Similarly to internal medicine, general surgery is also the gateway to a lot of subspecialties. See salaries, compare reviews, easily apply, and get hired. Yes, I understand this, but to my understanding, if one wishes to subspecialize, that person is better off going to an academic, well established program. Are there programs with a little more of a balance, say like 5AM-4PM? Johns Hopkins University in Baltimore offers the best clinical training in internal medicine, according to Doximity's 2018-2019 Residency Navigator.. Since I know that I wholeheartedly want to become a surgeon, the long work hours don’t bother me. And again as I alluded to above, the people who tend to claim these programs are malignant or don't allow as much autonomy generally have no direct experience, just an ego-driven desire to tear down the "top" places out of a sense of schadenfreude or jealousy. Welcome to /r/MedicalSchool: An international community for medical students. better have >240 USMLE, honors, research to get serious consideration). my rank list had nothing to do with prestige or competitiveness. Press J to jump to the feed. If surgery is the only thing that will make you happy going to work every day, then do surgery. What would you say are the differences between an academic vs a community surgical program? wince. There are fewer residency spots in surgery than there are in some other specialties. There hasn't been another specialty where I've felt like I belong and I'm more than half way done with third year. (And I don't think there are any lifestyle friendly surgery residencies, that just sounds like an oxymoron.) It’s called the NRMP Residency Program Director Survey. The great news is that we have the exact means to read program directors’ minds. The doximity list, while heavily debated, at least gives you a very good starting point if not an exact tiered ranking. R/SurgicalResidency is a place for anyone who is currently in a surgical residency, recent grads, staff, and medical students. She likes to work out, this means that she usually wakes up at 3:00 am so she can be at the hospital by 4:30. 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. Currently interviewing for Diagnostic Radiology I definitely made the right choice. I will be pushed to my limits and then some. This was me a year ago. My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. That's a more complex question. 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. Massachusetts General Hospital; Mayo Clinic College of Medicine and Science (Arizona) Mayo Clinic College of Medicine and Science (Jacksonville) Mayo Clinic College of Medicine and Science (Rochester) McGaw Medical Center of Northwestern University; McLaren Health Care/Greater Lansing/MSU; McLaren Health Care/Macomb/MSU How close you are to family, loved ones, the type of training environment, the opportunities available are all things to take into consideration above and beyond name recognition of a program. New general surgery residency program director careers are added daily on SimplyHired.com. And if I want to be competitive for a fellowship spot, I assume I should plan on doing a 7-year residency? Edit: Obviously, you must be willing to go through gen surg to get to these fellowships. Its all up to what u chose. Or is that not always the case? U could try for the UK, or anywhere else in europe if u seek “decent” work hours. I've said this and so have many others: if you can find anything you would be happy doing that isn't surgery, do that. That's how surgery is. If you want to receive a coveted spot in one of the most competitive specialties, which tend to have the highest average annual salaries, where you go to … This is not really the case. There's no time for exercise, errands, sleep, etc. The best residency for pathology, or any specialty, is very driven by personal preference and situation. Thanks! They have great specialty areas and they focus on innovation and a commitment to excellence. Where I'm a resident, the surgery program sends residents to 6 hospitals, vs. 3 at my med school. Every specialty has a tradeoff. I really like general surgery and I'm thinking of applying to the specialty. If surgery is the only thing that will make you happy going to work every day, then do surgery. Start working on research early and build connections in the field. Can you tell me what is the "hell" part of general surgery? Why are they considered the most competitive? Objective: The release of general surgery residency program rankings by Doximity and U.S. News & World Report accentuates the need to define and establish measurable standards of program quality. She acts like her life-style isn't bad. Interesting, thank you for your direct answer to the question. chasing the name). If you want a chill lifestyle, do not go into a specialty that does not have a chill lifestyle. They also have one of the best residency training programs. In order to handle the long hours, stress, and physical requirements of the profession, work to avoid diving into residency such that it becomes 100% of your time and energy spent. 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. Some would argue they are simply competitive for competition/prestige sake (i.e. “General surgery residency training can be challenging at times but what makes it worthwhile, fun and memorable are the relationships you form with your colleagues during training years.” Do residents have time for a personal life? Press question mark to learn the rest of the keyboard shortcuts. Also keep in mind that the top programs usually have fellows! Any thoughts, plz help a lost M3? I mean over the past 20-40 years graduate medical education has already improved to be less toxic and less grueling than before. If so... Why not work In AUS or the EU? If there is any hesitation, DO NOT do surgery. Thank you for your input. There are 20-30 programs that would be considered highly competitive by any objective standard (i.e. As such, this is often the the biggest hurdle in residency applications. The funny thing is most gen surg people I know would call working from 4AM to 6PM (84 hr week) decent lifestyle. Ranked in 2020, part of Best Medical Schools. What to do as a med student? And we are looking for people we can spend five years with. Click on the Med School Books Main Page to see other lists including the best books for each year in medical school, the best books for each clinical rotation, and the best books for USMLE Steps 1, 2, and 3.. This means the chiefs on each service are basically on call in-house or on home call nearly every day, as the residents are spread so thin. That means you can be competing for cases with the fellow as a resident, and it can decrease the number of cases you do. In the integrated programs the student enters a plastic surgery residency as a PGY1 but must still complete the prerequisite general surgery requirements specified by the ABPS and is “loaned out” to the various general surgery services to complete these requirements. Surgery residency is universally long hours for 5 years, lots of stress, lots of long days. Something to consider. These rotations are under the direction of the urology residency program director and include general surgery, surgical rotations, critical care, vascular surgery… Using the information provided by NRMP’s® Results and Data 2020 Main Residency Match®, we were able to figure out which medical specialties had the highest percentage of US and Non-US IMGs in the positions filled for each specialty from last year’s Match. These programs tend to be heavily academic with good fellowship placements and job prospects. better have >240 USMLE, honors, research to get serious consideration). I'm a competitive applicant, blah blah blah. 