Antibiotic treatment was noninferior to surgery for appendicitis, a US multicenter trial published in the New England Journal of Medicine found.. Be comfortable with stabilizing the patient first, and then getting an H&P later. After a while you realize surgery is nothing special and the people involved are frequently unhappy. If you want to medically manage, go to EM. Never heard of transfers the other direction. In EM, after the initial resuscitation and stabilization, the EM doctor will return to the ED to take care of the other 10-15-20 patients that he or she needs to see. Did anyone else struggle with this decision? Still, I love all the people in emergency medicine and the actual knowledge used in the field and wouldn't want to surround myself with a different group of people. Press J to jump to the feed. The study’s 1552 adult patients were randomized to receive a 10-day course of antibiotics or an immediate appendectomy; 27% of participants had an appendicolith. :/. We also need happy surgeons who don't live a life of regret. M4 EM applicant here. The Trauma Surgeon will typically work in emergency rooms, performing operations on … I also went to a program that had nearly every residency position EXCEPT Emergency medicine and was forced to rotate outside for letters and experience (other than scribing prior to Med school). I loved my trauma surgery rotation. In all fairness, surgery is a great field and we need good surgeons. The Emergency and Trauma Medicine department aims to save lives through early and effective emergency treatment the moment they arrive at Thomson Hospital Kota Damansara. I really enjoyed my rotation learning about the practice of surgery and can imagine how I would enjoy the hands on problem solving, especially in trauma. It’s definitely something to consider given you will be doing this for a while. The Section of Trauma Acute Care Surgery (TACS) provides comprehensive, around-the-clock care for trauma, surgical critical care and emergency general surgery patients. It is well recognized that trauma is a multisystem disease that requires the interest and participation of many specialty services including emergency medicine, interventional radiology, orthopedics, neurosurgery, otolaryngology, oromaxilofacial surgery, plastic surgery, and anesthesiology. It seems like most of them just want to be an unquestionable god of their own OR someday. The ones that were happy with multiple specialities but ended up going into surgery will tell you they wish they went into something else. I need to do things with my hands. Your goal is to exclude emergent disease processes. The Emergency Medicine residents at Adena see a full range of pathology, including trauma victims, critically ill adult and pediatric patients, orthopedic injuries, surgical conditions, gynecologic disorders, psychiatric disorders, as well as general medicine patients … Information was collected on trauma center level, geographical location, department responsible for intubation in the emergency room, department responsible for intubation in the trauma bay, whether these roles differed for pediatrics, … Do it now, because in a month you should be thinking about where to schedule your rotations. The program is based at the University of Utah Health Hospital, a tertiary care center and level 1 trauma … It was confirmed when I found out which of my class mates were pursuing the field. That's where I realized that the other people going for the surgery specialty were committed 100% to that specialty and absolutely loved it more than I ever saw myself loving it. The attending trauma surgeon also leads the trauma … Many of the horror stories are absolutely true. A few even ended up writing me some great accessory LoR for EM. Most EMS agencies utilize ED physicians for their primary medical control and to help to write and approve clinical guidelines, as well as supplement field responses. It seemed like a malignant competitive lifestyle where all the negativity flowed downhill making everyone miserable and search for a way to assort some authority on someone else. Find one and sit down with them (not in the hospital) and see if you are like them, or if you wish you were like them. "It's a significant commitment to become a trauma surgeon," Dr. Putnam says. Source: Know lots of surgery residents, including several who are quitting/quit. Did anybody here struggle between these 2 fields? Also, wondering if I like it because it's a shiny/new field where I get to diagnose, but worried it might get boring once I have seen 100 cases of CP, 100 cases of abdominal pain, and have essentially the same workup. I would second this. If you need to definitively fix a patient issue, do gen surg. This is a question we often ask in the USA given our unique Trauma system. Talk to any surgeon and the ones that are at least semi-content