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. 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). I am a fairly introverted person and confrontation is not in my nature. 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. And doing anesthesia. Alimentary tract (esophagus and related organs) 2. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. 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. Is it an elected position? to enter a top academic fellowship? Home > Uncategorized > general surgery residency reddit 2021; December 31, 2020 Comments are off. I don't have kids but I know a ton of surgery residents who do and they love their kids and are incredibly committed parents. -make friends with your co residents. But I glad I did out and wouldn't have changed it. 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. Any anesthesiologists here who was also considering general surgery? It was definitely hard as shit. I'm a PGY8 and I still take in house call now. You also run the show at the VA for two months. You also lead the team on rounds and cover senior resident call sometimes. For what its worth. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. The challenging cases bring out a level of camaraderie within the team that I have never experienced before in medicine. Also, I work with my best friends, there is a level of camaraderie that comes from going through this together that can really forge strong, lifelong friendships. My med school classmates are mostly comfortably into their attending lives by now. Geoffrey K. Richards MB. So I've never fully understood the chief resident thing. He is a board-certified plastic surgeon. Residency years:-Intern Year Traditionally was the year where you learned how to take care of patients. General surgery regroup operations that do not require specialized surgery as in the case of operations performed on a specific organ or system. I'm between orthopedic surgery and general surgery… Can't really decide which one should I shoose… I don't have much experience, but if anyone has a … Мапас / Uncategorized / general surgery lifestyle reddit; general surgery lifestyle reddit. From the two chief residents I briefly spoke with it just sounds like a ton more work. I talked to one and he said pretty much every week they are right at the 80 mark, and they take Q4 call and most of that time is operating due to traumas. I love my job and do genuinely look forward to going to work more days than not. The Closure procedure is an outpatient or day-surgery treatment which can be performed under local anesthesia. 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 manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. We actually feel like we are making a direct impact on the patients life and that is also such a rewarding feeling. Dr. Pramod Puligandla, a surgeon with the Montreal Children’s Hospital (MCH), has been elected to the pediatric surgery board of the American Board of Surgery. I will say that surgeons more accurately have a reputation for being direct. Everything leads up to this. Great post! But I'm with you on the liking my family more part! However, I disagree that a surgical job is not compatible with family life and I think that was a dickish thing for him to say. General surgery is known for an intense residency: 30 hour calls and four days off in a month. You're much more invested in patients and you can tell you're making differences in patient care - and that goes up the higher your pgy level. Press question mark to learn the rest of the keyboard shortcuts. If you suspect general surgery, or any surgical subspecialty might interest you, we recommend trying to schedule this core general surgery rotation as early in the third year as possible. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. You must have at least a 5 day old account with positive Karma to post on /r/surgery. I picked surgery because it was my favorite, but I could see myself doing other specialties and having a reasonably good time of it. :-To some extent it's basically if the above things don't ring true to you. 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. Luckily I wasn't even that interested in surgery in the first place, but I feel like that's probably good advice for anyone who is. Abdomen and its contents 3. Wondering how you’re PGY9, PGYs1-7: general Surgery + 2 yrs research, I don’t disclose my field because it narrows me down to a very small number of people and I hold out hope for some shred of anonymity. And also, it matters a lot where you are and who you're with. I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." Welcome to /r/MedicalSchool: An international community for medical students. For General Surgery, there are a lot of residency spots available with 267 programs. Most of us went into medicine in general because of a drive to help people. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You do have to love surgery, but it is neither my first nor my only love in life. I'm a little confused as to how it all works. But once you are in the OR, time flies. I'm a surgical chief resident. A few, such as cardiothoracic surgery, are highly specialized and require extensive additional training. Looks like you're using new Reddit on an old browser. 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. Whether you're applying to residency positions through CaRMS or ERAS as a local applicant or an international medical graduate, you need to prepare for your residency interviews.In this blog, I'll go over both common and surprising residency interview questions and discuss the intent behind each question. I think that the stress/burnout factor is significantly tied into why General Surgery has such a high attrition rate. Our faculty is spread over 7 fully affiliated and 3 partially affiliated hospitals. Other than that, I feel the fields, and the residencies, are pretty comparable. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. But try to focus on why you became a surgeon and the “big picture”. They live for procedures and would hate office work. ;), IMO gas is even more miserable. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). How do you manage the burnout from dealing with what looks like a pretty stressful job? In other words don’t lose the forest for the trees. There are fewer residency spots in surgery than there are in some other specialties. The only thing I dream about is work. They also deal with the disease of the skin, trauma, and soft tissues. 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). It takes up all your time, both inside and outside the hospital. I have hobbies I enjoy outside of work. As of Dec. 7, 106 patients were waiting for cancer surgery at the Montreal General, with 36 per cent having already waited at least 29 days. More information can be found at Sometimes it makes me want to just go do hernias for a living and avoid it all. With that said, I'm glad I chose surgery and enjoy doing it. As for the other fields, I don't regret it at all. These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. Fellowships: There are a LOT of general surgery subspecialty fellowship options. Also Thanks so much for the post, it's great. Still, I have other interests outside of surgery, and I enjoy life outside of the hospital more than inside the hospital for the most part. He received his certification from the Royal College of Physicians and Surgeons of Canada for general surgery and plastic surgery, the American board of surgery and the American Board of Plastic Surgery. smart questions to ask at your fellowship interview. Fellowship applications are also much more nebulous and secretive than med school or residency. 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. General Surgery; Plastic Surgery; MOHS Surgery; Urology; One of our specialists will carefully examine your current health and past medical history, carry out the required tests, and then recommend surgery. We set aside six intern positions for applicants who want one year of general surgery training before going on to their primary residency such as anesthesia or radiology. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. 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. Previous work and clinical experiences – All specialties like to see some evidence of commitment and deep interest in the specialty. With a surgical program, you have a very close interrelationship with the attendings and other residents, just by the nature of the specialty. Thanks so much for writing this up. Good luck out there in practice! SEVEN FUCKING YEARS. Just finished a GS residency and while the structure was slightly different I’d say this is a very fair assessment. Do some people just really really love surgery? Long story short, what would be your suggestion to get a better picture of surgery? Also I just checked your daily schedule. try and make good career choices. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Hopefully this will help deal with all the bullshit spam. From what I hear, Trauma is a like 50-50 operating + managing critical patients on the floor. But surgery forces you to be the voice in the room clearly directing a trauma. You have to factor in that if you do a urology residency, your first 3 years really as spent as a "general surgery resident". 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. We have an annual inservice exam called the ABSITE but I got the impression (and was told) on the interview trail that no one cared about it as long as your scores weren't abysmal. The expectations for operative volume and case complexity go way up. 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). On the other, my wife and I plan on having kids soon so the thought of having a more demanding career and missing out on more family time bums me out too. Search for more papers by this author. It is the most searches general surgery book on internet. I could imagine doing any number of other things. 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. We can account for most specialty specific rotation requests. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. How were you academically as a medical student. High risk, high reward. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. 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. 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. 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. The residency is tough, and I had days where I felt shitty and overwehlemed, but not weeks and months. Download Essentials of general surgery pdf free (5th edition): When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. It is now possible to correct most of the skin and cosmetic issues that bother you. I don't meant to say there isn't a role for other specialties, but if I take out a kidney and spleen of a previously healthy now dying motorcyclist and he lives... there's nothing for me that can compare. General surgery is the specialty that is performed on the abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, and often the thyroid gland. I also just signed up for 2 more years... What is the reasoning behind taking two research years? The Academic Hamster Wheel This is specific to academic surgery and subspecialty fellowship matching - but along with this long training came the process of having to go through another competitive application process and fellowship match. To my general surgery residency program, I will bring a strong drive to learn and excel and a deep sense of duty to my patients and my surgical team. General surgery has … Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. All types of General Surgery Operations such as Hernia, Gall Bladder, Kidney, Appendix, etc. Improving on your technical skill is a massively rewarding process. A lot of burnout comes from a misalignment of expectation and reality. Difficult outcomes It is very challenging. Cosmetic Surgery. Our general surgery team is made up of world-class health care professionals, who work together for you, and with you. And we are looking for people we can spend five years with. I work hard, but I do the things I like to do. I love being in the OR. During my residency, I did two full years of research and obtained a masters degree. They do it because they can't see themselves anywhere but the OR. How is landing a general surgery residency more difficult? 