few to no emergencies, VERY rare to have to come into hospital at night or even on weekends). Vascular emergency questions are asked twice as much as elective vascular reconstruction. But I do mean it when I say that this isn’t a field that you talk yourself into. Hope this helps. If in doubt, perform fasciotomy. We have 2 hybrid ORs and 3 vascular surgeons. You take out organs and sew in new ones. Now if only i could get some damn interview invites... You're saying rural is better for work hours? How is their lifestyle? I'm sure there are things I have forgotten. Despite its appeal, continued promotion of the field is necessary to recruit and retain the best and brightest candidates. It's true. Small profile on Dr. Conte at UCSF explaining his outlook on being a vascular surgeon. We develop long-term longitudinal relationships with our patients similar to surgical oncologists and they will come back with other issues. It's exhausting work but you can't turn down an organ when one comes your way. - It's fairly common and although it goes in waves, we crank out 1-2 CEAs a week between all the surgeons combined. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? Get to do a bunch of cool laparoscopic operations. If the lifestyle adjustments or medications are ineffective, surgery will most likely be considered. We make one shoe at a time. Treatment for peripheral artery disease focuses on reducing the leg pain so that the patient can continue the normal physical routine. A reason for me pursuing vascular surgery is just how good my mentors are. Pro for lifestyle is it is largely shiftwork. Vascular can have pretty bad emergency surgeries and stressful outcomes. Masochist squared? Background: Just finished a traditional 5-year general surgery residency and about to begin fellowship. CT Surgery: Cardiac and thoracic are actually very different. Description Vascular surgery involves techniques relating to endovascular surgeries including: balloon angioplasty and/or stenting, aortic and peripheral vascular endovascular stent/graft placement, thrombolysis, and other adjuncts for vascular reconstruction. Being the chief of the service, I usually wake up around 0500 and get to the hospital around 0530. This is just probably the coolest thing I would want to do but after that graph of how much people in vascular work I just can’t bring myself to do so. Really? Dr. John Fenton, a long-time vascular surgeon in the Nickel City, has been chosen as the new chief of staff at Health Sciences North. Bariatrics is variable. Students who participate in this elective are also offered opportunities to shadow vascular surgeons in clinic and in the operating room. Commonality for both is a super intense training program either via a 2-3 year CT fellowship after general surgery or a integrated CT residency.-Cardiac - lot of tough cases but your bread and butter will be CABGs and valves. Income: If I remember correctly the starting median salary for an academic job is $382K/yr and private practice is $442K/yr (I could be completely wrong on these figures). If everything goes well and we have no add-ons, we’re at signout for the night float team by 1645 or we catch them later on after we’ve wrapped up all the floor issues and done our postop checks. Lot of hand holding required. Surgical videos from DICET at Houston Methodist on open aortic procedures. Cases start at 0800 - usually two rooms running. He's half right and half wrong. I mean I know generally that gen surg is notorious for having a "bad" lifestyle, but are there any diamonds in the rough here? Welcome to /r/MedicalSchool: An international community for medical students. -Thoracic - interesting field with a lot of breadth. Cigarette smoking has been implicated as a risk factor for postoperative complications across a spectrum of surgical specialties. They are master technical surgeons and are often called to bail others out of trouble. Immediate Management of Life-Threatening Vascular Injuries + + Maintain Airway and Treat Associated Injuries + + Treat associated life-threatening head, thoracic, and abdominal injuries (Chapters 12, 22, 24, and 25). Also you never know when an organ is going to become available, right? Not to the extent of breast/MIS, but maybe better than Trauma, Surg Onc HPB, Ped Surg if you exclude lung transplant? Many Americans over the course of their lives will experience some form of vascular-related symptoms. My home institution is offering a stipend while I’m in fellowship and guaranteed $500K salary for two years if I signed right now. My father is an IM hospitalist and mentioned a colleague who shows up at 7 each day and every now and then he’ll find notes from 11:30PM from this dude. QOL was measured using the Gastrointestinal Quality of Life Index, a 144-point questionnaire where severity of GI symptoms are rated on a 4 point scale (less severity is equivalent to higher points). Having gone through GS and now staring down the barrel of two more years of grueling training. The ICs at our own institution are also very easy to work with, however, there are private practice ICs that do some renegade stuff in their own out-patient angio suite and they've learned to send their complications to another hospital so as to avoid us knowing about it. Cheers. So I wouldnt think it's a "typical" lifestyle specialty. https://www.youtube.com/watch?v=Z6WKuPFYnbQ&list=PLZpDzANLjPtX7eRfNzFjQpcq_N2-bRS3O. My program does not have a vascular surgery fellowship, which was great from a resident standpoint because nobody would be able to out-chief me for open AAAs, aorto-bifems, and other awesome stuff. Lot