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What are the pros and cons of going into/being an orthopedic surgeon?
What are the pros and cons of going into/being an orthopedic surgeon?
Pros.
Interesting pathology, cool surgeries, work with your hands, takes creativity, every case unique, a lot of variety if you want it, work on all parts of the body, make tangible difference in quality of life, usually healthy patients, as of now reimbursement is pretty good, fewer "emergencies" than other surgical subspecialties, little overlap/competition with other fields of medicine, generally laid back colleagues
Cons.
It is a surgical specialty and you'll have to put in your hours (especially as a resident), you will almost certainly have to take call, you will lose your familiarity and comfort dealing with medical issues, "bone broke me fix" reputation by your peers, diabetes/smoking/5 Ps, dealing with "crazy" patients with unrealistic expectations or no discernable pathology to explain their symptoms (not unique to any given specialty), once you cut 'em you own 'em for life, infections, Low back pain, narcotic abusers
What are the hours generally like post residency after all of the hard work put in???
Cons.
you will lose your familiarity and comfort dealing with medical issues, "bone broke me fix" reputation by your peers, diabetes/smoking/5 Ps
Did you ever have an internal conflict of losing this medical knowledge since you worked so hard to learn it? If so, at what point did you realize it wasn't an issue anymore?
As a medical student trying to make the decision between ortho and gensurg, that was an internal conflict. There was a part of me that wanted to be the go to guy when the spit hit the fan (gsurg) who (thought they) knew everything, and there was a part of me that just wanted to make people better and do cool stuff.
Once I realized that I have a skill set and knowledge base that is limited in physicians that don't do orthopaedic care, I was less concerned with upholding some macho image of pretending like I knew everything. I don't. I can't. It is impossible to keep up with the changing recommendations for general medical care (first line/second line treatments, indications and contraindications, diagnostic tests and interpretation, etc...) I felt I would be doing my patients an injustice to pretend like I could manage their complex issues. I will stick to what I know best, and do best.
The knowledge that you learn as a medical student is ultimately superficial, at best. I personally believe you don't truly learn medicine until you are the one 100% responsible for the care of another sick human being. You learn a ton from mistakes and near mistakes but hopefully you don't have too many serious ones. The knowledge gained in medical school is still in there somewhere and comes out in strange ways. I just found out my diagnosis of temporal arteritis on a patient in ortho clinic last week that we referred to vascular came back + on path. Ultimately you'll come to terms with knowing that (no matter what you do) you will do your best helping people within your knowledge base.