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General vs. Ortho

Discussion in 'Surgery and Surgical Subspecialties' started by Southpaw, May 12, 2008.

  1. Southpaw

    Southpaw ASA Member 10+ Year Member

    Aug 12, 2004
    Last edited: Sep 8, 2008
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  3. Castro Viejo

    Castro Viejo Papa Clot Buster 10+ Year Member

    Jun 3, 1999
    My understanding is that the lifestyle in both Ortho and General Surgery are pretty comparable, meaning both require relatively long workdays. The pay in Ortho, however, is infinitely better than in General Surgery.

    Almost impossible from what I've seen. Ortho spots, in general, are hard to come by and they don't tend to open up all of a sudden. General Surgery, while increasingly more difficult in recent years, isn't as competitive. And there are plenty more upper level General Surgery (R3 and R4) positions open than Ortho (probably from attrition more than anything else).

    Generally, yes. But some stronger community programs have no problems with placing their Chiefs into academic fellowships.

    Yes, they're recommended if you're looking to match outside your home program to a top General Surgery residency program. As for whether or not it's too late, I don't know... That depends on the availability of slots at whatever program you're looking into.

    I wouldn't focus too much on the lifestyle or money issues since it's difficult to predict what attending-hood for you will be like in five or more years after training. Who knows? If Obama or Clinton become President, you might be doing that Whipple or Total Joint for about $50.00 (before taxes).

    Instead I'd think about what gets you out of bed in the morning and whether or not knocking away at bone all day while you're dressed up like Buzz Aldrin is your thing.

    But then again... Maybe smelling poop in the middle of the night isn't your thing either (as I found out around my R2 year of residency).

    Good luck.
  4. jubb

    jubb Tern 7+ Year Member

    Jun 1, 2006
    50 bucks will be a dream come true after you fork it all back cuz your patient got a DVT, pressure ulcer, or a Urinary Tract infection.
  5. DrDre311

    DrDre311 Makaveli 2+ Year Member

    Apr 14, 2008
    Yeah I love how Medicare doesn't want to pay for pressure ulcers but they also don't want to pay for beds to prevent it. We're all going to end up working for free, which means I will have gone through 14 years of training to get a job putting in fake boobs.
  6. Pir8DeacDoc

    Pir8DeacDoc Cerumen Extractor 10+ Year Member

    Mar 27, 2004

    No shame in that brother man... Keep all us men folk happy :)
  7. sponch

    sponch Senior Member 7+ Year Member

    Dec 24, 2002
    Palo Alto, CA
    That's probably because no one else will take care of your trauma patients before and after you operate on them...including you.
  8. twood

    twood PGY-5 5+ Year Member

    Jun 3, 2007
    It's not too late to get some away rotations set up (I scheduled some around this time of year for August/September).
    I did 3 aways and would recommend that anyone do the same. It may have hurt me a little bit with my home program, but I was able to see programs first-hand for a month (much better exposure for you if you work hard, and you get a much more honest impression of the program and its residents).

    Re: fellowships
    the commonly-held idea is you can get anything but PEDS from anywhere. May not be realistic, but if you're willing to extend the 5 year training and do some research, you can match into competitive fellowships.

    Finally, make sure that you can see educational value or at least tolerate the chronic E-C fistula patient. In my limited experience, the hallmark of a GS service is the chronic E-C fistula patient that cycles between the floor and the ICU.
  9. Winged Scapula

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

    Apr 9, 2000
    hSDN Member
    That's strange. I saw very few of those in my residency.
  10. San_Juan_Sun

    San_Juan_Sun Professor of Life 7+ Year Member

    Aug 9, 2002
    My first introduction was one call night in July when a nurses pages me with "Hey, your post op guy has brown liquid spraying from his incision like a water fountain."
  11. TxMed

    TxMed SpottieOttieDopalicious 5+ Year Member

    Jan 31, 2006
    hand pus, elbow pus, knee pus=ortho
    butt pus=general
    labial pus=gyn

    the only real question is; what kind of pus do you like best?
  12. skiz knot

    skiz knot Legendary Dr. X 10+ Year Member

    Apr 14, 2004
    Somewhere in the middle
    Off topic but I had am attending that would deliberately write "*****" instead of purulent whenever possible. :laugh:
  13. Castro Viejo

    Castro Viejo Papa Clot Buster 10+ Year Member

    Jun 3, 1999
    It's good to know that, even on the attending level, locker-room humor is the norm and not the exception in surgery. :D

  14. SocialistMD

    SocialistMD Resident Objectivist 15+ Year Member

    Jan 29, 2001
    Yeah, but could you still come by and make sure it doesn't involve the joint. ;)
    Holy Lord, if I could only say that. We get them referred from all over the midwest (h/o Crohn's-> colorectal, h/o pancreatitis ->HPB, h/o gastric bypass->bariatrics, other abdominal disaster or in need of "wound care"->acute care. I've even had a couple of them at our Children's hospital. Consider yourself very, very lucky.
  15. GoodMonkey

    GoodMonkey sproutmobile 7+ Year Member

    as a med student, i met an inpatient on one of my gsurg months who had no less than 5 of them at any given time. he was notoriously mean to any med student assigned to him (but was fine with every other member of his health care team) and i once saw him shoot fluid out of his E-C fistula of his own volition. seriously, he squeezed his eyes shut, made an effort like he was farting, and out it shot. *shudder*
  16. Winged Scapula

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

    Apr 9, 2000
    hSDN Member
    I do remember a few, but it seems like you guys paint this picture of seeing them right and left.

    Then again, perhaps because of things like you've described, I've simply pushed it out of my mind.:scared:

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