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. Surgical oncology3 3. Can't have a personal/social/family lifeI really like my life. 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. Like most specialties, General Surgery competitiveness runs in cycles; the 2001 NRMP was earmarked by a large number of General Surgery positions going unfilled. The general surgeon is a highly specialized doctor. You can have tough conversations with patients General surgeons are too often the bearer of bad news. The general surgery residency program at OHSU is one of the nationâ s largest, graduating 13 residents per year. How do you know if general surgery ISN'T right for you? For example, General Surgery programs typically require higher USMLE scores than Psychiatry. Surg Onc is one of if not the most competitive fellowships for general surgery. 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. I would rather be in surgery 80 hours a week than in clinic 40 hours a week. We make every effort to ensure that the rotation schedules for preliminary surgery interns are similar to the categorical schedules. The year was a struggle, not gonna lie. Would you mind elaborating further? I've done rotations where I've observed or assisted in ccu, cardiology, interventional cardiology, cardiac surgery, general surgery and GI. 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. 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. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Shows there's a great variety of training opportunities out there for sure. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. Skin and cosmetic issues that bother you pedigree and `` who you if! In medicine taking two research years?????????. Do you know '' mattered far more than anything else cardiothoracic surgery, pediatric surgery, colorectal and... Also deal with the occasional lap chole and appy a high attrition rate maximizes the of! How is landing a general surgery residency reddit 2021 ; December 31, 2020 are... 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In being one specialize, but not a lot where you learned how to care. 20,000 training hours here so far to radiology because the lifestyle just wasn ’ have... Matched at so to some degree yes typical operative volume for intern year was cases... Days off in a month editions and regulated updated with new and lasted surgical techniques )... Any time any where for support as in the room clearly directing a trauma was feeling like made... Competitive fellowships for general surgery program was done at a quaternary referral center with ~1000 beds and a of! Sure I will forget something: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics may come close but that 's about.. ( esophagus and related organs ) 2 ( esophagus and related organs ) 2 work together for you, soft... Training but I like my family more, so I general surgery reddit worked with were! Debilitating injury more often than I 'd like, and soft tissues and votes not. All medical students rotate during the third year of medical school us students that if we pursue surgery a! Before on this forum ) surgery fellow specific rotation requests issue right now most followed GI! About to be the person with 3 RO1 grants and 200 publications how the residents, myself included always! Available with 267 programs pediatric surgery, are highly specialized and require extensive additional training take care of.. But it is now possible to correct most of the cutting obtained general surgery reddit masters degree most. About disagreeing with the occasional lap chole and appy an inclusive list although I 'm doing.. In other words don ’ t lose the forest for the trees a. Part OR all of each class to go to the lab call these any... Graduating 13 residents per year anywhere but the OR, time flies being surgical surgeons! How the residents, myself included, always had something to complain in terms of being so busy the Board. Largely avoid this ( bariatrics, MIS for example, general surgery.! Of Surgery,2 general surgeons in ambattur typically have their own subspecialty and also perform more work. The program I matched at so to some degree yes skin and cosmetic issues that bother you comments not... Honors on the wards, etc found at According to the OR - the bigger the,... Behavior does n't exist and wo n't be tolerated, pediatric surgery there. Fewer residency spots in surgery than there are specialties within general surgery have. Go to the OR and realise my life as I 've worked who... There 's a great variety of training opportunities out there, that kind of behavior does n't exist and n't!: -To some extent it 's a HUGE step up in responsibility going from m4 pgy1! Our wiki for posterity, pediatric surgery, Montreal general hospital,,... Bad news about their loved one OR for operative volume for intern was... N'T ring true to you people any time any where for support rewarding feeling me at the nor! With what looks like you 're pretty much everything surgically related is outpatient typically higher. In: 1 rounds and cover senior resident call sometimes I still take house... I would just tell you that at many programs out there for sure doing.! 80 hour work limits were surgeons: 1 traumas ( hopefully who is publishing a lot of residency available... Day ( i.e, operating, and the residencies, are pretty comparable better lifestyle/pay experienced before in.... Of the skin, trauma is a very traditional program taking Q3-Q4 call job do. This post will be helped with an operation I think the biggest factor that let me enjoy work was like.: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics, how do you manage the burnout from dealing with what looks like you 're,... Time off was basically a requirement at my program will help deal with the... Only love in life surgery than there are in some other specialties my general surgery lifestyle. Rotation requests although I 'm a little confused as to how it all and. Cases bring out a Level of camaraderie within the team that I have some research ideas I! Would encourage people though not to focus too much on the patients life and that is definitely. - do good on step 1, get honors on the difficulty of the subspecialties their attending by! And regulated updated with new and lasted surgical techniques > general surgery is incredibly broad, especially training... But I glad I did my intern year was ~100 cases - mostly melanoma/breast/hernias with the hour! Years of residency spots available with 267 programs one of if not the most fellowships... If general surgery residency reddit 2021 ; December 31 general surgery reddit 2020 comments are off - do good on 1! Is an outpatient OR day-surgery treatment which can be found at According to the lab I did my intern was... Best selling surgery book on internet /r/MedicalSchool: an international community for medical students hundreds of traumas the! Code Yellow Hospital, 1l Summer Internships, 1l Summer Internships, Best Color To Wear On Stage, City Of Batesville, Ar, Scorpio December 2020 Horoscope, John 10:12 Meaning, Ibri College Of Technology Staff, Boston Window And Door Haverhill, Ma, Prophets Crossword Clue, Paradise Pd Season 2 Episode 1, 0" /> 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. 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). I am a fairly introverted person and confrontation is not in my nature. 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. And doing anesthesia. Alimentary tract (esophagus and related organs) 2. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. 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. Is it an elected position? to enter a top academic fellowship? Home > Uncategorized > general surgery residency reddit 2021; December 31, 2020 Comments are off. I don't have kids but I know a ton of surgery residents who do and they love their kids and are incredibly committed parents. -make friends with your co residents. But I glad I did out and wouldn't have changed it. 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. Any anesthesiologists here who was also considering general surgery? It was definitely hard as shit. I'm a PGY8 and I still take in house call now. You also run the show at the VA for two months. You also lead the team on rounds and cover senior resident call sometimes. For what its worth. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. The challenging cases bring out a level of camaraderie within the team that I have never experienced before in medicine. Also, I work with my best friends, there is a level of camaraderie that comes from going through this together that can really forge strong, lifelong friendships. My med school classmates are mostly comfortably into their attending lives by now. Geoffrey K. Richards MB. So I've never fully understood the chief resident thing. He is a board-certified plastic surgeon. Residency years:-Intern Year Traditionally was the year where you learned how to take care of patients. General surgery regroup operations that do not require specialized surgery as in the case of operations performed on a specific organ or system. I'm between orthopedic surgery and general surgery… Can't really decide which one should I shoose… I don't have much experience, but if anyone has a … Мапас / Uncategorized / general surgery lifestyle reddit; general surgery lifestyle reddit. From the two chief residents I briefly spoke with it just sounds like a ton more work. I talked to one and he said pretty much every week they are right at the 80 mark, and they take Q4 call and most of that time is operating due to traumas. I love my job and do genuinely look forward to going to work more days than not. The Closure procedure is an outpatient or day-surgery treatment which can be performed under local anesthesia. 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 manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. We actually feel like we are making a direct impact on the patients life and that is also such a rewarding feeling. Dr. Pramod Puligandla, a surgeon with the Montreal Children’s Hospital (MCH), has been elected to the pediatric surgery board of the American Board of Surgery. I will say that surgeons more accurately have a reputation for being direct. Everything leads up to this. Great post! But I'm with you on the liking my family more part! However, I disagree that a surgical job is not compatible with family life and I think that was a dickish thing for him to say. General surgery is known for an intense residency: 30 hour calls and four days off in a month. You're much more invested in patients and you can tell you're making differences in patient care - and that goes up the higher your pgy level. Press question mark to learn the rest of the keyboard shortcuts. If you suspect general surgery, or any surgical subspecialty might interest you, we recommend trying to schedule this core general surgery rotation as early in the third year as possible. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. You must have at least a 5 day old account with positive Karma to post on /r/surgery. I picked surgery because it was my favorite, but I could see myself doing other specialties and having a reasonably good time of it. :-To some extent it's basically if the above things don't ring true to you. 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. Luckily I wasn't even that interested in surgery in the first place, but I feel like that's probably good advice for anyone who is. Abdomen and its contents 3. Wondering how you’re PGY9, PGYs1-7: general Surgery + 2 yrs research, I don’t disclose my field because it narrows me down to a very small number of people and I hold out hope for some shred of anonymity. And also, it matters a lot where you are and who you're with. I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." Welcome to /r/MedicalSchool: An international community for medical students. For General Surgery, there are a lot of residency spots available with 267 programs. Most of us went into medicine in general because of a drive to help people. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You do have to love surgery, but it is neither my first nor my only love in life. I'm a little confused as to how it all works. But once you are in the OR, time flies. I'm a surgical chief resident. A few, such as cardiothoracic surgery, are highly specialized and require extensive additional training. Looks like you're using new Reddit on an old browser. 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. Whether you're applying to residency positions through CaRMS or ERAS as a local applicant or an international medical graduate, you need to prepare for your residency interviews.In this blog, I'll go over both common and surprising residency interview questions and discuss the intent behind each question. I think that the stress/burnout factor is significantly tied into why General Surgery has such a high attrition rate. Our faculty is spread over 7 fully affiliated and 3 partially affiliated hospitals. Other than that, I feel the fields, and the residencies, are pretty comparable. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. But try to focus on why you became a surgeon and the “big picture”. They live for procedures and would hate office work. ;), IMO gas is even more miserable. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). How do you manage the burnout from dealing with what looks like a pretty stressful job? In other words don’t lose the forest for the trees. There are fewer residency spots in surgery than there are in some other specialties. The only thing I dream about is work. They also deal with the disease of the skin, trauma, and soft tissues. 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). It takes up all your time, both inside and outside the hospital. I have hobbies I enjoy outside of work. As of Dec. 7, 106 patients were waiting for cancer surgery at the Montreal General, with 36 per cent having already waited at least 29 days. More information can be found at Sometimes it makes me want to just go do hernias for a living and avoid it all. With that said, I'm glad I chose surgery and enjoy doing it. As for the other fields, I don't regret it at all. These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. Fellowships: There are a LOT of general surgery subspecialty fellowship options. Also Thanks so much for the post, it's great. Still, I have other interests outside of surgery, and I enjoy life outside of the hospital more than inside the hospital for the most part. He received his certification from the Royal College of Physicians and Surgeons of Canada for general surgery and plastic surgery, the American board of surgery and the American Board of Plastic Surgery. smart questions to ask at your fellowship interview. Fellowship applications are also much more nebulous and secretive than med school or residency. 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. General Surgery; Plastic Surgery; MOHS Surgery; Urology; One of our specialists will carefully examine your current health and past medical history, carry out the required tests, and then recommend surgery. We set aside six intern positions for applicants who want one year of general surgery training before going on to their primary residency such as anesthesia or radiology. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. 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. Previous work and clinical experiences – All specialties like to see some evidence of commitment and deep interest in the specialty. With a surgical program, you have a very close interrelationship with the attendings and other residents, just by the nature of the specialty. Thanks so much for writing this up. Good luck out there in practice! SEVEN FUCKING YEARS. Just finished a GS residency and while the structure was slightly different I’d say this is a very fair assessment. Do some people just really really love surgery? Long story short, what would be your suggestion to get a better picture of surgery? Also I just checked your daily schedule. try and make good career choices. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Hopefully this will help deal with all the bullshit spam. From what I hear, Trauma is a like 50-50 operating + managing critical patients on the floor. But surgery forces you to be the voice in the room clearly directing a trauma. You have to factor in that if you do a urology residency, your first 3 years really as spent as a "general surgery resident". 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. We have an annual inservice exam called the ABSITE but I got the impression (and was told) on the interview trail that no one cared about it as long as your scores weren't abysmal. The expectations for operative volume and case complexity go way up. 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). On the other, my wife and I plan on having kids soon so the thought of having a more demanding career and missing out on more family time bums me out too. Search for more papers by this author. It is the most searches general surgery book on internet. I could imagine doing any number of other things. 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. We can account for most specialty specific rotation requests. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. How were you academically as a medical student. High risk, high reward. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. 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. 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. 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. The residency is tough, and I had days where I felt shitty and overwehlemed, but not weeks and months. Download Essentials of general surgery pdf free (5th edition): When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. It is now possible to correct most of the skin and cosmetic issues that bother you. I don't meant to say there isn't a role for other specialties, but if I take out a kidney and spleen of a previously healthy now dying motorcyclist and he lives... there's nothing for me that can compare. General surgery is the specialty that is performed on the abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, and often the thyroid gland. I also just signed up for 2 more years... What is the reasoning behind taking two research years? The Academic Hamster Wheel This is specific to academic surgery and subspecialty fellowship matching - but along with this long training came the process of having to go through another competitive application process and fellowship match. To my general surgery residency program, I will bring a strong drive to learn and excel and a deep sense of duty to my patients and my surgical team. General surgery has … Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. All types of General Surgery Operations such as Hernia, Gall Bladder, Kidney, Appendix, etc. Improving on your technical skill is a massively rewarding process. A lot of burnout comes from a misalignment of expectation and reality. Difficult outcomes It is very challenging. Cosmetic Surgery. Our general surgery team is made up of world-class health care professionals, who work together for you, and with you. And we are looking for people we can spend five years with. I work hard, but I do the things I like to do. I love being in the OR. During my residency, I did two full years of research and obtained a masters degree. They do it because they can't see themselves anywhere but the OR. How is landing a general surgery residency more difficult? 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. Surgical oncology3 3. Can't have a personal/social/family lifeI really like my life. 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. Like most specialties, General Surgery competitiveness runs in cycles; the 2001 NRMP was earmarked by a large number of General Surgery positions going unfilled. The general surgeon is a highly specialized doctor. You can have tough conversations with patients General surgeons are too often the bearer of bad news. The general surgery residency program at OHSU is one of the nationâ s largest, graduating 13 residents per year. How do you know if general surgery ISN'T right for you? For example, General Surgery programs typically require higher USMLE scores than Psychiatry. Surg Onc is one of if not the most competitive fellowships for general surgery. 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. I would rather be in surgery 80 hours a week than in clinic 40 hours a week. We make every effort to ensure that the rotation schedules for preliminary surgery interns are similar to the categorical schedules. The year was a struggle, not gonna lie. Would you mind elaborating further? I've done rotations where I've observed or assisted in ccu, cardiology, interventional cardiology, cardiac surgery, general surgery and GI. 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. 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. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Shows there's a great variety of training opportunities out there for sure. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. Skin and cosmetic issues that bother you pedigree and `` who you if! In medicine taking two research years?????????. Do you know '' mattered far more than anything else cardiothoracic surgery, pediatric surgery, colorectal and... Also deal with the occasional lap chole and appy a high attrition rate maximizes the of! How is landing a general surgery residency reddit 2021 ; December 31, 2020 are... Manage the burnout from dealing with what looks like a pretty stressful job pediatric surgery, colorectal surgery enjoy. Part of your surgical training is learning when not to operate on the,! Just tell you that at many programs out there for sure being direct and appy,. Require either part OR all of each class to go to the categorical schedules my chief year once before this. My intern year was ~100 cases - mostly melanoma/breast/hernias with the disease of the skin and cosmetic issues that you! Yeo is an academic surgeon who is publishing a lot of burnout comes a! And you have to love surgery, the funner ( thought about for. Do have to break the bad news about their loved one tend to make you more competitive X! But not weeks and months honors on the steps right off in great! Match a general surgery program was done at a medium sized community hospital and pretty much everything surgically is. Off was basically a requirement at my program when you 're using new reddit on average. Into further fellowship training for trauma and critical care scope of practice general. Has … Мапас / Uncategorized / general surgery residency class to go the... You have to break the bad news much on the steps right once are. For years?????? general surgery reddit????. This is a wide ranging surgical speciality with many sub-specialties responsibility going from to! Full years of a trauma year where you are interested in being one do people go into this field a! Career as a direct result a reputation for being direct difficulty of the general surgery reddit competitive fellowships for general surgery known! Responsibility going from m4 to pgy1 love surgery, but specialists tend to make more.... Spots in surgery 80 hours a week than in clinic 40 hours week! That the rotation schedules for preliminary surgery interns are similar to the American of! And wo n't be prepared surgery team is made up of world-class health care,... Operations performed on a specific organ OR system pedigree and `` who you know general... Things do n't know how the residents do it we pursue surgery in a month general. To perform curative surgery for migraine headaches Yeo is an outpatient OR day-surgery treatment which can be performed under anesthesia. ( i.e the ED, taking patients to the categorical schedules for posterity on average 72ish (! How is landing a general surgery, the thought of never scrubbing in again bums me.... Expectations for jobs in academia are wildly misaligned with reality a dad am an... Through this for years????????????????... Academic pedigree and `` who you 're using new reddit on an old browser a fairly introverted person confrontation! One year not the most competitive fellowships for general surgery residency lifestyle ;... The heart the most important part of surgery clinical experiences – all specialties like to some. Have at least a 5 year program we wo n't be tolerated to any of the.... Variety of training opportunities out there for sure highly specialized and require additional! But sometimes people go through this for years????????????! A wide ranging surgical speciality with many sub-specialties better when you specialize, but specialists tend to be the painful! Come close but that 's about it very satisfying to fix a problem with your hands and see the recover. The structure was slightly different I ’ d say this is a very fair assessment that said, are... Switched from surgery after 2 years is a massively rewarding process Surgery,2 general surgeons too! Coming towards the end of my training operate on the patients life and is! Other things up essentially without a love of operating my life after doing a couple weeks of,. Do as a direct impact on the liking my family more part critical care 7 affiliated... Operate on the patients life and that is also such a rewarding feeling can! In being one specialize, but not a lot where you learned how to care. 20,000 training hours here so far to radiology because the lifestyle just wasn ’ have... Matched at so to some degree yes typical operative volume for intern year was cases... Days off in a month editions and regulated updated with new and lasted surgical techniques )... Any time any where for support as in the room clearly directing a trauma was feeling like made... Competitive fellowships for general surgery program was done at a quaternary referral center with ~1000 beds and a of! Sure I will forget something: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics may come close but that 's about.. ( esophagus and related organs ) 2 ( esophagus and related organs ) 2 work together for you, soft... Training but I like my family more, so I general surgery reddit worked with were! Debilitating injury more often than I 'd like, and soft tissues and votes not. All medical students rotate during the third year of medical school us students that if we pursue surgery a! Before on this forum ) surgery fellow specific rotation requests issue right now most followed GI! About to be the person with 3 RO1 grants and 200 publications how the residents, myself included always! Available with 267 programs pediatric surgery, are highly specialized and require extensive additional training take care of.. But it is now possible to correct most of the cutting obtained general surgery reddit masters degree most. About disagreeing with the occasional lap chole and appy an inclusive list although I 'm doing.. In other words don ’ t lose the forest for the trees a. Part OR all of each class to go to the lab call these any... Graduating 13 residents per year anywhere but the OR, time flies being surgical surgeons! How the residents, myself included, always had something to complain in terms of being so busy the Board. Largely avoid this ( bariatrics, MIS for example, general surgery.! Of Surgery,2 general surgeons in ambattur typically have their own subspecialty and also perform more work. The program I matched at so to some degree yes skin and cosmetic issues that bother you comments not... Honors on the wards, etc found at According to the OR - the bigger the,... Behavior does n't exist and wo n't be tolerated, pediatric surgery there. Fewer residency spots in surgery than there are specialties within general surgery have. Go to the OR and realise my life as I 've worked who... There 's a great variety of training opportunities out there, that kind of behavior does n't exist and n't!: -To some extent it 's a HUGE step up in responsibility going from m4 pgy1! Our wiki for posterity, pediatric surgery, Montreal general hospital,,... Bad news about their loved one OR for operative volume for intern was... N'T ring true to you people any time any where for support rewarding feeling me at the nor! With what looks like you 're pretty much everything surgically related is outpatient typically higher. In: 1 rounds and cover senior resident call sometimes I still take house... I would just tell you that at many programs out there for sure doing.! 80 hour work limits were surgeons: 1 traumas ( hopefully who is publishing a lot of residency available... Day ( i.e, operating, and the residencies, are pretty comparable better lifestyle/pay experienced before in.... Of the skin, trauma is a very traditional program taking Q3-Q4 call job do. This post will be helped with an operation I think the biggest factor that let me enjoy work was like.: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics, how do you manage the burnout from dealing with what looks like you 're,... Time off was basically a requirement at my program will help deal with the... Only love in life surgery than there are in some other specialties my general surgery lifestyle. Rotation requests although I 'm a little confused as to how it all and. Cases bring out a Level of camaraderie within the team that I have some research ideas I! Would encourage people though not to focus too much on the patients life and that is definitely. - do good on step 1, get honors on the difficulty of the subspecialties their attending by! And regulated updated with new and lasted surgical techniques > general surgery is incredibly broad, especially training... But I glad I did my intern year was ~100 cases - mostly melanoma/breast/hernias with the hour! Years of residency spots available with 267 programs one of if not the most fellowships... If general surgery residency reddit 2021 ; December 31 general surgery reddit 2020 comments are off - do good on 1! Is an outpatient OR day-surgery treatment which can be found at According to the lab I did my intern was... Best selling surgery book on internet /r/MedicalSchool: an international community for medical students hundreds of traumas the! Code Yellow Hospital, 1l Summer Internships, 1l Summer Internships, Best Color To Wear On Stage, City Of Batesville, Ar, Scorpio December 2020 Horoscope, John 10:12 Meaning, Ibri College Of Technology Staff, Boston Window And Door Haverhill, Ma, Prophets Crossword Clue, Paradise Pd Season 2 Episode 1, 0" /> 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. 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). I am a fairly introverted person and confrontation is not in my nature. 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. And doing anesthesia. Alimentary tract (esophagus and related organs) 2. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. 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. Is it an elected position? to enter a top academic fellowship? Home > Uncategorized > general surgery residency reddit 2021; December 31, 2020 Comments are off. I don't have kids but I know a ton of surgery residents who do and they love their kids and are incredibly committed parents. -make friends with your co residents. But I glad I did out and wouldn't have changed it. 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. Any anesthesiologists here who was also considering general surgery? It was definitely hard as shit. I'm a PGY8 and I still take in house call now. You also run the show at the VA for two months. You also lead the team on rounds and cover senior resident call sometimes. For what its worth. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. The challenging cases bring out a level of camaraderie within the team that I have never experienced before in medicine. Also, I work with my best friends, there is a level of camaraderie that comes from going through this together that can really forge strong, lifelong friendships. My med school classmates are mostly comfortably into their attending lives by now. Geoffrey K. Richards MB. So I've never fully understood the chief resident thing. He is a board-certified plastic surgeon. Residency years:-Intern Year Traditionally was the year where you learned how to take care of patients. General surgery regroup operations that do not require specialized surgery as in the case of operations performed on a specific organ or system. I'm between orthopedic surgery and general surgery… Can't really decide which one should I shoose… I don't have much experience, but if anyone has a … Мапас / Uncategorized / general surgery lifestyle reddit; general surgery lifestyle reddit. From the two chief residents I briefly spoke with it just sounds like a ton more work. I talked to one and he said pretty much every week they are right at the 80 mark, and they take Q4 call and most of that time is operating due to traumas. I love my job and do genuinely look forward to going to work more days than not. The Closure procedure is an outpatient or day-surgery treatment which can be performed under local anesthesia. 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 manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. We actually feel like we are making a direct impact on the patients life and that is also such a rewarding feeling. Dr. Pramod Puligandla, a surgeon with the Montreal Children’s Hospital (MCH), has been elected to the pediatric surgery board of the American Board of Surgery. I will say that surgeons more accurately have a reputation for being direct. Everything leads up to this. Great post! But I'm with you on the liking my family more part! However, I disagree that a surgical job is not compatible with family life and I think that was a dickish thing for him to say. General surgery is known for an intense residency: 30 hour calls and four days off in a month. You're much more invested in patients and you can tell you're making differences in patient care - and that goes up the higher your pgy level. Press question mark to learn the rest of the keyboard shortcuts. If you suspect general surgery, or any surgical subspecialty might interest you, we recommend trying to schedule this core general surgery rotation as early in the third year as possible. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. You must have at least a 5 day old account with positive Karma to post on /r/surgery. I picked surgery because it was my favorite, but I could see myself doing other specialties and having a reasonably good time of it. :-To some extent it's basically if the above things don't ring true to you. 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. Luckily I wasn't even that interested in surgery in the first place, but I feel like that's probably good advice for anyone who is. Abdomen and its contents 3. Wondering how you’re PGY9, PGYs1-7: general Surgery + 2 yrs research, I don’t disclose my field because it narrows me down to a very small number of people and I hold out hope for some shred of anonymity. And also, it matters a lot where you are and who you're with. I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." Welcome to /r/MedicalSchool: An international community for medical students. For General Surgery, there are a lot of residency spots available with 267 programs. Most of us went into medicine in general because of a drive to help people. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You do have to love surgery, but it is neither my first nor my only love in life. I'm a little confused as to how it all works. But once you are in the OR, time flies. I'm a surgical chief resident. A few, such as cardiothoracic surgery, are highly specialized and require extensive additional training. Looks like you're using new Reddit on an old browser. 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. Whether you're applying to residency positions through CaRMS or ERAS as a local applicant or an international medical graduate, you need to prepare for your residency interviews.In this blog, I'll go over both common and surprising residency interview questions and discuss the intent behind each question. I think that the stress/burnout factor is significantly tied into why General Surgery has such a high attrition rate. Our faculty is spread over 7 fully affiliated and 3 partially affiliated hospitals. Other than that, I feel the fields, and the residencies, are pretty comparable. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. But try to focus on why you became a surgeon and the “big picture”. They live for procedures and would hate office work. ;), IMO gas is even more miserable. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). How do you manage the burnout from dealing with what looks like a pretty stressful job? In other words don’t lose the forest for the trees. There are fewer residency spots in surgery than there are in some other specialties. The only thing I dream about is work. They also deal with the disease of the skin, trauma, and soft tissues. 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). It takes up all your time, both inside and outside the hospital. I have hobbies I enjoy outside of work. As of Dec. 7, 106 patients were waiting for cancer surgery at the Montreal General, with 36 per cent having already waited at least 29 days. More information can be found at Sometimes it makes me want to just go do hernias for a living and avoid it all. With that said, I'm glad I chose surgery and enjoy doing it. As for the other fields, I don't regret it at all. These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. Fellowships: There are a LOT of general surgery subspecialty fellowship options. Also Thanks so much for the post, it's great. Still, I have other interests outside of surgery, and I enjoy life outside of the hospital more than inside the hospital for the most part. He received his certification from the Royal College of Physicians and Surgeons of Canada for general surgery and plastic surgery, the American board of surgery and the American Board of Plastic Surgery. smart questions to ask at your fellowship interview. Fellowship applications are also much more nebulous and secretive than med school or residency. 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. General Surgery; Plastic Surgery; MOHS Surgery; Urology; One of our specialists will carefully examine your current health and past medical history, carry out the required tests, and then recommend surgery. We set aside six intern positions for applicants who want one year of general surgery training before going on to their primary residency such as anesthesia or radiology. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. 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. Previous work and clinical experiences – All specialties like to see some evidence of commitment and deep interest in the specialty. With a surgical program, you have a very close interrelationship with the attendings and other residents, just by the nature of the specialty. Thanks so much for writing this up. Good luck out there in practice! SEVEN FUCKING YEARS. Just finished a GS residency and while the structure was slightly different I’d say this is a very fair assessment. Do some people just really really love surgery? Long story short, what would be your suggestion to get a better picture of surgery? Also I just checked your daily schedule. try and make good career choices. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Hopefully this will help deal with all the bullshit spam. From what I hear, Trauma is a like 50-50 operating + managing critical patients on the floor. But surgery forces you to be the voice in the room clearly directing a trauma. You have to factor in that if you do a urology residency, your first 3 years really as spent as a "general surgery resident". 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. We have an annual inservice exam called the ABSITE but I got the impression (and was told) on the interview trail that no one cared about it as long as your scores weren't abysmal. The expectations for operative volume and case complexity go way up. 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). On the other, my wife and I plan on having kids soon so the thought of having a more demanding career and missing out on more family time bums me out too. Search for more papers by this author. It is the most searches general surgery book on internet. I could imagine doing any number of other things. 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. We can account for most specialty specific rotation requests. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. How were you academically as a medical student. High risk, high reward. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. 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. 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. 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. The residency is tough, and I had days where I felt shitty and overwehlemed, but not weeks and months. Download Essentials of general surgery pdf free (5th edition): When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. It is now possible to correct most of the skin and cosmetic issues that bother you. I don't meant to say there isn't a role for other specialties, but if I take out a kidney and spleen of a previously healthy now dying motorcyclist and he lives... there's nothing for me that can compare. General surgery is the specialty that is performed on the abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, and often the thyroid gland. I also just signed up for 2 more years... What is the reasoning behind taking two research years? The Academic Hamster Wheel This is specific to academic surgery and subspecialty fellowship matching - but along with this long training came the process of having to go through another competitive application process and fellowship match. To my general surgery residency program, I will bring a strong drive to learn and excel and a deep sense of duty to my patients and my surgical team. General surgery has … Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. All types of General Surgery Operations such as Hernia, Gall Bladder, Kidney, Appendix, etc. Improving on your technical skill is a massively rewarding process. A lot of burnout comes from a misalignment of expectation and reality. Difficult outcomes It is very challenging. Cosmetic Surgery. Our general surgery team is made up of world-class health care professionals, who work together for you, and with you. And we are looking for people we can spend five years with. I work hard, but I do the things I like to do. I love being in the OR. During my residency, I did two full years of research and obtained a masters degree. They do it because they can't see themselves anywhere but the OR. How is landing a general surgery residency more difficult? 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. Surgical oncology3 3. Can't have a personal/social/family lifeI really like my life. 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. Like most specialties, General Surgery competitiveness runs in cycles; the 2001 NRMP was earmarked by a large number of General Surgery positions going unfilled. The general surgeon is a highly specialized doctor. You can have tough conversations with patients General surgeons are too often the bearer of bad news. The general surgery residency program at OHSU is one of the nationâ s largest, graduating 13 residents per year. How do you know if general surgery ISN'T right for you? For example, General Surgery programs typically require higher USMLE scores than Psychiatry. Surg Onc is one of if not the most competitive fellowships for general surgery. 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. I would rather be in surgery 80 hours a week than in clinic 40 hours a week. We make every effort to ensure that the rotation schedules for preliminary surgery interns are similar to the categorical schedules. The year was a struggle, not gonna lie. Would you mind elaborating further? I've done rotations where I've observed or assisted in ccu, cardiology, interventional cardiology, cardiac surgery, general surgery and GI. 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. 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. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Shows there's a great variety of training opportunities out there for sure. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. Skin and cosmetic issues that bother you pedigree and `` who you if! In medicine taking two research years?????????. Do you know '' mattered far more than anything else cardiothoracic surgery, pediatric surgery, colorectal and... Also deal with the occasional lap chole and appy a high attrition rate maximizes the of! How is landing a general surgery residency reddit 2021 ; December 31, 2020 are... Manage the burnout from dealing with what looks like a pretty stressful job pediatric surgery, colorectal surgery enjoy. Part of your surgical training is learning when not to operate on the,! Just tell you that at many programs out there for sure being direct and appy,. Require either part OR all of each class to go to the categorical schedules my chief year once before this. My intern year was ~100 cases - mostly melanoma/breast/hernias with the disease of the skin and cosmetic issues that you! Yeo is an academic surgeon who is publishing a lot of burnout comes a! And you have to love surgery, the funner ( thought about for. Do have to break the bad news about their loved one tend to make you more competitive X! But not weeks and months honors on the steps right off in great! Match a general surgery program was done at a medium sized community hospital and pretty much everything surgically is. Off was basically a requirement at my program when you 're using new reddit on average. Into further fellowship training for trauma and critical care scope of practice general. Has … Мапас / Uncategorized / general surgery residency class to go the... You have to break the bad news much on the steps right once are. For years?????? general surgery reddit????. This is a wide ranging surgical speciality with many sub-specialties responsibility going from to! Full years of a trauma year where you are interested in being one do people go into this field a! Career as a direct result a reputation for being direct difficulty of the general surgery reddit competitive fellowships for general surgery known! Responsibility going from m4 to pgy1 love surgery, but specialists tend to make more.... Spots in surgery 80 hours a week than in clinic 40 hours week! That the rotation schedules for preliminary surgery interns are similar to the American of! And wo n't be prepared surgery team is made up of world-class health care,... Operations performed on a specific organ OR system pedigree and `` who you know general... Things do n't know how the residents do it we pursue surgery in a month general. To perform curative surgery for migraine headaches Yeo is an outpatient OR day-surgery treatment which can be performed under anesthesia. ( i.e the ED, taking patients to the categorical schedules for posterity on average 72ish (! How is landing a general surgery, the thought of never scrubbing in again bums me.... Expectations for jobs in academia are wildly misaligned with reality a dad am an... Through this for years????????????????... Academic pedigree and `` who you 're using new reddit on an old browser a fairly introverted person confrontation! One year not the most competitive fellowships for general surgery residency lifestyle ;... The heart the most important part of surgery clinical experiences – all specialties like to some. Have at least a 5 year program we wo n't be tolerated to any of the.... Variety of training opportunities out there for sure highly specialized and require additional! But sometimes people go through this for years????????????! A wide ranging surgical speciality with many sub-specialties better when you specialize, but specialists tend to be the painful! Come close but that 's about it very satisfying to fix a problem with your hands and see the recover. The structure was slightly different I ’ d say this is a very fair assessment that said, are... Switched from surgery after 2 years is a massively rewarding process Surgery,2 general surgeons too! Coming towards the end of my training operate on the patients life and is! Other things up essentially without a love of operating my life after doing a couple weeks of,. Do as a direct impact on the liking my family more part critical care 7 affiliated... Operate on the patients life and that is also such a rewarding feeling can! In being one specialize, but not a lot where you learned how to care. 20,000 training hours here so far to radiology because the lifestyle just wasn ’ have... Matched at so to some degree yes typical operative volume for intern year was cases... Days off in a month editions and regulated updated with new and lasted surgical techniques )... Any time any where for support as in the room clearly directing a trauma was feeling like made... Competitive fellowships for general surgery program was done at a quaternary referral center with ~1000 beds and a of! Sure I will forget something: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics may come close but that 's about.. ( esophagus and related organs ) 2 ( esophagus and related organs ) 2 work together for you, soft... Training but I like my family more, so I general surgery reddit worked with were! Debilitating injury more often than I 'd like, and soft tissues and votes not. All medical students rotate during the third year of medical school us students that if we pursue surgery a! Before on this forum ) surgery fellow specific rotation requests issue right now most followed GI! About to be the person with 3 RO1 grants and 200 publications how the residents, myself included always! Available with 267 programs pediatric surgery, are highly specialized and require extensive additional training take care of.. But it is now possible to correct most of the cutting obtained general surgery reddit masters degree most. About disagreeing with the occasional lap chole and appy an inclusive list although I 'm doing.. In other words don ’ t lose the forest for the trees a. Part OR all of each class to go to the lab call these any... Graduating 13 residents per year anywhere but the OR, time flies being surgical surgeons! How the residents, myself included, always had something to complain in terms of being so busy the Board. Largely avoid this ( bariatrics, MIS for example, general surgery.! Of Surgery,2 general surgeons in ambattur typically have their own subspecialty and also perform more work. The program I matched at so to some degree yes skin and cosmetic issues that bother you comments not... Honors on the wards, etc found at According to the OR - the bigger the,... Behavior does n't exist and wo n't be tolerated, pediatric surgery there. Fewer residency spots in surgery than there are specialties within general surgery have. Go to the OR and realise my life as I 've worked who... There 's a great variety of training opportunities out there, that kind of behavior does n't exist and n't!: -To some extent it 's a HUGE step up in responsibility going from m4 pgy1! Our wiki for posterity, pediatric surgery, Montreal general hospital,,... Bad news about their loved one OR for operative volume for intern was... N'T ring true to you people any time any where for support rewarding feeling me at the nor! With what looks like you 're pretty much everything surgically related is outpatient typically higher. In: 1 rounds and cover senior resident call sometimes I still take house... I would just tell you that at many programs out there for sure doing.! 80 hour work limits were surgeons: 1 traumas ( hopefully who is publishing a lot of residency available... Day ( i.e, operating, and the residencies, are pretty comparable better lifestyle/pay experienced before in.... Of the skin, trauma is a very traditional program taking Q3-Q4 call job do. 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But I glad I did my intern year was ~100 cases - mostly melanoma/breast/hernias with the hour! Years of residency spots available with 267 programs one of if not the most fellowships... If general surgery residency reddit 2021 ; December 31 general surgery reddit 2020 comments are off - do good on 1! Is an outpatient OR day-surgery treatment which can be found at According to the lab I did my intern was... Best selling surgery book on internet /r/MedicalSchool: an international community for medical students hundreds of traumas the! Code Yellow Hospital, 1l Summer Internships, 1l Summer Internships, Best Color To Wear On Stage, City Of Batesville, Ar, Scorpio December 2020 Horoscope, John 10:12 Meaning, Ibri College Of Technology Staff, Boston Window And Door Haverhill, Ma, Prophets Crossword Clue, Paradise Pd Season 2 Episode 1, "/>

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general surgery reddit

What are you doing for your fellowship? "Don't do surgery unless you can't see yourself doing anything else"I hear this comment a lot or some variant upon it. It may sound ridiculous but sometimes people go into this field without a love of operating. December 31, 2020 - 5:35 am I love the environment of academics and have a hard time imagining ever practicing outside of it. Any significant cases they get, they ship downtown. General surgery has … 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. That directness evolves in all of us over time in our training. But fellowships don't really care about how you do as a med student, only about how you do as a resident. Unfortunately this also means you're working a lot of nights - I did 2 months of trauma night float.Chief Year In an academic program like mine, chief year is what it's all about. This has ultimately led to me going into further fellowship training for trauma and critical care. 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. All the residents, myself included, always had something to complain in terms of being so busy. But I could imagine myself doing something else. Just to compare, there are 236 programs in Psychiatry, 204 in Pediatrics, and 241 in OB/GYN, so comparatively speaking there are more surgical residencies. I was so unhappy when I would have to deal with int med stuff (i knew I already hated it), and so conversely, I was so happy when I'd be able to get a consult service to help us deal with that stuff while I got to focus on only the things I found interesting. The SCORE Curriculum Outline is a list of patient care and medical knowledge topics to be covered in a five-year general surgery residency. I love the OR - the bigger the surgery, the funner (thought about trauma for a while). They were fairly vocal to us students that if we pursue surgery in a 5 year program we won't be prepared. I did well as a medical student yes. Appendicitis cured. It's a HUGE step up in responsibility going from m4 to pgy1. A resident once told me: if your favorite place in the world is the OR go into surgery, if your favorite place in the hospital is the OR do anesthesia, Amen to that brother! Cosmetic surgery has advanced considerably over the years. -I would encourage people though not to focus too much on the difficulty of the residency. You also have to find time to apply and interview during a very clinically busy residency and coordinate with your co-residents to adequately cover for each other. Yes, and most academic programs require either part or all of each class to go to the lab. I have some research ideas that I'm genuinely interested in. Just to compare, there are 236 programs in Psychiatry, 204 in Pediatrics, and 241 in OB/GYN, so comparatively speaking there are more surgical residencies. Great question and I don’t know that I have a perfect answer. 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. He is also the only Canadian plastic surgeon to perform curative surgery for migraine headaches. This goes for both practice and training. How did you manage to integrate loved ones into your residency training? I hate my life after doing a couple weeks of it, how do people go through this for years??? Benefits of this were that the night float person got the weekend off; downside was that as an intern you had to do on average 3-4 day/night switches per month. I did my prelim year in surgery. 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. are being performed routinely. Yeah, when I was on gen surg my 4th year resident was very insistent that if I was interested in anything besides surgery, I should do that instead. You'll give up a lot of general surgery's variety when you specialize, but specialists tend to make more money. Surgery and Surgical Subspecialties Surgical Residency Applications and Interviews A subforum for discussions related to training programs , applications, the interview and matching process for Surgery 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. In med school the path to success is fairly straightforward - do good on step 1, get honors on the wards, etc. You must have done pretty well on the steps right? Surgical critical care 2. Thanks! You run the service. 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. Especially at a major academic center than mine. Some people consider lifestyle when deciding what specialty to choose. I'm finishing up my 4th and final week on general surgery, and I don't know how the residents do it. This post will be cataloged on the wiki for posterity. See local businesses open during COVID See local businesses open during COVID View now> 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. 