haha no worries man! And that's a crazy coincidence...I saw your comment but didn't know you were thinking psych too.

If you're 99% sure at this point, this puts you WAY ahead of where I was at this time last year. Committing to psych was a big ordeal for me, and I had to overcome a lot of personal reservations/doubts before I finally committed. Ultimately it came down to my ego and the feeling like I was giving up "real" medicine along with the prestige that came with it. Coming into med school I never would have thought I'd do something like psych, and even while on interviews I would often have the feeling of "what the hell am I doing here?" I think a deep part of me knew what I wanted, but I had to stop looking to others opinions for validation.

I could go on and on about this process, but I worked through these insecurities throughout the entirety of 4th year and can honestly say I'm happy I went with psych now that residency has started. Despite it's flaws, I feel like I'm doing truly meaningful work in psych, which is what's most important to me. EM on the other hand made me feel more like a cog in a sad, inefficient machine... and that couldn't sustain me for a 30+ year career.

There is a lot of medicine/science within psych, but I do agree it feels like stepping away a bit. But for me personally, after going through med school/clinicals and seeing what medicine truly was I could take it or leave it. I could see myself doing oncology or something with pediatrics, but most of medicine these days is managing or treating exacerbations of chronic conditions typically brought on by poor life choices and behaviors. At least with psych we attempt to focus on the behavior. Good luck, and please don't hesitate to ask any other questions (That's another great thing about psych...the residency hours are reasonable enough for me to spend time on reddit haha).