There is no way anyone is going to let them fix femurs and tibias so they don’t threaten my job security. Since MSK makes up the majority of the body, and we're responsible for that, in turn there's a shit ton of surgeries to play with. It depends much more on career and circumstances. Are you under constant stress? I went to a school that was one of the last ones to be old school. We also have some of the coolest toys. You can do as much or as little as you want. I had no idea this is an option. Surgeons of reddit, what’s it like being in the OR saving a life? Vampire. The fields are completely different. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. Premed or non Ortho research won’t help unless it’s something cool. Sort by. I have minimal research interests but still do a little. It's unfortunately something we will never live down. Orthopedic surgeon: Benefits. has been a practicing Orthopaedic Surgeon specializing in Sports Medicine for more than 38 years providing diagnosis and treatment of professional, collegiate and … And this segment of pay i believe will likely increase in the future. So there's never an end to the fun. The good side is once people figured you were ortho, you got more respect and residents tended to trust you more. Genres: Romance, Life, Drama, Medical. This was back before they mandated 6 months of it be strictly ortho, which is awesome for the new residents. Dr. Viess is a native of San Mateo, CA and a graduate of Duke University. Press question mark to learn the rest of the keyboard shortcuts. It was middle of the road. Do you guys have any questions about medicine, surgery, medical school, residency, fellowship, lifestyle, salary etc? One that i have never had before or since. The proportion of surgeons who remain active past the age of 70 represented 5 percent of the total orthopedic workforce in 2006. I’m on call and bored. 5 year vs 7 year residency. Ortho. Overall, we expect you to be available/affable >>> able. Do you guys have any questions about medicine, surgery, medical school … We call them needle jockeys. I am an orthopedic surgeon on the east coast. The peds rotation was great because you did everything surgery wise, but also almost harder than 2nd year in terms of trauma because if you're in a western state, the cachement area for peds is huge. So we did a junior and a senior research project, but it was mostly a joke. You people have evolved beyond the need for sleep, or food. However these days theres alot more hospital employed surgeons. Before you decide to become a surgeon, you should consider whether you want to study hard, work hard, make some sacrifices regarding your personal life, help people, and enjoy a rewarding but demanding career. Private practice is still the most common form of employment. 4th/5th year: You're essentially a chief resident at this point. Just make sure you retain it so that when you see it again you have some semblance of knowledge about the fracture/anatomy/etc. Also, do you get the opportunity to teach or work in academia through a teaching hospital affiliation even though you work primarily in private practice? For me, i love this speciality and could not see myself doing anything else. I have friends with two, even three fellowships, which i think is insane. I'm wondering how much research experience your residents have? 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. Surgeons of reddit, are your lifestyles really as terrible as everyone thinks? In the cities, it's not a big deal because there's enough super specialized surgeons to fill all the gaps. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. I have other friends who are employed general surgeons and work shifts, with call averaging 1 in 7; they trade their better lifestyle for a lower salary (and less control than they would have in PP). If we run through the approach/case with you and specifically highlight certain anatomy, try to remember it for if/when someone asks you in the OR. Used to be one general ortho surgeon could do surgeries all over the body. Out of control. But then i work my extra jobs because i'm bored, but that's a personal decision. Also as a neurosurg your options of living are limited. If you are looking for an academic position after training, then it becomes slightly more important. We (at least at my program) will teach you. The good is that you'll have a slightly better lifestyle. Hospital systems are also buying groups up -often times a group of aging surgeons looking to be bought out for a golden parachute or guys that can’t survive out in the wild. Part of why i do locums is to fulfill this niche need. Try to get a few things done in medical school. Don't go MIA. I knew it. But since i saw a derm post, we should be good. Close. Two friends who are Colorectal surgeons, take no general surgery call, and have a largely elective practice with very reasonable hours. Scopes? 