There are fewer residency spots in surgery than there are in some other specialties. Are u dead set on the US of A? Are there programs with a little more of a balance, say like 5AM-4PM? That's how surgery is. Edit: Obviously, you must be willing to go through gen surg to get to these fellowships. 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. Can you tell me what is the "hell" part of general surgery? She gets home around 8 pm and passes out shortly after. These programs tend to be heavily academic with good fellowship placements and job prospects. Residency Search Links of Interest For many years, Kaj Johansen, MD, FACS, and David Heimbach, MD, FACS, of the Department of Surgery at the University of Washington, Seattle, provided the "little red book" as a resource to medical students who were applying for residency programs in general surgery. We are bound by the EU wide european working time directive rules. General surgery residency starts in the PGY1 year and is five years in total. 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. And we are looking for people we can spend five years with. I trained at an academic/University general surgical residency program and am now in training at another heavily academic center as a fellow. That's a more complex question. During my residency, I did two full years of research and obtained a masters degree. Welcome to /r/MedicalSchool: An international community for medical students. Unfortunately, I feel like these changes are too far away to affect us. Is it typically academic=7 years (2 research) and community=5 years (no research)? I want to know the best books for reference during my General Surgery Residency. The well-being of our residents is a priority of the Ohio State Department of Surgery. I loled. It's generally understood that you need to be at the top of your game to match into a surgical residency. Additionally, the residency must reportedly prove they were unable to get a qualified US citizen to fill that job. 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. Ranked in 2020, part of Best Medical Schools. 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. 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. The doximity list, while heavily debated, at least gives you a very good starting point if not an exact tiered ranking. Press J to jump to the feed. The great news is that we have the exact means to read program directors’ minds. Average residency salaries increased from $51,000 in the first year after medical school to over $60,000 after the fifth year. (And I don't think there are any lifestyle friendly surgery residencies, that just sounds like an oxymoron.) If more lifestyle-conscious people go into the field, I feel like there is a chance that it might change eventually. I will be pushed to my limits and then some. The funny thing is most gen surg people I know would call working from 4AM to 6PM (84 hr week) decent lifestyle. Interesting! But I can tell she hates it. Some of the gen surg specialties are good for lifestyle too, like breast and colorectal. Its all up to what u chose. Only 13% of applications receive an interview. If there is any hesitation, DO NOT do surgery. Since I know that I wholeheartedly want to become a surgeon, the long work hours don’t bother me. The program has a great board pass rate of 94% and is one of the most competitive and thorough programs. Would you be willing to pay 100K to 200K tobe a gen surgeon with a healthy life style? What to do as a med student? 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. Looking for the right medical residency? General surgery is known for an intense residency: 30 hour calls and four days off in a month. It will be a balance of $ vs life/mental health. Now in residency you will also have off rotation months where you may not work nearly as much, but you'll definitely have many months of late nights with early mornings. What are my options then? Something a vascular surgery attending once told me as a student: “Surgeons are very task oriented people. 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 is not really the case. My roommate is a general surgery resident. 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 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. It’s called the NRMP Residency Program Director Survey. This list is part of a series of articles about the best books for medical students. 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. 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. The best residency for orthopaedic surgery, or any specialty, is very driven by personal preference and situation. Where I'm a resident, the surgery program sends residents to 6 hospitals, vs. 3 at my med school. 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. 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. The best residency for general surgery, or any specialty, is very driven by personal preference and situation. My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. Time is less important to us. The amount of work hours deters many people from picking surgery. “Busiest trauma center in the Northeast. Try a subspeciality like ENT, ortho, urology, plastics. 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. That means you can be competing for cases with the fellow as a resident, and it can decrease the number of cases you do. If surgery is the only thing that will make you happy going to work every day, then do surgery. They also have one of the best residency training programs. The higher up the better. Thank you for your input. You have to figure out what it is and decide if it's worth it to you. If surgery is the only thing that will make you happy going to work every day, then do surgery. Honestly, if you're already worrying about lifestyle, one of the lifestyle unfriendly specialties may not be for you. 