username5290028
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Hi all

I am a 3rd year medical student going into my 4th year this September.

I know your supposed to wait until you have done FY1 before you pick your specialty as people can change there mind but i wont so I'd like advice on which specialty's are suited to me as i have circumstances that need to be taken into consideration. My lectuers gave me a few ideas and i have took specialty quizs that come up with the same specialty.

So my circumstance i was talking about is that when i was in my 2nd year of medicine i was diagnosed with tinnitus due to a cold. At first it was hard to concentrate on my work because i was freaking out as i wasn't use to the noise but after a few months staying at home i got use to it and still managed to pass year 2. My tinnitus doesn't bother me anymore i live a normal life but my biggest fear is it getting worser\louder but luckily there are things i can do to try and prevent this such as not being around loud noises for long periods of time.

My lectuers have all said i should be fine as long as i pick a specialty that wont annoy my ears so stay away from specialty's that are busy\very stressful and in a noisy environment.

On the quizzes i got psychiatry every time. My lectuers agree and I've also been reccomended neurology , radiologist, rheumatologist.

Radiologist is not for me as i want to see and treat patient's.

I want a specialty that

1) has more regular hours not necessarily 9-5 but i do the same hours or regular hours.

2) is in a quiet environment

3) i want to see and treat patient's

4) im fine doing weekends

5) a less stressful environment

6) i dont do great around bodily fluids like diarrhea or sick ect due to a gag reflex. I will tolerate it and can work around it if i need too ( like in FY1 for example) but if i had the chose I'd prefer not to be around it.


7) one thats not too competitive as i know after FY2 not everyone gets to go into there chosen specialty so I'd prefer one thats not as competitive.

Which specialty would you choose for me?
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Democracy
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(Original post by Sara Ellingham)
Hi all

I am a 3rd year medical student going into my 4th year this September.

I know your supposed to wait until you have done FY1 before you pick your specialty as people can change there mind but i wont so I'd like advice on which specialty's are suited to me as i have circumstances that need to be taken into consideration. My lectuers gave me a few ideas and i have took specialty quizs that come up with the same specialty.

So my circumstance i was talking about is that when i was in my 2nd year of medicine i was diagnosed with tinnitus due to a cold. At first it was hard to concentrate on my work because i was freaking out as i wasn't use to the noise but after a few months staying at home i got use to it and still managed to pass year 2. My tinnitus doesn't bother me anymore i live a normal life but my biggest fear is it getting worser\louder but luckily there are things i can do to try and prevent this such as not being around loud noises for long periods of time.

My lectuers have all said i should be fine as long as i pick a specialty that wont annoy my ears so stay away from specialty's that are busy\very stressful and in a noisy environment.

On the quizzes i got psychiatry every time. My lectuers agree and I've also been reccomended neurology , radiologist, rheumatologist.

Radiologist is not for me as i want to see and treat patient's.

I want a specialty that

1) has more regular hours not necessarily 9-5 but i do the same hours or regular hours.

2) is in a quiet environment

3) i want to see and treat patient's

4) im fine doing weekends

5) a less stressful environment

6) i dont do great around bodily fluids like diarrhea or sick ect due to a gag reflex. I will tolerate it and can work around it if i need too ( like in FY1 for example) but if i had the chose I'd prefer not to be around it.


7) one thats not too competitive as i know after FY2 not everyone gets to go into there chosen specialty so I'd prefer one thats not as competitive.

Which specialty would you choose for me?
First thing to say is that radiologists do see patients regularly in ultrasound, fluoroscopy, CT guided biopsies etc. Interventional radiologists spend even more time with patients doing lines, drains, vascular procedures, neuro procedures etc and may run their own clinics.

I haven't worked in psych but having seen acutely psychotic patients in A&E, it's pretty noisy!

I think other specialties that would fit with what you're looking for might be GP, ophthalmology, and occupational medicine. There are various medical subspecialties such as derm, audiovestibular, clinical genetics, etc which might be worth looking at i.e. the Group 2 specialties, but you will have to do IMT beforehand. Rheum and GUM are also worth looking into but they are now Group 1 specialties:

https://www.jrcptb.org.uk/imt

I would echo the advice of waiting until you've started work before making decisions. For a start, that gives you several more years to assess the state of your tinnitus and also real life personal experience is always superior to other people's descriptions of what a specialty is like. You also don't need to apply for specialty training straight after FY1 - it's fine to take some time to gain more experience.
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username5290028
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(Original post by Democracy)
First thing to say is that radiologists do see patients regularly in ultrasound, fluoroscopy, CT guided biopsies etc. Interventional radiologists spend even more time with patients doing lines, drains, vascular procedures, neuro procedures etc and may run their own clinics.

I haven't worked in psych but having seen acutely psychotic patients in A&E, it's pretty noisy!

