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Big vs. Small

Discussion in 'Surgery and Surgical Subspecialties' started by PreMedDocMD, Mar 6, 2007.

  1. PreMedDocMD

    PreMedDocMD 2+ Year Member

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    Feb 27, 2007
    What are the advantages and disadvantages of having a big vs. small program. For example, usually GS (and IM- doesn't necessarily have to be surgery, but I am more interested in surgery) has a lot of people, like 20 or so. More specialized areas, like orthopedic surgery or neurosurgery have a small amount of slots, like 5. What are the advantages of being big vs. small? Which one is better?
     
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  3. Scrubbed In

    Scrubbed In 5+ Year Member

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    Nov 12, 2006
    General surgery programs tend to have fewer slots per year than medicine programs. 6-10 for surgery vs. 20-40 for medicine. The surgical subspecialties (ortho, plastics, urology, etc) have less and typically take 3-6 per year.
     
  4. Winged Scapula

    Winged Scapula Cougariffic! Staff Member Administrator Physician Faculty Lifetime Donor Classifieds Approved 15+ Year Member

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    Apr 9, 2000
    hSDN Member
    Big programs:

    Lots of other residents to commiserate with; camaderie
    Coverage if someone is ill, needs leave, etc. (ie, your call doesn't go from q5 to q3)
    Can be a problem if seeing enough patients, doing enough cases is an issue - make sure their is adquate patient volume

    Small programs:

    Can become quite close (essentially have to) with other residents
    Personality differences magnified in small groups
    Lack of coverage if someone takes leave
    More cases

    These are just generalizations - there are some surgery programs which have double digit figures for residents each year, but most tend to fall in the 2-8 numbers of Categoricals per year rather than the larger numbers for IM.
     

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