PGY1 Year Question

[THEQueenAmidala]

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Hi!! I'll be an anesthesiology residency applicant in the upcoming cycle.
I've really enjoyed my surgery ICU rotation and am open to perhaps a CC fellowship in the future. Some of the brightest attendings I worked with in the ICU had some years of surgery under their belts.
I know it's a huge pain and certainly unnecessary for most anesthesiology jobs out there, but would a surgical PGY1 year train me to become a better critical care doctor? Would I gain a better understanding of how to diagnose and manage post-operative physiology/pathologies? Would I become a better advocate to patients/families with a better understanding of outcomes and options for patients suffering from post-operative complications?
Thanks for your time and advise!!

 

[IMGASMD]

Hi!! I'll be an anesthesiology residency applicant in the upcoming cycle.
I've really enjoyed my surgery ICU rotation and am open to perhaps a CC fellowship in the future. Some of the brightest attendings I worked with in the ICU had some years of surgery under their belts.
I know it's a huge pain and certainly unnecessary for most anesthesiology jobs out there, but would a surgical PGY1 year train me to become a better critical care doctor? Would I gain a better understanding of how to diagnose and manage post-operative physiology/pathologies? Would I become a better advocate to patients/families with a better understanding of outcomes and options for patients suffering from post-operative complications?
Thanks for your time and advise!!

I say no. But I am biased.

 

[pocafx]

trolol

 

[THEQueenAmidala]

I say no. But I am biased.

Thanks!

 

[Katheudontas parateroumen]

I did a medicine intern year so Im sorry I can't give you the perspective exactly what you're looking for but... I do feel like my medicine year prepared me very well for my anesthesia right now. I actually came in thinking I wanted to do ICU so decided to do more medicine. I feel like in general, it is hard to find a good prelim surgery spot that actually cares about you. I don't think you're in the OR much and I think MICU is better learning experience than SICU. I would say pick a prelim that allows a lot of ICU. I did 4 months of it. Just my 2 cents.

 

[anbuitachi]

Hi!! I'll be an anesthesiology residency applicant in the upcoming cycle.
I've really enjoyed my surgery ICU rotation and am open to perhaps a CC fellowship in the future. Some of the brightest attendings I worked with in the ICU had some years of surgery under their belts.
I know it's a huge pain and certainly unnecessary for most anesthesiology jobs out there, but would a surgical PGY1 year train me to become a better critical care doctor? Would I gain a better understanding of how to diagnose and manage post-operative physiology/pathologies? Would I become a better advocate to patients/families with a better understanding of outcomes and options for patients suffering from post-operative complications?
Thanks for your time and advise!!

I don't think so. You learn all of it on anesthesiology. I think medicine year prepared me better. You learn some things that help with anesthesiology such as managing DKA etc.

 

[AdmiralChz]

.... you’re asking to be trained by... an intern?

Awful idea, at this point they barely known where the bathroom is.

 

[SolidWater]

Medicine will likely give you better training IMO. I did surgery and feel that my medical knowledge (medications, vasoavtive drugs etc) is less than where it would be if I had done medicine.

Then again it doesn't matter because internship is a year of being a scutmonkey... Just get it over with somewhere that isn't renowned for long hours.

 

[Silo004]

Would I gain a better understanding of how to diagnose and manage post-operative physiology/pathologies? Would I become a better advocate to patients/families with a better understanding of outcomes and options for patients suffering from post-operative complications?
Thanks for your time and advise!!

You will become facile at typing, handling wound vac's and if you are at a community program, maybe even placing chest tubes. You won't think much, tbh. A surgery intern year puts miles on you. I would do a TY and then go to a ~65 hr/wk anes program. The universally described CA1 fatigue at the end of a 12 hr shift is very real. And when you start taking call ...

 

[THEQueenAmidala]

Sounds like everybody has similar views on the matter-- thanks for your advice everyone!

 

[dannyboy1]

The most useful part of internship is realizing (toward the end of the year) how poorly inpatients are managed on the medical floor. That way you know what to expect when they show up in the OR....

 

[GlowInTheDark]

Surgical prelim is never the correct answer

 

[THEQueenAmidala]

Surgical prelim is never the correct answer

lmao