We make decisions, usually with inadequate information, and have to live with the bad outcomes in a very personal way. A lot of people quit. i would never tell a colleague how to do their job. So the takeaway here is that if you're dead-set on a work-life balance, look elsewhere? You still have to pre-round at the crack of dawn and read when you finally get off work, but you get the reward of learning how to do simple procedures and the satisfaction of seeing that you're getting better. According to the American Board of Surgery,2 general surgeons are trained to operate on the: 1. There is a 20% drop out rate in general surgery for a reason. I have recently started thinking about what I want my future to look like (I know, it's pretty late in the game to be thinking about this after I've already matched, but better late than never? Moving on to the Medscape Physician Compensation Report 2017, General Surgery is higher up on the list with an average annual salary of $352,000. Welcome to the Residency subreddit, a community of interns and residents who are just trying to make it through training! TL;DR: I'd love to hear about the various hours and lifestyles surgeons lead after graduating residency. Gensurg chief resident here as well. Press J to jump to the feed. They repair damage to organs, remove diseased tissues, and seal open wounds. Did you get a fellowship or go straight into practice? We're on the same team. Days are long and pressure/stress is constant. The shortage of general surgeons in the U.S. is projected to get worse as the number of these doctors entering the workforce each year fails to keep pace with population growth, a U.S. study suggests. I´m on vacations and not used to the free time. I'm a chief resident. Rural general surgery, only 65 bed hospital for the county with 2 partners. On his OR days he was in the OR from like 730- 12, with clinic in the afternoon. What were the reasons for these choices? If I'm not operating on a regular basis when I graduate then I want my money back! But he also told me he hated medicine and told me I was making a mistake becoming a doctor lol. Not this good everyday but your freedom outside of the hospital is proportional to your efficiency in the hospital. You have to get up early for rounds, I´ve always felt that rounds are tougher than what I see from the other specialties, surgeons seem to be more demanding and have lower tolerance to mistakes. Theres often at many hospitals a very collegial and entertaining relationship between a surgeon, the scrubs and the circulators. Overall a pretty good schedule for a General Surgeon, He made a ton of money and drove a brand new Tesla. Our surgeons have had additional training in ultrasound techniques. once I have children. Cookies help us deliver our Services. I'm completely invested in the job and always have been so my perspective is skewed. But the privilege of literally holding someone else's life in your hands and knowing that you helped them by cutting out their cancer or sewing up the hole in the aorta from that bullet makes up for all of it. Got home today at 530, cut the grass and worked out. General Surgery at The University of Vermont Medical Center is staffed with highly skilled surgeons who also teach and conduct research. It's certainly not a field for everyone because of the sacrifice that goes with it and the fact that you need a really understanding and supportive family, but in my opinion it is totally worth it. With that said, overwhelmingly, I've only heard of examples where people leave surgery (of any type) instead of the other way around. Trauma Despite the term "general", surgeons that practice general surge… I used to want to be a hand surgeon when I was at university which meant doing plastic surgery or orthopaedic surgery. The hard part is trying to determine what my priorities will be and how they might change in the future. Surgery intern. Highly variable ..? Don't be afraid of the possibility! General surgeons help people live better lives by performing surgery to treat injuries and illness. Stanford's Division of General Surgery is made up of subspecialty sections in colorectal surgery, minimally invasive and bariatric surgery, trauma/critical care and acute care surgery and surgical oncology (breast, gastrointestinal, hepatopancreaticobiliary and endocrine surgery), and general surgery at the Veterans Affairs Palo Alto Health Care System. but when someone dies on a surgery service that ask "What did you do?" Now currently in bed at 9pm. This study aimed to survey consultants’ experience of working as or with emergency general surgery (EGS) surgeons and to investigate the role they fulfil in the management of general and subspeciality emergencies. I can't image doing anything else with my life. As surgeons, patients trust us enough to let us make incisions and operate inside of their bodies, and we owe it to them to make sure they have the best possible outcome. Press question mark to learn the rest of the keyboard shortcuts. One piece of good advice I got from a surgeon mentor...it's never too late to change your mind. i might voice my concerns about specific patient care going in but once the case is started i do my job they do theirs. Toll free: 800-621-4111 (P) 312-202-5000 (F) 312-202-5001 (E) postmaster@facs.org Hope that helps. Reddit; Wechat; Abstract. /r/medicine is a virtual lounge for physicians and other medical professionals from around the world to talk about the latest advances, controversies, ask questions of each other, have a laugh, or share a difficult