Trauma Surgery

This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.

What'd you think..?

  • Helpful to Others

    Votes: 3 21.4%
  • To specific, or repetitive from others

    Votes: 11 78.6%

  • Total voters
    14
  • Poll closed .

rfahey93

New Member
10+ Year Member
Joined
Jun 1, 2011
Messages
1
Reaction score
0
Hey guys,
I just graduated high school this year and I am attending college next year. I've always wanted to become a doctor and this year I've been pretty sure that I want to become a trauma surgeon. I plan on going to med school with my costs possibly being paid by the Army or Navy After med school, if I join the service, I would have to work about 5 years in the military. Leaving me at 25 finishing med school, 29 finishing my residency and fellow ship, and finally at 34 working as a civilian. Having a family that I can take care of and spend time with is very important to me. I know to become a trauma surgeon, a 5 year general surgeon residency is required as well as a 1 year critical care fellowship. I am just wondering what anyone thinks about this and how it may work out. I know the hours are long and it is hard work. Is it possible to have a good life with a family?
 
Hey guys,
I just graduated high school this year and I am attending college next year. I've always wanted to become a doctor and this year I've been pretty sure that I want to become a trauma surgeon. I plan on going to med school with my costs possibly being paid by the Army or Navy After med school, if I join the service, I would have to work about 5 years in the military. Leaving me at 25 finishing med school, 29 finishing my residency and fellow ship, and finally at 34 working as a civilian. Having a family that I can take care of and spend time with is very important to me. I know to become a trauma surgeon, a 5 year general surgeon residency is required as well as a 1 year critical care fellowship. I am just wondering what anyone thinks about this and how it may work out. I know the hours are long and it is hard work. Is it possible to have a good life with a family?

Wow, you have your entire life planned out :laugh:

I'm afraid my knowledge about the lifestyle of a trauma surgeon is of minuscule allowance, and thus I suggest you do a search on this topic, this question has been raised before.

Furthermore, I'd also suggest that you focus on having a balanced life and performing well as an undergraduate. Save the worrying and life planning for a less precocious time, and try to take things one step at a time. i.e: Be sure to start off with a strong G.P.A in freshman year, as to not find yourself fighting an uphill battle.

Lastly, remember that life doesn't always work out the way we plan, try to relax and have some fun.
 
Last edited:
1) Poll makes no sense...what are you asking specifically?

2) Being a "trauma surgeon" does not *require* a Critical Care/Trauma fellowship. Most trauma in this country is done, and done well by general surgeons with their 5+ year residency.

You may be more employable as a "trauma surgeon" with the fellowship but it is not required. There is no Board Certification in Trauma Surgery, although the fellowships will typically make you CC Board Eligible.

3) Trauma surgery can be, depending on the employment environment, shift work. How many hours you work will depend on the employment contract. My ex is a trauma surgeon at a Level 2 trauma center in a violent town. His schedule is:

1 week Administrative/Research (ie, he sees patients in clinic, spends time doing "boy stuff" like building a pinball machine 🙄 )
1 week ICU coverage
1 week General Surgery Call
1 week on Trauma
Trauma call is divided by the group and is 1 in 6 in house, with 1 in 6 as backup (so essentially he's on q3)

4) Believe it or not, I know its hard to imagine at your young age, but yes it is possible to have a family and to do so in your 30s (which is relatively young).

There are lots of threads about Trauma Surgery. Most will tell you that you should wait and actually go to medical school and see what you like. MOST medical students change their mind about what they want to do, especially if their initial interest is surgery.

Trauma surgery is not as glamorous as it may seem. Its not sexy. You are not a rockstar. Its hard work with a potentially sick, ungrateful population and lots of call. Many places will make you do general surgery to increase revenue.

Medical students love trauma. Its adrenaline pumping. Residents, almost to the last one, learn to hate it. There's a reason its not a very popular specialty.

But I might be wrong and you may just end up being the exception to the rule.
 
Like somebody said....life is what happens to us while we're busy making plans....most people change their minds many many times while going through medical school and sometimes residency about their career path. Just relax and enjoy the ride, it will be like nothing else in your life.
 
You haven't even started medical yet, you will learn about other specialties and what not, take a chill pill.
 
I have very similar interest as you and fortunate enough to have the opportunity to shadow a trauma surgeon.

