It's been a while since I've written, mainly because I haven't felt like anything noteworthy has happened. I'm currently doing my medicine rotation and enjoying it far more than I thought I would. I'm not sure where I came to the conclusion that I wouldn't like medicine, but I carried that prejudice with me for most of the first half of this year. I have done one inpatient rotation at a local private hospital, as well as an acute care rotation at the VA. I have to say, the VA rotation was pretty cush. 8-330 everyday is a pretty nice schedule. It's going to be hard to get used to getting up early and rounding all day again.
Medicine has been a pretty pleasant surprise. In fairness, however, I was at an outside hospital with residents who let me act somewhat like a sub-intern, so I learned a lot without having to spend all day rounding. I doubt that I will enjoy the endless cogitating and head scratching that constitutes the in-patient medicine at our university hospital.
We are currently in the midst of planning our fourth year schedules which is pretty daunting. All of a sudden I have to figure out what I want to be when I grow up. Since before starting med-school, I've always thought I'd be an anesthesiologist and am still about 90% sure that's what I want. There's a nagging 10% though, that is thinking hard about cardiology. We had a really cool grand rounds lecture this morning on the physiology of the heart and it was more interesting than anything I"ve heard in a long time. I'm thinking hard about putting a cardio elective early in my 4th year in order to muddy the waters. Cardiology has a few problems with it, however. It's a longer road than anesthesia by 1-3 years (depending on if I do a fellowship after anesthesia), and I have to outcompete my other fellow Medicine residents to make it in. I'm pretty tired of competing and jumping through hoops. On the up-side, however, it's really fascinating, acute, and heavy on physiology.
I have one more month of medicine before I start my two three week anesthesia electives this spring. I guess after that I should have a better idea of whether I want to spend my professional life doing anesthesia.