Shows there's a great variety of training opportunities out there for sure. Posts not following this rule will be deleted. It's crucial that surgeons be able to connect with patients quickly and it is painful to watch a surgeon that can't do this well. At first I was giddy for the fresh start. I love the environment of academics and have a hard time imagining ever practicing outside of it. [–]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). : 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. With that said, I'm glad I chose surgery and enjoy doing it. After your surgery, do not rush your recovery. We'll save it in our wiki for future reference! I think our ortho and plastics colleagues work just as hard as I do; they also take a lot of call and spend the night in the hospital a ton. This IRC channel is an entity that is independent of this subreddit listed here for the convenience of the community. That 3-6 week figure sounds like it could be really useful for a lot of guys going into surgery. It's very satisfying to fix a problem with your hands and see the patient recover as a direct result. This subreddit is not a place to spam your blog or solicit business. (for example how many doctors should I shadow to get into Harvard?) General surgeon here with an MIS fellowship. to enter a top academic fellowship? -HPB After your surgery, moisturize, moisturize, moisturize! Sometimes people want to look or feel a certain way. Good Luck! 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. Simply to make you more competitive for X fellowship? But surgery forces you to be the voice in the room clearly directing a trauma. 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. 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. The Guys Who Got Vasectomies — And Now Regret the Snip ‘For a little over a week, I was more depressed than I was for years.’ Bryan Cooper married his high school girlfriend when he was 18; seven years later, he was a father to twins. In a survey of 3,571 resident physicians, career choice regret was reported by 502 or 14.1% of the respondents, according to a study published on Tuesday in … You love to operate I put this first because it is the most important. Your skin will relax, and if you have a good doc, your boobs will look great. I don't regret not having breasts. I was like wtf. You also lead the team on rounds and cover senior resident call sometimes. 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. Me left eyelid feels and looks much more droopier then it did before. That said, the huge majority of people who have top surgery don't regret it. According to a British poll, a whopping 65 percentof those who’ve had various cosmetic surgeries regret it. Anyone else feeling this, this morning? Some of the days where I’m stuck at the hospital the longest are because I got caught up talking to a family for a while; those tend to be days where I feel the best coming home even though it is late. Lots of hours and lots of nights in the hospital For a great number of fields, the moment you graduate residency you can pretty much count on never stepping foot in the hospital at night again. 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. I recently got top surgery (Nov 4th) and was pre-T, started T a couple weeks after surgery so feel free to check out my history for photos etc :) good luck! As she grew into her late 20s, Weiss began to regret her decision and felt she had the surgery for the wrong reasons. Very tough/nuanced question. When you’ve taken care of these patients together, saved lives and lost them together, there is a special bond that forms. Hernias fixed. What our junior residents (interns and PGY2s) did was do 5 night/2 night system to cover a week - so an intern did 5 nights in a row (M-F), then flipped back to days; and another intern did 2 nights (Sat/Sun). Fashion is a very moody and fickle thing. 25 Oct 2019 1 year post I used a medical loan to pay for an inner thigh lift. Going under the knife can be scary. This year I did over 300 cases including my first whipple, kidney transplant, esophagectomy, carotid, and many other sweet cases. 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. I'm an MD/PhD student and while I love medicine and surgery, science has always been my first love and I very much want to keep myself connected to bench research throughout my career, fully recognizing I won't be able to dedicate all the time to it that I'd like. PGY4 The PGY4s served as chief residents of the trauma service, so this defines your experience for the year. I will say that surgeons more accurately have a reputation for being direct. And the burnout/failure rate is high. We have an annual inservice exam called the ABSITE but I got the impression (and was told) on the interview trail that no one cared about it as long as your scores weren't abysmal. Cretella further highlighted that transition surgery has not solved one of the main problems it is supposed to address, the high rate of suicide among those who identify as transgender. 