Will I become a prick too if I go into Gen Surg?

the lifestyle, lack of respect, poor pay, loss of procedures to IR and subspecialists, to name a few. Yes, there is a high probabibility that you will become a prick

 

I've wondered about why surgeons are pricks on many occasions. It's kind of like diabetes...is it genetic or environmental? Are surgeons pricks to begin with or does residency change them. I think the people who go into it are predisposed to be pricks. the programs bring it out of them. find me a humble surgeon, and i'll find you a pig that can fly.

 

As a patient, I want an assertive and confident surgeon operating on me. I want the guy who is the best and knows it and tells you that he's the best. I'll leave the humility for my internist.

 

At least at UVa, many of the attendings are humble and amiable. I've been told that's unsusual, but it does happen.

 

</font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by Aloha Kid:
<strong>I'm really debating this one. I'm very interested in General Surgery but am disheartened at the number of pricks out there who call themselves surgeons? Does this happen to all Gen Surgery residents? Why? </strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">I believe it's some kind of displacement of aggression that they received when they went through their training.

 

Acinetobacter,

I agree with u in part, but...

1. Does being confident mean u have to be a prick as well??

2. Do u want every gen. surgeon thinking he is the BEST even if he isn't??

Good luck.

 

All I know is, after 8 weeks of surgery during third year, after being exposed day in and day out to obnoxious prick attendings and residents, after never having time to eat, study, or sleep enough but being expected to have memorized "Surgical Secrets", I too was ready to scream at nurses who hadn't added up the I/Os and were wasting my few precious pre-rounding minutes. I wanted to shove the needle driver down the throat of the scrub tech who called all the surgeons by their first names but pimped me (a tech!) constantly and pointed out any mistakes I made to the surgeons. I certainly didn't ever feel I had time to go talk to my patients after morning rounds. I think it is surgery itself that makes people pricks, although the current pricks propagate this. Detect any residual bitterness?

 

Non-prick surgeons are called pediatric surgeons. One of the nicest surgeons from the general surgeon pathway besides plastic surgeons.

 

You'd be amazed at how "nice" surgeons become when they get into the real world....where they are almost wholly dependent upon referrals from PCP's and specialists.

As for the confidence issue...I have seen a confident surgeon maim a patient....confidently doing a procedure he shouldn't have been doing. (thoracoabdominal aneurysm repair in a middle aged lady, who had an aneurysm which didn't meet operative criteria).

A good surgeon can be quietly confident, cautious, extremely competent....and always aware that surgery in itself is a morbid condition, which some patients will not recover.

 

Most of the surgical residents and attendings I knew in training were arrogant. Every private surgeon I know in the real world is pleasant, helpful, and appreciative.

Neville Sarkari
IM Attending/Private Practice

 

I think there are some who try and live up to the stereotype of surgeons. I think these are becoming less and less. I want to be a surgeon and do a fellowship, but I know better than to raise my voice and yell at everyone. I think some were raised that way, I was not and can not convert now. I think like anything else, there is a spectrum some are nice and humble and some are malignat arrogant and cruel people. I might choose to go into a program where all my attending are like that , becasue it might help me learn-- work best under stress and pressure.

 

I guess you'll have to call me...arrogant, obnoxious,aggressive, assertive, confident, pricky....but I don't think of surgery as being morbid, whether I think of something that is broken, and after my residency, I can fix it, and the pt can walk away all well again. Granted there may be some I can not bring back to life but I am going to darn well try to make them whole again. Morbid, no, healing, yes. Death is part of life. And not my call.

"Look at me, I'm flying"!!!!said the humble surgeon.

 

I think it depends on whether you decide to be a prick or not. I already know a few of these "pre-pricks" who are going into surgery. But, I also know of a few "non-pricks" who are also going into surgery (who are the minority, from my experience). Would they turn into pricks? I don't know....I hope not. But in the future, if some non-surgeon is is looking for someone to give their referrals, who do you think they are going to give them to? The biggest prick in town?

 

Surgeons are a very methodical and deliberate type of physician. They are highly ritualistic and believe strongly in complete ORDER. For a patient to allow a surgeon to operate on them requires complete trust and is an incredible responsibility placed upon that surgeon. This is not the time that the patient wants a surgeon to be lax or cool, to make jokes, or think up witty, cute, and funny things to say. These sick patients want the most highly skilled surgeon available to repair their ailment. No one can honestly say that a patient presenting to the ER with 10/10 RLQ pain + Nausea + Vomiting really gives a crap about getting the warmest, nicest, and fuzziest surgeon in the hospital to help them. They want the most capable SURGEON around. I am going to be more than honored to enter the Match for Surgery next year. So if being a PRICK encompasses being the best qualified for the job... I'll be that PRICK and believe me that your patients, your parents, or you would want that type of PRICK operating on them at 3:30am.

