SDN members see fewer ads and full resolution images. Join our non-profit community!

Big vs. Small

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

  1. PreMedDocMD

    PreMedDocMD 2+ Year Member

    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?
  2. SDN Members don't see this ad. About the ads.
  3. Scrubbed In

    Scrubbed In 5+ Year Member

    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

    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.

Share This Page