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For the 3's and up, do you guys perform major operations (ie. whipple procedure) with other residents or only staff? Good to speak with you all again.
SE
SE
For the 3's and up, do you guys perform major operations (ie. whipple procedure) with other residents or only staff? Good to speak with you all again.
SE
I have been in a couple of residency interviews recently and most of them were community hospitals. One thing which they were selling about their program was the fact that their residents start operating earlier as compared to residents in university programs. They say that at university hospitals there are a lot of fellows who tend to do all the major cases and residents do not get the same autonomy as residents in community hospitals where there are no fellows. I went to a hospital where residents scrubbed in OB/GYN, ENT and ortho cases. Residents in community hospitals mostly do private general surgery practice in small areas after graduation and they want hands on experience on every clinical case which they may encounter during their private practise.so in a way it helps them ........So do you think that resident autonomy and especially how early residents get autonomous depends upon the type of program they are in i.e community vs university hospitals???
Here is a recent similar thread.
There are community programs where you operate from day one, but you are truly a first assist until PGY-3, or even later,.
So very true...
In my experience at a community program, there was seldom a time when a resident was left in the OR alone for any significant part of an operation. The interns are in the OR all the time, but they are first assistants. This gives the wrong impression to alot of applicants, who tend to be disappointed after realizing that this. It is not uncommon for interns to log 30 carotids, but they have never dissected the plaque or sewed a patch in.
If you want to be alone in an OR as a resident, the best place is a VA hospital. but even that is starting to change
I am a firm believer in the quality of my program, so I can't say that my experience is the community program norm, but I would be doubtful of residents from academic programs who claimed similar numbers. If they do, then I congratulate them on finding "one of the good ones."