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. Some would argue they are simply competitive for competition/prestige sake (i.e. 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). I'm an anesthesia resident so don't know about competitiveness. High volume oral surgery/airway tumor surgery service yields plenty of difficult airway experience/fiberoptic intubations. Residency for any surgical speciality is going to be hell, but at least the above mentioned ones aren’t hell once you’re done, unlike general surgery. R/SurgicalResidency is a place for anyone who is currently in a surgical residency, recent grads, staff, and medical students. 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. I second this. 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. General Surgery Residency. MGH, BW, Hopkins, Michigan in particular are considered very "fellow light" programs and their fellowships that they do have (e.g. A lot of students want the prestige that comes with the name of the university program, but when it comes to ranking programs, rank where you want to go based off how you think you will fit within the program. They still work almost twice as much as I do. With a surgical program, you have a very close interrelationship with the attendings and other residents, just by the nature of the specialty. Would you agree or disagree to this statement? 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 am also interested in surgery and find myself coming to the same decision point. Residents graduate confident and very competent in high acuity/pressure situations. 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. Excellent track record for fellowship matching (Cardiac, Pedi, Critical...” – Posted 11/10/2020 My colleagues are miserable, and we have one of the most “Cush” surgery intern years around. The best residency for vascular surgery, or any specialty, is very driven by personal preference and situation. How is landing a general surgery residency more difficult? Currently interviewing for Diagnostic Radiology I definitely made the right choice. In our opinion, it's the best. I'm a competitive applicant, blah blah blah. 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. Cape Fear Valley Residency Program in Fayetteville, NC. There's no time for exercise, errands, sleep, etc. However, it can also mean that you will be first-assisting with the fellow as a teaching case, which will be a good thing. Or is that not necessarily the case either? So glad I got placed at a site that gives straight 3/5s to everyone who rotates there... New comments cannot be posted and votes cannot be cast, More posts from the SurgicalResidency community. 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. Johns Hopkins is one of the best hospitals in the country. It’s exhausting, to say the least. There are 20-30 programs that would be considered highly competitive by any objective standard (i.e. Similarly to internal medicine, general surgery is also the gateway to a lot of subspecialties. Cape Fear Valley Health System’s residency programs are designed to provide the highest quality residency programs that will provide each trainee a foundation for lifelong learning while fulfilling the accrediting bodies … Many surgical residents do further surgical subspecialty training, however. Should the desire to stay in a certain city or at a certain institution influence your specialty/sub choice at all? surgical oncology at Dana Farber) are considered weak because the clear emphasis is on the residency training. These rotations are under the direction of the urology residency program director and include general surgery, surgical rotations, critical care, vascular surgery… It's one thing to think you can power through a few years of residency. Press question mark to learn the rest of the keyboard shortcuts. I have my textbooks from med school but they are not good for a quick reference and … wince. Thanks! 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. The low-stress way to find your next general surgery residency program director job opportunity is on SimplyHired. And if I want to be competitive for a fellowship spot, I assume I should plan on doing a 7-year residency? The H1-B is more difficult for residency programs. 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. Every specialty has a tradeoff. 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. She acts like her life-style isn't bad. Press question mark to learn the rest of the keyboard shortcuts. Looks like you're using new Reddit on an old browser. As such, this is often the the biggest hurdle in residency applications. If so... Why not work In AUS or the EU? 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. To compile it, every 2 years, the NRMP surveys every single residency program director. Also keep in mind that the top programs usually have fellows! See salaries, compare reviews, easily apply, and get hired. Vanderbilt, Emory, UTSW, Louisville, UVA, Wisconsin, Northwestern, U Chicago, Beth Israel, Columbia, Cornell, NYU, UCLA, Stanford, Washington, OHSU to name a few. Are you in an academic or community program? Start working on research early and build connections in the field. If you want a chill lifestyle, do not go into a specialty that does not have a chill lifestyle. So when it comes to that which ones are considered as "chill" ? Future medical professionals interested in performing operations will focus on surgery during their studies. However, I'm don't like the psychological/emotional effects (i.e., burnout, depression etc.) The first year internship is spent in general surgery at Oregon Health & Science University Hospital and affiliated Portland VA Medical Center. 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