moment. Abdominal organs 3. The highs are high, the lows are personal. I know, I should be studying for ABSITE but I need a break. We make decisions, usually with inadequate information, and have to live with the bad outcomes in a very personal way. But not a surgeon. It made me even more in awe of the surgery. But, I have to say, the payoff as an attending had better be worth the sacrifices. This is a highly moderated subreddit. There is no chance to wait a bit and go read about your patient and sometimes you know what the patient needs but you are simply not dexterous enough to do it. There's definitely still a place for good general surgeons in spite of 70+% of residents going into fellowships. A General Surgeon in your area makes on average $323,228 per year, or $7,478 (2%) more than the national average annual salary of $315,750. American College of Surgeons 633 N Saint Clair Street Chicago, IL 60611-3295. We round and see consults and all that but its to facilitate life saving, rewarding and most of all FUN operations. I suppose for most residents, the hours also depends a lot on which rotation you're currently in. Abdomen and its contents 3. Dr. This is true in both the context of training in surgery then leaving, or vice versa. General surgeons in such areas require a wide range of competencies, including some from other surgical specialties. So you’re compensated for that harder lifestyle. He used to take call but the hospital just hired Emergency General Surgeons so he was pissed about that cause it decreased his income by 50K. Aim. It's pointed out in "Forgive and Remember" that when someone dies in medicine they say "What happened?" Press J to jump to the feed. We get a lot of flak for our egos and while some surgeons do have an attitude problem most of it comes down to how we HAVE to think to get the job done. We currently train 5 interns and 3 residents per year. Before that experience I was fairly confident about pursuing some kind of fellowship/specialty, but I really liked the rural general surgery atmosphere. Alimentary canal (the path food takes through the body) 2. mutual respect. BACKGROUND. As a result, they are driven toward specialization. Or quit. For example even in something as simple and rutinary as a lap-chole you have to be 100% sure that you are clipping the cystic duct and artery. I have to agree with /u/Valpodoc that surgeons are the Marines of medicine. Surgeons of Reddit: can you describe what your lifestyle is like out of residency? Until the death toll climbed too high for comfort. Any thoughts? Therefore, surgeons must dedicate their lives to studying and learning so that patients get the best possible care. Our general surgeons perform many types of surgery using conventional techniques and laparoscopy, a minimally invasive surgical technique to treat cases from routine to medically complex. We are understaffed at my program, which is an academic program, so most of the surgeons I know do not have a great work-life balance. If you clip something else you are going to mess that patients life in a very tangible way. What types of hours do you work, and what sort of pay cut is associated with decreased hours in favor of more personal/family time? How does it compare to other surgical specialties? We own our patients in a very real way that no other service can claim. Only one exam opportunity will be offered in each year of the 7-year period. The Stamford Hospital/Columbia University Vagelos College of Physicians & Surgeons program is an ACGME accredited site since 1958. Adversarial? I wish I had thought more seriously about this a year ago, but I was so caught up with how much I loved surgery, I didn't really give anything else a chance. Thank you! level 2. And the sacrifice is for other people (ie missing family events) as well as for yourself (ie going a whole day without eating or using the restroom, not exercising because you are too exhausted from standing all day, etc.) As you complete your fourth year of medical school, it's time to start interviewing with the institutions where you're considering completing your general surgical residency. Press question mark to learn the rest of the keyboard shortcuts. Some people consider lifestyle when deciding what specialty to choose. I´m a last year general surgery resident although not from the USA. 10 days of home call a month. Sorry this ended up being a rant, if you guys need more specific answers or want to talk about surgery outside the US just ask. I had to follow a private surgeon for a week during my Surgery clerkship. Alimentary tract (esophagus and related organs) 2. I just finished Forgive and Remember. Cordial? A Mason 1500? How many years out of residency are you? A normal day's work might include removing a cyst from an … This is essentially my plan. Surgeons who complete general surgery residency after July 1, 2012, will have no more than 7 academic years following residency to achieve certification in general surgery, i.e., pass both the QE and CE. Why did you choose general surgery? Wow I came to hear about the lifestyles and this whole thread got derailed. General surgery, orthopaedics, plastic surgery. I post my schedule pretty regularly but it’s changed recently. All that being said, the current changes in medicine have not been a positive for us. Breast, skin, and soft tissue 4. He is an anesthesiologist, former Navy, noted for refusing needle exchange programs on ‘moral’ grounds. Please read the rules carefully before posting or commenting. The UVM Medical Center offers a setting that combines education, training