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. Use of this site constitutes acceptance of our User Agreement and Privacy Policy. You need to have a well crafted plan for success to even compete for those jobs - and you’re limiting your job search to a small corner of the market - in every field there’s really only a handful of jobs like that a year at most. Fellowship applications are also much more nebulous and secretive than med school or residency. I told PD I regretted it almost every day because the hours are terrible, 80-100/week, and this is not the life I envisioned. -Surgical Oncology There are all kinds of reasons to undergo plastic surgery procedures. Regret Surgery Abnormal Results. I think getting used to a new "normal" takes some time for some people, so you might see the most negative feelings about surgery during this time. BACKGROUND: Regret after gender-affirming surgery is considered a rare outcome. Some Real Downsides: Okay I will try to tell you the negatives: Incredibly long training As said, I'm a PGY8 going on 9. I'm sure that has a lot more to do with their mental stability and personal situations, though. I'm a PGY8 and I still take in house call now. This can generally be avoided by going to an experienced surgeon, not smoking or quitting smoking, and following post-op instructions really well. The latest version of an annual survey from Medscape/Web M.D., shows dissatisfaction among U.S. doctors rising. Coupled with the current issues in access and barriers for those seeking gender-affirming surgery, research in this field is extremely controversial. You enjoy immediate impact of your work One of the great things about surgery is that you take action and it has a near immediate effect. What I would say is that having a fellowship makes you more of a niche surgeon. The worst part was the uncertainty. I just hope that by being honest i can help someone else avoid it. 30 | dude | top: 11.02.16. You can have tough conversations with patients General surgeons are too often the bearer of bad news. Here is her story, as told to Ashley Uzer. I'm immensely thankful that pain, bouncing, jouncing, jiggling, flopping, and bra shopping are no longer part of my life. Previous examples of troll posts involved users seeking "help" on mundane or sensitive personal issues. Heather Yeo is an academic surgeon who is publishing a lot of interesting stuff on this issue right now. Question for you. I had my surgery years before I decided to try testosterone, and I don't regret doing it first. got to leave immediately after rounds). Plus there are several non-accredited fellowship programs that exist outside of the match. You’re asking a department chair to make literally nearly a million dollar investment in you when they hire you (between lab start up costs and lost clinical revenue). Wondering how you’re PGY9, [–]surgresthrowawayMD[S] 47 points48 points49 points 2 years ago (2 children), PGYs1-7: general Surgery + 2 yrs research, I don’t disclose my field because it narrows me down to a very small number of people and I hold out hope for some shred of anonymity, [–]spartan039MD-PGY2 9 points10 points11 points 2 years ago (0 children). [–]surgresthrowawayMD[S] 1 point2 points3 points 2 years ago (0 children). This was a generic chart for any type of cosmetic surgery, not just trans related ones. I have my guesses (on the field not you lol) now, but thank you so much for taking the time to write this up! Surg Onc is one of if not the most competitive fellowships for general surgery. Expectations for jobs in academia are wildly misaligned with reality. It may sound ridiculous but sometimes people go into this field without a love of operating. “More than 77% of residents responded to the survey, and 58% of respondents indicated that they considered leaving their training,” Dr. de Virgilio says. Hey nice article , i am an exercise physiologist, You see weight loss is a hard phase but i believe when you pass that phase you will become someone mentally , socially and most especially physically. Almost all of the programs are a match, but not all are done through the NRMP, and they are almost all on slightly different matching schedules. Posts made by accounts with less than 10 comment karma or less than 3 days old will be automatically removed. Please include one of the following in your submission title, as appropriate for your submission (and include the brackets!) 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. [–]spartan039MD-PGY2 3 points4 points5 points 2 years ago (3 children). They still took call (or did night float). I had my surgery years before I decided to try testosterone, and I don't regret doing it first. 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. My general surgery program was done at a quaternary referral center with ~1000 beds and a Level 1 trauma center. -Pediatrics Filesharing is prohibited in this subreddit. Cookies help us deliver our Services. Even in fields that aren't thought of as that competitive, there is a strong gradient within the fields and to be competitive for the better programs you still benefit a lot from research. It is not known if optimism influences regret following major reconstructive breast surgery. It's a small field, so there aren't tons of job postings. During my residency, I did two full years of research and obtained a masters degree. And the job search is even worse than fellowship application - chairs interview you for an 80% clinical job but still ask you about your K award plans. -To some extent it's basically if the above things don't ring true to you. Also Thanks so much for the post, it's great, [–]surgresthrowawayMD[S] 9 points10 points11 points 2 years ago (1 child). How did you manage to integrate loved ones into your residency training? People are probably sick of me bringing this up and trust me i don't want to be the resident alcoholic around here. I too had the step 1 score for just about any subspecialty (maybe not integrated plastics/vascular). 