Far from it. I'm at the very end of my first year. We've done gross anatomy, biochemistry/cellular biology, histology, genetics, nutrition, intro to clinical medicine (histories & physicals), micro, neuroscience, physiology. We're now just beginning a 6-week summer semester (general path, general pharm, behavior, sexuality). All of year 2 is organ system-based pathophysiology+pathology+pharmacology.
Rotations start third year. You have to decide what you want to do (residency-wise) middle of your fourth year. So far I've only really seen colorectal surgery (don't like surgery in general), perinatal medicine (ok but not great), general internal medicine (OK), and critical care medicine (love it). I'm spending the summer doing a research project on pharmacoepidemiology (using my MPH background, which is probably why you were thinking I'm older than I am) in the ICU. I'm also the president of the Internal Medicine Interest Group (
www.student.med.umn.edu/IMIG - and yes, the web design needs work. That's coming soon). The other specialties that I'm interested in is cardiology (love the physiology) and anesthesiology (love da drugs, but I'm not sure being in the OR all the time is fun).
So the tentative plan has me doing a 3 year internal medicine residency, then I can choose to further specialize - probably either Pulmonology/Critical Care med is 3 years (the most common and perhaps best training for ICU docs), or cardiology (3 years). But who knows? I have over 2 years to decide. Let's see...that will have me going through 4 years undergrad, 2 years MPH, 4 years MD, 3 years IM, and 3 years Pulm/CCM for a grand total of 16 years. And for what? An average salary of around $220K/year (for pulm/CCM) or $300K (cards). Medicine is definitely not where the money is. But at least I'll love what I do.
I see Zoloft at $69-73/30 tablets (depending on amount), and the dosing is qd (4 times/day - holy cow!) = $280/month. Ouch. Even with decent Rx drug coverage I could still see that coming out to $80/month. Strange, all the older SSRI's run at nearly the same cost.