residency options

During benign rotations such as family and community medicine, I preoccupy myself with thoughts of the future. I always say to myself, the future remains uncertain, but I'm pretty inclined to do research again; it seems that an endless sense of inquiry is in my very blood.

Anyway, as I was looking for job vacancies in PCHRD, Philhealth, and PIDS, and several hospitals offering residency training, I came across this website again, which I think I've encountered for the first time three years ago. 

I answered the 130-item questionnaire that asks about life values, and I was surprised with the results!

I only thought of pathology as an alternative; I never thought that I would fit in. Apparently, my life values are similar to most pathologists.

When I had psychiatric patients at the outpatient and ambulatory clinics last year, I was seriously considering a future in psychiatry. But recently, someone narrated to me her experience at the national center for mental health, which was quite revealing. There was one pavilion that housed criminal psychos, and I fear that my life will be put in danger if I was their psychiatrist. 'Nough said.

I envy their lifestyle: regular work hours than most on-call doctors. If I were to train in radiology, I would like to apply in big private hospitals because that's where the latest technology is. However I am quite unsure if I can make it big in Davao or elsewhere, likely because radiology works like a monopoly in any hospital in the provinces.

My batchmates see me as a future internist, but I am not sure about this. Ward work is stressful and the hours are long; I prefer rigid working hours and exploring life outside medicine.

I once wanted to become an obstetrician primarily because I want to see mothers give birth to healthy babies and witness God's gift of life in all its wonder and mystery. However, just like IM, you are always on-call, because many pregnant patients get fully dilated at the most unholy hours.

Among all residency choices, this is my first. It's critical care at its best. I look to Florence Nightingale as my inspiration, among other people of course. She was an intensivist at the height of war, taking care of wounded soldiers, a historic scene that resembles the modern post-anesthesia care unit. She was also a self-taught statistician, taking notes for patient census; not a lot of people know this. Anesthesia as a field is a conglomerate of medicine and other specialties in the perioperative setting. It is 50% brains (drug effects, physiologic changes) and 50% skills (intubation, lining) ; that's why I like it a lot.

One thing that bothers me is that I get easily frustated with geriatric patients. They are stubborn when I give medical advice, or sometimes, I just don't feel like they're listening.

No matter how much I deny it, I like giving advice to parents regarding their children. Also, I like to hear a kid cry during vaccination.