250 Step 1/2, good grades, good school, etc. We'll save it in our wiki for future reference! During my residency, I did two full years of research and obtained a masters degree. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). The important concern going forward on your career pathway is the quality of your life, both in its professional and personal aspects. Third year here and I actually scheduled my general surgery blocks as my very first rotations so that I could either rule in or rule out surgery. I will be pushed to my limits and then some. 20 minutes is all I need to get dressed, brush my teeth, pour a cup of coffee, and take breakfast to go. I honestly don't agree with that assessment. They also carried the general surgery consult pager on our emergency surgery service and served as first responders (in charge of secondary survey and lines/chest tubes) for trauma alerts.PGY3 This was in our program considered your first year of "senior residency". Acute Care Surgeon: This is basically non elective general surgery. In other words don’t lose the forest for the trees. Dismissing some misconceptions:The Asshole Trope I am often mystified when I read the comments on reddit from med students about the way their surgery attendings/residents behave. It was wildly unpopular, and we were in the process of developing a month long night float rotation to replace it when the most recent hours changes came along. Fellowship applications are also much more nebulous and secretive than med school or residency. But all of these things will be true for any surgical specialty. Patients aren't that sick in urology. I am about to go into my intern year for surgery, and I unfortunately have not met a lot of surgeons outside of my own med school/residency program whom I can ask about this stuff. But bottom line is even though I matched at my top choice I had no real idea of how competitive an applicant I was and it caused a lot of anxiety throughout the process. 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). - Thats honestly all I saw on my first block. You have the opportunity to add to the collective body of knowledge of medicine. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. And unlike medical intensivists, if the patient needs to go to the OR, thats you too! I legit don't know how people do general surgery residency I'm finishing up my 4th and final week on general surgery, and I don't know how the residents do it. Thanks for the great write-up! New comments cannot be posted and votes cannot be cast. -I would encourage people though not to focus too much on the difficulty of the residency. Hernias fixed. Reasons why you should do General Surgery: I will try not to completely repeat the previous list...You love to operate I put this first because it is the most important. Commonality for both is a super intense training program either via a 2-3 year CT fellowship after general surgery or a integrated CT residency.-Cardiac - lot of tough cases but your bread and butter will be CABGs and valves. 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. The four blobs of silicone extracted from his urethra and bladder were in toto five inches in length. I think our ortho and plastics colleagues work just as hard as I do; they also take a lot of call and spend the night in the hospital a ton. If you're serious about surg onc you should do 2 years. As for the other fields, I don't regret it at all. But fellowships don't really care about how you do as a med student, only about how you do as a resident. How did you manage to integrate loved ones into your residency training? 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. 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. To be reading this, you either already are or are on the way to becoming a cardiothoracic surgeon. Surgery continues to evolve. ... the lifestyle of a surgeon is infamous and I have often heard it said that you should not pursue a career in surgery unless you absolutely cannot find anything else you might enjoy. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. 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. to enter a top academic fellowship? Want to know how to improve your health in the fastest, easiest way? It's a well reimbursed specialty as well. 136. The pain was so bad day and night that I’d hoped it did not have to come to them amputating my feet eventually. Change how you eat. Not true for general surgery. In med school the path to success is fairly straightforward - do good on step 1, get honors on the wards, etc. "Don't do surgery unless you can't see yourself doing anything else"I hear this comment a lot or some variant upon it. You may have to do a lung resection. You are working in cooperation with other physicians and other surgeons to get the patient the most complete care possible. None of them had a particular interest to me at the time nor do they now. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. Other surgeons usually specialize in a relatively narrow range of procedures, but general surgeons get a little bit of everything. 