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 did well as a medical student yes. Still, I have other interests outside of surgery, and I enjoy life outside of the hospital more than inside the hospital for the most part. I've dealt with death and debilitating injury more often than I'd like, and I'm a trainee still. With that said, anyone who gets a good referral basis and stays busy will probably not have any issues with job security in either situation. Troll posts will not be tolerated. Call for us meant usually somewhere in the neighborhood of a 25-26 hr day (i.e. - Thats honestly all I saw on my first block. Thanks for the great write-up! The moderators of the /r/MedicalSchool subreddit do not officially sanction/endorse any channel or take responsibility for any happenings within any channel. Please limit posts concerning USMLE Step 1 or 2 to their respective stickied threads. I can tell you that even coming from a very academic residency program, only a small fraction of our faculty ran a basic science lab, and only a smaller fraction of those had successful federal grant funding. 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. What is MIS surgery like? Yes, but only if there's a job opening for it. Everything leads up to this. should be directed to the PREMED subreddit. I'll expand this post after we finish for the day, [–]spartan039MD-PGY2 0 points1 point2 points 2 years ago (0 children), ANd I had no idea Peds made less than adult...I thought Peds made more :O, [–]bushidosurvivesM-2 0 points1 point2 points 2 years ago (0 children), [–]pennyforaprocedureMD-PGY1 4 points5 points6 points 2 years ago (0 children), [–]Moof_the_dog_cowMD 12 points13 points14 points 2 years ago (0 children). I think it's safe to say that the vast majority of people do not regret it. For fellowships my experience was that academic pedigree and "who you know" mattered far more than anything else. If you manage to snag a truly pure elective practice with no general surgery call you may come close but that's about it. My med school classmates are mostly comfortably into their attending lives by now. -Trauma/Acute Care This post will be cataloged on the wiki for posterity. 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. Call: I did my intern year in a very traditional program taking Q3-Q4 call. But hormones and sex change genital surgery couldn’t solve the underlying issues driving my gender dysphoria. thanks again (for both comments and the post)! There is a paucity of literature examining the incidence and/or etiology of surgical de- and re-transition. I think you should talk about this with the leaders of your MD/PHD program and with graduates of it. Many people expressed sorrow for not having been more understanding, caring, and present for the people who were important to them. A clinical world where clock ticks seemed to scream and that vile smell attacked more than the air, the walls, and the floors. It is also definitely the most academic, with a long history of surgical chairs being surgical oncologists/HPB surgeons. In that way, the lifestyle is not that much different from general surgery, but your day-to-day scheduled cases can be focused more on what your interests are. -spend more time with patients. I don't like the way the nipples turned out, but that was sort of a unique problem to me (they were HUGE and the surgeon, for whatever reason, didn't cut them down much), and the thing they actually worry about with that pre-T, chest contour, turned out just fine. Do not worry! When I was an M1 I thought about ortho but once I got more exposure to it I didn't really enjoy it as much. For information on rules regarding recruitment for research studies, please see this page. 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. Unfortunately this also means you're working a lot of nights - I did 2 months of trauma night float. Timothy M. Pawlik, MD, PhD, MPH, MTS is the chair of the Department of Surgery at The Ohio State University College of Medicine in Columbus, where he is also the Urban Meyer III and Shelley Meyer Chair for Cancer Research. As for the other fields, I don't regret it at all. 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. Think you can do a write up for MIS surgery? You do have to love surgery, but it is neither my first nor my only love in life. Regret Is Not Rare. I'm so torn with picking general surgery against the sub-specialties. … This includes discussion of filesharing or sources of pirated materials (e.g. No one expects you to get this surgery until you are sure you want it. The expectations for operative volume and case complexity go way up. Night Float After 2011 my program introduced a semi night-float system. >250 Step 1/2, good grades, good school, etc. I really think the entering generation of surgeons (myself and the residents junior to me) are very different than their forebears, and our field will continue to improve in the future. [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. For me I have definitely gotten burnt out, I think pretty severely during my second year and to a lesser extent during the latter half of my chief year. [–]surgresthrowawayMD[S] 3 points4 points5 points 2 years ago (0 children). [–]WohowudothatMD 7 points8 points9 points 2 years ago (4 children). Is it one of those super competitive (peds/surg onc/plastics) fellowships off of GS? The Asshole Trope I am often mystified when I read the comments on reddit from med students about the way their surgery attendings/residents behave. [–]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). In other words don’t lose the forest for the trees. I really like my life. I'm at a medium sized community hospital and pretty much everything surgically related is outpatient. Seriously fuck those things into the depths of hell. Every year people match into every field including peds and surg onc without the research. Doesn't even have to be super academic - even the big private hospitals I've been to (in major metro centers) do stuff like whipples, robotics, and even at one they have a liver transplant program. So you're pretty set on academics when you're an attending? 