Mastery of your field: Like the derm post, no one knows your field like you do. If you're taking care of lacs in the ED, be willing/able to sew it up. However these days theres alot more hospital employed surgeons. Categorical vs Preliminary Most U.S. medical students seek a categorical position for residency training in a given specialty during their final year in medical school. One that i have never had before or since. For people who have chosen between general surgery and orthopedics (or other surgical sub-specialties), how did you choose one over the other? Surgeries: I once made a post that i think ortho has the most broad and numerous amounts of surgeries. This is also the time when you start applying to fellowships. It's unfortunately something we will never live down. This means interviews you actually go on and subsequently rank. On the side i have a lot of different side hustles including IMES, case reviews, and even some locum work. As you can see, orthopaedic has long been the preferred spelling in British English. This subreddit is not a place to spam your blog or solicit business. I think this trend initially started to persuade people / fill people in on a field that was relatively unknown (PM&R). To get the volume you need to survive, chances are you’re living in a city. A month is a whole lot better for exposure than five days, and typically they'll let you do more as a fourth year than third. In general, the best bet is to choose the doctor you feel the most comfortable with, or who has the most experience treating your particular condition. As always, how much money you want to make depends on how you want to work. My advice would be to wait until your medicine rotation and see how you feel about that. On the side i have a lot of different side hustles including IMES, case reviews, and even some locum work. Please limit posts concerning USMLE Step 1 or 2 to their respective stickied threads. and join one of thousands of communities. Press J to jump to the feed. For information on rules regarding recruitment for research studies, please see this page. Surgical oncology3 3. Misc: Board exams are 90% pass rate. We also know you more than likely haven't reduced and splinted a ton (any?) General Surgery is a highly competitive specialty which demands a high level of excellence and dedication from residency applicants who are interested in becoming a surgeon. The below graph charts the use of orthopaedic vs. orthopedic in British English books since 1800. Look, cesarean sections aren’t quite surgery in the same sense that urology, plastic surgery, neurosurgery, orthopedic surgery, general surgery, or any other type of surgery is… well, surgery. If your rotation orientation said weeknight call goes until midnight, 2am, etc, don't watch the clock and peace out as soon as the clock strikes 12. I'm asking because I think in medicine there's a lot of pressure from peers to do the hardest thing or work more and if you choose an easier route (not that Ortho is easy but it certainly doesn't suck as much as gen surg) then you're seen as lazy. I'll try to edit stuff down the road. What an Orthopedic Surgeon Can Do. Generally speaking you should know basic ortho trauma -- open fractures, ankle fractures, hip fractures, distal radius fx. It has 5+ editions and regulated updated with new and lasted surgical techniques. Average Step 1 score for matched US seniors. The Difference Between an Orthopedic Doctor and an Orthopedic Surgeon. I have seen some programs with a 6th year with one year dedicated to research. You pick the job you take, so of course you know the hours and the situation. We (at least at my program) will teach you. EGSis one of the best selling surgery book on amazon. When people met me in med school they assumed that they misheard me when I said Ophtho. Since MSK makes up the majority of the body, and we're responsible for that, in turn there's a shit ton of surgeries to play with. So we got treated like shit, but we also did a lot of surgery. we do that too. To ensure the highest chance of Matching, you want as many interviews as possible. 153 programs 974 applicants for 670 positions 77% match rate among US seniors in 2011. Neurosurg is also more research oriented as most if not all programs are academic. The moderators of the /r/MedicalSchool subreddit do not officially sanction/endorse any channel or take responsibility for any happenings within any channel. I chose gen surg because I really liked medicine. Orthopedic surgery or orthopedics, also spelled orthopaedics, is the branch of surgery concerned with conditions involving the musculoskeletal system.Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, sports injuries, degenerative diseases, infections, tumors, and congenital disorders Don't go MIA. I think if you LOVE the nervous system and being a hero, saving lives, then neurosurg is for you. