drrouz said:I'm doing this from memory but here it goes:
Colorectal, Critical Care, Trauma, Cardiothoracic, Endocrine, Pediatric, Bariatric, Minimally Invasive (advanced laparascopic), Vascular, Breast, Oncology, Hepatobiliary, Hand, Plastic/Reconstructive, Transplant, Foregut, Thoracic (like CT without the cardiac surgery training).
Other Surgical Subspecialties have their own boards and only require a preliminary year of general surgery:
Neurosurgery, urology, ENT (aka otolaryngology), orthopedic surgery.
One former surgical subspecialty that is its own seperate field:
Some specialties are being shortened by only requiring 3 years of general surgery before entering specialty training : Combined plastics. Some talk of CT surgery going this route (maybe 4+3).
I know that this answer is more then you asked for, but it sounds like you are still early in your training and you should understand all of the options open to you.
toxic-megacolon said:A related question, how competitive is breast surgery? Is it as competitive as a formal surg onc fellowship? Since its not technically an accredted fellowship, can you work as an academic breast surgeon directly out of a 5 year residency if you have a good experience during residency?
That is a good one FACS. I thought twice before writing that, but it is true, especially for gyn-onc. As for how orthopedic residency works, you simultaneously apply for an PGY-2 spot in an orthopedic program and a preliminary spot in general surgery. Sometimes, a program that accepts you for Orthopedics will also give you a designated preliminary spot at the same hospital. I'm not sure how competetive Breast Surgery is. Dr. Kim Cox should know better, I think she is interested in a breast fellowship.FACS said:
Great info guys, thanks!FACS said:Breast is one of the least competitive fellowships. It barely even qualifies as surgery. The breast is basically a modified sweat gland. A breast fellowship is essentally just advanced derm training.
surg said:It's always nice when the match results come early for the applicants (Dec 8th was supposed to be the official date that results were to be released). Congratulations on your successful match! I'm sure that you will be very pleased with the program.
Congratulations! I just found out yesterday that i have a colorectal fellowship for next year here in Canada. It's hard to believe that residency is almost over -- seems like yesterday when i was going the the residency match. Now i just have to pass those pesky Royal College exams (you guys in the US are lucky you don't have to go thru that trauma)Kimberli Cox said:(I matched at UMDNJ-New Brunswick).
tussy said:Congratulations! I just found out yesterday that i have a colorectal fellowship for next year here in Canada. It's hard to believe that residency is almost over -- seems like yesterday when i was going the the residency match. Now i just have to pass those pesky Royal College exams (you guys in the US are lucky you don't have to go thru that trauma)
I'm sure there is someone out there that has it worse. I'm just procrastinating studying right now. Those Royal College exams - well, they are in May and June and you must pass them before you can start a fellowship or go into practice. Yuck.Kimberli Cox said:Tussy...
well that doesn't sound pleasant. You are the winner of the most painful exams required!
don't think so, but insurance will pay for the reconstruction on most patients, so be sure to refer to plastics who can perform the TRAM flaps and other sophisticated reconstruction procedures sometimes required.PTOSIS said:if you do the breast fellowship, can u do reconstructions on pts who have had mastectomies? i would hop eso since it would be nice to offer that service to your pt and i don't see why u could't learn in in a year.
Unlikely without additional training (there are reconstructive/oncoplastic breast fellowships, usually under the auspices of Plastics programs). The Breast Surgery fellowships accredited by the Society of Surgical Oncology generally only offer 1 month of Plastic Surgery training and 3-4 months of Breast surgery total. Remember these are multi-disciplinary fellowships, so you spend time on Rad Onc, Pathology, Breast radiology, Medical Oncology, as well as a required research project. There just isn't enough time devoted to Oncoplastics in most programs to allow you to become proficient at more than reconstruction with implants. TRAMS, DIEPs and the like would require more training although i agree it would be nice to be able to do these as well.PTOSIS said:if you do the breast fellowship, can u do reconstructions on pts who have had mastectomies? i would hop eso since it would be nice to offer that service to your pt and i don't see why u could't learn in in a year.
Many of the SSO programs take applications from Ob-Gyn residents, although General Surgery resident applicants fair outnumber them. Rather than becoming a subspecialty of Ob-Gyn, most I've talked to see Breast Surgery as becoming its own field, distinct from Ob-Gyn or Surg Onc.ACSlater said:I have heard that Ob/GYNs are now applying for breast fellowship. What do you guys think about the chances of this becoming a subspecialty of Ob/Gyn?
yeah...I felt pretty lucky to have matched when I'm fairly sure others didn't this year (still waiting for the official word from the SSO).fishmonger69 said:um...who said breast wasn't competitive? i think the numbers are somewhere around 35 spots around the country with about 47 applicants this past match season. that means 25% of the applicant pool will be looking for something else to do. while this may not match up against pediatrics, it's not like there are unfilled spots *cough* ct *cough*. congrats to everyone on their new fellowship positions
Because by truly understanding the allied fields, one's expertise in taking care of patients with Breast disease (both benign and malignant) is optimized. The actual "prescribing" of Radiation and Chemotx would of course be finally up to those field's respective practitioners, but is done in a multidisciplinary fashion, with everyone involved meeting and discussing the patient. The technical aspects of breast surgery are not challenging but the reconstructions, especially those involving free flaps, are and would be beyond the scope of a Breast Surgery fellowship.PTOSIS said:Kimberly,
what's the point of rotationg through onc and rad onc. yeah, it's nice to have the multidiscilinary approach, but u are not going to be prescribing radiotherapy and chemptherapy, are u? but as a general surgeon, u could be trained to do reconstructions. i really think it'a shame.