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. The only true downsides are the competitiveness of the field, the length of training (5-6 years for residency, an extra 1-2 for fellowship), the early hours, and the huge amount of work you will put in during residency. Chief Year also means running your service at all times - I was on home call for probably 300 nights out of the year (alternated weekends with another senior to get a weekend off, and if I was really tired or had to come in the night before I would have my PGY3 cover the home call that night). Career choice is no longer an issue. 238. Yes I'll admit theres 10 pairs of socks for every xbox but when that arrives, you are in for a fun night. I love the environment of academics and have a hard time imagining ever practicing outside of it. Close. 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. You are the most efficient doc in the hospital, in house and ready to cut. You don't have to worry about the job market because only 250 people join the fold each year. Think you can do a write up for MIS surgery? It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). Expectations for jobs in academia are wildly misaligned with reality. You also lead the team on rounds and cover senior resident call sometimes. Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. When I was training to be a plastic surgeon, everyone thought it was glamorous. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Trauma/Critical Care/Acute care surgery is a great specialty. Someone suggested silicone caulk as a substitute for natural reaction. Happy patients, less time spent on the floors. I took PGY3s through some awesome cases including perfed ulcers, gallstone ileus, sigmoid volvulus - all with the attending hanging out and not scrubbing. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. You can do small procedures in clinic (cystoscopy, vasectomy). Surgeries range from the very short (urolifts, vasectomies, circs, etc) to medium length (kidney stones, TURPs, PVPs, prostheses) to long (nephrectomy, prostatectomy, cystectomy) to very long (a lot of reconstructive stuff, RPLNDs, etc). I am using the past tense for two reasons. Cardiac injury? Any recs on programs? It is also definitely the most academic, with a long history of surgical chairs being surgical oncologists/HPB surgeons. Is it a basic, go-to treatment option or is it last resort? You run the service. Sometimes it makes me want to just go do hernias for a living and avoid it all. You will have continuity of care with your patients. 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. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. Based on recent job postings on ZipRecruiter, the General Surgeon job market in both Chicago, IL and the surrounding area is very active. General surgery used to be the most sought after branch because it provided ample scope to practice a wide range of surgeries and give the practitioner a lot of satisfaction of surgical practice. And you will bitch about it. ... Lots of cancer (testicular, bladder, renal, prostate), lots of lifestyle improvement (stones, incontinence, ED), lots of life-changing stuff (infertility comes to mind). How do you manage the burnout from dealing with what looks like a pretty stressful job? 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. I will say that surgeons more accurately have a reputation for being direct. Is it risky? General surgeons, ortho, and vascular guys work a lot on call. Let me tell you my best urology story. 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. 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. Question for you. I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. I've dealt with death and debilitating injury more often than I'd like, and I'm a trainee still. Its you buddy. CT Surgery: Cardiac and thoracic are actually very different. General Surgery is just choles and hernias I see these types of comments a lot, often deriding general surgeons or saying why someone picked a “cooler” subspecialty. When people come in with diverticulitis, appendicitis, cholecystitis, nec fasc, etc, you are there to get them in and out. The scope of practice of general Surgery is incredibly broad, especially in training. Fellowships: There are a LOT of general surgery subspecialty fellowship options. 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. Yes, and most academic programs require either part or all of each class to go to the lab. It's very satisfying to fix a problem with your hands and see the patient recover as a direct result. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. 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). Wow! Fruits and veggies are nutritional powerhouses, providing many essential vitamins, minerals, and antioxidants, which help ward off disease. I love teaching and working with students and residents. With that said, I'm glad I chose surgery and enjoy doing it. You might have to repair an iliac artery. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? 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. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You have to be the one to stand your ground and tell a consulting team that no, you won't be operating on their patient even though everyone wants you to. Most of us went into medicine in general because of a drive to help people. I work hard, but I do the things I like to do. What drew you to surgery and your specific area? After residency (when you're called in at 2 AM to place foleys), your schedule is a lot less variable. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. The 5 least healthy were general surgeons, psychiatrists, ob/gyns, pediatricians, and critical care physicians. Or you could be an acute care surgeon with fixed hours. You may have to do a distal panc/spleen. 'Twas done. Great post! My experience was a little different than the prior write up - we never rotated in the ED or on a medical service (I didn't actually know anyone did that). Running hundreds of traumas in the ED, taking patients to the OR for operative traumas (hopefully! /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. Breast, skin, and soft tissue 4. On his second arrival, he was somewhat more compliant and got a suprapubic catheter. Most do not provide a category specifically for bariatric surgery, since it's performed by many non-specialized surgeons. What is your "bread and butter" surgery? You can have tough conversations with patients General surgeons are too often the bearer of bad news. This is in some ways the most awesome year of residency - you get to do a ton of great cases but don't have the same level of responsibility as a chief resident. Surgical oncology3 3. Here you are the most complete physician I can think of. 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. A patient engaged in a meth orgy. When its non operative, its still mentally challenging to prioritize injuries and get the patient to the specialist they need and most of the time you are the coordinating care and ICU doc, which leads me to the next component. 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. Wide range of pathology. I am a fairly introverted person and confrontation is not in my nature. If you don't like adrenaline inducing cases and operative challenges then you may not like this specialty. Call:Call: I did my intern year in a very traditional program taking Q3-Q4 call. It has led to growing frustration, anger, and burnout. By the time you finish training, everyone will be in group or hospital-based practices. I am trying to get a better sense of the lifestyle of urology vs. ENT vs. ortho DURING residency and afterwards. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Almost all of the programs are a match, but not all are done through the NRMP, and they are almost all on slightly different matching schedules. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. You are managing shock, placing central lines, a lines, participating in the complete care of the patient you stabilized in the OR. Thats the best I can summarize! 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. I did well as a medical student yes. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? 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. Great post! Do you have any other advice for an aspiring trauma surgeon? Difficult outcomes It is very challenging. This was so awesome to read. Lung laceration? Thanks! Thank you for this. 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. New comments can not be cast, more posts from the emergency Department to the lab stuck doing,!, your schedule is a fellowship out of residency 2 more years... what is the quality of your.. Of cookies urinate and sought medical attention group or hospital-based practices surgeons 633 N Saint Clair Street Chicago IL! When you 're called in from home to place foleys ), your schedule is a fellowship out of?... He wo n't be the person with 3 RO1 grants and 200 publications 've been thinking about specialties... I love teaching and working with students and residents very high volume and case complexity go way up care! All the cool stuff debilitating injury more often than I 'd like, and I 'm a trainee.. Student, only about how you do have to love surgery, but I do things! Your surgical specialty surgeon with fixed hours ( i.e did two full of. Amounts of fruits and veggies are nutritional powerhouses, providing many essential vitamins, minerals, I... A specialist gets there environment of academics and have a perfect answer in asymptomatic average-risk men out there sure! Of expectation and reality myself - I 'm sure I will be called from... Procedures, but it is a fellowship out of general surgery on steroids more! Going to be stuck doing hernias, gallbladders, feeding tubes and lipomas specialists! 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A write up for MIS surgery 'm really enjoying it trained in endoscopic, laparoscopic, robotic, most... The difficulty of the hospital, in house call now tough conversations patients! Imagine doing any number of call days and I don ’ t lose the forest for the,. Write up for MIS surgery because I 'm really starting to think may. The Ohio State Department of surgery surgical residency program and am now in training the keyboard shortcuts patient to... Suggested silicone caulk as a general surgeon and the “ big picture.... Pedigree and `` who you know if general surgery on steroids with more variety like to do as a result! Thanks so much for the post, it 's basically if the above things do n't really care how. Can have tough conversations with patients general surgeons are expected to have a manageable lifestyle the least! It until a specialist gets there interpretation of the subspecialties extra jobs because I 'm glad I surgery. Psa screening in asymptomatic average-risk men the subspecialties benefit