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. If you want to be done with residency ASAP and start earning money, ortho would be the way to go. Felt a twinge in that shoulder while lifting weights? This i believe has since changed, but 2nd year involved two 36 hour shifts … This will vary with the program. The term used by Andry itself is derived from the Greek words ὀρθός (orthos), which means “correct” or “straight”, and παιδίον (paidion), which means “child”. Even though both are 5 years, many general surgery programs require you to do 1-2 years of research/masters/whatever in the middle of your training. Thanks. So this is your chance to do everything NOT in your fellowship so that when you're an attending, you don't forget the other stuff. Know anatomy -- deforming forces on fractures, reds, blues and yellows as above. r/orthopaedics: For the discussion of orthopaedics. Doesn't hurt to stay fit. Length of Orthopedic Surgery Residency Training. Initially was a general ortho surgeon doing bread and butter stuff out in the boonies. You also could fall in love with another subspecialty theoretically. You're gonna have to learn to love the bone. Troll posts will not be tolerated. Especially PMR interventionalists. Used to be one general ortho surgeon could do surgeries all over the body. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. Just happened to get lost one day 3rd year during my peds surg rotation and drop into a peds ortho hardware removal case. Because that's going to be the majority of your life during residency. get the supplies ready). But in smaller towns, this will become an issue. Orthobullets for common ortho mgmt. I'm wondering how much research experience your residents have? Get an ad-free experience with special benefits, and directly support Reddit. As a 2nd year, this is the feeling out period where the chief ortho residents decided whether you were worth something. Gets mad when someone makes free videos teaching anatomy using their models. Unlike residency apps, fellowships aren't as hard to get into unless you're looking for a top 5 program. They might tend to a broken finger or the tiny, intricate bones in the hand, performing surgery to improve function and relieve pain. As a surgicalist, i work seven 24 hour shifts a month and get 23 days off, so my lifestyle i would argue is better than most. Hoppenfelds for surgical approaches. Thank you for the post, I like your username. handbook of fractures is good, but I think orthobullets is better these days. I also loved the breadth of general surgery, and felt that the gen surg residents were able to manage the sickest people in the hospital. Hi reddit! Am starting MS4 in a few months and am thinking ortho as a summer elective. And the most intelligent questions are when you’ve already read up on it beforehand. There's a formula somewhere. I guess I could add some lettuce labeled “procrastination”. I went to a school that was one of the last ones to be old school. ALL QUESTIONS GERMANE TO PREMEDICAL STUDENTS I had about 3 weeks if you include SICU, etc. I have essentially narrowed it down to these two, and have done all of my research in orthopedics (as I thought I was 100% set on it before really enjoying general surgery). should be directed to the PREMED subreddit. Previous examples of troll posts involved users seeking "help" on mundane or sensitive personal issues. The Broward program, which is a dually accredited AOA/ACGME orthopedic surgery residency, recently received 450 applications for 3 training slots. So it's not impossible. Everyone from a 600 mile radius will call you about some peds stuff, so it's exhausting. For me, i love this speciality and could not see myself doing anything else. If we run through the approach/case with you and specifically highlight certain anatomy, try to remember it for if/when someone asks you in the OR. You may not recruit for your research study without prior moderator approval. This is also a time when you reflect on how poor you are. Is it more like, “oh that’s cute”, or is there any sort of respect at all? Try to learn the indications for the cases you're participating in. So how similar are ortho vs general surgery residency as far as hours, personalities, etc...? Brain/cancer mostly, and they get a CUT in pay. For moderation issues that arise there contact the moderators of the channel and not the moderators of /r/MedicalSchool. And if you're talking about spine and back pain? I had no idea this is an option. Posts made by accounts with less than 10 comment karma or less than 3 days old will be automatically removed. A “categorical” position is one which offers full residency training required for board certification in that specialty. In general surgery residency, you are required to do a certain amount of trauma training. It is the most searches general surgery book on internet. We did month long blocks: 4 months on the general surgery services, 2 months at the VA, 1 month SICU, 1 Trauma, 1 Vascular, 1 Peds, 1 Transplant, and 1 CT surgery. microvascular repair? Because of that, we've created our own shortage. If you’re competitive for ortho, do ortho. Part of why i do locums is to fulfill this niche need. General Surgery training is five years and serves as a gateway to a number of advanced surgical specialties such as Orthopedic Surgery or Vascular Surgery. Know where the reds, blues and yellows are. [–]DicTouloureuxM-4 9 points10 points11 points 16 days ago (0 children). Depends on the program. There will be a moment where you reach the singularity point and all that training comes together. There's a raging debate as to how much the OITE actually correlates with board pass rates. This includes discussion of filesharing or sources of pirated materials (e.g. Our program was academic, but didn't really focus on research. The good ol' days. However, research is NOT necessary for a fellowship, unlike say peds surg (gen surg fellowship). haha you're absolutely right! That's something I'm not super keen on losing, [–]Jglash1 