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I chose OB/Gyn because of the wide range of professional directions the discipline offered. Intellectually, I was never tied to one specific niche and wanted the freedom to practice in different directions as my passions changed. With OB/Gyn, I felt I could move between routine obstetrics, complicated obstetrics, surgery, endocrinology, oncology, etc. while still building those special long-term relationships with primary care patients.
Simply, the BWH/MGH residency was the best. In terms of breadth of training and available resources, the program offered clinical exposures to every aspect of OB/Gyn as well as a wealth of research opportunities.
The residency program provided me with all the tools I needed to start my career. When I finished my residency training, I felt I had a good handle on what I did not know and what skills I needed to learn and/or improve. Few physicians will ever truly master their discipline but knowing your limitations is the key (in my opinion) to being a good doctor. To know your limitations, you need a wide range of exposures and the BWH/MGH OB/Gyn residency program offers that in spades.
My current position is a bit of disappointment to me from where I envisioned myself as I finished residency due to explosion of sub-specialization. When I finished my training, I wanted to be the best generalist OB/Gyn (like Ray Reilly or Lenny Safon). Unfortunately, while I am confident my skills have matured to about where I had hoped they would be, the clinical environment has changed so that very good is no longer good enough because there is usually a super sub-specialist who is even better. That realization is bittersweet – I am thrilled by the advances our discipline has achieved but saddened that I could not ride the top of each wave.
My time as a surgery resident at the West Rox VA is still special to me. I never worked harder in my life (call every 1:2 to 1:3 and rounding at 5:00 am) but also never felt as truly enveloped by and invested in my work as I did in those months. Probably a better memory than true-life.
I miss the comradery of being a resident.
Look into yourself and understand what you want for your life (i.e. family, friends, living situation) and where you think OB/Gyn is headed and match the two up as best possible.
The babies. Having the opportunity to share the birth moment with new parents is still the best.