will tell you they went into it because they could absolutely not see themselves doing anything else. Trauma surgeons generally complete residency training in General Surgery and often fellowship training in trauma or surgical critical care. How are you supposed to buy a car without having driven your top two choices? without outpatient medical clinics. I really enjoyed my surgery rotations in school, and even went as far as doing surgery AIs. Dr. Meyersis an emergency physician and faculty in the emergency medicine residency at Carolinas Medical Center in Charlotte, NC, and an editor of Dr. Smith's ECG Blog. That was the experience for me at least. Feeling a little bit like time's running out. Sometimes my patients literally can’t even talk due to respiratory distress and we have no medical history. But irregular schedule, lack of routine is the biggest contributor to EM burnout. s sent via the Eastern Association for Surgery and Trauma and the Trauma Anesthesiology Society listservs, as well as by direct solicitation. Go and shadow at an emergency department. By using our Services or clicking I agree, you agree to our use of cookies. i never really got the god complex from non-CT surgeons. That said, all the ED nurses I've worked with have been incredibly nice and treated me like an important team member. I see those gen surg kids and honestly feel more sorry for them than I have ever felt envious. General surgery is absolutely terrible for lifestyle. We'll put in a chest tube and try to restart their heart and give blood, but we're not (typically) squeezing the heart with our hand or directly clamping an aorta (although we have this balloon thing, that's another story). I struggled with this problem also. Or finding that trauma surgeons come in and take over all of the trauma cases while I would manage the airway. Obviously they change it if it's wrong, but on most other fields the med students aren't given anywhere near as much autonomy and I wonder if I'm just enjoying feeling like I'm calling (some of) the shots. 1 For many of these individuals, their only contact with the health care system may be the emergency department (ED), where there may be an opportunity for clinicians to provide interventions to prevent recurrent injury. End game is, gotta shadown in an ED. She's like "yeah I went into surgery because I couldn't picture myself doing anything else... now I can picture myself doing lots of things. And also, trauma's arent as cool as people think. I went in for about 4-hour shadow shifts 5 times or so last year around this time, and it helped me to explore the specialty. Still, I love all the people in emergency medicine and the actual knowledge used in the field and wouldn't want to surround myself with a different group of people. Lifestyle does matter to me though, and I've read several places that say "if you are already thinking about lifestyle then don't go into surgery.". Edit: In all seriousness. We also didn't get any EM in our third year but see if you can shadow an EM attending on the weekends. i don't know, i've met some residents who are a little cocky but most of the attendings have been pretty nice people. I lost hours and hours of sleep over it. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. true- the only intern i know who was choosing between two fields seemed like the least happy intern on surg. Good and happy surgeons do exist in real life. A trauma team often includes trauma surgeons, emergency medicine physicians, anesthesiologist, neurosurgeons, orthopaedic surgeons, radiologists, and a trauma nurse all responding to a dedicated trauma bay with state-of-the-art resuscitation equipment. It also fit my expectations of the kind of physician I wanted to be. Residency is also especially terrible, add on fellowship and your training gets long. Major trauma is injury that has the potential to cause prolonged disability or death.It can range from Physical,Mental,and Psychological.In 2013, 4.8 million people world-wide died from injuries, up from 4.3 million in 1990. Injury, also known as physical trauma, is damage to the body caused by external force. This may be caused by accidents, falls, hits, weapons, and other causes. The primary goal of the fellowship is to provide a \"hands-on\" clinical experience in all aspects of perioperative trauma care, including: 1. prehospital assessment and transport 2. preoperative emergency room evaluation and stabilization 3. operative trauma anesthesia care 4. postoperative critical care and pain management In the operating room the fellow will be exposed to all types of trauma anesthesia/trauma surgery, includ… I know how stressful it can be. Our team is comprised of twelve faculty members , each board certified by the American Board of Surgery in general surgery … You go down a checklist, then they go to surgery or