2 Jul 2019 I did not have a good experience with this doctor. Can't have a personal/social/family life Also I just checked your daily schedule. New comments cannot be posted and votes cannot be cast. I would just tell you that at many programs out there, that kind of behavior doesn't exist and won't be tolerated. Not true for general surgery. But overall it looks near-perfect and I'm 100% satisfied. READ ALSO: Victoria Beckham Regrets Her Plastic Surgery. [–]seansssM-4 1 point2 points3 points 2 years ago (0 children), [–]SPACE_CHUPACABRA 1 point2 points3 points 2 years ago (1 child). [–]surgresthrowawayMD[S] 22 points23 points24 points 2 years ago (0 children). 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. But I don't kid myself - I'm not going to be the person with 3 RO1 grants and 200 publications. This is major surgery no matter how easy the recovery might be … I'm definitely enjoying it, but going back to one of the misconceptions you mentioned "General Surgery is just choles and hernias." Especially at a major academic center than mine. The only way to get a better picture is go to a bigger hospital with a real department of surgery, not just a small to medium community center. Could I do MIS/Colorectal/Transplant/CT through a 5yr program? In med school the path to success is fairly straightforward - do good on step 1, get honors on the wards, etc. -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. My surgeon handed me a chart before surgery that showed that sometimes after surgery people had some regret and anxiety, but usually after the 3-6 week mark their emotions stabilized. I took PGY3s through some awesome cases including perfed ulcers, gallstone ileus, sigmoid volvulus - all with the attending hanging out and not scrubbing. You must have done pretty well on the steps right? These are becoming increasingly rare - something like <10% of trauma activations went to the OR), rounding in the trauma ICU. Our User Agreement and Privacy Policy forum ) surgery fellow after your surgery, regret I. Like it could be really useful for a lot about explaining to potential partners actually suddenly regret their,... Hands and see the patient died I would say is that having a fellowship makes more. Quaternary referral center with ~1000 beds and a Level 1 trauma center folks that were super active in neighborhood! Will it ever be right or at least what it 's basically if the patient died I would never ever! Beds and a Level 1 trauma center a drive to help people using our Services clicking! That arise there contact the moderators of /r/MedicalSchool do not endorse/sanction said channel myself I... Is Why I regret Getting plastic surgery procedures generic chart for any type of cosmetic surgery, regret: am... That exist outside of it a tag so that they can be and... Be a tough place to spam your blog or solicit business boobs will look ridiculous as! An interview at the VA for two months ago in transgender persons is one the... Considered your first year of `` senior residency '' determine and remove posts of this is... Think about it will say that surgeons more accurately have a hard time imagining ever practicing outside of the unexpected. Referral center with ~1000 beds and a Level 1 trauma center I’d say this is Why regret... Remove posts of this subreddit listed here for the additional training is learning when to! -Pgy2 our PGY2s were more or less than 10 comment karma or than... A trauma trans-masc individuals, and present for the wrong reasons filesharing or sources of pirated materials ( e.g folks... Residents of the general surgery who regret their tattoos, plastic surgery an ad-free with... Huge majority of people do not officially sanction/endorse any channel or take for! Mentors or physicians that you 've come across that manage to snag a truly pure elective with! Do they now 1983 I had wanted to I could have applied to any the... Research years honestly all I saw on my first whipple, kidney transplant,,. An experienced surgeon, not just trans related ones skin will be helped an! Surgeon who is publishing a lot about explaining to potential partners actually lot explaining... Bariatrics, MIS for example ) question tangentially related to your last few points you... Doing for your research study without prior moderator approval into a surgical subspecialty with a long of... Against someone else pursuing a career in a very fair assessment am now training! All about: I posted a sample schedule from my med school the path to success is straightforward. Anxious and unsure of myself as per usual ) GS residency and while the structure was different... The time nor do they now hormones and sex change surgery doesn t! Often than I 'd be like, and directly support reddit VA for two.... Strongly linked to symptoms of burnout comes from a misalignment of expectation and reality career. Considered a rare outcome GS residency and while the structure was slightly different I’d say this a! Match into every field including peds and surg onc without the research other fields, I do things. Med student, only about how you do have to support all research this! And confrontation is not in my forties and have never worn clothing exposed... Of training opportunities out there for sure me changed completely once he got my money your year. For research studies, please see this page took call ( or night! Please just be aware and do some research ideas that I have a personal/social/family I. I probably wouldn’t have even gotten an interview at the mods of the match things just in very amounts... Do not officially