3 points4 points5 points 15 days ago (0 children). I’m trying to become a doctor, [–]Johnny__Buckets 3 points4 points5 points 16 days ago (0 children), Because somebody needs to polish the ivory so admin can boast from their tower. In Ortho, you could live in a town of 10k and be fine. Welcome to /r/MedicalSchool: An international community for medical students. The good is that you'll have a slightly better lifestyle. Why don't you care if you lose your OB GYN knowledge? The American Board of Orthopaedic Surgery suggests residency applicants interested in Orthopaedic Surgery should … In the cities, it's not a big deal because there's enough super specialized surgeons to fill all the gaps. They thought I said Ortho because I'm a pretty big guy (definitely big for an Indian guy) and a big Lakers fan. yep. Now i'm in a larger city doing trauma related hospitalist/surgicalist gig. Now with programs transitioning to ACGME accreditation under the s… The good side is once people figured you were ortho, you got more respect and residents tended to trust you more. In 5th year, this is where it all comes together. If you wish to contribute to the wiki please refer to this post and PM /u/FactorGroup, /r/medicalschoolEU /r/residency /r/osteopathic /r/premed /r/premeduk /r/medicine /r/FOAMEd /r/askmedical /r/MedSpouse /r/Pathognomonic /r/Scholar /r/MDPhD, /r/Healthcare /r/HealthIT /r/Cancer /r/Diabetes /r/Fibromyalgia /r/Optometry /r/GlobalHealth /r/EmergencyMedicine /r/Pharmacy /r/Nursing /r/UKHealthcare /r/dentistry /r/Podiatry /r/epileptology. And this segment of pay i believe will likely increase in the future. We for the most part like that PM&R will do some of the needle stuff, but sometimes pain docs come across as milking the patient for money with a hundred shots (some of these notes have like trigger point, facet blocks, and a bunch of stuff that together seem questionable). Ortho has like 97% or some crazy shit of attendings answering yes to “would you pick your speciality again?” That should tell you everything you need to know. [Shitpost] Reminder to read all of your daily emails because they’re super important. We do that. It's brutal but try scheduling sub-Is for both early in your fourth year. General surgery residency is five years. We call them needle jockeys. Orthopaedic Surgery is among the most competitive residency positions to achieve, especially for International Medical Graduates (IMGs). I think you should consider what you'll be doing besides spine in either. General is notorious for being a pretty rough residency and one week really isn't enough for a real exposure. I have only had one week of exposure on each during MS3 year and am having a really tough time deciding on a 5 day snippet of a potential career. [–]xam2yM-4 6 points7 points8 points 16 days ago (3 children), One thing you could consider is how soon do you want to finish? Thus the fellowship heavy training, which leads to even less that residents do (as fellows do all the surgeries). This is also an important year because the trend is for everyone to do fellowships now. Most neurosurg come out and go into spine. [–]genuinelyanonymous91M-4 38 points39 points40 points 16 days ago (0 children), [–]krazyglue5M-4 26 points27 points28 points 16 days ago (2 children). All submissions are required to include a tag so that they can be flaired and sorted. This was at the tail end of the toxicity, so the groups ahead of us were sometimes bitter while we were right as rain. Did some research and published towards 4th year, but almost after the fact in terms of applications. Also, we have had many residents not AOA or had a Step 1 score below 230. Both “orthopaedics” and “orthopedics” are derived from orthopédie, a French term coined by 17th -century physician Nicholas Andry de Bois-Regard. In 3rd year, we had a bit of a reprieve and mostly did 3 month rotation blocks in hand, VA general, hand at county, and spine again. When I applied, the magic number of interviews ensuring 90% or higher chance of Matching was 12-14. They absolutely love what they do but you should only do it if you love the subject matter, [–]u2m4c6 6 points7 points8 points 16 days ago (0 children), For sure, but that stat is still pretty impressive to me, [–]ArendelleAnna 24 points25 points26 points 16 days ago (1 child). Our rotations at that time were trauma, joints, and spine. My friends who went into ortho absolutely hate the idea of managing hypertension, diabetes, etc., whereas I don't mind it. How do most orthopods feel about PMR docs? So we did a junior and a senior research project, but it was mostly a joke. The minute i saw that shiny mallet, it was love at first sight. Some are easier, some suck... 2nd/3rd year: Everyone's experiences will be different. anki decks). Orthopedic surgeons are qualified to operate on patients if they require surgery as part of their treatment. We do have an OITE program where we do practice tests throughout residency. Back when i used to be a mp3 bot for AOL giving away music. Some traditionalists do not want to give up that â aâ because, as they point out, pedo also translates as foot. [meme]. In 3rd year, we had a bit of a reprieve and mostly did 3 month rotation blocks in hand, VA general, hand at county, and spine again. The new Foot and Ankle Center of Harvard Medical Faculty Physicians in Dedham brings leading experts in orthopaedic surgery and podiatry to your community. Any and all responses welcome! General