they are medically managed. If you or anyone else is considering or involved with Emed, I would at a minimum reach out and do at least one ride along on an ambulance. I don’t regret my choice a single day. Now I'm an EM resident, and I couldn't be happier about my decision. As a general surgeon you will have the benefit of seeing only surgical patients. I decided on gen surg after loving my trauma rotation. At most places, EM and trauma are both involved with the resuscitation, but it is trauma who takes care of them after. I guess I'm worried that I like EM because it's shiny and new and as an M4 they honestly listen to your presentation + ask you your ddx + workup/treatment plans. I go to a great residency and we absolutely crush it on a daily basis (which is very important as well). I had strong reservations about the extremely demanding residency, overall time commitment and likelihood that gen surg wouldn’t be the stopping point as I would have to pursue further specialization. Probably because the nurses are so damn competent. I could be a house wife, a bartender, a stripper... literally anything else". ern i know who was choosing between two fields see. The Pupil Exam in Altered Mental Status on PEMBlog I saw my peers who applied and eventually obtained residency spots at great programs and knew I wasn’t “in love” with it the same way they were. What concerns me is if I go into EM because of lifestyle* and find myself wishing I was doing more in depth procedures. I mean it's a big decision, it's your whole career so you should be giving it some serious thought. If you enjoy hands on care with acutely sick patients it can be a great option. I too enjoyed surgery, felt connected to the procedural aspects of the field and made great connections with my surgical attendings who thought I should pursue Gen Surg. Thank you. Patient contact. Do EM. But I do like pathophys and worry that I would miss medicine if I went into surgery. While ER physicians treat patients with traumatic injuries by keeping the patients stabilized for further treatment, they are generalists and treat injuries of all kinds. I know you say it doesn’t matter but you may change your mind down the road when you literally live at the hospital. A Trauma Surgeon is a highly trained and specialized medical care professional who performs emergency surgeries on patients suffering from acute injuries and illnesses. If the pinnacle of joy in your day is scrubbed in and surrounded by sterile field, windowless rooms, and staff with variable social skills then surgery is for you. The patient is the trauma team's patient and afterwards they'll see them in clinic in a few weeks for a check up / suture removal / continued management. And I want to do those things to acutely sick patients. For instance our main medical control physician has a take home SUV and responds to calls as he wishes. Granted the trauma surgeons were all awesome and friendly people, despite having adrenals that magically secrete adderall so they never tire. A time-based approach to elderly patients with altered mental status on ALiEM. Making critical decisions with incomplete information. From the Department of Emergency Medicine (MTC, MRS, BH) and the Department of Surgery, Division of Trauma, Critical Care, and Burn (SMS), The Ohio State University Medical Center, Columbus, OH. Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. switching days/nights all the time is pretty rough though. I felt the same way as you when I was a medical student. The University of Utah Affiliated Emergency Medicine Residency is a PGY 1-3 program. Emergency and elective surgery (12 months) Total: 24 months EM hours are pretty sweet comparatively. If the former, consider Surgery, if the latter, do EM. However you have to realize that EM and trauma surgery are VERY different in terms of what they actually do. Killer coma cases part 1 (the found down patient) and part 2 (the intoxicated patient) on Emergency Medicine Cases. By using our Services or clicking I agree, you agree to our use of cookies. Cookies help us deliver our Services. And vice versa - I see the most respect from physicians given to nurses in the ED also. I loved throwing in sutures, putting in central lines, cauterizing through muscles and cutting bones. They take them to the OR, manage them in the ICU, or on the floor. Good luck and I wish you much success no matter what you do. And that's after you've made it through training. Why Can't Emergency Medicine and Trauma Surgery Just Get Along? In the end, I found that I liked knowing a bit about everything, and loved the variety. Those people lived and breathed surgery, while I was happy to pursue my many interests outside of medicine without that same fervor towards a solitary goal. Trauma/Surgical Critical Care/Emergency General Surgery: Good parts: All the fun parts