of new technology and endovascular techniques have revolutionized the field. But it is hard. The typical critical care fellowship is mainly non operative 1 year rounding in various ICU. NAT is the worst. There’s also trauma fellowships out there that fewer people do. During my residency, nothing was worse than the ER calling me with a cold leg. Program lengths vary from 5-7 years, depending on research requirements. Resources provided in this section will help aspiring and current vascular surgery trainees make career decisions and I had that surgery!". Objective: Arteriovenous fistulae (AVF) are the preferred vascular access for hemodialysis, but the primary success rate of AVF remains poor. Also, what are "red flags" to watch out for during interviews to help me know if a program is malignant vs. if the faculty are honorable, motivated, etc.? I'm applying to integrated vascular residency this coming season. This is compared to the traditional model where trauma is covered by general surgery or those trained in critical care. Depending on your practice, partners, referral patterns, you don't have to take ER call. More Articles. Thanks! Will also have few nighttime emergencies, but will often have a heavy inpatient census and relatively high complication rates. For people who really like physiology and sick patients it's a great field. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Consults will come in throughout the day and the intern/junior will go see them and report back to me. The number of people 65 and older is expected to reach 83.7 million in 2050, almost twice the 2012 level of 43.1 million, according to the U.S. Census. Vascular Care Center is the one of the best hospital for Vascular Surgery in Hyderabad. Probably slightly better lifestyle than cardiac unless you're doing a lot of lung transplants. I was in vascular surgery, i was unhappy and seriously thinking of suicide, I am happy that I quit to a better speciality. Well I remember the JAMA article stating vascular surgeons work on average 888 hrs more per yr than the average family doctor. In the midwest there are some hospitals where trauma is covered by acute care surgeons , who work 12 hour shifts with a week off a month. Most often, medical peripheral vascular disease treatment involves lifestyle changes, medicine, or surgery, depending on how severe the disease is and what caused the problem. much better outcomes than most cancer surgeons). Also have to compete with ENT for the same turf. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. It’s ridiculous. Basically no such thing as a breast emergency. 4 Exclusion criteria included same‐day procedures, surgery conducted while admitted to another service, or expected admission length of stay of less than 2 days. Key arterial procedures include carotid endarterectomy, abdominal aortic aneurysm repair, and lower limb arterial bypass. I would have thought that both "things that go clot in the night" would lead to terrible call and long hours. GI/HPB do a bunch of super difficult, high risk, poorly reimbursed cases - truly a field for the masochists among us. Vascular Surgery Physician, Lincoln, NE. Great questions. We're starting to really ramp up the TCARs that we're doing and also do stents occasionally. And if you hate what you do, … you operate all over the body on a variety of conditions. From my rotations, I think the worst (based on call schedule, malpractice risk, and salary commensurate to workload) are OB-GYN, Vascular surgery, and General Surgery. He is a member of many reputed institutes like Cardiologists Society of India and Association of Physicians of India. I was in vascular surgery, i was unhappy and seriously thinking of suicide, I was honestly expecting the text in this post to be, "Don't.". These doctors aren’t no scrubs … even if they’re in bikinis. 1-4 Compared with nonsmokers, smokers who undergo surgery have longer hospital stays, higher risk of readmission, are more likely to be admitted to an intensive care unit, and have an increased risk of in-hospital mortality. Con is that you'll be working nights and weekends forever. - Dr. John Haggie, a general and vascular surgeon from Gander, N.L., has taken over the helm of the Canadian Medical Association. The studies reinforced that lifestyle and dietary patterns influenced susceptibility of circulatory system diseases. So in the future you could very realistically procure a liver one afternoon, then schedule the transplant for the following morning. Gratifying to literally change someone's life. At my hospital there is a thoracic guy who will cover trauma call, round on trauma patients and do really small vascular cases. Every liver patient you take for a transplant is a cirrhotic with one foot in the grave. Hey, great write up. This isn’t a field for those who want to fix a problem and then never see it again. Often supplement your practice with an elective general surgery practice (hernias, choles, etc). Not for me, but cheers. I have amazing mentors who throughout my residency never complained and just did work in front of them. Breakfast. [ads2] Peripheral Vascular Disease 1st Edition Peripheral vascular disease (PVD) affects more than 30 million people worldwide, most often individuals over age 65. mass general surgery residency reddit Home; About; Location; FAQ “I haven’t had surgery in two years, and I’m very excited about it,” says Mary. This isn’t general surgery where we fix a hernia or take a gallbladder out and never see them again. Obviously not for everyone but the total hours worked for the pay is great. But someone has to do it, might as well