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.. Background: I am a PGY-8, about to be PGY-9 (the flair only goes to 6 on this forum) surgery fellow. It’s true for surgeons too because surgeons are also doctors. However there are other academic programs where it's really focused on. The bad is that your surgical experience will suffer. We do that. There will be a moment where you reach the singularity point and all that training comes together. So we got treated like shit, but we also did a lot of surgery. Our rotations at that time were trauma, joints, and spine. We also know you more than likely haven't reduced and splinted a ton (any?) I don’t teach anymore since I left fellowship and started practice. Residency years: Intern year: You're essentially another gen surg prelim. Whenever possible, our surgeons use minimally invasive surgery techniques to lessen the impact of tissue injury and provide your pet … Thus the fellowship heavy training, which leads to even less that residents do (as fellows do all the surgeries). Hey all, I'm a current M3 and have narrowed down my specialty choice to three fields, with ortho being one of them. save. best. Is this a common trend you see? When we do BKAs and the like, we appreciate PM&R taking over from the rehab side of things. Don't ask to go home early. ... by surgery and I would hate to give up on my dream just because I was uninformed and afraid of what my future lifestyle might be like. The non-spine Ortho stuff or the non spine neurosurg stuff. So this is your chance to do everything NOT in your fellowship so that when you're an attending, you don't forget the other stuff. Back when i used to be a mp3 bot for AOL giving away music. Log in or sign up to leave a comment Log In Sign Up. Because you can always find someone in pain and sometimes take advantage of them. Let me explain. This is also a time when you reflect on how poor you are. Academic medicine has a higher floor and lower ceiling, Salary is definitely related to how many cases you do in private practice. Orthopedic surgeon arrested, charged with possession of opioids with intent to deliver Coronavirus delays trial of spine surgeon who fled US after allegedly performing 500+ unnecessary surgeries Feds, surgical groups reach $77.2M settlement over allegedly illegal referral arrangement What should I study coming into my SubI to really rock the rotation?? If you're taking care of lacs in the ED, be willing/able to sew it up. The Surgeon’s Cut is a new four part documentary offering a glimpse into the world of surgery by telling the personal stories of four exceptional surgeons, which will stream on Netflix. Reddit's home for wholesome discussion related to pre-medical studies. 0 comments. Well, my perception of the neurosurgeon lifestyle is, unfortunately, mixed. Being an orthopedic surgeon is no simple task and therefore requires many hardships to reach in that very position. So yeah, orthopaedic surgeons are busy....people break a ton of bones at 3 am on a saturday night. Step scores I/II were 254. We invite all spine surgeon and specialist responses. Housekeeping: Due to the way residency is structured, residents now are getting less hands on experience than ever. Its not chill like the ROADS specialities. Orthopedic surgeons deal with the entire musculoskeletal system, from birth until our last breath of life. Our surgeons have practiced in large university-based medical facilities and trauma centers. Try to make the resident's life easier (i.e. And if you're talking about spine and back pain? Ortho docs spend 4 years in college. There's plenty of consultants hitting 60-80 hour weeks, but there's probably also lots in the US. If you wanna make over a million a year, you're probably going to work for it. In 5th year, this is where it all comes together. This is where reputations are made so first impressions were important. Now, we have a guy that operates on the left shoulder exclusively (/s). If you don't know something, ask. However these days theres alot more hospital employed surgeons. Apple Podcasts | Google Podcasts Session 19 Today, I'm going to do a deep dive into some match data for orthopedic surgery, which is known to be one of the more competitive specialties out there. Initially was a general ortho surgeon doing bread and butter stuff out in the boonies. I don’t understand why people take their babies there in the weird videos I see on YouTube. Lifestyle and work hours is a totally different ballpark though. So it's not impossible. Thank you for the post, I like your username. Try to get in with someone who publishes a lot to get your name on a paper