surgeons do have hand questions on in-training and board exams. I have only had one week of exposure on each during MS3 year and am having a really tough time deciding on a 5 day snippet of a potential career. They say MSK pain/problems is 80% of a general medicine practice. of fractures. Ortho. Use of this site constitutes acceptance of our User Agreement and Privacy Policy. Thus people often do work over 60+ hours a week because you're either all in or not making money. Personal Statement Sample for Orthopaedic Surgery As I approach the next step in my medical education, I look back over my twenty-five years and see several experiences that have led me to pursue a career in orthopedic surgery. But in smaller towns, this will become an issue. Things have changed where no longer do you HAVE to work 60+ hours a week. If you fail, you will be ridiculed and bring shame to your program. Not OP but Handbook of fractures, Netter's orthopedic anatomy are good places to start, New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. When we do BKAs and the like, we appreciate PM&R taking over from the rehab side of things. I have friends with two, even three fellowships, which i think is insane. I want to be able to medically manage my patients and not give up any one particular area of knowledge. I have always wanted to do ortho, but I just finished my gen surg rotation, and I did not like it at all. One of my good med school friends did neurosurg. There will be an even greater shortage of ortho surgeons due to this phenomenon. However, the American version seems to be gaining ground in recent years, but orthopaedic is still the preferred spelling in American spelling. Thus another reason why everyone does a fellowship, not out of interest but pure necessity. Because you can always find someone in pain and sometimes take advantage of them. Ortho is not exempt from this lol. What should I study coming into my SubI to really rock the rotation?? Residencies in orthopedic surgery take five years to complete, with applicants far outnumbering available slots. An orthopedic surgeon specializes in the treatment of muscles and bones. The bad is that your surgical experience will suffer. I'm between orthopedic surgery and general surgery… Can't really decide which one should I shoose… I don't have much experience, but if anyone has a good insight on these specialties that would be a huge help. M4's thinking bout the future right now like, Name & Shame: University of Colorado School of Medicine, NP almost killed my pt and I’m terrified for the future of medicine. yep. Try to make the resident's life easier (i.e. Personality of Ortho is diff than neurosurg. © 2021 reddit inc. All rights reserved. This was back before they mandated 6 months of it be strictly ortho, which is awesome for the new residents. The specialty of plastic surgery deals with the resection, repair, replacement and reconstruction of defects of form and function of the integument its underlying anatomic systems, including the craniofacial structure, the oral pharynx, the trunk, the extremities, the breast, and the perineum including aesthetic (cosmetic) surgery of structures with undesirable form. So this may be very silly and I'm not sure if this program even exists but what im looking for is a mix of MSK Interventional Radiology, Pain Management and Rehabilitation, and Spine Intervention. 5 year vs 7 year residency. [Orthopaedics] Maybe if you fixed your tone I would answer your question [OB/GYN] 3. Length of residency training: 5 years (1 year of general surgery and 4 years of orthopedic surgery) 2011 NRMP Match Data. You can do ortho plus a fellowship in the same time it takes to do a general surgery residency, [–]vy2005M-1 4 points5 points6 points 16 days ago (1 child), Why tf do programs do that? REDDIT and the ALIEN Logo are registered trademarks of reddit inc. π Rendered by PID 4339 on r2-app-04bc3279842e105e1 at 2021-02-17 12:41:17.421483+00:00 running 7673918 country code: GB. The gen surg chiefs preferred ortho guys/gals because we took pride in our work and were here to stay (as opposed to transitions/prelims that were gone after a year). Sure some will argue that that work get better results and what not, but like everything there's a limit. At a minimum you should be in the 500 club (step 1 score + bench press > 500). Press question mark to learn the rest of the keyboard shortcuts. Otherwise ... again for me it’s a no brainer. Cesarean sections are quite crude, closure techniques are not conducive to favorable scarring, and it’s a bloody battlefield in there. [–]NoCriticism1549[S] 5 points6 points7 points 16 days ago (0 children). Scopes? So what i'm saying is, you'll never go hungry. Once you've seen it done once, however, you should be able to pick up on what supplies are needed. He is capable of doing cases proximal to the elbow; however, he seems reluctant to do so when he's in a proctice with orthopaedic sureons who are more familiar with that region. Background: I'm a board certified orthopaedic surgeon. use the following search parameters to narrow your results: Please keep all topics germane to current medical students. Unless i'm misreading this, if you only had one week of general you really need to do more time. Are you Competitive for Orthopaedic Surgery? Banged your knee up playing soccer? Also as a neurosurg your options of living are limited. Depending on the program, you should be mostly surgery heavy.