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. General Surgery is a highly competitive specialty which demands a high level of excellence and dedication from residency applicants who are interested in becoming a surgeon. Looks like you're using new Reddit on an old browser. However, I'm don't like the psychological/emotional effects (i.e., burnout, depression etc.) Residency Navigator gives medical students a transparent look into U.S. medical residency programs, powered by over 315,000 peer nominations, ratings and hand-written reviews. To improve your application - get great letters of recommendation, do as best you can on the step1&2, do something with a leadership position, and during your interview be someone who they can picture themselves working with. Or is that not necessarily the case either? Once a medical school has been successfully completed the graduate school experience begins in the form of a residency, which focuses on a particular medical specialty. At these top programs your LORs matter a LOT and should be from academically connected, tenured faculty. Interesting! Average residency salaries increased from $51,000 in the first year after medical school to over $60,000 after the fifth year. What are my options then? 167 general surgery residency program director jobs available. Surgery specialties often attract people that are self-driven, routined and regulated, and on the downside, sometimes emotionally detached. MGH, Brigham and Womens, Johns Hopkins, Penn, Michigan, and UCSF are the traditionally most competitive program (Source: John Tarpley, longest tenured PD in general surgery) There are 20-30 programs that would be considered highly competitive by any objective standard (i.e. I'm sure that you could probably have some control over your hours later, but to me it seems like the insane work hours are just a part of the culture. Future medical professionals interested in performing operations will focus on surgery during their studies. Cape Fear Valley Residency Program in Fayetteville, NC. It's one thing to think you can power through a few years of residency. Try a subspeciality like ENT, ortho, urology, plastics. However, it can also mean that you will be first-assisting with the fellow as a teaching case, which will be a good thing. MGH, BW, Hopkins, Michigan in particular are considered very "fellow light" programs and their fellowships that they do have (e.g. of having to waking up at 4:00 am everyday to get to the hospital to make the list and staying until 6-7PM every night. It’s exhausting, to say the least. If you're competitive enough for a more lifestyle-friendly field, and you have any interest in one... think hard about choosing something that will still have you regularly getting up in the middle of the night ten, twenty years from now. MGH, Brigham and Womens, Johns Hopkins, Penn, Michigan, and UCSF are the traditionally most competitive program (Source: John Tarpley, longest tenured PD in general surgery). If you start a case that you think will take one hour and it winds up taking eight hours, you still finish the job and get it right the first time. The amount of work hours deters many people from picking surgery. The H1-B is more difficult for residency programs. Press question mark to learn the rest of the keyboard shortcuts. General Surgery Residency. But I can tell she hates it. “For students who are time-oriented, there’s nothing wrong with that, but Surgery probably isn’t for you. During my residency, I did two full years of research and obtained a masters degree. Apple Podcasts | Google Podcasts Session 21 General Surgery is gaining popularity as a residency choice, which shows in the high competition for spots. Something a vascular surgery attending once told me as a student: “Surgeons are very task oriented people. I have my textbooks from med school but they are not good for a quick reference and … I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. Why H1-Bs are Harder to Find. Looking for the right medical residency? Excellent track record for fellowship matching (Cardiac, Pedi, Critical...” – Posted 11/10/2020 General Surgery training is five years and serves as a gateway to a number of advanced surgical specialties such as Orthopedic Surgery or Vascular Surgery. This may mean better operating opportunities perhaps (no residents have offered this to me as a positive actually) but it also means much less protected time off. The goal of this subreddit is to provide a place to vent, seek/provide help, and bounce ideas off each other. It requires a lawyer to fill out forms. If more lifestyle-conscious people go into the field, I feel like there is a chance that it might change eventually. Would you be willing to pay 100K to 200K tobe a gen surgeon with a healthy life style? I understand you to have a sacrifice some surgical skill vs. hours in the hospital, but I see the balding senior residents and the grey hairs and I wonder if I can make it though with those hours for 5 years. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. General surgery residency starts in the PGY1 year and is five years in total. The best residency for vascular surgery, or any specialty, is very driven by personal preference and situation. The well-being of our residents is a priority of the Ohio State Department of Surgery. You could try Emergency Medicine, Radiology, Anesthesia, or an office-based specialty like Dermatology if you like procedures but are time-oriented.”. Because objectively they are the most competitive. General surgery is known for an intense residency: 30 hour calls and four days off in a month. this is 5-7 years of your life. I want to know the best books for reference during my General Surgery Residency. Should the desire to stay in a certain city or at a certain institution influence your specialty/sub choice at all? To compile it, every 2 years, the NRMP surveys every single residency program director. Why should they be desired? The best residency for orthopaedic surgery, or any specialty, is very driven by personal preference and situation. So when it comes to that which ones are considered as "chill" ? Are u dead set on the US of A? My colleagues are miserable, and we have one of the most “Cush” surgery intern years around. Surgery residency is universally long hours for 5 years, lots of stress, lots of long days. Johns Hopkins is one of the best hospitals in the country. For vascular surgery attending once told me as a followup, say like 5AM-4PM an... 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