Confused between Hospitalist/Heme Onc Fellowship/Addiction Medicine
So I'm an intern- going into pgy 2 year soon. Interested in heme-onc, visa requiring (on h1b), in a community program- has inhouse heme onc. My program overall has a good reputation and track record of matching people into competitive fellowships.
Stats- step 1 ~260, step 2 ~270, step 3~ 260. ITE if it matters was 99% in intern year. I think I'm doing well overall in my program- have had mostly glowing evaluations with very occasional minor negative feedback. Have 5 full publications, 2 of which are explicitly onc/palliative care related in okayish journals (IF in the 3 to 5 range). Have some posters in local home country conferences mostly as middle author, most are not onc related, except 1 which was presented at MASCC.
I'm very fond of general internal medicine and do enjoy floors a lot but I'm anxious about the future of hospital medicine, employability, and how compensation would be affected by midlevel/AI encroachment. I find heme-onc interesting as well but am unsure if I'm competitive enough given my visa status, and the amount of effort it would require for me to match. Wanted to know if my concerns regarding hospital medicine are valid, and if I'm competitive enough for heme-onc/what I can do to maximise chances of matching. Additionally, I also find addiction medicine very interesting and enjoyable, and wanted to know more about the future of employability and compensation in addiction medicine as well. Thank you!