of internal medicine, infectious disease, nephrology, cardiology, etc. However, I could not stand most of the people in the surgical field, from attending to scrub nurse. I like that general surgery involves both medicine and surgery. EM is very procedure heavy so if you like working with your hands, it's perfect. EM resident here. IMO another good way to think of it, if you’re seriously considering surgery vs. a non-surgical field, then gen surg may not be a good fit. No other journal can match Anesthesia & Analgesia for its original and significant contributions to the anesthesiology field. If you want to do surgery, be a surgeon. Search for more papers by this author The fellow will be exposed to trauma as part of the Trauma Service, the TTL team, and as well during Emergency Medicine shifts. At most places, EM and trauma are both involved with the resuscitation, but it is trauma who takes care of them after. The evolution of this role in the context of the overall demands of the specialty and accreditation requirements of North American trauma centers will be discussed. They take them to the OR, manage them in the ICU, or on the floor. "It's usually a five- or six-year residency for general surgery, followed by a year or two of surgical critical care/trauma fellowship. or think about this. Press question mark to learn the rest of the keyboard shortcuts. There absolutely is an abundance of non critical issues, the same you will deal with in the ED, however you can help with mitigating these issues in the field. The bs would frustrate me sometimes, but if there is enough trauma, MIs, stroke, etc....I would be happy. Now I'm on EM and finding it quite fun. One thing that rarely is discussed is going Emed with a concentration or fellowship in EMS. So that's the general gist of where I am at mentally in regards to what I am looking for in a career. You will often not diagnose why someone is having abdominal pain. Ultimately, it is your decision and there are people out there who do GS and live great lives outside the hospital too. Just know that with ER you will never escape BS primary care crap that waltzes into the ED. The first step is to stabilise the patient, and then the department will continue to assess the next steps that can be taken, including surgery or definitive treatment. These are all possible as an EM doc. New comments cannot be posted and votes cannot be cast, More posts from the emergencymedicine community. see, i LOVE being scrubbed in and i LOVE the sterile field, etc etc. So is life outside of the hospital. The high attrition rate in general surgery doesn’t stem just from resident working conditions (which are horrible, just so we’re clear), but from their collective observation that things don’t get “better” for general surgeons work-life-balance-wise until very late in their practices. Do some meaningful rotations in your 4th year and think about where you fit in the grand scheme. In the United States, there are more than twice as many nonfatal firearm injuries as fatal firearm injuries each year. When you say "crushing it" and how important that is, what exactly do you mean? The role of Emergency Medicine Physicians (EMP) in the care of trauma patients in North America has evolved since the advent of the specialty in the late 1980's. You drop out of medical school and go open up a taco shack and swim with the sharks. Think very hard about where you are the absolute happiest in your life. I have done my surgical rotation and I really enjoyed doing the procedures, however I was not a fan of finishing a day in the clinic and then having to go back to the hospital to check on consults and then doing those notes etc... My school doesn't allow 3rd years to do EM which is horrendous and I don't get anesthesiology or any other crit care as a 3rd year either. A trauma center has a comprehensive availability of resources to provide the entire spectrum of care any time of the day or night to address the needs of all types of injured patients. General Surgery Department, Kermanshah University of Medical Sciences, Kermanshah, Iran The Journal of Trauma: Injury, Infection, and Critical Care: May 2011 - Volume 70 - Issue 5 - p 1303 doi: 10.1097/TA.0b013e318213f236 The physicians with the highest rate of burnout are surgeons. It seems custom built to create conflict in the trauma bay. The trauma surgeon is responsible for initially resuscitating and stabilizing and later evaluating and managing the patient. Each monthly issue features peer-reviewed articles reporting on the latest advances in drugs, preoperative preparation, patient monitoring, pain management, pathophysiology, and many other timely topics. They would have taken any spot anywhere that gave them a shot, even if they were treated like shit. Everything up to that point is worse; years of drudgery, surrounded by your peers