Our program was academic, but didn't really focus on research. I had about 3 weeks if you include SICU, etc. and join one of thousands of communities. Try to make the resident's life easier (i.e. Everyone from a 600 mile radius will call you about some peds stuff, so it's exhausting. When we do BKAs and the like, we appreciate PM&R taking over from the rehab side of things. General is notorious for being a pretty rough residency and one week really isn't enough for a real exposure. So there's never an end to the fun. Used to be one general ortho surgeon could do surgeries all over the body. On the side i have a lot of different side hustles including IMES, case reviews, and even some locum work. It's unfortunately something we will never live down. Know where the reds, blues and yellows are. In 3rd year, we had a bit of a reprieve and mostly did 3 month rotation blocks in hand, VA general, hand at county, and spine again. This post will be cataloged on the wiki for posterity. ResidencyGeneral Surgery vs. Ortho (self.medicalschool). [–]NoCriticism1549[S] 5 points6 points7 points 16 days ago (0 children). To get the volume you need to survive, chances are you’re living in a city. I have seen some programs with a 6th year with one year dedicated to research. And this segment of pay i believe will likely increase in the future. I'll try to edit stuff down the road. get the supplies ready). Thus the fellowship heavy training, which leads to even less that residents do (as fellows do all the surgeries). The term used by Andry itself is derived from the Greek words ὀρθός (orthos), which means “correct” or “straight”, and παιδίον (paidion), which means “child”. The moderators of /r/medicalschool do not endorse/sanction said channel or bear any responsibility for any happenings within said channel. Ortho especially has that lazy reputation but I think that's one of the worst things to base your specialty choice on. Otherwise ... again for me it’s a no brainer. In 5th year, this is where it all comes together. Hi reddit! You can do as much or as little as you want. I also loved the breadth of general surgery, and felt that the gen surg residents were able to manage the sickest people in the hospital. 5 year vs 7 year residency. As always, how much money you want to make depends on how you want to work. There's a formula somewhere. However there are other academic programs where it's really focused on. And if you're talking about spine and back pain? We also know you more than likely haven't reduced and splinted a ton (any?) I would hope that we think you guys are just part of the team. It seems reasonable to persue a career in hand surgery after a general surgery residency. Not just interview offers. Orthopedists, often mistakenly referred to as orthopedic doctors, specialize in diagnosis, treatment, prevention and rehabilitation of musculoskeletal conditions.Orthopedic surgeons also diagnose, treat and prevent musculoskeletal problems, but they can perform surgery when … Any and all responses welcome! [–][deleted] 10 points11 points12 points 16 days ago (1 child), Ortho is probably the biggest self selecting based on personality specialty in all of medicine behind neurosurgery. This is also a time when you reflect on how poor you are. Why do you want to "not lose your medicine knowledge" and how do you know you will? Ranking at or near the top of your class, and a COMLEX score in the 85th percentile or above, are baseline qualifications for competitive applicants. Never knew i wanted to do ortho in med school. I'm wondering how much research experience your residents have? Should you wish to submit your own content, please consider buying a sponsored link from reddit. Use of this site constitutes acceptance of our User Agreement and Privacy Policy. Typical operative volume for intern year was ~100 cases - mostly melanoma/breast/hernias with the occasional lap chole and appy. I'm not asking rhetorically? Thanks for the great write-up! I know surgeons working at Kaiser that work 35-40 hours a week and make 400k. But then i work my extra jobs because i'm bored, but that's a personal decision. I had no idea this is an option. Surgical oncology3 3. If I am at a huge debate between ortho/neurosurg (both share spine, both use cool toys). Are you Competitive for Orthopaedic Surgery? Nerves/CNS? This subreddit is not a place to spam your blog or solicit business. For people who have chosen between general surgery and orthopedics (or other surgical sub-specialties), how did you choose one over the other? Our rotations at that time were trauma, joints, and spine. There will be a moment where you reach the singularity point and all that training comes together. I have only had one week of exposure on each during MS3 year and am having a really tough time deciding on a 5 day snippet of a potential career. Residency years: Intern year: You're essentially another gen surg prelim. But more helpful would be if you "fit in" like the ortho bros. And that of course is program dependent. Posts made by accounts with less than 10 comment karma or less than 3 days old will be automatically removed. 