Shows there's a great variety of training opportunities out there for sure. However, you will be able to market yourself in a denser environment, whereas general surgery tends to be more of a smaller town or rural position. 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. [–]Mikeyyd34M-3 2 points3 points4 points 2 years ago (1 child). [–][deleted] 0 points1 point2 points 2 years ago (1 child), [–]BegToDifferMD-PGY2 0 points1 point2 points 2 years ago (1 child). Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. How did you manage to integrate loved ones into your residency training? 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. Filesharing is prohibited in this subreddit. Question for you. Good Luck! 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. [–]michael_harari 6 points7 points8 points 2 years ago (4 children). The Mont Reid Surgical Handbook: The Mont Reid Handbook is a great reference tool to keep in your pocket or on your phone. There are people who regret it. [–]surgresthrowawayMD[S] 1 point2 points3 points 2 years ago (0 children). PD chewed me out, saying if the patient died I would be fired. 25 Oct 2019 1 year post I used a medical loan to pay for an inner thigh lift. Sometimes it makes me want to just go do hernias for a living and avoid it all. I have an Instagram where I'm probably going to post pics so if your interested PM me and I can give it to you. Anyone at all? I’m happy to answer any questions. If you manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. [–]surgresthrowawayMD[S] 12 points13 points14 points 2 years ago (0 children). For the study, an anonymous survey was given to general surgery residents at 13 programs, and 10-year attrition rates were collected for each program. Chief Year In an academic program like mine, chief year is what it's all about. Still, I do NOT regret having the surgery. The only things I regret about mine are (1) not being crystal clear about some aesthetic choices, and (2) not aggressively pursuing a revision for those aesthetics that didn't turn out how I wanted. I can call these people any time any where for support. I'm non-T, non-binary, and just got top surgery on the 20th, and obviously it's not a lot of time to go off of, but I'm super happy with my decision. 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. Call: I did my intern year in a very traditional program taking Q3-Q4 call. Serious[Serious] Why you Should do General Surgery - a Recent Grad/Fellow's perspective (self.medicalschool), submitted 2 years ago * by surgresthrowawayMD. [–]michael_harari 2 points3 points4 points 2 years ago (0 children), 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, [–]NysozDO 2 points3 points4 points 2 years ago (0 children). Unfortunately, something i had to learn the hard way. 15 Celebrities Who Regret Having Plastic Surgery. [–]Middleofnowhere123 20 points21 points22 points 2 years ago (3 children), What are you doing for your fellowship? These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." I've seen folks that were super active in the trans community suddenly regret their transition and become totally transphobic. [+]Middleofnowhere123 comment score below threshold-16 points-15 points-14 points 2 years ago (0 children), Ah I know what field you’re talking about 👍🏼 that’s some long training, [–]pennyforaprocedureMD-PGY1 11 points12 points13 points 2 years ago (7 children). My wife and I both had gastric bypass surgery done on the same day (I don't recommend that!) Now, my second block of general surgery is ortho- which is sweet because thats one of the things I was considering, but my attending is nearing retirement, and he only does knees once a week. You typically would be applying for an 80% research/20% clinical position. There is a paucity of literature examining the incidence and/or etiology of surgical de- and re-transition. It's so foreign from my personal experience that it's really hard for me to believe it at times (but I do). Troll posts will not be tolerated. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. 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. For information on rules regarding recruitment for research studies, please see this page. The expectations for operative volume and case complexity go way up. Moderation issues related to the IRC channel should be directed at the mods of the respective channel. The moderators of /r/medicalschool do not endorse/sanction said channel or bear any responsibility for any happenings within said channel. Also I just checked your daily schedule. We had our oldest child lined up to assist us around the house for the first week, and it worked out. I Regret Having Surgery with This Doctor. I will say that surgeons more accurately have a reputation for being direct. If I had wanted to I could have applied to any of the subspecialties. [–]Paddycake8 0 points1 point2 points 2 years ago (0 children). If you are marketing yourself for that type of career it is a very different application process for a job. I did well as a medical student yes. 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. I will freely admit that my social life is pretty much 100% other doctors so I think that makes things easy. But sometimes, beauty standards require us to change something in our bodies. 