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Preliminary Surgery

Discussion in 'Clinical Rotations' started by wanderjniln, Jun 5, 2002.

  1. wanderjniln

    wanderjniln New Member

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    I am planning on a prelim. year in surgery before anesthesia, but I want a program that allows (relatively)lots of intern time in the O.R. I know that these type of programs are out there, I just don't know where. Anybody have ideas/info?
    I am particularly interested in programs on the coasts, east or west.
    Thanks in advance,
    -Andrew.
     
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  3. Winged Scapula

    Winged Scapula Cougariffic!
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    Just wondering WHY you would want to do a Surgical Intern year when you could do a Medical one?

    The local community program here in Harrisburg, Pinnacle Health, gets their interns in the OR at lot (we do not at Penn St).
     
  4. Magree

    Magree Senior Member
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    Hi:

    Are you thinking you might want to do surgery if you like it? Otherwise, most of the anesthesiologists I've talked to say a year of internal medicine much more beneficial to the practice of anesthesiology. Plus, a medicine year would be much less painful <img border="0" title="" alt="[Wink]" src="wink.gif" /> .

    M-
     
  5. mddo2b

    mddo2b STOP PAGING ME....PLEASE!
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    My advice is to do it at a large community hospital with a heavy caseload....theses types of programs usually have less residents in the program and lots of cases to go around....Look into Christiana hospital in deleware....huge # of cases and the are so busy that they do not differentiate (or at least they try not to differentiate) between prelim/categoricals. I did a rotation there as a student and the residents told me that 1st years (prlim and categorical alike scub a lot of cases.....Good Luck <img border="0" alt="[Clappy]" title="" src="graemlins/clappy.gif" />
     
  6. Juice

    Juice Junior Member
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    Definitely do a prelim surgery year, or maybe transitional. Kimberly, a medicine prelim??? My friends who headed into fields such as rads, rad onc, and anes, all hated their ward medicine months with a passion. One of my friends logged 400 cases as a prelim surg intern at a community program in CT. Over 100 in his ortho month alone. You will place lots of lines in the OR, and yes, you can learn these your first year of anesthesia, but if you pick a good busy surgery program you will do perhaps 50-100. I have seen first year anes residents struggle with IJs and radial art lines, often delaying cases. Plus, if you ever wanted to do a pain fellowship, you would have an easier time getting OR priveledges for many of the new invasive techniques these guys do, and bill big bucks for. i.e.- pain pump placement. As far as a program, pick a large community one. The more prestigious surgery interns get very little cases, let alone the prelims.
    However, if you decide you do not want to bust your ass too much, just do a transitional year with a heavy emphasis on surgery.
     
  7. Winged Scapula

    Winged Scapula Cougariffic!
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    </font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by Juice:
    <strong>Definitely do a prelim surgery year, or maybe transitional. Kimberly, a medicine prelim??? My friends who headed into fields such as rads, rad onc, and anes, all hated their ward medicine months with a passion. One of my friends logged 400 cases as a prelim surg intern at a community program in CT. Over 100 in his ortho month alone. You will place lots of lines in the OR, and yes, you can learn these your first year of anesthesia, but if you pick a good busy surgery program you will do perhaps 50-100. I have seen first year anes residents struggle with IJs and radial art lines, often delaying cases. Plus, if you ever wanted to do a pain fellowship, you would have an easier time getting OR priveledges for many of the new invasive techniques these guys do, and bill big bucks for. i.e.- pain pump placement. As far as a program, pick a large community one. The more prestigious surgery interns get very little cases, let alone the prelims.
    However, if you decide you do not want to bust your ass too much, just do a transitional year with a heavy emphasis on surgery.</strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">The choice to do a Medicine vs a Surgical Prelim year is highly individual. I CAN tell you that those I've talked to doing Prelim Surgical years before going into non-surgical fields (including Anesth) HATED it. One of the reasons they chose Anesth was for the hours - they hated the surgical hours, the surgical mentality, the fact that they DIDN'T get the opportunity to be in the OR (obviously this varies a great deal from program to program; I wholeheartedly agree with the advice to go to a community program for more OR experience), the Trauma rotations, etc. While I certainly understand the loathing of Medicine rotations, given the pleothora of Critical Care/Pulmonology there, most Anesth find it interesting, esp. MICU rotations.

    If the original poster is really interested in being in the OR (and frankly I'm not sure there is any guarantee that an Anesth resident doing a Surgical Prelim will be doing all the lines, etc. in the OR - what about the Anesth resident or the student on that service. In my experience, THEY are the ones doing those procedures, not the Surgical intern.) then perhaps a Surgical year would be a good idea - provided he knows what he's getting into. My comment was merely wondering why when most others choose the different path.
     
  8. wanderjniln

    wanderjniln New Member

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    Thanks for the words of advice. The truth of the matter is that general surgery keeps seducing me, and I hope to keep the door open should i decide to consumate the relationship. Additionally, a year rotating in medicine has about as much interest to me as castration, no offense intended to anyone.
    -Andrew.
     
  9. UI2003

    UI2003 Senior Member
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    </font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by wanderjniln:
    <strong>Thanks for the words of advice. The truth of the matter is that general surgery keeps seducing me, and I hope to keep the door open should i decide to consumate the relationship. Additionally, a year rotating in medicine has about as much interest to me as castration, no offense intended to anyone.
    -Andrew.</strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">With or with anesthetic? (no pun intended) <img border="0" title="" alt="[Wink]" src="wink.gif" />
     

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