Interships

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vetgirl777b

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Hey I was wondering if anyone has any suggestions for rotating internships on the East coast that have will prepare you for possibly doing a residency but also give you direct surgical experience? I am also looking for some work-life balance. Thanks!
 
Internships and residencies don't involve very good work-life balance in general. I will say that my work-life balance as a resident is better than when I was an intern, but that being said, I still work 6-7 days per week and even my days "off" are never truly off because I'm reading textbook chapters, journal articles, preparing seminars/lectures, etc. If you are interested in gaining primary surgical experience during your internship, then I would recommend looking into private practice internships where there are no surgery residents, because then it is more likely that as the rotating intern you will be involved in routine opening/closure, simple procedures, etc.
 
Thanks guys! I guess by work-life balance I mean I'd prefer to not be completely miserable lol, I know some internships for example even give 2 days off. Not saying that this is a deal breaker at all. I guess I just haven't heard if there are top internships that can both prepare you for residency if you want but also give you good hands-on experience in surgery. I don't know if these places exist. Or even in life, if you do a residency in ECC for example, is there any opportunity to also do surgery? I am primarily interested in ECC but also would like to do some surgery.
 
Thanks guys! I guess by work-life balance I mean I'd prefer to not be completely miserable lol, I know some internships for example even give 2 days off. Not saying that this is a deal breaker at all. I guess I just haven't heard if there are top internships that can both prepare you for residency if you want but also give you good hands-on experience in surgery. I don't know if these places exist. Or even in life, if you do a residency in ECC for example, is there any opportunity to also do surgery? I am primarily interested in ECC but also would like to do some surgery.

You can have a poor work-life balance but still be happy! I'm a 3rd year resident and have worked 6-7 days/week for the past 4 years but I'm still happy. It's all about what your expectations are - you are more likely to be miserable if you expect to sleep in every weekend, have every holiday off, be out of the clinic by 6pm etc. During my internship, I set my expectations very low..I considered it an "early day" if I was out of the clinic by 8pm. Now that I'm a resident, most days are "early days" by that standard lol.

ECC residents have to rotate through soft tissue surgery as part of ACVECC requirements. It will depend on the institution, but generally ECC residents are encouraged to scrub in on and also take primary lead on ER cases (eg. foreign bodies, hemoabdomens, C-sections, GDVs, etc) that come through the surgery service when they are on with us (I'm a surgery resident). Other than that, ECC residents generally don't cut cases unless there is no surgical service at that facility.
 
You can have a poor work-life balance but still be happy! I'm a 3rd year resident and have worked 6-7 days/week for the past 4 years but I'm still happy. It's all about what your expectations are - you are more likely to be miserable if you expect to sleep in every weekend, have every holiday off, be out of the clinic by 6pm etc. During my internship, I set my expectations very low..I considered it an "early day" if I was out of the clinic by 8pm. Now that I'm a resident, most days are "early days" by that standard lol.

ECC residents have to rotate through soft tissue surgery as part of ACVECC requirements. It will depend on the institution, but generally ECC residents are encouraged to scrub in on and also take primary lead on ER cases (eg. foreign bodies, hemoabdomens, C-sections, GDVs, etc) that come through the surgery service when they are on with us (I'm a surgery resident). Other than that, ECC residents generally don't cut cases unless there is no surgical service at that facility.

Thank you so much for the info!!
 
You can have a poor work-life balance but still be happy! I'm a 3rd year resident and have worked 6-7 days/week for the past 4 years but I'm still happy. It's all about what your expectations are - you are more likely to be miserable if you expect to sleep in every weekend, have every holiday off, be out of the clinic by 6pm etc. During my internship, I set my expectations very low..I considered it an "early day" if I was out of the clinic by 8pm. Now that I'm a resident, most days are "early days" by that standard lol.

ECC residents have to rotate through soft tissue surgery as part of ACVECC requirements. It will depend on the institution, but generally ECC residents are encouraged to scrub in on and also take primary lead on ER cases (eg. foreign bodies, hemoabdomens, C-sections, GDVs, etc) that come through the surgery service when they are on with us (I'm a surgery resident). Other than that, ECC residents generally don't cut cases unless there is no surgical service at that facility.