be us vascular surgeons... Stupid sexy ortho can't always take the credit. Although everything is moving towards more endo, I don't envision a scenario where it's all endo for there will always be a need for (and the practitioners to provide) good open surgery. I was a smoker, but no longer. I will then go see it and discuss plan with attending. Methods and Results. If you practice in a busy hospital, you're more likely to work long hours and see lots of emergency or trauma work. general surgery residency reddit 2020 Home; Events; Register Now; About + + Stop Hemorrhage + + Stop active bleeding from arterial or venous hemorrhage by gentle manual compression. Or in a rural setting like my man u/nysoz. Those patients like to wait until their albumin is 1.2 before they come in. It is vital to leave the smoking habit to reduce the risk of peripheral artery disease complications. I've seen some of these patients at one year follow-up visits and they are near tears when talking about how much they appreciate what you've done for them. Do you think the surgeons they produce are as competent as those who do 5+2? Each resident depending on their interests will graduate with around 6-10 months on the vascular service over the course of 5 years. Welcome to /r/MedicalSchool: An international community for medical students. Approach with extreme caution, pick a good program with staff who have an honorable work ethic and motivated, you don’t want to work 90 hours a week for assholes. At my hospital Crit Care does shiftwork, so hours are pretty standard, but we were always calling the attendings at night lol because our patients were so sick. I have mad respect for those guys/girls. Moreover, increase in R&D activities for the development of small size vascular grafts to treat small vascular diseases augment the market in the region. My attendings are averaging probably around 65 hours a week, but this can vary from as short as 40 some weeks to 80-90 other weeks. Probably have to deal with Woo/CAM stuff more than any other surgeons. Your patients are also super sick. I am starting medical school this fall. I heard transplant and vascular are pretty cushy. You are the “mop man.” Meaning that if an interventional cardiologist does something wrong and creates an emergency, then they’ll call you and go home while you’ll be awake into the night operating and trying to fix it. Dr. Rare to have true critical care only without other aspect of surgical practice. Cons: Super high maintenance patients. St George's Vascular Institute, St George's Healthcare NHS Trust, London, UK. Press question mark to learn the rest of the keyboard shortcuts. Retroperitoneal exposure for spine surgery. - On a daily basis, the most common procedure is a lower extremity angiogram with or without some sort of intervention. All elective. That all vascular surgeons are grumpy and hate their lives. Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. The vascular surgeon who’s been in practice for more than twenty years, runs the Vascular Surgery department at RGH, which oversees a network of five area hospitals. The following procedures help restore blood flow through the artery: Angioplasty is a procedure where the doctor threads a thin tube through a blood vessel in the arm or groin up to the involved site in the artery. A large chunk of our consults are intraoperative from other services that get into trouble and call for help or iatrogenic injuries in the ICU during catheter placement. 6 months after randomization, the GIQLI score was on average 11.96 points higher in the surgery group than the conservative treatment. There is data showing you will work more as a vascular surgeon than nearly every other field. NO, the field is not "dying", please stop asking. Just 1 week after surgery, he was commuting 50 minutes twice a day, wearing business suits that restricted his movement, and eating large meals. It all depends on what you’re going to get called for. When treatment is necessary vascular surgeons build long-term relationships with their patients and follow their care throughout the disease process. Vascular surgery is a surgical subspecialty in which diseases of the vascular system, or arteries, veins and lymphatic circulation, are managed by medical therapy, minimally-invasive catheter procedures, and surgical reconstruction. I would have thought the opposite. How is the dynamic between vascular and IR or IC? The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Reddit; Mail; Embed; Permalink ; Visit our center for vascular medicine - Allen Par . Bottom line - none of us are going to be hurting for money, and we will sure as hell work for it. Visit our center for vascular medicine - Allen Park we have a leg doctor for your leg pain we also have a vein specialist, vein dr, vein/ Vascular surgeon contact us for more details. On a day-to-day basis I would say that our working relationship with IR is much better than IC. Or you can go directly into vascular surgery and match into an integrated program right out of medical school. Bariatrics/MIS: Another lifestyle gem. The transplant surgeons I rotated with I wouldn't call cushy. Press J to jump to the feed. Breast surgery is by far the easiest. It's a common phrase that "Internists apologize to their mistakes, and surgeons bury theirs." An ego balm for the pay is great the ICU and then never see it again |! /R/Medicalschool: an international community for medical students that both `` things that go clot the... Know when an organ is going to get called for landscape that practitioners... 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