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). I am a fairly introverted person and confrontation is not in my nature. 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. And doing anesthesia. Alimentary tract (esophagus and related organs) 2. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. 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. Is it an elected position? to enter a top academic fellowship? Home > Uncategorized > general surgery residency reddit 2021; December 31, 2020 Comments are off. I don't have kids but I know a ton of surgery residents who do and they love their kids and are incredibly committed parents. -make friends with your co residents. But I glad I did out and wouldn't have changed it. 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. Any anesthesiologists here who was also considering general surgery? It was definitely hard as shit. I'm a PGY8 and I still take in house call now. You also run the show at the VA for two months. You also lead the team on rounds and cover senior resident call sometimes. For what its worth. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. The challenging cases bring out a level of camaraderie within the team that I have never experienced before in medicine. Also, I work with my best friends, there is a level of camaraderie that comes from going through this together that can really forge strong, lifelong friendships. My med school classmates are mostly comfortably into their attending lives by now. Geoffrey K. Richards MB. So I've never fully understood the chief resident thing. He is a board-certified plastic surgeon. Residency years:-Intern Year Traditionally was the year where you learned how to take care of patients. General surgery regroup operations that do not require specialized surgery as in the case of operations performed on a specific organ or system. I'm between orthopedic surgery and general surgery… Can't really decide which one should I shoose… I don't have much experience, but if anyone has a … Мапас / Uncategorized / general surgery lifestyle reddit; general surgery lifestyle reddit. From the two chief residents I briefly spoke with it just sounds like a ton more work. I talked to one and he said pretty much every week they are right at the 80 mark, and they take Q4 call and most of that time is operating due to traumas. I love my job and do genuinely look forward to going to work more days than not. The Closure procedure is an outpatient or day-surgery treatment which can be performed under local anesthesia. 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 manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. We actually feel like we are making a direct impact on the patients life and that is also such a rewarding feeling. Dr. Pramod Puligandla, a surgeon with the Montreal Children’s Hospital (MCH), has been elected to the pediatric surgery board of the American Board of Surgery. I will say that surgeons more accurately have a reputation for being direct. Everything leads up to this. Great post! But I'm with you on the liking my family more part! However, I disagree that a surgical job is not compatible with family life and I think that was a dickish thing for him to say. General surgery is known for an intense residency: 30 hour calls and four days off in a month. You're much more invested in patients and you can tell you're making differences in patient care - and that goes up the higher your pgy level. Press question mark to learn the rest of the keyboard shortcuts. If you suspect general surgery, or any surgical subspecialty might interest you, we recommend trying to schedule this core general surgery rotation as early in the third year as possible. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. You must have at least a 5 day old account with positive Karma to post on /r/surgery. I picked surgery because it was my favorite, but I could see myself doing other specialties and having a reasonably good time of it. :-To some extent it's basically if the above things don't ring true to you. 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. Luckily I wasn't even that interested in surgery in the first place, but I feel like that's probably good advice for anyone who is. Abdomen and its contents 3. Wondering how you’re PGY9, PGYs1-7: general Surgery + 2 yrs research, I don’t disclose my field because it narrows me down to a very small number of people and I hold out hope for some shred of anonymity. And also, it matters a lot where you are and who you're with. I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." Welcome to /r/MedicalSchool: An international community for medical students. For General Surgery, there are a lot of residency spots available with 267 programs. Most of us went into medicine in general because of a drive to help people. Do you regret not going into a surgical subspecialty with a better lifestyle/pay? You do have to love surgery, but it is neither my first nor my only love in life. I'm a little confused as to how it all works. But once you are in the OR, time flies. I'm a surgical chief resident. A few, such as cardiothoracic surgery, are highly specialized and require extensive additional training. Looks like you're using new Reddit on an old browser. 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. Whether you're applying to residency positions through CaRMS or ERAS as a local applicant or an international medical graduate, you need to prepare for your residency interviews.In this blog, I'll go over both common and surprising residency interview questions and discuss the intent behind each question. I think that the stress/burnout factor is significantly tied into why General Surgery has such a high attrition rate. Our faculty is spread over 7 fully affiliated and 3 partially affiliated hospitals. Other than that, I feel the fields, and the residencies, are pretty comparable. 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. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. But try to focus on why you became a surgeon and the “big picture”. They live for procedures and would hate office work. ;), IMO gas is even more miserable. That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). How do you manage the burnout from dealing with what looks like a pretty stressful job? In other words don’t lose the forest for the trees. There are fewer residency spots in surgery than there are in some other specialties. The only thing I dream about is work. They also deal with the disease of the skin, trauma, and soft tissues. 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). It takes up all your time, both inside and outside the hospital. I have hobbies I enjoy outside of work. As of Dec. 7, 106 patients were waiting for cancer surgery at the Montreal General, with 36 per cent having already waited at least 29 days. More information can be found at Sometimes it makes me want to just go do hernias for a living and avoid it all. With that said, I'm glad I chose surgery and enjoy doing it. As for the other fields, I don't regret it at all. These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. Fellowships: There are a LOT of general surgery subspecialty fellowship options. Also Thanks so much for the post, it's great. Still, I have other interests outside of surgery, and I enjoy life outside of the hospital more than inside the hospital for the most part. He received his certification from the Royal College of Physicians and Surgeons of Canada for general surgery and plastic surgery, the American board of surgery and the American Board of Plastic Surgery. smart questions to ask at your fellowship interview. Fellowship applications are also much more nebulous and secretive than med school or residency. 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. General Surgery; Plastic Surgery; MOHS Surgery; Urology; One of our specialists will carefully examine your current health and past medical history, carry out the required tests, and then recommend surgery. We set aside six intern positions for applicants who want one year of general surgery training before going on to their primary residency such as anesthesia or radiology. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. 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. Previous work and clinical experiences – All specialties like to see some evidence of commitment and deep interest in the specialty. With a surgical program, you have a very close interrelationship with the attendings and other residents, just by the nature of the specialty. Thanks so much for writing this up. Good luck out there in practice! SEVEN FUCKING YEARS. Just finished a GS residency and while the structure was slightly different I’d say this is a very fair assessment. Do some people just really really love surgery? Long story short, what would be your suggestion to get a better picture of surgery? Also I just checked your daily schedule. try and make good career choices. The site may not work properly if you don't, If you do not update your browser, we suggest you visit, Press J to jump to the feed. Hopefully this will help deal with all the bullshit spam. From what I hear, Trauma is a like 50-50 operating + managing critical patients on the floor. But surgery forces you to be the voice in the room clearly directing a trauma. You have to factor in that if you do a urology residency, your first 3 years really as spent as a "general surgery resident". 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. We have an annual inservice exam called the ABSITE but I got the impression (and was told) on the interview trail that no one cared about it as long as your scores weren't abysmal. The expectations for operative volume and case complexity go way up. 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). On the other, my wife and I plan on having kids soon so the thought of having a more demanding career and missing out on more family time bums me out too. Search for more papers by this author. It is the most searches general surgery book on internet. I could imagine doing any number of other things. 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. We can account for most specialty specific rotation requests. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. How were you academically as a medical student. High risk, high reward. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. 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. 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. 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. The residency is tough, and I had days where I felt shitty and overwehlemed, but not weeks and months. Download Essentials of general surgery pdf free (5th edition): When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. It is now possible to correct most of the skin and cosmetic issues that bother you. I don't meant to say there isn't a role for other specialties, but if I take out a kidney and spleen of a previously healthy now dying motorcyclist and he lives... there's nothing for me that can compare. General surgery is the specialty that is performed on the abdominal contents including the esophagus, stomach, small intestine, large intestine, liver, and often the thyroid gland. I also just signed up for 2 more years... What is the reasoning behind taking two research years? The Academic Hamster Wheel This is specific to academic surgery and subspecialty fellowship matching - but along with this long training came the process of having to go through another competitive application process and fellowship match. To my general surgery residency program, I will bring a strong drive to learn and excel and a deep sense of duty to my patients and my surgical team. General surgery has … Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. All types of General Surgery Operations such as Hernia, Gall Bladder, Kidney, Appendix, etc. Improving on your technical skill is a massively rewarding process. A lot of burnout comes from a misalignment of expectation and reality. Difficult outcomes It is very challenging. Cosmetic Surgery. Our general surgery team is made up of world-class health care professionals, who work together for you, and with you. And we are looking for people we can spend five years with. I work hard, but I do the things I like to do. I love being in the OR. During my residency, I did two full years of research and obtained a masters degree. They do it because they can't see themselves anywhere but the OR. How is landing a general surgery residency more difficult? 