EM vs. Surgery?

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

Misterioso

Membership Revoked
Removed
10+ Year Member
15+ Year Member
Joined
Dec 31, 2005
Messages
535
Reaction score
6
anyone here had to decide between EM and surgery (particulary general surgery). if so what reason(s) finally make you decide to go with EM instead of surgery? anything besides the time commitment required for surgery sway you to choose EM? thanks
 
I was always on the EM trail, but tried to keep an open mind. I kicked ass in medicine, and had my ass kicked in surgery. I was neither here-nor-there with surgery, but my interest was turned away by a sucky, ****ty surgical rotation - my costudents that were really into surgery got more out of it because they were into it from the gitgo. I forevermore stated that if I was told "surgery or nothing" that my response would be, "would you like fries with that?"

I thought I liked IM until I did it (a prelim year before EM), then I came to my senses. When I think of general surgery, there is less parallel than surgical subspecialties (like minor ortho, hand cases, head and neck like ENT, and wound closure that plastics or ENT might do), unless it is trauma - but then there's the paradox: to be a "traumatologist", the best place to be is in a "knife and gun club" environment, but, at the same time, trauma gets old, and then becomes a grind. And if it's minor surgery, it's even MORE minor medicine, which, if you're surgically-minded, would drive you NUTS.

It's not exactly what you asked, but hope it gives a little light.
 
Misterioso said:
anyone here had to decide between EM and surgery (particulary general surgery). if so what reason(s) finally make you decide to go with EM instead of surgery? anything besides the time commitment required for surgery sway you to choose EM? thanks

You might want to check out the search facility:

EM over/vs. Surgery:
http://forums.studentdoctor.net/showthread.php?t=142346
http://forums.studentdoctor.net/showthread.php?t=149337
http://forums.studentdoctor.net/showthread.php?t=88659
http://forums.studentdoctor.net/showthread.php?t=203038
http://forums.studentdoctor.net/showthread.php?t=86624
http://forums.studentdoctor.net/showthread.php?t=203239

EM vs. Trauma Surgery:
http://forums.studentdoctor.net/showthread.php?t=254706
http://forums.studentdoctor.net/showthread.php?t=254314
http://forums.studentdoctor.net/showthread.php?t=249166
http://forums.studentdoctor.net/showthread.php?t=202136

EM Procedures/Scope of Practice:
http://forums.studentdoctor.net/showthread.php?t=244418
http://forums.studentdoctor.net/showthread.php?t=228396
http://forums.studentdoctor.net/showthread.php?t=191364
http://forums.studentdoctor.net/showthread.php?t=168245
http://forums.studentdoctor.net/showthread.php?t=148375
http://forums.studentdoctor.net/showthread.php?t=148296
http://forums.studentdoctor.net/showthread.php?t=213080

EM Pros & Cons:
http://forums.studentdoctor.net/showthread.php?t=78317
http://forums.studentdoctor.net/showthread.php?t=178801
http://forums.studentdoctor.net/showthread.php?t=176799
http://forums.studentdoctor.net/showthread.php?t=173488
http://forums.studentdoctor.net/showthread.php?t=65205
http://forums.studentdoctor.net/showthread.php?t=162956
http://forums.studentdoctor.net/showthread.php?t=152743
http://forums.studentdoctor.net/showthread.php?t=138034
http://forums.studentdoctor.net/showthread.php?t=123541
http://forums.studentdoctor.net/showthread.php?t=101274
http://forums.studentdoctor.net/showthread.php?t=92207
http://forums.studentdoctor.net/showthread.php?t=242399
http://forums.studentdoctor.net/showthread.php?t=178801
http://forums.studentdoctor.net/showthread.php?t=187099
http://forums.studentdoctor.net/showthread.php?t=65097
http://forums.studentdoctor.net/showthread.php?t=252542 :laugh:

If you do a similar search, restricted to the surgery forum, you'll come up with threads such as:
http://forums.studentdoctor.net/showthread.php?t=57795
http://forums.studentdoctor.net/showthread.php?t=142349

HTH
 
MedWiz said:
You might want to check out the search facility:

EM over/vs. Surgery:
http://forums.studentdoctor.net/showthread.php?t=142346
http://forums.studentdoctor.net/showthread.php?t=149337
http://forums.studentdoctor.net/showthread.php?t=88659
http://forums.studentdoctor.net/showthread.php?t=203038
http://forums.studentdoctor.net/showthread.php?t=86624
http://forums.studentdoctor.net/showthread.php?t=203239

EM vs. Trauma Surgery:
http://forums.studentdoctor.net/showthread.php?t=254706
http://forums.studentdoctor.net/showthread.php?t=254314
http://forums.studentdoctor.net/showthread.php?t=249166
http://forums.studentdoctor.net/showthread.php?t=202136

EM Procedures/Scope of Practice:
http://forums.studentdoctor.net/showthread.php?t=244418
http://forums.studentdoctor.net/showthread.php?t=228396
http://forums.studentdoctor.net/showthread.php?t=191364
http://forums.studentdoctor.net/showthread.php?t=168245
http://forums.studentdoctor.net/showthread.php?t=148375
http://forums.studentdoctor.net/showthread.php?t=148296
http://forums.studentdoctor.net/showthread.php?t=213080

EM Pros & Cons:
http://forums.studentdoctor.net/showthread.php?t=78317
http://forums.studentdoctor.net/showthread.php?t=178801
http://forums.studentdoctor.net/showthread.php?t=176799
http://forums.studentdoctor.net/showthread.php?t=173488
http://forums.studentdoctor.net/showthread.php?t=65205
http://forums.studentdoctor.net/showthread.php?t=162956
http://forums.studentdoctor.net/showthread.php?t=152743
http://forums.studentdoctor.net/showthread.php?t=138034
http://forums.studentdoctor.net/showthread.php?t=123541
http://forums.studentdoctor.net/showthread.php?t=101274
http://forums.studentdoctor.net/showthread.php?t=92207
http://forums.studentdoctor.net/showthread.php?t=242399
http://forums.studentdoctor.net/showthread.php?t=178801
http://forums.studentdoctor.net/showthread.php?t=187099
http://forums.studentdoctor.net/showthread.php?t=65097
http://forums.studentdoctor.net/showthread.php?t=252542 :laugh:

If you do a similar search, restricted to the surgery forum, you'll come up with threads such as:
http://forums.studentdoctor.net/showthread.php?t=57795
http://forums.studentdoctor.net/showthread.php?t=142349

HTH

Bravo! :clap:
 
Wow! That is impressive! I think that you will find many EM folks are very proceedure oriented at first, and like the fact that you "do everything" in EM. I loved Urology (it was my 2nd choice), as well as all the surgery. But then I realized that Surgery is awesome when you operate, but most surgeons also run clinic in the afternoon, which sucked. In school w/only did the OR stuff so the rotation was awesome (except for hours), and we never did clinic.

So I went to an attending and asked if I could follow him for the whole week, including clinic and other duties. It pretty much wasn't that much fun when you operated from 7-noon, and then clinic from 1-5:30p every day. Thank god I followed him, because after I saw that surg entails just as much (if not more) clinic hours as OR hours, I wasn't into it as much.

Plus, EP's are just an awesome bunch of people (at Cincy they where going skydiving after a shift during my rotation).
 
The lifestyle is completely different as well. In surgery, your contiguous number of hours worked are much higher in that you're talking a minimum 10 hour day plus call. This means that if you work all day and have two or three emergency cases from call plus your regularly scheduled cases and clinic the next day, you're up for 36 hours.
 
thanks for the help and links, much appreciated. i'm not too thrilled about clinics either. i wish a surgeon could just operate and let other doctors handle the clinic work!...but i know that's not possible.
 
Top