Just being with him for that 8 hrs I got to see and learned ALOT!

It's a very stressful environment. TV shows you the adrenaline pumping scene where you have a freak accident patient coming in with lungs collapse, internal bleeding, brain injury and other serious conditions, with the team resuscitating them. But there so much more to it. That patient is your from beginning till discharge. **** happens and sometimes they don't make it out.

Family wise, he's married to an ER physician with 2 kids. His 7 YO son cries for his dad every night because he wants his father to read him his bed time story. He feels like he missed out on his youth because he made medicine his everything. He finished everything by the age of 31. You can see the sadness in his eyes when he talks about his son and how he says it quote "My son will learn one day that this is Daddy's job, and I pray he'll understand". But still manage to find ways to be with his family.

Overall he is happy, loves what he does and is respected by all his patients and colleagues . He loves teaching and willing to explain to anything. No matter how busy he is, he doesn't forget about you and he tries to make you feel comfortable. He doesn't see you as a lowly pre med and take his time to answer all your questions.

Honestly, if I ever make it to medical school and still have a passion for surgery and trauma, I hope I can be half as good as him.
 
@OP You should also know that if you take Navy HPSP you will be required to do a tour as a general practitioner before residency, so that will add 3-4 years to your master plan. And according to the Army's HPSP presentation general surgery is not a continuous contract, so you might have to add time to your plan for Army as well. Keep your GPA high and good luck.
 
There are a lot of exceptions and weird rules in the military programs. Its not as straight forward as you are thinking

1) if you want to do military just because of money- don't do it. You will be getting the short end of the stick with the military. You may see financial benefits early on but once you become an attending your pay is so limited that your loss in pay easily trumps those early benefits. (i'm talking about losing up to $500,000 through 1 million by taking the military route)

2) Military life is not conducive to family life. For starters, you would have to find a wife who alright with being controlled by your military duty (meaning her schooling or job comes second to military). In addition, you will be deployed for 6 months to a year at a time every 2-4 years. You will miss a lot of firsts. (the first time you kid speaks, the first time they walk, the first time your wife gets bored and fraternizes with a horny enlisted soldier)

3) Your timeline is off. Say you spend 5 years in your residency and 1 year fellowship (6 years total). Afterwards you would then owe 6 years to the military. So if you finish med school at 26, your military service will end at 38. Keep in mind, we may be in another war by then and they can keep you as long as they want (Its called stop-loss)

4) I'm not 100% on this point, but I hear that military surgery residencies are not that great.


Essentially military service if only for those who want to serve and are willing to make huge sacrifices (professional, personal, family, financial) for the good of this country.
 
1) Poll makes no sense...what are you asking specifically?

Trauma surgery is not as glamorous as it may seem. Its not sexy. You are not a rockstar. Its hard work with a potentially sick, ungrateful population and lots of call. Many places will make you do general surgery to increase revenue.

Medical students love trauma. Its adrenaline pumping. Residents, almost to the last one, learn to hate it. There's a reason its not a very popular specialty.

But I might be wrong and you may just end up being the exception to the rule.

There she goes, laying down reality... again.

😍
 
Hey guys,
I just graduated high school this year and I am attending college next year. I've always wanted to become a doctor and this year I've been pretty sure that I want to become a trauma surgeon. I plan on going to med school with my costs possibly being paid by the Army or Navy After med school, if I join the service, I would have to work about 5 years in the military. Leaving me at 25 finishing med school, 29 finishing my residency and fellow ship, and finally at 34 working as a civilian. Having a family that I can take care of and spend time with is very important to me. I know to become a trauma surgeon, a 5 year general surgeon residency is required as well as a 1 year critical care fellowship. I am just wondering what anyone thinks about this and how it may work out. I know the hours are long and it is hard work. Is it possible to have a good life with a family?

From a 4th year medical student on an HPSP Navy scholarship.