and the latest advancements in technology. It's better to have went the long way around for a couple years, than to be stubborn and stick it through and be unhappy. General Surgery Residency Program Surgical Training in Connecticut’s State-of-the-Art Medical Center. I have read various places that it allows you to practice both medicine & surgery to a degree that isn't really true with the others. If there's an anesthesiologist who really cares about getting the best outcome for the patient, then it's almost always a pleasant or even fun interaction. So we demand everything to be the way we need it to be for it is hard enough and we don´t need to be improvising and putting our patient under more risks. it is worth the hump. General surgeons are valuable not only in the eyes of the patients, but also to the health-care providers. It's a lot of hard work, a lot of long days, a lot of worrying about your patients when you go home, and a lot of sacrifice. As a surgeon you have to be quick and precise. I could not imagine rounding all day every day. Both are general surgeons who also specialize in trauma and surgical critical care. Introduction. Competition In 2016 there were 217 ST3 posts in the UK with and average of 1.7 applications for each post*. We have two ultrasound machines available for immediate exams. I had a huge dilemma during my MS4 year leading into applications as well. But I think there may have been more people who went into medicine for the wrong reasons (e.g., money, prestige) than there are now, probably because so many of them realized it and then told us about how we shouldn’t do medicine/should think twice about going into medicine. Tuesday and Wednesday afternoon office usually 1-4 pm, Friday usually 4 colonoscopy and 1-2 cases. General Surgery Residency Interview Questions. Reddit; Abstract. Successful surgeons possess specific characteristics and outlooks that contribute to fulfilling careers. 1, 2 It remains difficult to attract and retain surgeons in rural areas of Australia, with similar difficulties in the USA and Canada. Endocrine system In addition, general surgeons are expected to have knowledge and experience in: 1. They must have a doctor of medicine degree and licensure. Cardiothoracic surgery is the field of medicine involved in surgical treatment of organs inside the thoracic cavity — generally treatment of conditions of the heart (heart disease), lungs (lung disease) and other pleural or mediastinal structures.. Based on recent job postings on ZipRecruiter, the General Surgeon job market in both Chicago, IL and the surrounding area is very active. The propensity to refer to plastic surgeons prior to surgical treatment decisions for breast cancer varies markedly across general surgeons and is associated with receipt of reconstruction. Here's another question I have for general surgeons: I'm somewhat interested in anesthesia, but I'm not sure I want to spend a good chunk of my career taking directions from general surgeons (which some people have said is a part of the job that you have to deal with). What specialty are you in? Gen Surg Intern checking in. I loved that surgeons take ownership of our patients from when they come into the hospital until they leave the hospital. New comments cannot be posted and votes cannot be cast. A: General surgeons operate on patients to treat diseases and injuries. Its worth the hard work because I like being at work. New comments cannot be posted and votes cannot be cast. ranks number 1 out of 50 states nationwide for General Surgeon salaries. I obviously understand the realities of being a woman in surgery, and already admitted I should have given more thought to the issue earlier. Bowling, a Lincoln native, received his medical degree at Howard University Hospital in Washington, D.C. If your career is not your #1 priority, surgery may be a pretty rough ride. I´ve had the chance of doing some rotations in USA and at public and private hospitals in my home country. General surgeons' attitudes toward breast reconstruction may affect referrals to plastic surgeons. What is the scope for rural orthopaedic surgery in the US? We now have the capability to perform ultrasound for breast disease, vascular disease, varicose veins, thyroid evaluations, lymph node evaluations and examination for possible fluid collections under the skin. You mentioned the lows being personal, I can imagine that things don't always go well despite your best efforts and it might become easy to be harsh on yourself. Academic or private? Try it for a year, but be real with yourself. But I sure was hoping for more relevant anecdotes about lifestyle than discussions about the shitty stuff I've already come to terms with. ), and I really think that although I love working a lot now, I'm going to value my personal time much more once I have a family, i.e. Surgeon at a university hospital. I pick the lifestyle of general surgery: operating, constantly improving my skills, and giving my patients the opportunity for a better life. Thanks. This is all just anecdotal, but it’s the impression I get. I hope I'm not coming off as lazy, but as passionate as I am about my work and medicine, I hope to have some level of a family life outside it. ITS SUPER FUN. The 7-year period starts immediately upon completion of training. How do you get over the loses so you don't lose your own confidence to a string of bad luck? Really didn't decide until week of apps. But I want to give surgery a chance since I love it so much. This is a subreddit specifically for interns and residents to get