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. But I could imagine myself doing something else. Any regrets? 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. Expectations for jobs in academia are wildly misaligned with reality. Long story short, what would be your suggestion to get a better picture of surgery? 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. Yes, and most academic programs require either part or all of each class to go to the lab. I hate my life after doing a couple weeks of it, how do people go through this for years??? 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. I too thought about surgery for a bit because I liked the OR. 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. I'm assuming the extra 2 years is a combination of clinical research and some sort of chief position? try and make good career choices. 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. Taking the time off was basically a requirement at my program. And also, it matters a lot where you are and who you're with. Thanks so much for writing this up. 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. Question for you. >250 Step 1/2, good grades, good school, etc. You run the service. Chief year is also what you make of it - I'd show up for some hernias or smaller cases because I knew the attending was cool and would just let me do the case with the junior. Just as a clarification -- on one hand, the thought of never scrubbing in again bums me out. The only attendings I've worked with who were very open about disagreeing with the 80 hour work limits were surgeons. General surgery is the branch of medicine that involves the surgical care focused on abdominal contents including esophagus, stomach, small intestine, large intestine, liver, pancreas, gallbladder, appendix and bile ducts, and often the thyroid gland (depending … I love the environment of academics and have a hard time imagining ever practicing outside of it. And we are looking for people we can spend five years with. It's very satisfying to fix a problem with your hands and see the patient recover as a direct result. I have some research ideas that I'm genuinely interested in. -I would encourage people though not to focus too much on the difficulty of the residency. 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 … A lot of burnout comes from a misalignment of expectation and reality. How did you manage to integrate loved ones into your residency training? This year I did over 300 cases including my first whipple, kidney transplant, esophagectomy, carotid, and many other sweet cases.PGY4 The PGY4s served as chief residents of the trauma service, so this defines your experience for the year. I took PGY3s through some awesome cases including perfed ulcers, gallstone ileus, sigmoid volvulus - all with the attending hanging out and not scrubbing. He has operated at significant hospitals in … 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. How is landing a general surgery residency more difficult? One of the most important part of your surgical training is learning when NOT to operate. Alimentary tract (esophagus and related organs) 2. I'm a PGY8 and I still take in house call now. The SCORE Curriculum Outline is a list of patient care and medical knowledge topics to be covered in a five-year general surgery residency. Other residencies are hard too. Dismissing some misconceptions:The Asshole Trope I am often mystified when I read the comments on reddit from med students about the way their surgery attendings/residents behave. Most of my friends that did well on Step 1 are the type that love surgery and are going into the surgical specialties because better pay/lifestyle (uro, ENT, ortho). I love teaching and working with students and residents. Press question mark to learn the rest of the keyboard shortcuts. General surgery is one of the two main surgical specialties in the ambattur (the other being trauma and orthopaedics) employing 31% of the country’s general surgeon in ambattur. Looks like you're using new Reddit on an old browser. smart questions to ask at your fellowship interview. 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. I've dealt with death and debilitating injury more often than I'd like, and I'm a trainee still. Hopefully this will help deal with all the bullshit spam. For General Surgery, there are a lot of residency spots available with 267 programs. Other than that, I feel the fields, and the residencies, are pretty comparable. You also run the show at the VA for two months. David M. Fleiszer MD . They were fairly vocal to us students that if we pursue surgery in a 5 year program we won't be prepared. So I've never fully understood the chief resident thing. Also Thanks so much for the post, it's great. And doing anesthesia. We make every effort to ensure that the rotation schedules for preliminary surgery interns are similar to the categorical schedules. General surgery is often perceived as one of the harder specialties to maintain a good lifestyle (the late night emergency surgeries, etc) but as you pointed out you can design a practice to make it more manageable. I can already tell I'm gonna be friends with some of them for the rest of my life. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). Can't have a personal/social/family lifeI really like my life. The only thing I think about is work. It was definitely hard as shit. Previous work and clinical experiences – All specialties like to see some evidence of commitment and deep interest in the specialty. General surgery regroup operations that do not require specialized surgery as in the case of operations performed on a specific organ or system. I love being in the OR. 