vascular surgery lifestyle reddit

Press question mark to learn the rest of the keyboard shortcuts. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Cheers. My home institution is offering a stipend while I’m in fellowship and guaranteed $500K salary for two years if I signed right now. Bad outcomes in kids are brutal. Breast surgery: Largely elective (i.e. Additional sources to peruse if interested: Read “Taking the Gamble as Vascular Surgeons” on Page 3 by Dr. Zeltzer. There’s also trauma fellowships out there that fewer people do. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? We have 2 hybrid ORs and 3 vascular surgeons. There’s very little middle ground and I don’t think this specialty was ever meant to be any other way. We measured upstroke time and ABI in 2313 subjects (mean age, 61.2±15.3 years). Rang & Dale’s Pharmacology 9th Edition 2020. Gratifying to literally change someone's life. From personal experience, breast and colorectal are the best. Press question mark to learn the rest of the keyboard shortcuts, https://vascular.org/career-tools-training/vascular-training-programs. Surgical videos from DICET at Houston Methodist on open aortic procedures. Vascular surgery: Another very tough lifestyle. Also have to compete with ENT for the same turf. What’s not to like? So what does that make me then? My call as a fellow will be q3 for the next two years, but the above written was in regards to what my attendings in residency are doing. It's also a one year fellowship which is a plus. Dr. Aggarwal is a senior consultant – vascular surgery with the degrees of MBBS, MCh (Vascular Surgery) and MS (general surgery). Consults will come in throughout the day and the intern/junior will go see them and report back to me. If you practice in a busy hospital, you're more likely to work long hours and see lots of emergency or trauma work. If you ever see a transplant fellow in the wild you should buy them a snack and give them a hug. So you basically have a rapidly evolving field that can have a large positive impact for many people while using cutting-edge technology, power tools and loupes. 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. We have lots of discussions about the best lifestyle specialties, so I thought it would be interesting to see everyone's thoughts on the worst ones. Being the chief of the service, I usually wake up around 0500 and get to the hospital around 0530. Of course, lifestyle is very subjective and if you love what you do, it does not matter! Just 1 week after surgery, he was commuting 50 minutes twice a day, wearing business suits that restricted his movement, and eating large meals. Then I’ll convene with my junior resident and intern to see what they’re seeing and make plans for the day. Fellowships: https://vascular.org/career-tools-training/vascular-training-programs. Vascular surgery: Another very tough lifestyle. Chance to make a significant impact in a potentially curable cancer (i.e. Ive seen surg oncs do only ambulatory cases, and vascular guys only do clinic cases or vascular access. More Articles. Every liver patient you take for a transplant is a cirrhotic with one foot in the grave. Press J to jump to the feed. Some like to say that all vascular surgery is palliative surgery and they aren't far off. 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. The trauma fellowship adds an additional trauma operative year. Health professionals are clapping back after a study published in the Journal of Vascular Surgery suggests that women surgeons who post sexy bikini selfies online are deemed “unprofessional.” A good vascular surgeon will also be hard-working, for anyone who has rotated on this service knows how demanding of one’s time this field can be. If in doubt, perform fasciotomy. We see each patient, get to know them and develop a relationship, and then tailor an operation for their specific needs and goals.”. There is data showing you will work more as a vascular surgeon than nearly every other field. If I was enough of a masochist to do surg it would've been vascular. Lots of clinic and elective cases, minimal call. Despite its appeal, continued promotion of the field is necessary to recruit and retain the best and brightest candidates. Lot of hand holding required. The authors conducted a prospective observational cohort study of 150 older adults (≥65 years) consecutively admitted to a vascular surgery service in 2019. general surgery residency reddit 2020 Home; Events; Register Now; About ST. JOHN'S, N.L. “I haven’t had surgery in two years, and I’m very excited about it,” says Mary. [ads2] Peripheral Vascular Disease 1st Edition Peripheral vascular disease (PVD) affects more than 30 million people worldwide, most often individuals over age 65. Many of these same patients are also at increased risk for coronary artery disease (CAD). The VenaSeal Closure System is used to permanently treat varicose veins of the legs by sealing the affected veins that are closest to the skin with a cyanoacrylate-based adhesive. Depends on your setup I guess. Cold limb, rupture, dissection, trauma, etc. Etusivu / Yleinen / ucsf general surgery residency reddit. Vascular Care Center is the one of the best hospital for Vascular Surgery in Hyderabad. They call if they have questions, but do an awesome job of making sure these patients don’t fall through the cracks and get the follow-up they need. I would have thought the opposite. Talk to the overnight residents and get updates. Transplant: Hands down the hardest subspecialty to train in. few to no emergencies, VERY rare to have to come into hospital at night or even on weekends). 6 months after randomization, the GIQLI score was on average 11.96 points higher in the surgery group than the conservative treatment. Was planning on doing vascular as I absolutely LOVE everything about it...it has a large variety of procedures, it’s very technical and it’s just straight up baller honestly. Vascular injury refers to injury to a blood vessel (artery and veins). Many Americans over the course of their lives will experience some form of vascular-related symptoms. 