I’ve been a general practitioner for 25 years. Nothing is safe from the impacts of AI and technology. Having said that, not much has changed compared to when I started medicine 25 years ago.

Some little things have changed but nothing that is sea-leaves changing.

The biggest change that I have witnessed is the overwhelming corporatization of medicine which has not been good for doctors or patients. This will only continue to go badly unfortunately.

My advice-go where your heart leads you. Do medicine that you are passionate about. Make sure the medicine you do matches your personal values. If you don’t like interacting with patients then be a pathologist or an internal medicine sub specialist or a surgeon or a proceduralist like PM&R or anesthesia.

Eventually AI will be ubiquitous in the next 15-20 years. I will be retired. But AI is unlikely to replace us in the next 50 years. They will be more like helpers and assistants. Real replacements will probably take 150-200 years.

Any specialty you pick there is only one component to being a successful physician - exercising good judgement. If you can exercise good judgement (this comes with time, and practice and repetitions and good residency and fellowship training) you will be very successful for the rest of your life no matter what you pick.

Don’t sweat it. You will be fine with whatever you go with. Except radiology. Don’t pick that.