• Set Yourself Up For Success Webinar

    October 6, 2021 at 2 PM Eastern/11 AM Pacific
    SDN and Osmosis are teaming up to help you get set up for success this school year! We'll be covering study tips, healthy habits, and meeting mentors.

    Register Now!

  • Funniest Story on the Job Contest Starts Now!

    Contest starts now and ends September 27th. Winner will receive a special user banner and $10 Amazon Gift card!

    JOIN NOW
  • Site Updates Coming Next Week

    Site updates are coming next week on Monday, Wednesday, and Friday. Click the button below to learn more!

    LEARN MORE

residency programs with good supervision

waxedapathetic

Full Member
10+ Year Member
Nov 3, 2008
49
2
0
i will be matching to general surgery next year and wanted to know from others which programs offer a good amount of resident supervision.

at my program where i am a student, i feel like residents have too much responsibility that is beyond their skill level. interns are left on call alone in the SICU and interns run the general surgery outpatient clinic at our busiest hospital. (upper level residents are also in the hospital, but it is the expectation that they won't be called unless crap really hits the fan.)

i love taking responsibility and working hard. and i know it is important to get out of your comfort zone. my only concern is that in these situations, the patient care suffers and residents never learn to do things the RIGHT way. perhaps this is just the nature of the beast. plus, our chiefs seem to know their stuff well.

1) if you know residency programs that have a good balance of responsibility and supervision, please let me know.

2) if you have thoughts on this as a topic, in general, please enlighten me.

thanks everyone.
 

filter07

Full Member
15+ Year Member
Aug 30, 2006
1,553
270
316
  1. Attending Physician
Usually programs in a county setting tend to have less supervision, and private hospitals have more supervision. Academic centers have a mix of both, but all of surgery is trending towards more supervision.
 
i will be matching to general surgery next year and wanted to know from others which programs offer a good amount of resident supervision.

at my program where i am a student, i feel like residents have too much responsibility that is beyond their skill level. interns are left on call alone in the SICU and interns run the general surgery outpatient clinic at our busiest hospital. (upper level residents are also in the hospital, but it is the expectation that they won't be called unless crap really hits the fan.)

i love taking responsibility and working hard. and i know it is important to get out of your comfort zone. my only concern is that in these situations, the patient care suffers and residents never learn to do things the RIGHT way. perhaps this is just the nature of the beast. plus, our chiefs seem to know their stuff well.

1) if you know residency programs that have a good balance of responsibility and supervision, please let me know.

2) if you have thoughts on this as a topic, in general, please enlighten me.

thanks everyone.

One of the things that comes with increasing experience (as you go through the years in residency) is a strong knowledge of your limitations. Few of us (resident or attending) are willing to put patient safety ahead of independence. What looks like non-supervision to you as a medical student may not be the case at all. For example, after putting in my 5th chest tube, I didn't need a more senior resident/attending to supervise me inserting a chest tube.

If I ran into a problem (on anything) that I couldn't solve safely, I could consult by phone if necessary. If I knew that there was a situation that was beyond my experience, I asked for help. My best chief resident/attending always said, "Call me when you need me but need me when you call me". That turned out to be the case most of the time in my experience. Even today, as a newer attending, I frequently ask a more senior surgeon for advice and assistance. Again, I am always aware of my limitations.
 
About the Ads
This thread is more than 12 years old.

Your message may be considered spam for the following reasons:

  1. Your new thread title is very short, and likely is unhelpful.
  2. Your reply is very short and likely does not add anything to the thread.
  3. Your reply is very long and likely does not add anything to the thread.
  4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
  5. Your message is mostly quotes or spoilers.
  6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
  7. This thread is locked.