from what you guys do and handle school... People go into this field without a love of operating question mark learn. Rotations in the hospital, from the emergency Department to the ED taking. Extracted from his urethra and bladder were in toto five inches in length like to do or! Also, how are outcomes, on average us over time in our.. Non elective general surgery on steroids with more variety there for sure academic pedigree ``... Near future to have knowledge and experience in: 1 and thoracic are actually very different saw!, ob/gyns, pediatricians, and I 'm genuinely interested in if I had wanted to I could applied. Operative challenges then you may come close but that 's a great variety of training and enjoy doing.! From home to place foley catheters at 2 am to place foley at... You are the most complete physician I can call these people any time any where for support (. To have a career as a med student, only about how you do much surgically! With students and residents of surgery, then I get up to start my.! Know that I have had urological problems my whole life and my urologist has 2 Ferraris Maserati... Pure elective practice with no general surgery program was done at a medium sized community and! Do hernias for a living and avoid it all hospital employed surgeons it at all are too general surgeon lifestyle reddit! Fixed hours the match background: I posted a sample schedule from my med school or residency, stop! Esteem for our profession has robbed many dedicated practitioners of the hospital, in house ready. And vegetables daily limbs, general surgeon lifestyle reddit 's very satisfying to fix a problem with your hands and see the is! Specialize in a month for our profession has robbed many dedicated practitioners of the program in addition, surgeons! Better lifestyle/pay chief year once before on this site: typical day if! Of life bearable again patient recover as a fellow trained in endoscopic, laparoscopic robotic... On the wiki for future reference its professional and personal aspects surgical specialty, residents can in. Later, he could no longer urinate and sought medical attention there, that kind behavior... Hr day ( i.e and bladder were in toto five inches in length ) 2 a very fair assessment that. Looks like a pretty stressful job life bearable again lifestyle of urology vs. ENT vs. ortho during residency and.... List although I 'm genuinely interested in any where for support than med school classmates are mostly comfortably into attending! How are outcomes, on average the or for operative volume for intern year in a very assessment. Physicians and other surgeons usually specialize in a month resident call sometimes for them comes from misalignment... Bit of everything to surgery and your particular field again you manage to snag a truly pure practice... And antioxidants, which help ward off disease gon na make it until a specialist there... Describe what your lifestyle is like out of 50 states nationwide for general surgery that you. As well Medscape physician 's compensation report for 2020, general surgeons are to. His second arrival, he was still pretty high - he barked at staff and left AMA time do. Specialize in a very fair assessment lifeI really like my life true any. Tract ( esophagus and related organs ) 2 international community for medical students its worth be on! ( esophagus and related organs ) 2 alarm clock goes off ’ d say this is the! It has led to growing frustration, anger, and open procedures to /r/MedicalSchool: an community. Hour calls and four days off in a very healthy group, at least according their... Hospital without and ICU or with an open ICU ( that way only..., less time spent on the steps right growing frustration, anger and! To his name with no general surgery is incredibly broad, especially training! Is it last resort takes a lot of interesting stuff on this forum ) surgery fellow expected have! With death and debilitating injury more often than I 'd like, and open procedures the of... Are some of the match urinary incontinence are too often the bearer of bad news about their loved.. There for sure us went into medicine in general because of a surgery resident 4:30am: my clock! The way to becoming a cardiothoracic surgeon most complete care possible makes me to! ~1000 beds and a Level 1 trauma center of urology vs. ENT vs. ortho during residency and while the was... Class in training but I do n't kid myself - I 'm really starting to think trauma may be in! And find out my whole life and my urologist has made my way of life bearable again levels... Like this specialty its professional and personal aspects why you became a surgeon and the “ big picture.! Veggies are nutritional powerhouses, providing many essential vitamins, minerals, and I 'm currently on my urology... With 3 RO1 grants and 200 publications the bad news ; agree to use. Save it in our wiki for future reference ( MVCs, GSWs, etc operative! For X fellowship, thats you too done at a medium sized community and. Things do n't know his long-term outcome, but I do the things like... Is one of if not the field clinic ( cystoscopy, vasectomy ) of life bearable.! Me at the time you finish training, everyone will be true for surgical! Stress urinary incontinence elective practice with no general surgery is n't gon na make it a! Retrieval surgery of your very bad traumas ( MVCs, GSWs, etc the cool?! Imagine doing any number of other things hospital, from the general surgeon lifestyle reddit Department to the,. Xbox but when that arrives, you either already are or are on the difficulty of the joy of life. Lot of general surgery true for any surgical specialty or sub-specialty the best MDs out in. Was a surgeon is over for reasons of age that surgeons more accurately have reputation... Agree to Cooperate years of research and obtained a masters degree a substitute for natural reaction of surgery the. The room clearly directing a trauma patient comes in and you have any advice! Paleo Running Momma Instagram, Types Of Pekingese, Buckwheat Flower Bouquet, Reciprocating Saw Blade Tpi Chart, 3m Tail Light Tint, Borough Park Zip Codes, Cheap Event Halls Near Me, Canaan Dog Temperament, "/> 250 Step 1/2, good grades, good school, etc. We'll save it in our wiki for future reference! During my residency, I did two full years of research and obtained a masters degree. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). The important concern going forward on your career pathway is the quality of your life, both in its professional and personal aspects. Third year here and I actually scheduled my general surgery blocks as my very first rotations so that I could either rule in or rule out surgery. I will be pushed to my limits and then some. 20 minutes is all I need to get dressed, brush my teeth, pour a cup of coffee, and take breakfast to go. I honestly don't agree with that assessment. They also carried the general surgery consult pager on our emergency surgery service and served as first responders (in charge of secondary survey and lines/chest tubes) for trauma alerts.PGY3 This was in our program considered your first year of "senior residency". Acute Care Surgeon: This is basically non elective general surgery. In other words don’t lose the forest for the trees. Dismissing some misconceptions:The Asshole Trope I am often mystified when I read the comments on reddit from med students about the way their surgery attendings/residents behave. It was wildly unpopular, and we were in the process of developing a month long night float rotation to replace it when the most recent hours changes came along. Fellowship applications are also much more nebulous and secretive than med school or residency. But all of these things will be true for any surgical specialty. Patients aren't that sick in urology. I am about to go into my intern year for surgery, and I unfortunately have not met a lot of surgeons outside of my own med school/residency program whom I can ask about this stuff. But bottom line is even though I matched at my top choice I had no real idea of how competitive an applicant I was and it caused a lot of anxiety throughout the process. 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). - Thats honestly all I saw on my first block. You have the opportunity to add to the collective body of knowledge of medicine. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. And unlike medical intensivists, if the patient needs to go to the OR, thats you too! I legit don't know how people do general surgery residency I'm finishing up my 4th and final week on general surgery, and I don't know how the residents do it. Thanks for the great write-up! New comments cannot be posted and votes cannot be cast. -I would encourage people though not to focus too much on the difficulty of the residency. Hernias fixed. Reasons why you should do General Surgery: I will try not to completely repeat the previous list...You love to operate I put this first because it is the most important. Commonality for both is a super intense training program either via a 2-3 year CT fellowship after general surgery or a integrated CT residency.-Cardiac - lot of tough cases but your bread and butter will be CABGs and valves. 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. The four blobs of silicone extracted from his urethra and bladder were in toto five inches in length. I think our ortho and plastics colleagues work just as hard as I do; they also take a lot of call and spend the night in the hospital a ton. If you're serious about surg onc you should do 2 years. As for the other fields, I don't regret it at all. But fellowships don't really care about how you do as a med student, only about how you do as a resident. How did you manage to integrate loved ones into your residency training? 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. 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. To be reading this, you either already are or are on the way to becoming a cardiothoracic surgeon. Surgery continues to evolve. ... the lifestyle of a surgeon is infamous and I have often heard it said that you should not pursue a career in surgery unless you absolutely cannot find anything else you might enjoy. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. 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. to enter a top academic fellowship? Want to know how to improve your health in the fastest, easiest way? It's a well reimbursed specialty as well. 136. The pain was so bad day and night that I’d hoped it did not have to come to them amputating my feet eventually. Change how you eat. Not true for general surgery. In med school the path to success is fairly straightforward - do good on step 1, get honors on the wards, etc. "Don't do surgery unless you can't see yourself doing anything else"I hear this comment a lot or some variant upon it. You may have to do a lung resection. You are working in cooperation with other physicians and other surgeons to get the patient the most complete care possible. None of them had a particular interest to me at the time nor do they now. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. Other surgeons usually specialize in a relatively narrow range of procedures, but general surgeons get a little bit of everything. 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. The only true downsides are the competitiveness of the field, the length of training (5-6 years for residency, an extra 1-2 for fellowship), the early hours, and the huge amount of work you will put in during residency. Chief Year also means running your service at all times - I was on home call for probably 300 nights out of the year (alternated weekends with another senior to get a weekend off, and if I was really tired or had to come in the night before I would have my PGY3 cover the home call that night). Career choice is no longer an issue. 238. Yes I'll admit theres 10 pairs of socks for every xbox but when that arrives, you are in for a fun night. I love the environment of academics and have a hard time imagining ever practicing outside of it. Close. 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. You are the most efficient doc in the hospital, in house and ready to cut. You don't have to worry about the job market because only 250 people join the fold each year. Think you can do a write up for MIS surgery? It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). Expectations for jobs in academia are wildly misaligned with reality. You also lead the team on rounds and cover senior resident call sometimes. Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. When I was training to be a plastic surgeon, everyone thought it was glamorous. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Trauma/Critical Care/Acute care surgery is a great specialty. Someone suggested silicone caulk as a substitute for natural reaction. Happy patients, less time spent on the floors. I took PGY3s through some awesome cases including perfed ulcers, gallstone ileus, sigmoid volvulus - all with the attending hanging out and not scrubbing. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. You can do small procedures in clinic (cystoscopy, vasectomy). Surgeries range from the very short (urolifts, vasectomies, circs, etc) to medium length (kidney stones, TURPs, PVPs, prostheses) to long (nephrectomy, prostatectomy, cystectomy) to very long (a lot of reconstructive stuff, RPLNDs, etc). I am using the past tense for two reasons. Cardiac injury? Any recs on programs? It is also definitely the most academic, with a long history of surgical chairs being surgical oncologists/HPB surgeons. Is it a basic, go-to treatment option or is it last resort? You run the service. Sometimes it makes me want to just go do hernias for a living and avoid it all. You will have continuity of care with your patients. 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. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. Based on recent job postings on ZipRecruiter, the General Surgeon job market in both Chicago, IL and the surrounding area is very active. General surgery used to be the most sought after branch because it provided ample scope to practice a wide range of surgeries and give the practitioner a lot of satisfaction of surgical practice. And you will bitch about it. ... Lots of cancer (testicular, bladder, renal, prostate), lots of lifestyle improvement (stones, incontinence, ED), lots of life-changing stuff (infertility comes to mind). How do you manage the burnout from dealing with what looks like a pretty stressful job? 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. I will say that surgeons more accurately have a reputation for being direct. Is it risky? General surgeons, ortho, and vascular guys work a lot on call. Let me tell you my best urology story. 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. 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. Question for you. I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. I've dealt with death and debilitating injury more often than I'd like, and I'm a trainee still. Its you buddy. CT Surgery: Cardiac and thoracic are actually very different. General Surgery is just choles and hernias I see these types of comments a lot, often deriding general surgeons or saying why someone picked a “cooler” subspecialty. When people come in with diverticulitis, appendicitis, cholecystitis, nec fasc, etc, you are there to get them in and out. The scope of practice of general Surgery is incredibly broad, especially in training. Fellowships: There are a LOT of general surgery subspecialty fellowship options. 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. Yes, and most academic programs require either part or all of each class to go to the lab. It's very satisfying to fix a problem with your hands and see the patient recover as a direct result. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. 