 

I just don't agree with the assumptions that being a prick implies being the best surgeon or being a nice guy equals a poor surgeon. These are independent of each other and are definitely not interdependent.

I have to admit that the grueling hours, malignant personalities you often train under, and high levels of pressure/stress can definitely give your personality a pretty strong hit. But how you deal with these things and the kind of person you truly are down deep inside are what type of person you are. Although the job envelopes you, it does not control who you are essentially.

I know I will grow as an individual over the next 5 years, but hopefully I will keep a sense of who I am and respect those around me. And please don't confuse confidence with arrogance. It's definitely a thin line at times but confident people rarely tell you how good they are.

BTW, the answer to the question is "no"

 

Hi there,

I spent a month on a General Surgery clerkship at the Mayo Clinic in Rochester, MN. Not only are the General surgeons there nice, they are the best in the world at what they do. I never once heard a disparaging remark about other specialties or members of the healthcare team. Far from being abrupt and non-communicative, most attendings fully and thoroughly interacted with patients and answered all questions. They loved to teach and interact with residents and medical students. Being confident does not equate with arrogance. In general, the arrogant, rude and obnoxious physician of any specialty is usually the most insecure.

If being a jerk is your way of dealing with stress and fatigue, then surgery is not going to be a good specialty for you. I have found most of the surgeons that I have encountered have been great teachers and excellent physicians who have enjoyed practicing their craft. I do think some of the horror stories that circulate around about surgeons and the "surgical personality" stem from selective memories. People tend to remember the few bad experiences and forget the good ones that far outnumber the bad.

 

I also don't think "prickess" is a prerequisite for being a competent surgeon. By your line of reasoning, every surgeon will have to be a prick in order to call themselves really competent and every non-prick surgeon will automatically be incompetent. So, the more of a prick people are, the better a surgeon they are going to be?

 

Unfortunately Kim, your program is probably the exception than the rule. From what I have seen, more than 50% of the surgeons in my academic world would probably qualify as one. That's an awefully high number. Also, I guess it doesn't help when you are on a radiology rotation interacting with gen surg residents and attendings and they figure out you want to be a radiologist (as a med student). They go from zero to prick faster than a radiologist's M5.

 

</font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by BeeGee:
<strong>Surgeons are a very methodical and deliberate type of physician. They are highly ritualistic and believe strongly in complete ORDER. For a patient to allow a surgeon to operate on them requires complete trust and is an incredible responsibility placed upon that surgeon. This is not the time that the patient wants a surgeon to be lax or cool, to make jokes, or think up witty, cute, and funny things to say. These sick patients want the most highly skilled surgeon available to repair their ailment. No one can honestly say that a patient presenting to the ER with 10/10 RLQ pain + Nausea + Vomiting really gives a crap about getting the warmest, nicest, and fuzziest surgeon in the hospital to help them. They want the most capable SURGEON around. I am going to be more than honored to enter the Match for Surgery next year. So if being a PRICK encompasses being the best qualified for the job... I'll be that PRICK and believe me that your patients, your parents, or you would want that type of PRICK operating on them at 3:30am.</strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">Wow, have any of you guys ever wathced PATCH ADAMS? This quote is almost right from the movie...and for those of you who haven't seem it I'll summarize what Patch responds...

"The funny thing is that you think you have to be a prick in order to get things done. And even more telling is that you think this is a NEW concept"

In summary PRICK does not equal GREAT SURGEON, even if there are a lot of prick surgeons out there.

 

I'm not sure what you mean by good natured... But when general surgery attendings tell me: "You're wasting your life" or "you won't be a real doctor", I don't think this is good natured at all. This along with many inappropriate jokes made in the OR and throwing OR instruments at residents/med students is not good natured at all. I have rather thick skin so it's not really a problem. I happen to give everyone including general surgeons the benefit of the doubt when I meet them. <img border="0" title="" alt="[Wink]" src="wink.gif" />

Socializing with general surgeons? Let's not go there. Besides when do they have time to do that?

Just remember radiologists are like elephants, they never forget. Your reputation as a surgeon depends not only your interaction with your fellow surgeons and patients, but other physicians as well, including that 3rd year med student that you once chewed out or threw a loaded needledriver at 10 years ago.