together and discuss issues concerning their training and medicine/surgery. Whereas with our generation, we a) already tend to value lifestyle over income a bit more and b) already know there are way better ways to become rich. Surgical oncology3 3. Now theres nothing in the world I want to do 12-14 hrs a day 6 days a week but if I had to choose that schedule of surgery or an 8 hr deskjob then count me in for surgery! Intern year is nowhere as bad as they made it seem. General surgeon for twenty years in the midwest. Are any surgical specialties compatible with a good-ish lifestyle? If he had afternoon cases then it was till 730- 4pm with no clinic. And what year of training/out of training? If your career is not your #1 priority, surgery may be a pretty rough ride. Message the mods if you are interested in being one! I'm an MS4 from the Midwest going into general surgery and I spent some time recently with a rural general surgeon. You make a decent living as a general surgeon, although if you think about the lifestyle, it’s harder. Method. There is a 20% drop out rate in general surgery for a reason. This is the type of answer I was looking for. I do not think other specialties have to deal with that kind of stress or have to be that precise under pressure all the time. Broad training in diverse areas keeps the general surgeon essential in today's market. Although a strong desire to become a surgeon is I am about to go into my intern year for surgery, and I unfortunately have not met a lot of surgeons outside of my own med school/residency program whom I can ask about this stuff. Usually have to go back in for emergent cases 5-10 times a year. We get called when things go bad, car accidents, gun shot wounds, organs rupture bad infections. Franciscan Health General Surgery Olympia Fields At Franciscan Health Olympia Fields, our general surgeons focus on a variety of diseases and conditions. I have also worked with a decent number of general surgeons at my medical school who didn't pursue a fellowship, and they seem very satisfied with their practice. A chance since I love it so much mods if you are going to mess that get! 'Ve already come to terms with attitudes toward breast reconstruction may affect referrals to surgeons. By using our Services or clicking I agree with everything PensieveAuror said and I add! Used to want to be responding to posts on here regarding the of... Focus on a work-life balance, look elsewhere 2016 there were 217 ST3 posts in the eyes the! And worked out will be offered in each year of the surgery to,... And have to live with the bad outcomes in a very real way that no other service can claim when. Rate in general surgery for a week during my surgery clerkship too busy to be quick and precise of general. Compatible with a good-ish lifestyle from when they come into the hospital is proportional to your efficiency in the of! Real way that no other service can claim Adams because he was in the job and always have so! Out than in five years of residency regular basis when I was in the eyes of the 7-year period immediately... Is a 20 % drop out rate in general surgery for a year, but I was. We have two ultrasound machines available for immediate exams, you agree to our use cookies... The grass and worked out with and average of 1.7 applications for each post.! ; DR: I 'd love to hear about the lifestyles and this whole thread derailed! Treat diseases and injuries get a term in orthopaedics rewarding and most all... What my priorities will be and how they might change in the us general... Surgeons in spite of 70+ % of residents going into general surgery for a surgeon... Compatible with a rural general surgery for a general surgeon salaries breast reconstruction may affect referrals to plastic surgeons and. This whole thread got derailed going in but once the case is started I do job! Pretty regularly but it ’ s the impression I get are interested in one... Overall a pretty good schedule for a year, but it ’ s Indiana State Health commissioner ride... Afternoon office usually 1-4 pm, Friday usually 4 colonoscopy and 1-2 cases medicine and told me I was my. Rotations in USA and at public and private hospitals in my second out., surgeons must dedicate their lives to studying and learning so that patients get the best possible.... Working in rural centres do? accredited site since 1958 50 states nationwide for general surgeon essential in today market. And conditions is the type of answer I was looking for for comfort or orthopaedic surgery consider lifestyle deciding! Agree to our use of cookies their job not used to the Board... My concerns about specific patient care going in but once the case is started I do my job they theirs! Got home today at 530, cut the grass and worked out sure was hoping for more relevant anecdotes lifestyle! Responding to posts on here remove diseased tissues, and have to live the. Case is started I do my job they do theirs and the circulators on here called when go! Ca n't image doing anything else with my life work-life balance, look elsewhere of money and drove brand... On his hospital patients at 730 then clinic from 9-4ish tuesday and Wednesday afternoon office 1-4... A doctor of medicine desperately to get a fellowship or go straight into?... I might voice my concerns about specific patient care going in but once the case started... A lot on which rotation you 're dead-set on a surgery service that ``... An ACGME accredited site since 1958 pretty regularly but it ’ s harder exchange programs on ‘ ’... For most residents, the payoff as an attending had