Choosing a Medical Specialty and Residency Pathway | PCOM
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Choosing a Medical Specialty and Residency Pathway


April 28, 2025

Choosing a medical specialty and setting career goals can feel overwhelming for medical students. Tina Woodruff, EdD, senior advisor to the provost at Philadelphia College of Osteopathic Medicine (PCOM), shared insights into what makes the most competitive medical specialties desirable.

Most Competitive Medical Specialties

Certain specialties are historically competitive due to limited residency spots and high applicant interest. These include:

  • ophthalmology
  • dermatology
  • urology
  • ENT
  • neurosurgery
  • orthopedics

However, competitiveness can fluctuate yearly based on available positions and applicant volume.

Medical Residency Considerations

Understanding how long residency lasts and the various types of doctors practicing in each specialty is essential for students evaluating their career goals. Woodruff emphasizes the importance of self-reflection—knowing one's values, desired lifestyle, clinical interests, and preferred patient populations—to effectively shape one's medical residency path. She highlights that multiple residency pathways can often lead to similar career goals.

At PCOM, students are encouraged to actively explore diverse opportunities throughout their first two years by participating in clubs, workshops, and organizational activities. These experiences help eliminate biases, refine clinical interests, and prepare students for meaningful third-year rotations. During rotations, students confirm their interests and confidently decide their residency paths.

PCOM’s comprehensive approach, combining robust educational programs and proactive career advising, supports students as they navigate medical residency choices. By providing extensive resources and personalized guidance, PCOM helps future osteopathic physicians successfully enter the medical specialties aligned with their passion and career aspirations.

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