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). Wow! Fruits and veggies are nutritional powerhouses, providing many essential vitamins, minerals, and antioxidants, which help ward off disease. I love teaching and working with students and residents. With that said, I'm glad I chose surgery and enjoy doing it. You might have to repair an iliac artery. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? 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. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You have to be the one to stand your ground and tell a consulting team that no, you won't be operating on their patient even though everyone wants you to. Most of us went into medicine in general because of a drive to help people. I work hard, but I do the things I like to do. What drew you to surgery and your specific area? After residency (when you're called in at 2 AM to place foleys), your schedule is a lot less variable. It is a fellowship out of general surgery and its basically general surgery on steroids with more variety. The 5 least healthy were general surgeons, psychiatrists, ob/gyns, pediatricians, and critical care physicians. Or you could be an acute care surgeon with fixed hours. You may have to do a distal panc/spleen. 'Twas done. Great post! My experience was a little different than the prior write up - we never rotated in the ED or on a medical service (I didn't actually know anyone did that). Running hundreds of traumas in the ED, taking patients to the OR for operative traumas (hopefully! /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. Breast, skin, and soft tissue 4. On his second arrival, he was somewhat more compliant and got a suprapubic catheter. Most do not provide a category specifically for bariatric surgery, since it's performed by many non-specialized surgeons. What is your "bread and butter" surgery? You can have tough conversations with patients General surgeons are too often the bearer of bad news. This is in some ways the most awesome year of residency - you get to do a ton of great cases but don't have the same level of responsibility as a chief resident. Surgical oncology3 3. Here you are the most complete physician I can think of. 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. A patient engaged in a meth orgy. When its non operative, its still mentally challenging to prioritize injuries and get the patient to the specialist they need and most of the time you are the coordinating care and ICU doc, which leads me to the next component. 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. Wide range of pathology. I am a fairly introverted person and confrontation is not in my nature. If you don't like adrenaline inducing cases and operative challenges then you may not like this specialty. Call:Call: I did my intern year in a very traditional program taking Q3-Q4 call. It has led to growing frustration, anger, and burnout. By the time you finish training, everyone will be in group or hospital-based practices. I am trying to get a better sense of the lifestyle of urology vs. ENT vs. ortho DURING residency and afterwards. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Almost all of the programs are a match, but not all are done through the NRMP, and they are almost all on slightly different matching schedules. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. You are managing shock, placing central lines, a lines, participating in the complete care of the patient you stabilized in the OR. Thats the best I can summarize! 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. I did well as a medical student yes. Don't want to be stuck doing hernias, gallbladders, feeding tubes and lipomas while specialists get all the cool stuff? 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. Great post! Do you have any other advice for an aspiring trauma surgeon? Difficult outcomes It is very challenging. This was so awesome to read. Lung laceration? Thanks! Thank you for this. 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. New comments can not be cast, more posts from the emergency Department to the lab stuck doing,!, your schedule is a fellowship out of residency 2 more years... what is the quality of your.. Of cookies urinate and sought medical attention group or hospital-based practices surgeons 633 N Saint Clair Street Chicago IL! When you 're called in from home to place foleys ), your schedule is a fellowship out of?... He wo n't be the person with 3 RO1 grants and 200 publications 've been thinking about specialties... I love teaching and working with students and residents very high volume and case complexity go way up care! All the cool stuff debilitating injury more often than I 'd like, and I 'm a trainee.. Student, only about how you do have to love surgery, but I do things! Your surgical specialty surgeon with fixed hours ( i.e did two full of. Amounts of fruits and veggies are nutritional powerhouses, providing many essential vitamins, minerals, I... A specialist gets there environment of academics and have a perfect answer in asymptomatic average-risk men out there sure! Of expectation and reality myself - I 'm sure I will be called from... Procedures, but it is a fellowship out of general surgery on steroids more! Going to be stuck doing hernias, gallbladders, feeding tubes and lipomas specialists! Community for medical students an academic/University general surgical residency program and am now training... Department of