After Rounds
Medical student shadowing a practicing physician

Choosing a Medical Specialty: Where to Learn What You Need to Know

Choosing a medical specialty requires a feat of information gathering. Where can you get what you need to know to decide?

For students who aren’t sure where their passion lies, choosing a medical specialty can seem overwhelming. Medical school and residency don’t always allow for a deep dive into every specialty, and it’s extremely difficult to get a real understanding of a field in the two to six weeks of a typical clinical rotation.

So where can you learn what you need to know to make the right decision? In order to truly grasp a specialty, it’s important to evaluate the field from various angles. Here are three places to go to find the information you need.

Your Medical Training


First, the science of each specialty is a key component to consider when choosing a medical specialty. In order to remain passionate about a field and enjoy the day-to-day work, it’s essential to enjoy the science behind the medicine you will be practicing.

Specialty Interest Groups

You’ll be able to learn about the science from lectures and the curriculum, but some specialties aren’t as covered as others during medical school. If this is the case, student interest groups can be an excellent resource for supplementing medical school classes. Try to get involved with these groups as early as possible so you can learn as much as you can about the field you are interested in.

Clinical Rotations

It’s also important to get a feel for the field in the setting where it’s practiced the most. For example, oncology is a subspecialty that’s primarily practiced in the outpatient setting, so if you’re interested in oncology, it would be best to schedule a rotation or plan to do some shadowing in an outpatient clinic setting. Meanwhile, subspecialties like trauma surgery or pulmonary critical care are practiced primarily in the inpatient setting, so arranging inpatient rotations would provide the most useful information on the field.

That said, there are some fields where the decision to focus inpatient or outpatient can be made at a later time. For example, internal medicine physicians have the option to be primarily inpatient as hospitalists, primarily outpatient as urgent care physicians or a hybrid of both as primary care doctors. As you’re choosing elective rotations, be mindful of the fact that there are some specialties that aren’t represented during core medical school training or clinical rotations. You’ll need to request those as elective rotations if you’re interested in them.

Experts in the Field

To get a true feel for a field, it’s necessary not only to rotate in the specialty but also to speak to physicians in the field. Listening to their insights and seeing how they balance their work and home life can be extremely useful when determining if a particular field is in line with how you envision your future career and personal life.

Talk to these practicing physicians both about their day-to-day as well as what they enjoy about their specialty and what frustrates them. Find out if they had misconceptions about the field or what they realized about the specialty only after joining. If you’re able, talk to physicians in the specialty from different types of practices. The daily work of a private practice physician is different from someone in academics, and the person in academics will have a different career from someone who is hospital-employed. There are many ways to build a career in different specialties, and it’s best to understand the different types of practice settings.

Lastly, ask to learn how much time is spent on direct patient care versus other responsibilities. Different specialties have varying levels of patient interaction, so when you’re choosing a field, think about how much direct patient care you want to have.

Your Own Motivations and Passions

Finally, think about what made you want to be a doctor and attend medical school in the first place. It’s also beneficial to think about where you excel. For example, if you’re great at dissection, surgery may be a good option.

Of course, passions and skills can evolve as you learn more about each field, and it’s OK to be interested in multiple specialties. It’s not uncommon to enter medical school with one specialty in mind and change several times throughout the course of your training. If there are still multiple specialties that interest you when you’re finishing medical school, internal medicine will give you the opportunity to explore further subspecialties as a resident, as will general surgery. Many other fields have fellowships that can be completed after specialization.

At the end of the day, your goal is to learn enough about your options to feel confident in choosing a field that you feel passionate about, that you feel fits your personality and where you can envision being able to accomplish both personal and professional goals.

Shikha Jain, MD, FACP

Shikha Jain, MD, FACP

Dr. Shikha Jain is a physician triple board-certified in hematology, oncology and internal medicine. She is an assistant professor of medicine in the Division of Hematology, Oncology and Cell Therapy, the Physician Communication Director for Rush University System of Health and the Director of Social Media and Communications Rush University Cancer Center. She was named one of Modern Healthcare's Top 25 Emerging Leaders in 2019, and was also awarded the Rising Start award by the LEAD Oncology Conference in 2019. Dr. Jain was selected as a ResearcHERS ambassador by the American Cancer Society, and was honored by 500 Women in Medicine. She has been appointed to the 2020 American Society for Clinical Oncology Women's Networking Center taskforce and appointed to the Council on Communications and Membership Advocacy for the the the Illinois State Medical Society. She developed the neuroendocrine tumor board and program at Rush and moved the program from the inpatient to the outpatient setting. She speaks locally and nationally on the impact of media and social media on healthcare and ways to demystify cancer care with open communication and education. She has been interviewed on a variety of healthcare and equity topics on local and national tv and radio programming. Dr. Jain gave a TEDx talk in 2019 on the gender moonshot and the importance of gender parity in healthcare. She has been invited to speak nationally and in 2019 spoke at the Harvard Medical School Career Advancement and Leadership Skills for Women in Healthcare on the topic of physician leadership and mentorship, the Becker's Healthcare Conference, and the American College of Physicians. She founded and co-chaired the inaugural Women In Medicine Symposium at Northwestern Memorial Hospital in Chicago in 2018 focused on promoting the advancement of women physicians at Northwestern. She is the co-founder and co-chair of the "Women in Medicine Summit: An Evolution in Empowerment" in Chicago. This national CME conference focuses on gender equality and finding and implementing solutions to eliminate the gap. She is the co-founder of the Rush Center for the Advancement of Women in Health Care. Dr. Jain is a member of the Women's Leadership Council at Rush and is the founder and host of the podcast "The Rush Cast." Her clinical focus is GI oncology with a special interest in neuroendocrine tumors. Her research interests include neuroendocrine tumors, immunotherapy, colorectal and pancreatic cancers, hepatocellular carcinoma advances in cancer therapy, the impact of social media and healthcare and gender equity. She has papers published in peer-reviewed journals. Dr. Jain has written for several national publications including US News, Physician's Weekly, Doximity, KevinMD, and ASCO Connection. She was selected as a thought leader by Doximity and completed a year as a Doximity writing fellow. She is the founder of the social media group Dual Physician Families and is on the leadership team of SoMeDocs (Doctors on Social Media). Dr. Jain lectures nationally speaks on a variety of topics including, but not limited to: – Writing in Medicine, the importance of Narrative Medicine, OpEds and finding your voice – Social Media and Medicine – Women In Medicine – Mentorship/Sponsorship, encouraging the next generation of physicians to pursue a career in STEM/medicine – The doctor-patient relationship – Physician Leadership/Leadership – The doctor-patient relationship – GI Oncology – Immunotherapy – Neuroendocrine tumors – Oncologic emergencies – Colon, Pancreatic, GI cancers Along with her clinical practice, she tries to incorporate patient education and outreach as often as possible. With the proper tools and guidance, she works with her patients as a team to treat the disease and helps them move through an often difficult process together with as little stress as possible. She believes in personalized and individualized care, and also feels the more knowledge a patient has about their own disease, the more informed a decision they are able to make. Twitter: @ShikhaJainMD Instagram: @ShikhaJainMD

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