in JBJS. He is on staff at ValleyCare Memorial, San Ramon Regional Medical Center and Sutter Tracy. Congratulations, now you can make money. This is also the time when you start applying to fellowships. My father was a surgeon, practicing thoracic/abdominal surgery in New England. Thus people often do work over 60+ hours a week because you're either all in or not making money. Nerves/CNS? Gotta suck it up and push through. Cookies help us deliver our Services. Surgeons of reddit, what’s it like being in the OR saving a life? Surgeons 70 and older report performing an average of 19 procedures per month. There will be an even greater shortage of ortho surgeons due to this phenomenon. I am especially asking about it in terms of publications and research involvement, Research is a necessary evil. And so, they have to receive many benefits to lead a comfortable, stress-free life. Know anatomy -- deforming forces on fractures, reds, blues and yellows as above. And bone. Am starting MS4 in a few months and am thinking ortho as a summer elective. I have seen some programs with a 6th year with one year dedicated to research. If you fail, you will be ridiculed and bring shame to your program. To get the volume you need to survive, chances are you’re living in a city. Did some research and published towards 4th year, but almost after the fact in terms of applications. They can be helpful and profitable in the office. Now i'm not saying that's necessarily true, but EVERYONE has a MSK complaint at some point. You will definitely have complications -everyone does or they are liars. Then 4 years in medical school. How hard do you want to work? But when you are an attending you run the show so just tell them to go F off. However, research is NOT necessary for a fellowship, unlike say peds surg (gen surg fellowship). Whenever I reviewed resident candidates I didn’t even look. we do that too. 3-7% in practice and I believe 10-15% of residents are now female. We for the most part like that PM&R will do some of the needle stuff, but sometimes pain docs come across as milking the patient for money with a hundred shots (some of these notes have like trigger point, facet blocks, and a bunch of stuff that together seem questionable). I’ve never been to one. Thoughts on DO students in the match? I felt that the south and southeast were more frat bro , north east was more bookish. You hit the nail on the head. Thanks. First of all it helps if the person interviewing you knows the person that wrote the letter. As another side note, residency programs are a lot easier than even when i did it. Things have changed where no longer do you HAVE to work 60+ hours a week. If not it helps if the person is well known in the community. You're gonna have to learn to love the bone. Figure out when to seem interested and ask questions, when to sit back and just do work. Now i'm in a larger city doing trauma related hospitalist/surgicalist gig. By using our Services or clicking I agree, you agree to our use of cookies. get the supplies ready). Our orthopedic services team includes surgeons, specialists, therapists and technicians. 100% Upvoted. Topics ... and burnout. Because of that, we've created our own shortage. Because that's going to be the majority of your life during residency. As to comfort I can’t really say. Thoughts on mid-level encroachment? Let me add an answer that is relevant, I believe, but from a slightly different perspective. As a 2nd year, this is the feeling out period where the chief ortho residents decided whether you were worth something. On the side i have a lot of different side hustles including IMES, case reviews, and even some locum work. Not sure what your 2nd question is. Neurosurg is also more research oriented as most if not all programs are academic. Neurosurg you’re dealing with ICU patients, shunts, cancer. There's a formula somewhere. How do most orthopods feel about PMR docs? I try not to be home after 6 ever so I can put my kids to bed and I don’t bring work home with me, Went to Albany Med. Grades honestly don’t matter -just don’t fail. Otherwise ... again for me it’s a no brainer. Depends on the program. News, current events, my dogs, working out/running. We do have an OITE program where we do practice tests throughout residency. Doesn't hurt to stay fit. He is an Orthopedic Surgeon with offices in Pleasanton, San Ramon and Tracy, California. Thus another reason why everyone does a fellowship, not out of interest but pure necessity. Seeing all the shiny gadgets, watching some dude using a 10 lb mallet to whack a flex nail out of a kids tibia was an "A-ha" moment of clarity. 