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. My nipples aren't that big but those damn big circles stand out. And this is always risky: a popular trend might be forgotten soon, but the changes we’ve made to our bodies will remain with us indefinitely. I'm immensely thankful that pain, bouncing, jouncing, jiggling, flopping, and bra shopping are no longer part of my life. I had left upper eyelid ptsosis surgery on 10/06/2016 (6 weeks ago). If you decide to pursue strictly MIS or bariatric positions, you will not have nearly as many job openings as if you were looking for general surgery. This year I did over 300 cases including my first whipple, kidney transplant, esophagectomy, carotid, and many other sweet cases. That said, the huge majority of people who have top surgery don't regret it. I'm really interested in transplant and or peds surgery, as they both align particularly well with my area of research and tend to be concentrated in big academic centers anyway. Two mentors of mine (both transplant surgeons) have encouraged me and mentioned that transplant might actually fit in well with a surgeon/scientist career path, mentioning that I might actually have time to do research if I wasn't doing HPB/bread and butter abdominal cases in between transplants to keep busy as many surgeons do when not doing transplant cases or covering the floors. Could you speak to the feasibility of running a basic science laboratory and maintaining a respectable clinical load? In other words don’t lose the forest for the trees. This was very informative and very helpful. This goes for both practice and training. ... With general surgery training, research time and my vascular fellowship combined, I did nine years training post-med school. Long story short, what would be your suggestion to get a better picture of 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. … Please limit posts concerning USMLE Step 1 or 2 to their respective stickied threads. and join one of thousands of communities. [–]michael_harari 4 points5 points6 points 2 years ago (0 children), Yes, and most academic programs require either part or all of each class to go to the lab, [–]Paddycake8 7 points8 points9 points 2 years ago (4 children). Without the research I probably wouldn’t have even gotten an interview at the program I matched at so to some degree yes. I love the environment of academics and have a hard time imagining ever practicing outside of it. These posts often include an immature or sophomoric subtext. [Meme], My reaction as the Intern tried explaining inpatient insulin management to me on the first day of my IM Clerkship, This dumb meme i thought of while doing a q on amiodarone, Questions that start with this make me nervous. Methods. Previous examples of troll posts involved users seeking "help" on mundane or sensitive personal issues. This doesn’t damage anything but our finances. But surgery forces you to be the voice in the room clearly directing a trauma. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. AMA-style threads are not allowed without prior moderator approval. Regret Surgery Abnormal Results. 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. -HPB Always eerily quiet. Fellowships: There are a LOT of general surgery subspecialty fellowship options. A study in Sweden, which is among the most accepting of the LGBT community, found the suicide rate 20 times higher than the general population. Please just be aware and do some research on that. This post will be cataloged on the wiki for posterity. -Endocrine Do not worry! REDDIT and the ALIEN Logo are registered trademarks of reddit inc. π Rendered by PID 8968 on r2-app-0d182db9fb864fdee at 2021-01-01 19:24:04.535577+00:00 running c709bd6 country code: IT. When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. 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. I am starting to regret that I have done this. Moderator discretion is used to determine and remove posts of this nature. I don't regret the surgery. 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. Once you have a position in more of a niche field, you are a lot harder to replace then someone who has more of a general background. I know the hey-day of surgeon scientists is behind us, but I'm still holding out hope that I might be able to balance the two. My name is Walt Heyer and in April of 1983 I had gender reassignment surgery. People are probably sick of me bringing this up and trust me i don't want to be the resident alcoholic around here. Yes, but only if there's a job opening for it. I also understood from them that compensation in transplant surgery doesn't run off of RVUs, and that I might be able to negotiate a contract that allows for more protected time for research in exchange for less pay but I might have misinterpreted that. You must have done pretty well on the steps right? -try to focus on your purpose/goals/etc - may sound corny and doesn’t always help when you’re stuck trying to put in an NG at 2am. I think the sleeve is probably the least regret provoking surgery just because you end up not that different from most people. What is MIS surgery like? Occasionally as a PGY8 I find myself wishing I had done a field where I'd be done and have been an attending for 5 years by now. It was written by a group of surgical residents and is very high yield. That is, no one knows how many people are happy, how many have regrets, how many return to their birth sex, or how many have died as a result of suicide. I was like wtf. Great write-up, and I definitely agree with the idea that you can't go into surgery unless you don't see yourself doing anything else in the world. He also revealed that all of the reversals he has carried out so far have been transgender women aged over 30, who have made the decision to restore their male genitalia. The family of a trauma patient comes in and you have to break the bad news about their loved one. -make friends with your co residents. -Trauma/Acute Care Typical day: I posted a sample schedule from my chief year once before on this site: I could imagine doing any number of other things. One of the most important part of your surgical training is learning when NOT to operate. We find time for date nights, dinner/drinks out with pretty reliable basis. It's important to have a significant other who gets what you do, is independent in their own way, and isn't reliant on you having a fixed/predictable schedule. It's five years; your career afterwards is 25-30 years. -Intern Year Traditionally was the year where you learned how to take care of patients. 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