Someone to fall back on

You don't have a straight up regular medicine program? Wow! I've been vacillating between a medicine subspecialty (which would require me to complete the three year general medicine residency before choosing a fellowship), a pediatric subspecialty (again, three year residency, inclusive of a one year internship, followed by fellowship), or something more procedurally based, like ophtho or anesthesia. All I know so far is that I don't want to be in primary care, and I haven't yet had my surgery clerkship, so I'm withholding judgment until then.

At least you have a little bit more time before you have to start choosing your specialty! I start residency applications in a few months, before I'm even done with all my clerkships, and it's so incredibly daunting.