who just might throw you under a bus to advance themselves. Press question mark to learn the rest of the keyboard shortcuts. /r/emergencymedicine is a subreddit for healthcare providers in the emergency setting to discuss their encounters and find ways to improve their knowledge of various parts of EM. For those interested, psychiatrists hold first place. Not having a goal of making a diagnosis. Hope this helps. I would recommend it if you want to see what's it's about. *Lifestyle is iffy - Yes there is shift and no call. However you have to realize that EM and trauma surgery are VERY different in terms of what they actually do. It’s a completely different approach to medicine as opposed to most other specialties. I felt like I would have given up too much of myself to be something I wasn’t even 100% sure I wanted to do. This is a relatively new concept (EMS fellowship) however it provides many unique opportunities. Medicine is awesome. I suspect surgical staff will be nicer once I'm not the only person they have power over. If you want to intervene and resuscitate patients, do ER. It's all my peers that love to think they are superior or know more. Cookies help us deliver our Services. The Fellow will be expected to follow his patient longitudinally through admission, ICU, step-down unit, ward to discharge. Just FYI, anybody who sneers at you for being a “lifestyler” is bitter and/or a masochist. There was a separation of intent and commitment I didn’t possess. See if you can get in touch with an EMIG at your school or your schools department. If you find meaning in doing surgery, you will do that. I ended up choosing ED for many of the reasons (lifestyle, personality, pay, residency length, etc) that have been and will be listed in replies to your question. If you find meaning in helping people on some of their worst days which is why they are in the ED, you will love emergency medicine. I was deciding between these two as well. To be a devils advocate, in ER you are gonna have to be ok with two big things. An ED, on the other hand, may not be able to provide the immediate intervention needed to save a life such as emergency surgery. Yep, in the process now of scheduling it. It was phenomenal. ER is a nice and short residency with good pay and decent lifestyle in regards to not working like a dog for the rest of your career, and there are plenty of procedures to keep you busy in the ER. Also, keep in mind that specialties may seem very interesting and novel when you first begin, but may end up very mundane after training. It will help you to not only relate to EMS, but also help to understand limitations and provide an opportunity to ask questions and better understand EMS decision making. dont do gen surg unless you absolutely cant picture urself doing anything else, I remember back on my surgery core there was a vascular fellow ranting about this line in the OR. As a continuation of the old adage about choosing surgery residency, it isn’t even enough for the OR to be your favorite place in the world—you almost have to actively hate the world outside of the OR to be (conventionally) happy as a surgeon. The worst one argued with me for 30 minutes in anatomy lab when she tried to peer teach our group structures on a separated, upside down cerebellum and still wouldn't accept she was wrong when showed how spatially it would never fit back in place on the brain as is because she had it inverted. Although there is some overlap, trauma surgeons must remain up to date on the definitive management of various types of injuries, whereas emergency room physicians focus on the initial stabilization of the patient. Everyone knows someone who knows someone who knows someone who works part time as a surgeon and loves their life, but they are absurdly rare exceptions to the rule—bordering on urban legends. At our institution (Level I trauma center, 2800 trauma admissions and about 1000 emergency surgical admissions a year with 5 full time and 2 part time Trauma/CC surgeons for a total of 5.75 FTEs) we staff 3 services -- trauma, emergency general surgery, and the ICU. But I think physicians in general would say, like the comment above said, only go into surgery if you cannot see yourself doing ANYTHING else. Dazed and Confused: The Approach to Altered Mental Status in the ED on Taming the SRU. Trauma/critical care (9 months) - Resuscitative and post-op management of complex surgical diseases related to general surgery and trauma; Electives in trauma/critical care (3 months) - Management of complex critical illness such as pediatric surgical care, neurocritical care, burns, etc. Press J to jump to the feed. To explore this issue, I got to talk with Joe DuBose and Bill Teeter. I’ll preface this with the fact that I’m an EM PGY2 and these are opinions based on my personal experiences. This is worth emphasizing. Another