I think other specialties that would fit with what you're looking for might be GP, ophthalmology, and occupational medicine. There are various medical subspecialties such as derm, audiovestibular, clinical genetics, etc which might be worth looking at i.e. the Group 2 specialties, but you will have to do IMT beforehand. Rheum and GUM are also worth looking into but they are now Group 1 specialties:

https://www.jrcptb.org.uk/imt

I would echo the advice of waiting until you've started work before making decisions. For a start, that gives you several more years to assess the state of your tinnitus and also real life personal experience is always superior to other people's descriptions of what a specialty is like. You also don't need to apply for specialty training straight after FY1 - it's fine to take some time to gain more experience.
Hi thanks for your advice. GP was what i initially wanted to do but one of my lectuers said i will have to use noisy equipment such as when i may have to do ear syringing as those machines i was told can be noisy. She also told me it can get noisy when you have babies in to see you
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Smile88egc
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Sounds like general practice would be a great fit for you.
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nexttime
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GP? You can be a GP with a special interest too if you wanted to skew patient load a bit.
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username5290028
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After FY2 what is the training path to become a GP
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Democracy
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(Original post by Sara Ellingham)
After FY2 what is the training path to become a GP
Apply for GP ST1 via Oriel and complete the three year VTS:

https://www.healthcareers.nhs.uk/exp...nd-development
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(Original post by Democracy)
Apply for GP ST1 via Oriel and complete the three year VTS:

https://www.healthcareers.nhs.uk/exp...nd-development
Thank you
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username5290028
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Ive done a lot of research into becoming a GP since my last post here and a friend ( whos also on the same medical course as me) has suggested not becoming a GP as he made a good point. He said how are your ears going to cope with screaming children and babies who you would need to treat. My ears go crazy when im around a baby crying or a child really screaming. I can't find anything to say if i could avoid having appointments or treating children due to medical grounds and I'd feel bad that i know i have a condition that gets irritated by kids. For some reason adults shouting dont annoy my ears. So he suggested specialising in an area that is adult only.

I wanted to ask if its possible a practice would take into account my condition and allow me not to treat kids under 12 due to my tinnitus or is this not possible. If its not possible which areas are adult only and suit my list above.
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Democracy
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(Original post by Sara Ellingham)
Ive done a lot of research into becoming a GP since my last post here and a friend ( whos also on the same medical course as me) has suggested not becoming a GP as he made a good point. He said how are your ears going to cope with screaming children and babies who you would need to treat. My ears go crazy when im around a baby crying or a child really screaming. I can't find anything to say if i could avoid having appointments or treating children due to medical grounds and I'd feel bad that i know i have a condition that gets irritated by kids. For some reason adults shouting dont annoy my ears. So he suggested specialising in an area that is adult only.

I wanted to ask if its possible a practice would take into account my condition and allow me not to treat kids under 12 due to my tinnitus or is this not possible. If its not possible which areas are adult only and suit my list above.
I don't think you can really opt out of seeing children as a GP (and certainly not during GP training anyway). GANFYD what do you think?

Re other specialties: have a look at my first reply to you. You're probably looking at radiology, ophthalmology or a less competitive clinic based medical specialty like audiovestibular medicine or clinical genetics.
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username5290028
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(Original post by Democracy)
I don't think you can really opt out of seeing children as a GP (and certainly not during GP training anyway). GANFYD what do you think?

Re other specialties: have a look at my first reply to you. You're probably looking at radiology, ophthalmology or a less competitive clinic based medical specialty like audiovestibular medicine or clinical genetics.
So the other specialitys you mention can they be adult only?
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(Original post by Sara Ellingham)
So the other specialitys you mention can they be adult only?
For radiology and ophthalmology you may still end up seeing some paeds patients (although there are specialist paediatric radiologists/ophthalmologists who see children pretty much exclusively). Again, during training in those specialties you will be expected to see paediatric patients.

I think the only way you can completely avoid paeds is by doing an internal medicine specialty.
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username5290028
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(Original post by Democracy)
For radiology and ophthalmology you may still end up seeing some paeds patients (although there are specialist paediatric radiologists/ophthalmologists who see children pretty much exclusively). Again, during training in those specialties you will be expected to see paediatric patients.

I think the only way you can completely avoid paeds is by doing an internal medicine specialty.
Im really interested in audiovestibular medicine as one of the things they deal with is tinnitus and i can understand what my patients are going through with it and know a lot about the condition. I have read you can specialise in adult only.
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(Original post by Sara Ellingham)
Im really interested in audiovestibular medicine as one of the things they deal with is tinnitus and i can understand what my patients are going through with it and know a lot about the condition. I have read you can specialise in adult only.
Yep, might be a good option for you. I would still suggest waiting and seeing how you are in a few years time, as things may have improved for you by then
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(Original post by Democracy)
Yep, might be a good option for you. I would still suggest waiting and seeing how you are in a few years time, as things may have improved for you by then
Yes i will, just want a back up plan just incase. I knew my friend was right about working around kids as if i was a GP how would i treat them if there crying and i would need to put my ear plugs in to protect my ears but if i need to examine there chest i cant use my stethoscope with ear plugs in. So i knew he was right.
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