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. to enter a top academic fellowship? You must have done pretty well on the steps right? I also just signed up for 2 more years... What is the reasoning behind taking two research years? But surgery forces you to be the voice in the room clearly directing a trauma. I'm in a great city and I loved 95% of my coresidents. Plus there are several non-accredited fellowship programs that exist outside of the match. The residency is life consuming. My chief class in particular, and residency program in general, was a HUGE support network and I couldn’t have done it without them. Our duty hours system tracked the number of call days and I did exactly 100 calls in one year. They still took call (or did night float). I have hobbies I enjoy outside of work. I think the biggest factor that let me enjoy work was feeling like I made a difference. I would rather be in surgery 80 hours a week than in clinic 40 hours a week. I know that /u/Nysoz beat me to the punch, but I will try to add some thoughts and give a little bit of a different perspective as our experiences while similar have some differences. I picked surgery because it was my favorite, but I could see myself doing other specialties and having a reasonably good time of it. General surgery is known for an intense residency: 30 hour calls and four days off in a month. It has 5+ editions and regulated updated with new and lasted surgical techniques. What are you doing for your fellowship? That said, there are specialties within general surgery that allow you to largely avoid this (bariatrics, MIS for example). But I'm with you on the liking my family more part! I could imagine doing any number of other things. For what its worth. Great post! I legit don't know how people do general surgery residency I'm finishing up my 4th and final week on general surgery, and I don't know how the residents do it. Department of Surgery, Montreal General Hospital, Montreal, Quebec, Canada. I am a fairly introverted person and confrontation is not in my nature. Also I just checked your daily schedule. 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. -spend more time with patients. got to leave immediately after rounds). Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. See local businesses open during COVID See local businesses open during COVID View now> "Don't do surgery unless you can't see yourself doing anything else"I hear this comment a lot or some variant upon it. Download Essentials of general surgery pdf free (5th edition): 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. My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. You can have tough conversations with patients General surgeons are too often the bearer of bad news. Everything leads up to this. 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. This post will be cataloged on the wiki for posterity. More information can be found at The most boring part of surgery is not doing any of the cutting. I would just tell you that at many programs out there, that kind of behavior doesn't exist and won't be tolerated. It takes up all your time, both inside and outside the hospital. I've done rotations where I've observed or assisted in ccu, cardiology, interventional cardiology, cardiac surgery, general surgery and GI. A few, such as cardiothoracic surgery, are highly specialized and require extensive additional training. If you manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. 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. During my residency, I did two full years of research and obtained a masters degree. The expectations for operative volume and case complexity go way up. Press question mark to learn the rest of the keyboard shortcuts. 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). This goes for both practice and training. Мапас / Uncategorized / general surgery lifestyle reddit; general surgery lifestyle reddit. General surgery has … Cosmetic Surgery. Shows there's a great variety of training opportunities out there for sure. But I glad I did out and wouldn't have changed it. Surg onc and peds need 2-3 research years for sure, unless you did a phd in med school and had a ton of GOOD publications. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. December 31, 2020 - 5:35 am I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. ... And roommate is neurosurgery, so that helps keep things in perspective :p. How much different of an experience do you think you had vs your roommate? Welcome to the Division of General Surgery at the University of Toronto. Our general surgery team is made up of world-class health care professionals, who work together for you, and with you. 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. The year was a struggle, not gonna lie. How do you know if general surgery ISN'T right for you? You have to factor in that if you do a urology residency, your first 3 years really as spent as a "general surgery resident". Along with our surgeons, our multi-disciplinary team includes doctors, nurses, pathologists, social workers, dietitians, volunteers and many others dedicated to helping you and your family get the best care. 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 really need to commit to a path. Think you can do a write up for MIS surgery? So that doesn't shock me. 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. - Thats honestly all I saw on my first block. Abdomen and its contents 3. SEVEN FUCKING YEARS. I love taking the sickest patients I can find, operating, and seeing them get better over a matter of days. But I loved it. Fellowships: There are a LOT of general surgery subspecialty fellowship options. Welcome to /r/MedicalSchool: An international community for medical students. We were fortunate in our program to have a lot of APP support on the floors so interns also came to double scrub bigger cases pretty frequently.-PGY2 Our PGY2s were more or less considered the equivalent of interns. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. We'll save it in our wiki for future reference! Waking up at 5 am on an average of 6hrs/night is so much easier when you enjoy work. 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). My attempt at an inclusive list although I'm sure I will forget something:-Trauma/Acute Care-Endocrine-Breast-MIS-Surgical Oncology-HPB-Colorectal-Transplant-Cardiothoracic-Vascular-Pediatrics-Plastics. Thanks! Surg Onc is one of if not the most competitive fellowships for general surgery. ;), IMO gas is even more miserable. 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 For me I have definitely gotten burnt out, I think pretty severely during my second year and to a lesser extent during the latter half of my chief year. These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. I'm so torn with picking general surgery against the sub-specialties. I pick the lifestyle of general surgery: operating, constantly improving my skills, and giving my patients the opportunity for a better life. I pick the lifestyle of general surgery: operating, constantly improving my skills, and giving my patients the opportunity for a better life. After the Closure procedure, over 90 percent of veins are reflux free and 87 percent of limbs are absent of varicose veins; 94-100 percent of varicose veins are invisible after the procedure by ultrasound. 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. 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. Around 20,000 training hours here so far a personal/social/family lifeI really like my.. 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