spot..ask around. also you have a limited number of yrs to finish residency (don't recall if its 6 or 7). also those very very rare instances where a prelim spot leads to a catgorical they usually make you start over as a pgy-1 so thats another year. do if you did 1 in FO and 1 prelim and you have to do a 5yr gen surg program that may puit you over the limit on alloted training time.

    peace out
    AUCMD2006
    Bored Certified

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