Few thoughts!

Don't take my word for it, but I believe IM may only limit outpatient primary care jobs in rural areas, where they need more generalist (peds/OB) skills. IM opens more doors in cities and inpatient services.

even in top centers (parents worried about colds/etc). That also makes it more seasonal with long winters of increased workload. And then the social stuff there is is extra sad (abuse), as are the ones sent to the ED for stat bloodwork --> cancer diagnosis (even if outcomes are good).

For cerebral and hands-on stuff I would consider electives in outpatient neuro, PM&R, and IM. All of those are over-represented on the inpatient side in training/med school due to how that's structured, but have some neat niche areas in both IP and OP. Things like movement disorders, electrodiagnostics, peds PM&R with botox/pumps.