Expect some flames. But start here:As im considering possible career options, CT surgery seems to catch my interests a bit. But, i keep hearing stories about its bleak future. Anyone have a take on this? Do you believe that CT surgery will remain a viable field?
Don't forget that you can't be lazy in CT Surg.As im considering possible career options, CT surgery seems to catch my interests a bit. But, i keep hearing stories about its bleak future. Anyone have a take on this? Do you believe that CT surgery will remain a viable field?
Yikes, I just read the post Blade quoted... CT surgery is all about mundane details and hard work, like most of surgery. But if you get it wrong, the stakes are much higher than for a hernia. But look, the important thing is that you can decide not to be lazy, to relentlessly pursue getting the mundane details right. You just have to decide to do it, and practice changing yourself in that way. The fact that you recognize those tendencies in yourself is the first step.im not really lazy, i was over exaggerating. I just like doing things that spark my interest more, thats all
I think Anka hits the future of CT surg training spot on: programs need to offer comprehensive training in not only traditional cardiac and open thoracic surgery (including esophageal), but endovascular techniques (thoracic aneurysms [suck it vascular!], valves, etc), extensive VATS exposure, endoscopy, bronchoscopy, mediastinoscopy, VADs, minimally invasive cardiac, off-pump cabg, and, while not necessary in my opinion, its always a bonus to have tranplant and endarterectomy experiences too. Fellows that don't get trained in most of these techniques will find it hard to compete, both for jobs and for patients, against those who have a complete set of skills and techniques at their disposal.The vitality of the field is probably the more important question. One of the reasons cardiac surgery is in the situation it is in right now is that it became strongly attached to a single set of tools, and when the tools changed they didn't pick up the new tools, seeing themselves as above it. In certain centers there are now good opportunities to learn the new tools (endovascular techniques, robotic surgery, Heart Port, VADs) as a fellow. These same centers tend to have more excitement about CT surgery. At other places (e.g. Hopkins) they are under the impression that cardiac surgery is dead, and if you go into it you're going to wind up driving a taxi.
Best of luck!