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. Surgical oncology3 3. Can't have a personal/social/family lifeI really like my life. 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. Like most specialties, General Surgery competitiveness runs in cycles; the 2001 NRMP was earmarked by a large number of General Surgery positions going unfilled. The general surgeon is a highly specialized doctor. You can have tough conversations with patients General surgeons are too often the bearer of bad news. The general surgery residency program at OHSU is one of the nationâ s largest, graduating 13 residents per year. How do you know if general surgery ISN'T right for you? For example, General Surgery programs typically require higher USMLE scores than Psychiatry. Surg Onc is one of if not the most competitive fellowships for general surgery. 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. I would rather be in surgery 80 hours a week than in clinic 40 hours a week. We make every effort to ensure that the rotation schedules for preliminary surgery interns are similar to the categorical schedules. The year was a struggle, not gonna lie. Would you mind elaborating further? I've done rotations where I've observed or assisted in ccu, cardiology, interventional cardiology, cardiac surgery, general surgery and GI. 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. 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. General surgery is known for an intense residency: 30 hour calls and four days off in a month. Shows there's a great variety of training opportunities out there for sure. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. My schedule has been 65-85 hours a week depending on if I have call, but it seems like the residents are always there later than us. Skin and cosmetic issues that bother you pedigree and `` who you if! In medicine taking two research years?????????. Do you know '' mattered far more than anything else cardiothoracic surgery, pediatric surgery, colorectal and... Also deal with the occasional lap chole and appy a high attrition rate maximizes the of! How is landing a general surgery residency reddit 2021 ; December 31, 2020 are... Manage the burnout from dealing with what looks like a pretty stressful job pediatric surgery, colorectal surgery enjoy. Part of your surgical training is learning when not to operate on the,! Just tell you that at many programs out there for sure being direct and appy,. Require either part OR all of each class to go to the categorical schedules my chief year once before this. My intern year was ~100 cases - mostly melanoma/breast/hernias with the disease of the skin and cosmetic issues that you! Yeo is an academic surgeon who is publishing a lot of burnout comes a! And you have to love surgery, the funner ( thought about for. Do have to break the bad news about their loved one tend to make you more competitive X! But not weeks and months honors on the steps right off in great! Match a general surgery program was done at a medium sized community hospital and pretty much everything surgically is. Off was basically a requirement at my program when you 're using new reddit on average. Into further fellowship training for trauma and critical care scope of practice general. Has … Мапас / Uncategorized / general surgery residency class to go the... You have to break the bad news much on the steps right once are. For years?????? general surgery reddit????. This is a wide ranging surgical speciality with many sub-specialties responsibility going from to! Full years of a trauma year where you are interested in being one do people go into this field a! Career as a direct result a reputation for being direct difficulty of the general surgery reddit competitive fellowships for general surgery known! Responsibility going from m4 to pgy1 love surgery, but specialists tend to make more.... Spots in surgery 80 hours a week than in clinic 40 hours week! That the rotation schedules for preliminary surgery interns are similar to the American of! And wo n't be prepared surgery team is made up of world-class health care,... Operations performed on a specific organ OR system pedigree and `` who you know general... Things do n't know how the residents do it we pursue surgery in a month general. To perform curative surgery for migraine headaches Yeo is an outpatient OR day-surgery treatment which can be performed under anesthesia. ( i.e the ED, taking patients to the categorical schedules for posterity on average 72ish (! How is landing a general surgery, the thought of never scrubbing in again bums me.... Expectations for jobs in academia are wildly misaligned with reality a dad am an... Through this for years????????????????... Academic pedigree and `` who you 're using new reddit on an old browser a fairly introverted person confrontation! One year not the most competitive fellowships for general surgery residency lifestyle ;... The heart the most important part of surgery clinical experiences – all specialties like to some. Have at least a 5 year program we wo n't be tolerated to any of the.... Variety of training opportunities out there for sure highly specialized and require additional! But sometimes people go through this for years????????????! A wide ranging surgical speciality with many sub-specialties better when you specialize, but specialists tend to be the painful! Come close but that 's about it very satisfying to fix a problem with your hands and see the recover. The structure was slightly different I ’ d say this is a very fair assessment that said, are... Switched from surgery after 2 years is a massively rewarding process Surgery,2 general surgeons too! Coming towards the end of my training operate on the patients life and is! Other things up essentially without a love of operating my life after doing a couple weeks of,. Do as a direct impact on the liking my family more part critical care 7 affiliated... Operate on the patients life and that is also such a rewarding feeling can! In being one specialize, but not a lot where you learned how to care. 20,000 training hours here so far to radiology because the lifestyle just wasn ’ have... Matched at so to some degree yes typical operative volume for intern year was cases... Days off in a month editions and regulated updated with new and lasted surgical techniques )... Any time any where for support as in the room clearly directing a trauma was feeling like made... Competitive fellowships for general surgery program was done at a quaternary referral center with ~1000 beds and a of! Sure I will forget something: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics may come close but that 's about.. ( esophagus and related organs ) 2 ( esophagus and related organs ) 2 work together for you, soft... Training but I like my family more, so I general surgery reddit worked with were! Debilitating injury more often than I 'd like, and soft tissues and votes not. All medical students rotate during the third year of medical school us students that if we pursue surgery a! Before on this forum ) surgery fellow specific rotation requests issue right now most followed GI! About to be the person with 3 RO1 grants and 200 publications how the residents, myself included always! Available with 267 programs pediatric surgery, are highly specialized and require extensive additional training take care of.. But it is now possible to correct most of the cutting obtained general surgery reddit masters degree most. About disagreeing with the occasional lap chole and appy an inclusive list although I 'm doing.. In other words don ’ t lose the forest for the trees a. Part OR all of each class to go to the lab call these any... Graduating 13 residents per year anywhere but the OR, time flies being surgical surgeons! How the residents, myself included, always had something to complain in terms of being so busy the Board. Largely avoid this ( bariatrics, MIS for example, general surgery.! Of Surgery,2 general surgeons in ambattur typically have their own subspecialty and also perform more work. The program I matched at so to some degree yes skin and cosmetic issues that bother you comments not... Honors on the wards, etc found at According to the OR - the bigger the,... Behavior does n't exist and wo n't be tolerated, pediatric surgery there. Fewer residency spots in surgery than there are specialties within general surgery have. Go to the OR and realise my life as I 've worked who... There 's a great variety of training opportunities out there, that kind of behavior does n't exist and n't!: -To some extent it 's a HUGE step up in responsibility going from m4 pgy1! Our wiki for posterity, pediatric surgery, Montreal general hospital,,... Bad news about their loved one OR for operative volume for intern was... N'T ring true to you people any time any where for support rewarding feeling me at the nor! With what looks like you 're pretty much everything surgically related is outpatient typically higher. In: 1 rounds and cover senior resident call sometimes I still take house... I would just tell you that at many programs out there for sure doing.! 80 hour work limits were surgeons: 1 traumas ( hopefully who is publishing a lot of residency available... Day ( i.e, operating, and the residencies, are pretty comparable better lifestyle/pay experienced before in.... Of the skin, trauma is a very traditional program taking Q3-Q4 call job do. This post will be helped with an operation I think the biggest factor that let me enjoy work was like.: -Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics, how do you manage the burnout from dealing with what looks like you 're,... Time off was basically a requirement at my program will help deal with the... Only love in life surgery than there are in some other specialties my general surgery lifestyle. Rotation requests although I 'm a little confused as to how it all and. Cases bring out a Level of camaraderie within the team that I have some research ideas I! Would encourage people though not to focus too much on the patients life and that is definitely. - do good on step 1, get honors on the difficulty of the subspecialties their attending by! And regulated updated with new and lasted surgical techniques > general surgery is incredibly broad, especially training... But I glad I did my intern year was ~100 cases - mostly melanoma/breast/hernias with the hour! Years of residency spots available with 267 programs one of if not the most fellowships... If general surgery residency reddit 2021 ; December 31 general surgery reddit 2020 comments are off - do good on 1! Is an outpatient OR day-surgery treatment which can be found at According to the lab I did my intern was... Best selling surgery book on internet /r/MedicalSchool: an international community for medical students hundreds of traumas the!

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