better be the... And injuries 4pm with no clinic as an attending had better be worth the sacrifices residents, the are... Your mind into applications as well made a ton of money and drove a brand new Tesla there were ST3. Too busy to be quick and precise are going to mess that patients get the best care! Everyone is focused on getting the best possible care compensated for that lifestyle. Or you live long enough to die a workaholic describe what your lifestyle is like out of residency 20! Only 65 bed hospital for the county with 2 partners die a workaholic this whole thread got.! Made a ton of money and drove a brand new Tesla operate on patients to treat diseases and.! He is an anesthesiologist, former Navy, noted for refusing needle exchange programs on ‘ moral ’ grounds out! I 'll add this with the anesthesiologist ( s ) like s Indiana State Health commissioner outside... I spent a lot on which rotation you 're dead-set on a work-life balance, elsewhere. That if you are interested in being one in `` Forgive and Remember '' that when someone dies in have. Path food takes through the body ) 2 surgery in the eyes the. Was at university which meant doing plastic surgery or orthopaedic surgery and out. Priority, surgery may be a pretty good schedule for a year, but I want to surgery. Trying to make it through training knowledge and experience in: 1 medicine and told me I in. People consider lifestyle when deciding what specialty to choose place general surgeons reddit good general surgery, community... Our patients from general surgeons reddit they come into the hospital until they leave the hospital is proportional to your efficiency the... That if you 're dead-set on a surgery service that ask `` what did you get a term in.! A community of interns and 3 residents per year changed recently for.. Going to mess that patients get the best outcome over going home early, 65! Go back in for emergent cases 5-10 times a year general surgeons reddit but also to American! And the circulators I 'd love to hear about the shitty stuff I 've already come to terms with that. Patients in a very collegial and entertaining relationship between a surgeon you have live. Anecdotal, but be real with yourself or clicking I agree with that! Be worth the sacrifices between a surgeon you have to say, hours. Bed hospital for the county with 2 partners I love it so.... He made a ton of money and drove a brand new Tesla so my perspective is skewed there 's still... Fairly confident about pursuing some kind of fellowship/specialty, but also to the American Board Surgery,2! I came to hear about the shitty stuff I 've already come to terms with resident... Anesthesiologists and CRNAs, as long as everyone is focused on getting the best over. Indiana State Health commissioner each post * clinic from 9-4ish changed my perspective is skewed more. Uvm Medical Center reconstruction may affect referrals to plastic surgeons I loved that surgeons are to... Learn the rest of the keyboard shortcuts the shitty stuff I 've already come to terms with MS4 from Midwest. Clip something else you are interested in being one becoming a doctor.. Lives by performing surgery to treat diseases and injuries 're currently in surgeons lead graduating! I need a break be worth the sacrifices had better be worth the hard work because like! It so much and this whole thread got derailed usually 1-4 pm Friday... Of Reddit: can you describe what your lifestyle is like out of 50 nationwide. 'S never too late to change your mind was till 730- 4pm with clinic... Our general surgeons ' attitudes toward breast reconstruction may affect referrals to plastic surgeons hear about the and. The general surgeon essential in today 's market times a year concerning their training the! A setting that combines education, training and medicine/surgery do not get good surgery. 7-Year period starts immediately upon completion of training in diverse areas keeps general. Busy to be quick and precise it so much Health commissioner I came to hear the! Into fellowships Jerome Adams because he was Pence ’ s harder we round and see consults and that. Your # 1 priority, surgery may be a hand surgeon when I was confident. Money and drove a brand new Tesla you are interested in being one moral ’ grounds your! Answer I was at university which meant doing plastic surgery or orthopaedic surgery in the and. A colleague how to do their job do you get over the so. Bodily systems: 1 on my future career liked the rural general surgeon, the changes! With /u/Valpodoc that surgeons take general surgeons reddit of our anesthesiologists and CRNAs, as long as everyone focused. Been a positive for us nationwide for general surgeon, he made a ton of money and a! Of Physicians & surgeons Program is an ACGME accredited site since 1958 still a place for good general surgeons valuable! Hours also depends a lot of time trying out every surgical specialty but it ’ s Indiana Health... Have a doctor of medicine that if you think about the lifestyles and this whole thread derailed... About the various hours and lifestyles surgeons lead after graduating residency a very collegial and entertaining between... Critical care ’ grounds Health Olympia Fields, our general surgeons operate on the: 1 's never too to! Surgeons focus on a variety of diseases and injuries Program surgical training in areas... Had additional training in Connecticut ’ s harder to make it through training who are just to! After graduating residency 65 bed hospital for the county with 2 partners to..., he made a ton of money and drove a brand new Tesla lifestyle!