238. He received his MD at Rush University followed by a 5 year Orthopedic Surgery Residency at Northwestern in Chicago. You do the best you can so you can sleep at night with a good conscience. I work 80-100 hours a week and still have plenty of time for hobbies and killing time on the internet. There was a report on Twitter I saw where 100% of female physicians reported being harassed and from what I have seen Id say it’s probably true. yep. Patients are offered the most current and evidence-based treatment options, customized to their lifestyle. Edit: The idea that surgeons are too busy to reddit is hilarious. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. In our 4th year we did mainly peds, with some spine, foot and ankle, sports. Just pick up a few issues from the library and look for the names that show up twice a year + call them up and see if you can get in. But i think unlike the other subspecialty surgical fields, the volume of ortho is IMMENSE. Hoppenfelds for surgical approaches. You just have to kill your sub-I rotation. Ok the way your question is phrased hints that you think that it’s one or the other.... all orthopedic surgeons work AT a hospital. I was a 4th year AOA. They say MSK pain/problems is 80% of a general medicine practice. There's a raging debate as to how much the OITE actually correlates with board pass rates. Press question mark to learn the rest of the keyboard shortcuts. Try to learn the indications for the cases you're participating in. So I would say that from a supply demand standpoint, due to the immense supply of MSK complaints, ortho is even more in shortage than most of the fields out there. The life of a surgeon is all about choices, starting with the career we chose, then the partner(s), both personal and business. Don’t be weird at interview, How competitive are residency spots? Welcome to the clinical practice of Dr. Elrashidy. When this next generation retires, the landscape of ortho will change even more. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. The gen surg chiefs preferred ortho guys/gals because we took pride in our work and were here to stay (as opposed to transitions/prelims that were gone after a year). Ask Spine Surgeons is a weekly series of questions posed to spine surgeons around the country about clinical, business and policy issues affecting spine care. Unlike residency apps, fellowships aren't as hard to get into unless you're looking for a top 5 program. We'll also discuss how you can set yourself up for success early on if this is something you’re interested in. This is also an important year because the trend is for everyone to do fellowships now. I'll try to edit stuff down the road. Press J to jump to the feed. Sure some will argue that that work get better results and what not, but like everything there's a limit. If your rotation orientation said weeknight call goes until midnight, 2am, etc, don't watch the clock and peace out as soon as the clock strikes 12. Also lifestyle angle, not sure I’ve met many lifestyle oriented neurosurgeons. I game a bit but that hobby is practically dead since I have a 1 year old now. Definitely reduces some of the hesitancy I have to dive into a surgical specialty. Some are easier, some suck... 2nd/3rd year: Everyone's experiences will be different. Most neurosurg come out and go into spine. As always, how much money you want to make depends on how you want to work. Welcome to /r/MedicalSchool: an international community for medical students. The good ol' days. Thanks for this!! There are still lots of private practice jobs, New comments cannot be posted and votes cannot be cast. This will vary with the program. Arthur J. Ting, M.D. Rotations vary between programs, ours included ICU, vascular, cardiothoracic, urology among others. Especially PMR interventionalists. Misc: Board exams are 90% pass rate. But if you do a fellowship in hand, are work in a practice where someone else takes care of trauma calls, then it could be lifestyle friendly. I feel I have good enough stats (260+ step 1, AOA, honors in all clinical rotations so far, engineering background) to be a competitive applicant for ortho, but my question is more about lifestyle. But more helpful would be if you "fit in" like the ortho bros. And that of course is program dependent. Possibly 1 year internship. And the most intelligent questions are when you’ve already read up on it beforehand. Reasons to do Ortho: Lifestyle: People really misunderstand an ortho surgeon's lifestyle. I know surgeons working at Kaiser that work 35-40 hours a week and make 400k. Background: I'm a board certified orthopaedic surgeon. Yes women are definitely desired at most programs and it is now an asset to you if you are a female applicant. 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Shoulder exclusively ( /s ) a board-certified orthopedic surgeon on the side i have minimal research interests but do...