You're a high schooler, you're about to start college, and all of your questions are about how you handle residency, fellowship, and military medicine. My advice would be to focus on the 25 meter target: getting through college and getting into medical school. My advice for that:

1) You are about to start your first semester of college. I strongly recommend you look at adapting to college as a 5 credit class, and to take that class seriously. Rush (and maybe pledge), try out various clubs and activities (keeping only a few), meet a lot of people, date a few of them, and go out very often. On the academic side of the house for this one semester take no more than 12 credits and make at least 8 of them the easiest liberal arts classes you can find. I promise that by Spring semster you'll have a better idea of your adult identity, your social life will be less of a time suck, and you will be a much better position to take more/harder classes suck as your premedical coursework. Meanwhile the interests that you develop will make you a better candidate for medical school and a better leader in the military.

2) Use this time before college to start thinking about next summer. Consider internships, Co-Ops, and study abroad oppotunities that will actually look good on your resume. If you're not 100% sure that you want medicine yet (and at 18, you shouldn't be) consider setting up an Internship in a career that you think would be a good alternative to see how that compares to medicine. Spring is often too late to start applying for the best summer jobs/research/study abroad programs, so get your stuff together now and start sending out resumes in the fall.

3) Be aware of what it takes to get into medical school. The average GPA to get in these days is a 3.6. Initially your goal is just to avoid stupid mistakes that will make this harder than it needs to be. Don't put yourself in a position where you will probably end up trashing your GPA, like by starting college with 18 credits of hard science classes. Also you are going to need to shadow some physicians, not just for your application but also to figure out if you would actually enjoy this as a career. Shadowing a Surgeon (most Trauma bays will probably take you), an ER doc, and someone in primary care is a good combo. Again, though, hold off until after your first semester. If you REALLY want to get ahead of the game you can even use this summer before college starts to pick up some kind of basic medical license like CNA or EMT-B so that you can actually work a little in medicine rather than just volunteering.

4) If you are interested in military medicine, do NOT take an ROTC scholarship, OCS contract, reserves contract, or whatever else your recruiter says is a good idea. You will probably end up doing something that isn't medicine if you accept one of those. If you want medicine, don't have anything to do with the military until you have a medical school acceptance in hand.

As for your plan, it sounds fine (many have done it before) and there are definitely some surgeons that manage a family life just as there are some who end up with personal problems. However I wouldn't select your specialty until after you've rotated through everything in medical school. In general college is where you pick your career: Engineering vs. Law vs. Medicinee vs. Education vs. Business vs. whatever. Then in medical school you pick you specialty: GenSurg vs. Ortho vs. Psych vs. Peds vs. whatever. Then in your residency you finally pick your subspecialty Trauma vs. Transplant vs. PedsSurg, vs. whatever. Right now I would focus on just picking the career.
 
Last edited:
From a 4th year medical student on an HPSP Navy scholarship.

You're a high schooler, you're about to start college, and all of your questions are about how you handle residency, fellowship, and military medicine. My advice would be to focus on the 25 meter target: getting through college and getting into medical school. My advice for that:

1) You are about to start your first semester of college. I strongly recommend you look at adapting to college as a 5 credit class, and to take that class seriously. Rush (and maybe pledge), try out various clubs and activities (keeping only a few), meet a lot of people, date a few of them, and go out very often. On the academic side of the house for this one semester take no more than 12 credits and make at least 8 of them the easiest liberal arts classes you can find. I promise that by Spring semster you'll have a better idea of your adult identity, your social life will be less of a time suck, and you will be a much better position to take more/harder classes suck as your premedical coursework. Meanwhile the interests that you develop will make you a better candidate for medical school and a better leader in the military.

2) Use this time before college to start thinking about next summer. Consider internships, Co-Ops, and study abroad oppotunities that will actually look good on your resume. If you're not 100% sure that you want medicine yet (and at 18, you shouldn't be) consider setting up an Internship in a career that you think would be a good alternative to see how that compares to medicine. Spring is often too late to start applying for the best summer jobs/research/study abroad programs, so get your stuff together now and start sending out resumes in the fall.

3) Be aware of what it takes to get into medical school. The average GPA to get in these days is a 3.6. Initially your goal is just to avoid stupid mistakes that will make this harder than it needs to be. Don't put yourself in a position where you will probably end up trashing your GPA, like by starting college with 18 credits of hard science classes. Also you are going to need to shadow some physicians, not just for your application but also to figure out if you would actually enjoy this as a career. Shadowing a Surgeon (most Trauma bays will probably take you), an ER doc, and someone in primary care is a good combo. Again, though, hold off until after your first semester. If you REALLY want to get ahead of the game you can even use this summer before college starts to pick up some kind of basic medical license like CNA or EMT-B so that you can actually work a little in medicine rather than just volunteering.