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. They say MSK pain/problems is 80% of a general medicine practice. So we got treated like shit, but we also did a lot of surgery. I chose gen surg because I really liked medicine. Both “orthopaedics” and “orthopedics” are derived from orthopédie, a French term coined by 17th -century physician Nicholas Andry de Bois-Regard. But in smaller towns, this will become an issue. Maybe a couple of hours of work a month. Hopefully attendings will leave you in the room by yourself and you can go skin to skin without interruption. I’m trying to become a doctor, [–]Johnny__Buckets 3 points4 points5 points 16 days ago (0 children), Because somebody needs to polish the ivory so admin can boast from their tower. These experiences have allowed me to develop certain traits that would make me a valuable member of an orthopedic team. It's brutal but try scheduling sub-Is for both early in your fourth year. I think this trend initially started to persuade people / fill people in on a field that was relatively unknown (PM&R). If you are looking for an academic position after training, then it becomes slightly more important. In general surgery residency, you are required to do a certain amount of trauma training. There's a raging debate as to how much the OITE actually correlates with board pass rates. Background: I'm a board certified orthopaedic surgeon. They make 1 mil prolly. We call them needle jockeys. Housekeeping: Due to the way residency is structured, residents now are getting less hands on experience than ever. Also lifestyle angle, not sure I’ve met many lifestyle oriented neurosurgeons. Did some research and published towards 4th year, but almost after the fact in terms of applications. This means interviews you actually go on and subsequently rank. Thus another reason why everyone does a fellowship, not out of interest but pure necessity. Ortho is less life and death, less serious. The fields are completely different. I have friends with two, even three fellowships, which i think is insane. I was a 4th year AOA. 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. Posts not following this rule will be deleted. 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. One of my good med school friends did neurosurg. Felt a twinge in that shoulder while lifting weights? It has 5+ editions and regulated updated with new and lasted surgical techniques. The non-spine Ortho stuff or the non spine neurosurg stuff. Because of that, we've created our own shortage. Why though? Even though both are 5 years, many general surgery programs require you to do 1-2 years of research/masters/whatever in the middle of your training. Some are easier, some suck... 2nd/3rd year: Everyone's experiences will be different. Moderation issues related to the IRC channel should be directed at the mods of the respective channel. Overall, we expect you to be available/affable >>> able. Mastery of your field: Like the derm post, no one knows your field like you do. They absolutely love what they do but you should only do it if you love the subject matter, [–]u2m4c6 6 points7 points8 points 16 days ago (0 children), For sure, but that stat is still pretty impressive to me, [–]ArendelleAnna 24 points25 points26 points 16 days ago (1 child). 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. I mean the OR was cool, but we were always dealing with ventilators, and chronically ill patients, and hardly ever in the OR. Side Note: Didn't see an ortho post so figured i'd fill in a blank. [–]DicTouloureuxM-4 9 points10 points11 points 16 days ago (0 children). That's something I'm not super keen on losing, [–]Jglash1 3 points4 points5 points 15 days ago (0 children). Because that's going to be the majority of your life during residency. Please limit posts concerning USMLE Step 1 or 2 to their respective stickied threads. The bad is that your surgical experience will suffer. However, research is NOT necessary for a fellowship, unlike say peds surg (gen surg fellowship). Orthopedic surgery or orthopedics, also spelled orthopaedics, is the branch of surgery concerned with conditions involving the musculoskeletal system.Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders Orthopaedic Surgery is among the most competitive residency positions to achieve, especially for International Medical Graduates (IMGs). Get an ad-free experience with special benefits, and directly support Reddit. I have essentially narrowed it down to these two, and have done all of my research in orthopedics (as I thought I was 100% set on it before really enjoying general surgery). The moderators of the /r/MedicalSchool subreddit do not officially sanction/endorse any channel or take responsibility for any happenings within any channel. Please include one of the following in your submission title, as appropriate for your submission (and include the brackets!) Don't ask to go home early. should be directed to the PREMED subreddit. In general, the best bet is to choose the doctor you feel the most comfortable with, or who has the most experience treating your particular condition. The Broward program, which is a dually accredited AOA/ACGME orthopedic surgery residency, recently received 450 applications for 3 training slots. We (at least at my program) will teach you. Anyway, let’s first talk about general surgery residency, okay? I think if you LOVE the nervous system and being a hero, saving lives, then neurosurg is for you. Now, we have a guy that operates on the left shoulder exclusively (/s). Troll posts will not be tolerated. 