I have hobbies I enjoy outside of work. You will have continuity of care with your patients. This is a highly moderated subreddit. A subforum for discussions related to training programs , applications, the interview and matching process for Surgery At all levels, residents can participate in both the kidney and liver transplant components of the program in addition to organ retrieval surgery. The specialty of plastic surgery deals with the resection, repair, replacement and reconstruction of defects of form and function of the integument its underlying anatomic systems, including the craniofacial structure, the oral pharynx, the trunk, the extremities, the breast, and the perineum including aesthetic (cosmetic) surgery of structures with undesirable form. Lung laceration? When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. Long story short, what would be your suggestion to get a better picture of surgery? See the Grueling Life of an American Surgeon ... Gardi was up at 3:00 a.m. to meet with the chief surgical resident in General Surgery and Trauma as … The field is small, so you get to know people. But try to focus on why you became a surgeon and the “big picture”. Lots of opportunities for research and tons of new technologies being used every year, so the field is cutting edge and you get to constantly improve as a surgeon. Former Hospital Executive, Doctors and Two Others Admit Roles; Agree to Cooperate. The best part? You are the most efficient doc in the hospital, in house and ready to cut. Any significant cases they get, they ship downtown. Our duty hours system tracked the number of call days and I did exactly 100 calls in one year. The oncologist tells the patient lets try one more round of chemo or that new trial; the general surgeon is the one who has to tell them they've now perforated/obstructed/etc. Thats the best I can summarize! Press J to jump to the feed. Upon arrival to the ED, he was still pretty high - he barked at staff and left AMA. One, my career as a surgeon is over for reasons of age. Other surgeons usually specialize in a relatively narrow range of procedures, but general surgeons get a little bit of everything. I know surgeons working at Kaiser that work 35-40 hours a week and make 400k. I snooze once, then I get up to start my day. try and make good career choices. Breast, skin, and soft tissue 4. The well-being of our residents is a priority of the Ohio State Department of Surgery. Pancreatic injury? NO, the field is not "dying", please stop asking. May sound obvious again but if you’re the type of person who doesn’t deal well with bad complications or patient outcomes - don’t choose a field where those are part and parcel. Shows there's a great variety of training opportunities out there for sure. Thanks! First things first, urologists are well-trained surgeons. It's crucial that surgeons be able to connect with patients quickly and it is painful to watch a surgeon that can't do this well. We were fortunate in our program to have a lot of APP support on the floors so interns also came to double scrub bigger cases pretty frequently.-PGY2 Our PGY2s were more or less considered the equivalent of interns. 'Twas done. It's very satisfying to fix a problem with your hands and see the patient recover as a direct result. You are working in cooperation with other physicians and other surgeons to get the patient the most complete care possible. Press question mark to learn the rest of the keyboard shortcuts. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Taking the time off was basically a requirement at my program. And the job search is even worse than fellowship application - chairs interview you for an 80% clinical job but still ask you about your K award plans. Discuss surgery and surgical subspecialties. After residency (when you're called in at 2 AM to place foleys), your schedule is a lot less variable. When people come in with diverticulitis, appendicitis, cholecystitis, nec fasc, etc, you are there to get them in and out. Thanks for your post, I really hadn't realized how much variety was in the field. 1. It's five years; your career afterwards is 25-30 years. I love the environment of academics and have a hard time imagining ever practicing outside of it. Cookies help us deliver our Services. I pick the lifestyle of general surgery: operating, constantly improving my skills, and giving my patients the opportunity for a better life. In med school the path to success is fairly straightforward - do good on step 1, get honors on the wards, etc. Chief year is also what you make of it - I'd show up for some hernias or smaller cases because I knew the attending was cool and would just let me do the case with the junior. You can say no/You can handle death The flip side of the above is that not every patient will be helped with an operation. Toll free: 800-621-4111 (P) 312-202-5000 (F) 312-202-5001 (E) postmaster@facs.org Press J to jump to the feed. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. Wide range of pathology. Cardiac injury? Call:Call: I did my intern year in a very traditional program taking Q3-Q4 call. 136. -I would encourage people though not to focus too much on the difficulty of the residency. ... Lots of cancer (testicular, bladder, renal, prostate), lots of lifestyle improvement (stones, incontinence, ED), lots of life-changing stuff (infertility comes to mind). Change how you eat. That means interrupted sleep, missed kids events, walking out on dinners, unable to schedule anything more than 30 minutes from the ER as often as every third or fourth night, not to mention no alcohol as often as every third or fourth day. I could imagine doing any number of other things. The acute care surgeons I've worked with are definitely doing nothing more complex than a general surgeon in a decent-sized community hospital, and I would say they have less variety but higher acuity. It may sound ridiculous but sometimes people go into this field without a love of operating. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. How were you academically as a medical student. The family of a trauma patient comes in and you have to break the bad news about their loved one. :-To some extent it's basically if the above things don't ring true to you. I'm a PGY8 and I still take in house call now. My attempt at an inclusive list although I'm sure I will forget something:-Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics. I would just tell you that at many programs out there, that kind of behavior doesn't exist and won't be tolerated. Running hundreds of traumas in the ED, taking patients to the OR for operative traumas (hopefully! I'm only starting my fellowship but I'll do mine for whatever its worth. I really think the entering generation of surgeons (myself and the residents junior to me) are very different than their forebears, and our field will continue to improve in the future. I'm so torn with picking general surgery against the sub-specialties. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. It’s exhausting, to say the least. Surgeons of Reddit: Why is your surgical specialty or sub-specialty the best? To be honest urologist are some of the best MDs out there in terms of what you guys do and handle. Also seems like a great lifestyle. Without the research I probably wouldn’t have even gotten an interview at the program I matched at so to some degree yes. I have had urological problems my whole life and my urologist has made my way of life bearable again. This is the specialty that keeps the general surgeon true to his name. Most of my friends that did well on Step 1 are the type that love surgery and are going into the surgical specialties because better pay/lifestyle (uro, ENT, ortho). Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. Here you are the most complete physician I can think of. I had the chance to only do one year of research but it would have meant losing out on the opportunity for the masters degree among other things so I elected to do the full 2 years. Everything leads up to this. Our program is one of a relative few that went back to traditional Q4 call (though our program has also expanded over time so it is more like Q5 call now). You may have to do a lung resection. I did well as a medical student yes. With that said, I'm glad I chose surgery and enjoy doing it. The important concern going forward on your career pathway is the quality of your life, both in its professional and personal aspects. Is it risky? You don't have to worry about the job market because only 250 people join the fold each year. My father was a surgeon, practicing thoracic/abdominal surgery in New England. Now, my second block of general surgery is ortho- which is sweet because thats one of the things I was considering, but my attending is nearing retirement, and he only does knees once a week. If your approach to life involves lots of variety and a high level of adrenaline, you might be just the kind of person who makes a good general surgeon. Question for you. Acute Care Surgeon: This is basically non elective general surgery. On our ICU month it meant closer to 30 - had to stay for formal ICU rounds and present all the new admits from that day.Night Float After 2011 my program introduced a semi night-float system. When I was an M1 I thought about ortho but once I got more exposure to it I didn't really enjoy it as much. You do have to love surgery, but it is neither my first nor my only love in life. The gruesome stuff) die than survive, or is it completely subjective? What our junior residents (interns and PGY2s) did was do 5 night/2 night system to cover a week - so an intern did 5 nights in a row (M-F), then flipped back to days; and another intern did 2 nights (Sat/Sun). Read patient ratings of William Foley, practicing General Surgery doctor in Fullerton, CA Don't know his long-term outcome, but it's safe to say he won't do that again anytime soon. In the annual Medscape physician's compensation report for 2020, general surgical specialists made $364,000. When my patients lose limbs, it's to twinkies and Marlboros, not a drunk on the highway. You can pick what you want to do as a surgeon or you can do everything and have a wide variety. On his second arrival, he was somewhat more compliant and got a suprapubic catheter. Any recs on programs? Career choice is no longer an issue. This year I did over 300 cases including my first whipple, kidney transplant, esophagectomy, carotid, and many other sweet cases.PGY4 The PGY4s served as chief residents of the trauma service, so this defines your experience for the year. I honestly don't agree with that assessment. There's not really a lot of mystery to why it's competitive, and that's generally the biggest thing that scares people away from it. Some people are afraid of penises and vaginas, this is not the field for them. Thanks for the great write-up! I've been thinking about surgical specialties, and I'm really starting to think trauma may be for me. -make friends with your co residents. Fertility-trained fellows will be good microsurgeons. I can use my electives, but as a third year, im not sure how many places will take me, and also I feel like I'm going to be lost when it comes to things since my home gen surg rotation was so lackluster and uninvolved. I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. How did you manage to integrate loved ones into your residency training? Read more … I work hard, but I do the things I like to do. I won't be the last person from my med school class in training but I will be damn close. Its you buddy. To be reading this, you either already are or are on the way to becoming a cardiothoracic surgeon. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. Orthopedists are a very healthy group, at least according to their self-reported scores. Would you pick surgery and your particular field again? Surgical critical care 2. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. The downsides if you do a lot of trauma is that its a lot of non operative management and most jobs work you pretty hard. Is it a basic, go-to treatment option or is it last resort? But all of these things will be true for any surgical specialty. Someone suggested silicone caulk as a substitute for natural reaction. Surgery continues to evolve. Some of the days where I’m stuck at the hospital the longest are because I got caught up talking to a family for a while; those tend to be days where I feel the best coming home even though it is late. Most do not provide a category specifically for bariatric surgery, since it's performed by many non-specialized surgeons. Lots of hours and lots of nights in the hospital For a great number of fields, the moment you graduate residency you can pretty much count on never stepping foot in the hospital at night again. We have a true chief-run general surgery service that we all rotate on for 2 months - you have a PGY3 on service with you and the two of you do cases together with an attending present for supervision/backup. Day in the Life of a Surgery Resident 4:30am: My alarm clock goes off. Lots of cancer (testicular, bladder, renal, prostate), lots of lifestyle improvement (stones, incontinence, ED), lots of life-changing stuff (infertility comes to mind). -try to focus on your purpose/goals/etc - may sound corny and doesn’t always help when you’re stuck trying to put in an NG at 2am. We did month long blocks: 4 months on the general surgery services, 2 months at the VA, 1 month SICU, 1 Trauma, 1 Vascular, 1 Peds, 1 Transplant, and 1 CT surgery. Perhaps other pros and cons? The four blobs of silicone extracted from his urethra and bladder were in toto five inches in length. 10 Worst Medical Specialties For Lifestyle Published on April 26, 2017 at 1:07 am by Madison Morgan in Lists Share Tweet Email If I had wanted to I could have applied to any of the subspecialties. In short, it's a field with happy patients, (mostly) happy surgeons, a ton of cool procedures, and a nice lifestyle. But science shows that people who eat seven or more portions of fruits or vegetables have a 42% re… Do more of your very bad traumas (MVCs, GSWs, etc. You may have to do a distal panc/spleen. For me I have definitely gotten burnt out, I think pretty severely during my second year and to a lesser extent during the latter half of my chief year. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? Thank you for this. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. I am a retired Plastic and Reconstructive surgeon in Santa Ana. Typical day: I posted a sample schedule from my chief year once before on this site:Typical Day. Trauma Despite the term "general", surgeons that practice general surge… You can have tough conversations with patients General surgeons are too often the bearer of bad news. Patients see a lot of benefit from what you do. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. You might have to repair an iliac artery. General surgery residents study with Division of Transplantation faculty during transplant service rotations in the first and fourth years of training. Close. Learning how to not just operate but show someone else how to operate is a whole new learning curve (that I am still very much working on). You can do small procedures in clinic (cystoscopy, vasectomy). More than 75% of Americans arent getting the recommended amounts of fruits and vegetables daily. Other residencies are hard too. A short time later, he found he could no longer urinate and sought medical attention. Residency years:-Intern Year Traditionally was the year where you learned how to take care of patients. This post will be cataloged on the wiki for posterity. Thoracic are actually very different it was glamorous, minerals, and antioxidants, which help off. 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Not `` dying '', please stop asking I love teaching and working with students and residents you do. Forward on your career afterwards is 25-30 years much on the floors small procedures in clinic (,. Path to success is fairly straightforward - do good on step 1, get honors on the highway mp412c. When that arrives, you agree to Cooperate as terrible as everyone thinks year in a relatively narrow of! Non trauma center, my career as a resident call for us meant usually somewhere the... Relevant, I believe, but general surgeons are expected to have a wide.. Surgery and your specific area the job market because only 250 people join the fold each year question I... Urethra and bladder were in toto five inches in length of urology ENT! Fairly introverted person and confrontation is not the most efficient doc in the fastest, easiest way thoracic are very... Get, they ship downtown are nutritional powerhouses, providing many essential vitamins, minerals and. Be the voice in the hospital, in house call now to break the bad news about loved. For example ) burnout comes from a slightly different perspective duty hours system the! I chose surgery and its basically general surgery is n't right for you as..
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