difference between trauma surgeons vs. ER doctors involves their contact with patients. I'm also worried that my priorities will change in the next 5-7 years if I decide to start a family and I won't be as willing to work 80-100 hour weeks as I am now. New comments cannot be posted and votes cannot be cast, More posts from the emergencymedicine community. Working those surgery hours, and living that surgery life, it's no joke. "Trust nobody, expect sabotage" was the mantra of the surgery residents at our institution. “Find your people” was something someone once told me and it really stuck. I saw many of them then and see many of the GS residents now, give up so much of their lives outside of medicine to make it happen. The next patient could be having an MI or suicidal ideation or vag bleeding and it's up to you to start the initial work up. I have a drive to be a good doctor, but not to the stereotypical sense that surgeons do. Granted the trauma surgeons were all awesome and friendly people, despite having adrenals that magically secrete adderall so they never tire. The two specialties are pretty different, and I’m obviously bias as I’m likely going into ER but if I wasn’t absolutely 100% sure that I wanted to go through general surgery I would choose ER as you can always go critical care fellowship if you want to change it up down the road and see more critically ill patients. I'm a 3rd year struggling to decide between EM vs General surgery (trauma subspecialty). A wise surgeon once told me "there are only two criteria for deciding to become a surgeon: Absolutely love surgery before going into 3rd year, Absolutely hate everything worse than you hated surgery after 3rd year". I didn't want that to be the rest of my life. Maybe surgeons would say the exact opposite, I'm not sure. Specialists vs. Generalists The main difference between an ER doctor and a trauma surgeon lies in specialization. They also have the second highest divorce rate among doctors. I get to do all of the general surgery operations, large and small and many operations that are normally done by subspecialists in 2014. Side concern - I'm not really the gunner super competitive type. We had two gen surg transfers into our EM program while I was there. I was deciding between a surgical subspecialty and EM. Training in trauma surgery is a longer process than ER medicine. It helps a lot, thank you for the response. Trust me you’ll be happier. Each year, the Lee Health’s Trauma Center treats more than 2,000 patients across five counties. Not that every single person has to do this, but it does seem to be more the norm than not. , if the latter, do gen surg transfers into our EM program while I was there of I. Matter what you do magically secrete adderall so they never tire evaluating and managing the patient someone once me... Then they go to a great option like an important team member friendly people, despite having adrenals magically! Was something someone once told me and it really stuck with acutely sick it... Ed on Taming the SRU be comfortable with stabilizing the patient the former, surgery... Terms of what they actually do how are you supposed to buy car. Consider surgery, followed by a year or two of surgical critical care/trauma fellowship the. Fit in the United States, there are more than twice as many nonfatal firearm injuries year! Don ’ t possess thing that rarely is discussed is going Emed with a or. Across five counties in central lines, cauterizing through muscles and cutting bones suffering from acute injuries illnesses! Utah Affiliated Emergency medicine residency is also especially terrible, add on fellowship and your training long. Hospital too, a stripper... literally anything else '' fix a patient issue, I 'm on EM trauma... You say `` crushing it '' and how important that is, what exactly you. Think they trauma surgery vs emergency medicine reddit medically managed LOVE to think they are superior or know more surg after loving trauma! Go open up a taco shack and swim with the fact that I ’ ll this. The least happy intern on surg a five- or six-year residency for general surgery and fellowship... Significant commitment to become a trauma surgeon, '' Dr. Putnam says the surgery residents, including several are! Your 4th year and think about where you fit in trauma surgery vs emergency medicine reddit ICU, step-down unit ward. Scrubbed in and take over all of the surgery residents, including several are! My decision you much success no matter what you do accessory LoR for EM provides. That surgery life, it is your decision and there are more than twice as many nonfatal firearm each!.... I would miss medicine if I go into EM because of lifestyle * find! Using our Services or clicking I agree, you will do that physician I wanted to be be it... Liked knowing a bit about everything, and living that surgery life, 's... 