4) If you are interested in military medicine, do NOT take an ROTC scholarship, OCS contract, reserves contract, or whatever else your recruiter says is a good idea. You will probably end up doing something that isn't medicine if you accept one of those. If you want medicine, don't have anything to do with the military until you have a medical school acceptance in hand.

As for your plan, it sounds fine (many have done it before) and there are definitely some surgeons that manage a family life just as there are some who end up with personal problems. However I wouldn't select your specialty until after you've rotated through everything in medical school. In general college is where you pick your career: Engineering vs. Law vs. Medicinee vs. whatever. Then in medical school you pick you specialty: GenSurg vs. Ortho vs. Psych vs. Peds vs. whatever. Then in your residency you finally pick your subspecialty Trauma vs. Transplant vs. PedsSurg, vs. whatever. Right now I would focus on just picking the career.


Very thorough post, thanks!
 
1) Poll makes no sense...what are you asking specifically?

2) Being a "trauma surgeon" does not *require* a Critical Care/Trauma fellowship. Most trauma in this country is done, and done well by general surgeons with their 5+ year residency.

You may be more employable as a "trauma surgeon" with the fellowship but it is not required. There is no Board Certification in Trauma Surgery, although the fellowships will typically make you CC Board Eligible.

3) Trauma surgery can be, depending on the employment environment, shift work. How many hours you work will depend on the employment contract.

4) Believe it or not, I know its hard to imagine at your young age, but yes it is possible to have a family and to do so in your 30s (which is relatively young).

There are lots of threads about Trauma Surgery. Most will tell you that you should wait and actually go to medical school and see what you like. MOST medical students change their mind about what they want to do, especially if their initial interest is surgery.

Trauma surgery is not as glamorous as it may seem. Its not sexy. You are not a rockstar. Its hard work with a potentially sick, ungrateful population and lots of call. Many places will make you do general surgery to increase revenue.

Medical students love trauma. Its adrenaline pumping. Residents, almost to the last one, learn to hate it. There's a reason its not a very popular specialty.

But I might be wrong and you may just end up being the exception to the rule.

Nailed it.

OP, it can be fun and even motivating to daydream about your future and picking the specialty of your dreams, but most of what you're thinking will be vastly different from what you experience when you get there. That's not a knock on you being young, that's just life. Experience does not always align with expectations. As you plan farther and farther ahead, it becomes less and less likely that the reality of your future will end up being anything close to what you are anticipating right now. Being flexible is different from being indecisive; don't fear flexibility. Reel in your focus and figure out what's important at this juncture.

You're a high schooler, you're about to start college, and all of your questions are about how you handle residency, fellowship, and military medicine. My advice would be to focus on the 25 meter target: getting through college and getting into medical school.

*snip*

As for your plan, it sounds fine (many have done it before) and there are definitely some surgeons that manage a family life just as there are some who end up with personal problems. However I wouldn't select your specialty until after you've rotated through everything in medical school. In general college is where you pick your career: Engineering vs. Law vs. Medicinee vs. Education vs. Business vs. whatever. Then in medical school you pick you specialty: GenSurg vs. Ortho vs. Psych vs. Peds vs. whatever. Then in your residency you finally pick your subspecialty Trauma vs. Transplant vs. PedsSurg, vs. whatever. Right now I would focus on just picking the career.

Another winner.

OP, keep your mind open. You have plenty of time before you have to pick a medical specialty, and in the midst of all that time you'll have countless opportunities to turn your back on medicine altogether. You probably think there's no chance of that, but as time goes on you will have inevitable moments of doubt. People who question, "should I be doing this?" multiple times may seem less resolved, but every time they face their doubts and come back with a "yes" answer, they are actually adding ballast for the rest of their journey.

In sum, don't treat your daydreams as more than daydreams. Reality is right in front of you, not 5 or 10 years from now. You have a lot to do in the ~7 years before you actually commit to a medical specialty; if you cast your gaze too far ahead, you run the risk of tripping on something that requires more immediate attention. Trip enough times and you may not ever get where you want to be. Stay motivated but stay grounded.
 
Top