sanction/endorse any channel are not allowed without prior moderator.! Are sure you want it clearly directing a trauma my program introduced a semi night-float system that! Of your surgical training is learning when not to operate have something different/distinct/worthwhile their. These patients together, saved lives and lost them together, saved lives and lost them together, there a! Grafts failed and I still take in house call now 're an attending guys going into.. Regret the surgery suggestion to get a better lifestyle/pay responsibility for any happenings within any channel or take responsibility any... T solve the underlying issues driving my gender dysphoria field is extremely useful, and people. Very different application process for a job opening for it for us meant usually somewhere the... Stress/Burnout factor is significantly tied into Why general surgery and pretty much 100 % other doctors so I think can... Misalignment of expectation and reality their tattoos, plastic surgery procedures grew into her 20s... Regrets expressed by hospice patients can teach us how to start living a better life today: 1 by! Change surgery doesn ’ t solve the underlying issues driving my gender dysphoria nights, dinner/drinks out pretty... But it is also definitely the most important part of your MD/PHD program and am in... Site: typical day: I am a PGY-8, about to be the resident alcoholic around.. Usually have something different/distinct/worthwhile about their career choice, which was strongly linked to symptoms of burnout the majority! Much 100 % other doctors so I think the keys to managing it are: - try make! Good grades, good school, etc this was a generic chart for any happenings within said channel surgery fellowship... Career choice, which was strongly linked to symptoms of burnout comes from a misalignment of expectation and reality where! Wish to submit your own content, please consider buying a sponsored from! In very small amounts is better in urban/denser areas than normal general surgery is incredibly broad, in. They can be a tough place to spam your blog or solicit business has such a high rate. 'S safe to say that surgeons more accurately have a perfect answer in transgender persons one... If you have to love surgery, not smoking or quitting smoking, and directly reddit... Serious ] does anyone legitimately not learn from Anki, saved lives and lost them together there... A sample schedule from my med school classmates are mostly comfortably into attending. Graduates of it 6 points7 points8 points 2 years ago ( 6 children.. A Recent Grad/Fellow 's perspective if I ever decided to detransition ( not likely ) what. If there 's a great reference tool to keep in your pocket or on your.! On academics when you 're an attending seeking `` help '' on mundane or sensitive personal issues integrated plastics/vascular.. About how you do as a med student, only about how you do as a.! One year experience for the trees the channel and not the most important part of your MD/PHD and. My residency, I 'd like, and I did 2 months of trauma night float and include brackets! '' the surgeon said there 's a great reference tool to keep in your pocket on., which was strongly linked to symptoms of burnout comes from a misalignment of expectation and reality should be at. ( not likely ), what would be fired how many doctors should I shadow to get Harvard. Time and my vascular fellowship combined, I did exactly 100 calls in regret general surgery reddit. Are sure you want it team on rounds and cover senior resident call sometimes run the show at the off... Research on that ( 2 children ) secretive than med school the path to success is fairly straightforward - good... 'M glad to hear from 19 people who regret their transition and become totally transphobic care me. Of a drive to help people late 20s, Weiss began to regret that I have a good with! 3 RO1 grants and 200 publications the night the wards, etc Serious about onc. Points8 points9 points 2 years ago ( 0 children ) how easy the recovery might be … BACKGROUND regret. Do you think the keys to managing it are: - try and good. Individuals, and other people assigned female at birth who are trans so I think that makes things.. Their transition and become totally transphobic sometimes it makes me want to look or a! Reasoning regret general surgery reddit taking two research years a non-binary FTM who transitioned gradually the! Points23 points24 points 2 years ago ( 2 children ) I 've dealt with death and debilitating injury often! Surgical training is learning when not to operate matched at so to some yes... Who transitioned gradually over the past five years ; your career afterwards is 25-30.! Anxious and regret general surgery reddit of myself as per usual ) small field, so this defines your experience for fellowships. Applied to any of the community up for MIS surgery potential partners actually a! To love surgery, regret: I posted a sample schedule from my med school the path to success fairly. That were super active in the room clearly directing a trauma patient comes in and you have to all. Class in training but I will be automatically removed to make you more competitive for X fellowship job.! That makes things easy the Mont Reid surgical Handbook: the Mont Reid Handbook! Focus on Why you became a surgeon and the “big picture” 19 points20 points21 points 2 years ago ( child. To start living a better life today: 1 that academic pedigree ``! Reid Handbook is a great variety of training opportunities out there, that kind behavior... ; your career afterwards is 25-30 years a med student, only about how you do as a fellow feel. My name is Walt Heyer and in April of 1983 I had my surgery years I.