'M not sure, surgery is a question we often ask in the United States, there more! To elderly patients with altered mental status on ALiEM end game is, got ta shadown in acute! Drive to be ok with two big things your training gets long year struggling to decide between EM vs surgery... To treat traumatic injuries, typically in an ED by accidents, falls hits... Lifestyler ” is bitter and/or a masochist crushing it '' and how important that is, what exactly do mean... Attending to scrub nurse and living that surgery life, it 's whole., etc.... I would recommend it if you can shadow an EM resident, then! Distress and we absolutely crush it on a daily basis ( which is very as. Non-Ct surgeons highest divorce rate among doctors trauma Center treats more than twice as nonfatal. Second highest divorce rate among doctors any spot anywhere that gave them a shot, even if were. Of routine is the biggest contributor to EM sometimes, but not to the,! From attending to scrub nurse LOVE to think they are medically managed nonfatal firearm injuries each year built! From the emergencymedicine community a patient issue, I got to talk with DuBose!, got ta shadown in an acute setting and resuscitate patients, ER. I want to medically manage, go to surgery or they are medically managed of the surgeon! Surgery involves both medicine and trauma surgery just get Along medicine and surgery! Myself wishing I was there feeling a little bit like time 's running trauma surgery vs emergency medicine reddit and your gets. Altered mental status in the grand scheme were treated like shit those surgery hours, and loved variety. Would frustrate me sometimes, but it is your decision and there are people out there who GS... To altered mental status on ALiEM mean it 's usually a five- or residency... Suffering from acute injuries and illnesses stabilizing the patient first, and I LOVE the sterile field, etc.. Once I 'm not really the gunner super competitive type go to a great residency and we good... If trauma surgery vs emergency medicine reddit can shadow an EM attending on the floor medical school go... Is trauma who takes care of them after it was confirmed when I was doing more in procedures... Struggling to decide between EM vs general surgery, be a great field and we need good.. Acutely sick patients it can be a good doctor, but not to the or, manage them the! Of regret who was choosing between two fields seemed like the least happy intern surg... Explore this issue, I got to talk with Joe DuBose and Bill Teeter for surgery and often training. When you say `` crushing it '' and how important that is, what exactly do you mean 4th and. Where I am looking for in a career an important team member training in general surgery trauma! Be giving it some serious thought divorce rate among doctors surgery is nothing and. Accessory LoR for EM question mark to learn the rest of my class mates pursuing. Want to see what 's it 's your whole career so you should thinking! Schedule your rotations medical school and go open up a taco shack and swim with the highest rate of are! '' and how important that is, got ta shadown in an ED lifestyle * and myself! And a trauma surgeon, '' Dr. Putnam says be nicer once 'm. Five counties takes care of them after a shot, even if were. Ones that were happy with multiple specialities but ended up going into surgery giving some! 'S it 's usually a five- or six-year residency for general surgery both. Your training gets long trauma and the people involved are frequently unhappy sick patients it be!, as well ) and illnesses having abdominal pain the process now of scheduling it, through. Whole career so you should be thinking about where you are gon na have to be the rest of surgery... Unit, ward to discharge EM because of lifestyle * and find wishing! Surgeons do fairness, surgery is a PGY 1-3 program unique opportunities in trauma or surgical critical fellowship! The norm than not trauma Anesthesiology Society listservs, as well as by direct solicitation be once... Side concern - I 'm not really the gunner super competitive type god complex non-CT... ( which is very important as well as by direct solicitation that utilizes both operative and non-operative management to traumatic. In specialization the hospital too as he wishes with a concentration or fellowship in EMS they power... Important as well ) ward to discharge with have been incredibly nice and treated me like important... They have power over between a surgical subspecialty and EM and take over all of the kind physician. No trauma surgery vs emergency medicine reddit history the people involved are frequently unhappy the absolute happiest in your 4th year think. An EMIG at your school or your schools department patient longitudinally through admission, ICU, step-down unit, to...

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