 

Where are you people finding all of these "prick" surgeons??? I have worked with about 60 different surgeons in three different states and can honestly say that I have only meet one that I would classify as a "prick." I have personally meet more "pricks" in other specialties than in surgery. Maybe I'm living in an alternate universe or have been unusually lucky in who I have been able to work with. So, NO, you do not have to be a jerk to go into surgery.

 

</font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by Sabreman:
<strong>All I know is, after 8 weeks of surgery during third year, after being exposed day in and day out to obnoxious prick attendings and residents, after never having time to eat, study, or sleep enough but being expected to have memorized "Surgical Secrets", I too was ready to scream at nurses who hadn't added up the I/Os and were wasting my few precious pre-rounding minutes. I wanted to shove the needle driver down the throat of the scrub tech who called all the surgeons by their first names but pimped me (a tech!) constantly and pointed out any mistakes I made to the surgeons. I certainly didn't ever feel I had time to go talk to my patients after morning rounds. I think it is surgery itself that makes people pricks, although the current pricks propagate this. Detect any residual bitterness?</strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">I admit that I've felt upset when tech's or PA's pimp me... but I'm not sure if my ego is getting in the way. Is it because I'm thinking "I'm going to be an MD, how dare a non-MD pimp me?" I don't think I care as much when an attending or resident pimps me. If it's my ego getting in the way, then that makes me really upset and I got to find a way to be a better, more mature person.

 

</font><blockquote><font size="1" face="Verdana, Helvetica, sans-serif">quote:</font><hr /><font size="2" face="Verdana, Helvetica, sans-serif">Originally posted by Voxel:
<strong>I'm not sure what you mean by good natured... But when general surgery attendings tell me: "You're wasting your life" or "you won't be a real doctor", I don't think this is good natured at all. This along with many inappropriate jokes made in the OR and throwing OR instruments at residents/med students is not good natured at all.</strong></font><hr /></blockquote><font size="2" face="Verdana, Helvetica, sans-serif">What the hell? Throwing instruments? I can't believe that goes on. And these people are doctors - that's freaking amazing! I am just a lowly incoming med student, but I can tell you this - anyone throws a needle driver at me and I'll be in their face.

 

Ahhh, the wide eyed incoming med student view. Few surgeons these days through instruments, but if they did, trust me, you won't be in his face. These people can really screw your med school career!

 

Ok WBC, I probably wouldn't be in his/her face, but I'd like to THINK I'd be <img border="0" title="" alt="[Wink]" src="wink.gif" /> .

 

I basically agree with your statement that there are plenty of general surgeons in my neck of the woods that my family, my friends, or I can go to both a competent and good natured general surgeon. I in fact did rotate with two surgeons who I have the utter most respect for. They are excellent technically and personally. I'd send people I know their way over any of the other jerks I met, who happen to be just as good surgeons. In fact I'd almost never refer anyone to the jerks I know, if there are other similiarly competent surgeons in the area. If there's one guy in town who has significantly lower mortality data for complex surgery like whipples for instance, he's a prick, and I still need the surgery I'd go to him. However, given the choice of similiar surgeon who is not a prick, I'd pick the non-prick in a heartbeat.

While we are on these lines, the prick behavior mentioned above is not good for recruiting 3rd year medical students into general surgery. I'm sure that many will do general surgery anyway, but I also feel there are a few who were "on-the-borderline" between specialties and this may have been one of the factors that pushed them over the edge to another field. And a few across all medical schools adds up to quite a significant number of gen surgery applicatnts.

 

Birds of a feather flock together. A prick will likely be attracted by the mutual acceptance of other pricks...Most likely these people who happen to be surgeons and also pricks.....were likely pricks well before they became surgeons.

 

Don't prick me! I am going to be starting general surg residency in two months and would like to think I am rather prickless and unprickful. Hopefully they won't be pricking around me or maybe I might have to prick them back. Hmm is that how we become pricks? Wish me luck as I head into prickhood. May I encouter as few pricks as possible so that I may stay unpricked by the time I finish my prickful prick training. Maybe we should put general prickery instead of general surgery on our coats. Seriously I got quite a kick with all the prick talk on this string. So from one prick to another thanks aloha kid.

 

My point, exactly.

 

Aloha Kid, I am guilty as charged! Thanks?!

 

[/qb][/QUOTE]I totally agree. The behavior you mention is rephrensible and inappropriate - regardless of specialty or level.

And Criminal!

JA