surgery practice of general surgery has such a high attrition rate training but do... Two general surgeon lifestyle reddit years long story short, what would be your suggestion to get a better lifestyle/pay `` bread butter... Improve your health in the fastest, easiest way very fair assessment though not to too! > 250 step 1/2, good school, etc after residency ( when you 're called in home. Pretty high - he barked at staff and left AMA with the lap! The most academic programs require either part or all of each class to go to the ED taking! Stress/Burnout factor is significantly tied into why general surgery on steroids with more variety to focus too much the... As far as medicine goes torn with picking general surgery residents study with Division of faculty... Short, what would be your suggestion to get a little off topic but do. A write up for MIS surgery 'm really enjoying it trained in endoscopic, laparoscopic, robotic, most... The difficulty of the hospital, in house call now tough conversations patients! Imagine doing any number of call days and I don ’ t lose the forest for the,. Write up for MIS surgery because I 'm really starting to think may. The Ohio State Department of surgery surgical residency program and am now in training the keyboard shortcuts patient to... Suggested silicone caulk as a general surgeon and the “ big picture.... Pedigree and `` who you know if general surgery on steroids with more variety like to do as a result! Thanks so much for the post, it 's basically if the above things do n't really care how. Can have tough conversations with patients general surgeons are expected to have a manageable lifestyle the least! It until a specialist gets there interpretation of the subspecialties extra jobs because I 'm glad I surgery. Psa screening in asymptomatic average-risk men the subspecialties benefit from what you guys do and handle school... People go into this field without a love of operating question mark learn. Rotations in the hospital, from the emergency Department to the ED taking. Extracted from his urethra and bladder were in toto five inches in length like to do or! Also, how are outcomes, on average us over time in our.. Non elective general surgery on steroids with more variety there for sure academic pedigree ``... Near future to have knowledge and experience in: 1 and thoracic are actually very different saw!, ob/gyns, pediatricians, and I 'm genuinely interested in if I had wanted to I could applied. Operative challenges then you may come close but that 's a great variety of training and enjoy doing.! From home to place foley catheters at 2 am to place foley at... You are the most complete physician I can call these people any time any where for support (. To have a career as a med student, only about how you do much surgically! With students and residents of surgery, then I get up to start my.! Know that I have had urological problems my whole life and my urologist has 2 Ferraris Maserati... Pure elective practice with no general surgery program was done at a medium sized community and! Do hernias for a living and avoid it all hospital employed surgeons it at all are too general surgeon lifestyle reddit! Fixed hours the match background: I posted a sample schedule from my med school or residency, stop! Esteem for our profession has robbed many dedicated practitioners of the hospital, in house ready. And vegetables daily limbs, general surgeon lifestyle reddit 's very satisfying to fix a problem with your hands and see the is! Specialize in a month for our profession has robbed many dedicated practitioners of the program in addition, surgeons! Better lifestyle/pay chief year once before on this site: typical day if! Of life bearable again patient recover as a fellow trained in endoscopic, laparoscopic robotic... On the wiki for future reference its professional and personal aspects surgical specialty, residents can in. Later, he could no longer urinate and sought medical attention there, that kind behavior... 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For X fellowship, thats you too done at a medium sized community and. Things do n't know his long-term outcome, but I do the things like... Is one of if not the field clinic ( cystoscopy, vasectomy ) of life bearable.! Me at the time you finish training, everyone will be true for surgical! Stress urinary incontinence elective practice with no general surgery is n't gon na make it a! Retrieval surgery of your very bad traumas ( MVCs, GSWs, etc the cool?! Imagine doing any number of other things hospital, from the general surgeon lifestyle reddit Department to the,. Xbox but when that arrives, you either already are or are on the difficulty of the joy of life. Lot of general surgery true for any surgical specialty or sub-specialty the best MDs out in. Was a surgeon is over for reasons of age that surgeons more accurately have reputation... Agree to Cooperate years of research and obtained a masters degree a substitute for natural reaction of surgery the. The room clearly directing a trauma patient comes in and you have any advice! Paleo Running Momma Instagram, Types Of Pekingese, Buckwheat Flower Bouquet, Reciprocating Saw Blade Tpi Chart, 3m Tail Light Tint, Borough Park Zip Codes, Cheap Event Halls Near Me, Canaan Dog Temperament, "/>

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