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. We do that. As you can see, orthopaedic has long been the preferred spelling in British English. Orthobullets for common ortho mgmt. This i believe has since changed, but 2nd year involved two 36 hour shifts … I have only had one week of exposure on each during MS3 year and am having a really tough time deciding on a 5 day snippet of a potential career. I'm asking because I think in medicine there's a lot of pressure from peers to do the hardest thing or work more and if you choose an easier route (not that Ortho is easy but it certainly doesn't suck as much as gen surg) then you're seen as lazy. Perhaps this scenario is a bit of a stretch, but it's intended to be just for fun! For people who have chosen between general surgery and orthopedics (or other surgical sub-specialties), how did you choose one over the other? Now with programs transitioning to ACGME accreditation under the s… You also could fall in love with another subspecialty theoretically. I think you should consider what you'll be doing besides spine in either. Essentials general surgery is used all across the globe. This was at the tail end of the toxicity, so the groups ahead of us were sometimes bitter while we were right as rain. handbook of fractures is good, but I think orthobullets is better these days. As a 2nd year, this is the feeling out period where the chief ortho residents decided whether you were worth something. But if you HATE spine like I do, then your options are more limited. [Shitpost] Reminder to read all of your daily emails because they’re super important. haha you're absolutely right! Back when i used to be a mp3 bot for AOL giving away music. Learn how to splint well. This will vary with the program. Is it more like, “oh that’s cute”, or is there any sort of respect at all? Misc: Board exams are 90% pass rate. The American Board of Orthopaedic Surgery suggests residency applicants interested in Orthopaedic Surgery should … Okay, but how much do I need to be able to bench to be considered competitive? This is to prevent spam/trolling. [meme]. Out of control. 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. Especially PMR interventionalists. A “categorical” position is one which offers full residency training required for board certification in that specialty. M4's thinking bout the future right now like, Name & Shame: University of Colorado School of Medicine, NP almost killed my pt and I’m terrified for the future of medicine. Have been out in practice for 4 years. What should I study coming into my SubI to really rock the rotation?? microvascular repair? Certain programs are more "bro" oriented, but that's changing. Doesn't hurt to stay fit. Some traditionalists do not want to give up that â aâ because, as they point out, pedo also translates as foot. This i believe has since changed, but 2nd year involved two 36 hour shifts tuesdays and thursdays and another 24 hour shift saturday, so you were working 100 hour weeks consistently for at least a 3 month rotation x 2 during our trauma service. But i think unlike the other subspecialty surgical fields, the volume of ortho is IMMENSE. Categorical vs Preliminary Most U.S. medical students seek a categorical position for residency training in a given specialty during their final year in medical school. So how similar are ortho vs general surgery residency as far as hours, personalities, etc...? Unlike residency apps, fellowships aren't as hard to get into unless you're looking for a top 5 program. Why don't you care if you lose your OB GYN knowledge? 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. 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. If you're taking care of lacs in the ED, be willing/able to sew it up. But since i saw a derm post, we should be good. On the downside, it's gen surg and it's intern year. When I applied, the magic number of interviews ensuring 90% or higher chance of Matching was 12-14. Banged your knee up playing soccer? Ortho has like 97% or some crazy shit of attendings answering yes to “would you pick your speciality again?” That should tell you everything you need to know. Neurosurg is also more research oriented as most if not all programs are academic. Residencies in orthopedic surgery take five years to complete, with applicants far outnumbering available slots. They thought I said Ortho because I'm a pretty big guy (definitely big for an Indian guy) and a big Lakers fan. Depending on the program, you should be mostly surgery heavy. of fractures. Our rotations at that time were trauma, joints, and spine. We do have an OITE program where we do practice tests throughout residency. we do that too. I have always wanted to do ortho, but I just finished my gen surg rotation, and I did not like it at all. EGSis one of the best selling surgery book on amazon. Brain/cancer mostly, and they get a CUT in pay. I think some community programs did even less. Personality of Ortho is diff than neurosurg. [–]xam2yM-4 6 points7 points8 points 16 days ago (3 children), One thing you could consider is how soon do you want to finish? Orthopedic surgeons are qualified to operate on patients if they require surgery as part of their treatment. Figure out when to seem interested and ask questions, when to sit back and just do work. I guess I could add some lettuce labeled “procrastination”. © 2021 reddit inc. All rights reserved. [–]genuinelyanonymous91M-4 38 points39 points40 points 16 days ago (0 children), [–]krazyglue5M-4 26 points27 points28 points 16 days ago (2 children). yep. Thanks for this!! Depending on the program, you should be mostly surgery heavy. If you want to be done with residency ASAP and start earning money, ortho would be the way to go. Know anatomy -- deforming forces on fractures, reds, blues and yellows as above. 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.

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