Honestly, I'd wager you're quite the anomaly. Most people with a poor work-life balance are going to have their overall happiness take a hit. Sometimes severely, and especially with the schedule you are describing unless their other obligations in life are few and far between.

It's not just about expectations, but other important things in your life that keep you happy. If you're married to your job and that's the most important thing to you - sure, you'll be happy. But if you have significant others, family, hobbies, other things that give you joy....working 6-7 days a week and leaving at 8pm every day for year after year is going to seriously wear the average person down. I can't imagine having that schedule and not completely breaking down, and I consider myself a pretty hard worker.

I guess what I'm saying is, giving advice like this without a huge caveat isn't a good idea because it's not applicable to the vast majority of people. Kinda like saying "Oh, the debt isn't that bad because I live in a hovel, eat ramen, and put every penny towards it" when most people have other expenses or want to live a halfway decent life.
 
Honestly, I'd wager you're quite the anomaly. Most people with a poor work-life balance are going to have their overall happiness take a hit. Sometimes severely, and especially with the schedule you are describing unless their other obligations in life are few and far between.

It's not just about expectations, but other important things in your life that keep you happy. If you're married to your job and that's the most important thing to you - sure, you'll be happy. But if you have significant others, family, hobbies, other things that give you joy....working 6-7 days a week and leaving at 8pm every day for year after year is going to seriously wear the average person down. I can't imagine having that schedule and not completely breaking down, and I consider myself a pretty hard worker.

I guess what I'm saying is, giving advice like this without a huge caveat isn't a good idea because it's not applicable to the vast majority of people. Kinda like saying "Oh, the debt isn't that bad because I live in a hovel, eat ramen, and put every penny towards it" when most people have other expenses or want to live a halfway decent life.

That's definitely a fair point, and I should have mentioned that I am in a LDR/not married and don't have any kids. People with families or who live with their SOs will definitely have significantly different priorities when it comes to work-life balance. I guess what I was trying to say is that an internship/residency doesn't have to be the worst years of your life, and it is still possible to enjoy that time as long as you are aware that you will have suboptimal work-life balance. I definitely don't want to work 6-7 days for the rest of my career but for a 3-4 year time period to become a specialist, it hasn't been as bad as I thought it would be.
 
That's definitely a fair point, and I should have mentioned that I am in a LDR/not married and don't have any kids. People with families or who live with their SOs will definitely have significantly different priorities when it comes to work-life balance. I guess what I was trying to say is that an internship/residency doesn't have to be the worst years of your life, and it is still possible to enjoy that time as long as you are aware that you will have suboptimal work-life balance. I definitely don't want to work 6-7 days for the rest of my career but for a 3-4 year time period to become a specialist, it hasn't been as bad as I thought it would be.

I'm with you. It's nice to have a light at the end of the tunnel as well. My residency was relatively cush: 8-5 or 6 at the hospital itself, and self-study time for boards in evening till bed (which did take up a decent chunk of my off time, especially in year 3) and weekend call once a month or so. Path is super intense mentally (although not being as physical as other specialties like surgery and ER), though, and by the end of Y3 before boards I was definitely running ragged and felt like my life was not my own anymore. I couldn't think like a normal human being.
 
I'm with you. It's nice to have a light at the end of the tunnel as well. My residency was relatively cush: 8-5 or 6 at the hospital itself, and self-study time for boards in evening till bed (which did take up a decent chunk of my off time, especially in year 3) and weekend call once a month or so. Path is super intense mentally (although not being as physical as other specialties like surgery and ER), though, and by the end of Y3 before boards I was definitely running ragged and felt like my life was not my own anymore. I couldn't think like a normal human being.

Yeah I'm 5 months from finishing and can definitely see the light at the end! Studying for boards is dreadful, and I can't even imagine the sheer volume of material that would be tested on path boards. Which reminds me that I should probably start studying for phase 2 at some point but that will be a problem for future me...
 
Yeah I'm 5 months from finishing and can definitely see the light at the end! Studying for boards is dreadful, and I can't even imagine the sheer volume of material that would be tested on path boards. Which reminds me that I should probably start studying for phase 2 at some point but that will be a problem for future me...

There's a reason the first-time pass rate averages around 40% 😳
 
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