No matter where you are in life, everyone feels a bit lost sometimes. Even those who are successful doctors sometimes think back to what they could have been otherwise, or wonder where they will go in the future. I do admit, being in the last year of your program and not knowing what fits you is slightly (but only so) unusual. Hopefully you would want (or at least tolerate) doing a job related to your field of study. Then again, with the economy the way it is, maybe it’s worth your time to take a year, find a job that feeds and shelters you, and do some introspective thinking about what you desire to do in life. From personal experience, I felt very much the same way for a few months after I graduated university. It was the first real time in my life where I had my life’s reigns in my hands and I was free to steer my life in any direction, and I had no idea what I wanted. To tell you the truth, even now (a year after graduation) I still don’t know what I really want, but at least I’m taking steps towards trying things and finding out through experimentation what I like and what I would want to do for the rest of my life. One thing’s for sure, worrying about your future is a bit pointless, as the future will come regardless of your opinion of it. Thus I feel it is much better to take a step, any step, even if you don’t know if it’ll be the right step, at least you can learn from it after it’s all said and done. Taking no steps though, that’s just silly, eventually you’ll have to take a step so why waste the time I figure.