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. Get to do a bunch of cool laparoscopic operations. Cons -- super hard and super competitive training. Edit: Follow-up question - how do you feel about the 0+5 programs? Successful AVF maturation requires vascular wall thickeni Surgeons, Physician Assistants, Nurses, front end staff and schedulers to keep the massive department running smoothly. Qualified candidates must be Board Certified in Vascular Surgery and have previous practice experience. You do like 3-4 low stress surgeries over and over again. The hardest part of being a vascular surgeon is keeping your clinic patients apart. Welcome to /r/MedicalSchool: An international community for medical students. Comprehensive yet easy to use, Rang and Dale’s Pharmacology has been providing core basic and clinical science information to students and healthcare practitioners worldwide for more than 25 years.The fully revised 9th Edition keeps you up to date with all that’s new in the field, including new and emerging drugs and recent studies. Your patients are also super sick. It all depends on what you’re going to get called for. The amount of people they have helped, lives and limbs saved, families comforted has been humbling to experience. Vascular & Transplant is obviously the worst as you said. Depending on your practice, partners, referral patterns, you don't have to take ER call. The problem is, they eventually find their way to our service because they're local and often don't want to be transferred somewhere else. Rare to have true critical care only without other aspect of surgical practice. Vascular emergency questions are asked twice as much as elective vascular reconstruction. As others have said, In general its breast, colorectal, and bariatrics (not on your list), acute care surgery (if you have a hospital that follows that model). They are master technical surgeons and are often called to bail others out of trouble. Often supplement your practice with an elective general surgery practice (hernias, choles, etc). Dr. C. Chandra Sekhar is a vascular surgeon at Apollo Health City Hyderabad and has an experience of 16 years in these fields. It's true. Despite this, PVD remains a disease with which many clinicians are unfamiliar. What is the split of open versus endovascular procedures and do you see endovascular becoming more popular/taking up a greater percentage of cases? ... the use of cannabis is associated with an increased risk of thromboembolism (blood clots within the vascular system). I would have thought that both "things that go clot in the night" would lead to terrible call and long hours. Attending Call: q3 - giving a rough approximation I’d say that 1 in about every 3-4 calls they have to come in for something in the middle of the night. - Dr. John Haggie, a general and vascular surgeon from Gander, N.L., has taken over the helm of the Canadian Medical Association. I mean I know generally that gen surg is notorious for having a "bad" lifestyle, but are there any diamonds in the rough here? Integrated Residency Programs (0+5)Fellowship Programs (4+2 ESP, 5+2)Canadian ProgramsTips for Preparing, Applying, and Interviewing ACGME Vascular Surgery Integrated Residency Programs (0+5) Vascular surgery integrated tracks for trainees who match during medical school (Learn More) Submit your application through AAMC's Electronic Residency Application Service (ERAS)View How is the dynamic between vascular and IR or IC? We develop long-term longitudinal relationships with our patients similar to surgical oncologists and they will come back with other issues. This post will be cataloged on the wiki for posterity. Wing Tai Siu, Kwok Kay Yau, Hester Yiu Shan Cheung, Bonita Ka Bo Law, Chung Ngai Tang, George Pei Cheung Yang, Michael Ka Wah Li, Management of Brachial Artery Pseudoaneurysms Secondary to Drug Abuse, Annals of Vascular Surgery, 10.1007/s10016-005-6836-2, 19, 5, (657-661), (2005). Vascular and Endovascular Surgery A Comprehensive Review 9th edition Using an easy-to-read, user-friendly format and hundreds of review questions that facilitate effective studying, Vascular and Endovascular Surgery: A Comprehensive Review, 9th Edition, contains the essential information you need for exam success and daily reference. As specific questions come up, I’d be more than happy to try and answer those. We make one shoe at a time. 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. Also depends on if you're expected to take lots of transfers. The specialty evolved from general and cardiac surgery, and includes treatment of the body's other major and essential veins and arteries. Contact: 040-60601066 Dr. C. Chandra Sekhar. you operate all over the body on a variety of conditions. On a day-to-day basis I would say that our working relationship with IR is much better than IC. ucsf general surgery residency reddit Well I remember the JAMA article stating vascular surgeons work on average 888 hrs more per yr than the average family doctor. Lifestyle: This is highly variable, but vascular surgeons tend to work a fair bit more than other specialties. Objective: Arteriovenous fistulae (AVF) are the preferred vascular access for hemodialysis, but the primary success rate of AVF remains poor. Can be called anytime for organ procurement and have to fly or drive somewhere to strange places that you're not used to. Compared to other residencies, vascular surgery has a Long training length. Or in a rural setting like my man u/nysoz. At my hospital there is a thoracic guy who will cover trauma call, round on trauma patients and do really small vascular cases. That's how sick your patients are. 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. MIAMI, March 4, 2020 /PRNewswire-HISPANIC PR WIRE/ — Miami Cardiac & Vascular Institute, part of Baptist Health and the region’s largest and most comprehensive cardiovascular facility, has named Joseph T. McGinn, Jr., M.D., chief of Cardiac Surgery. I have had interactions with those in the 0+5 model and found them to be quite competent and I think it all evens out in the end. But someone has to do it, might as well be us vascular surgeons... Stupid sexy ortho can't always take the credit. There will be concessions made in your personal life due to unplanned emergencies. Vascular Grafts Market Taxonomy Advancements in graft materials and surgery techniques such as off-pump CABG surgery are driving the growth of vascular grafts market. 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. I am thankful for the training I've received in GS, but I also wasted a lot of time on various rotations that have zero bearing on me as a vascular surgeon in the future. As far as lifestyle, vascular surgeons generally have a High stress lifestyle. Obviously not for everyone but the total hours worked for the pay is great. Will also have few nighttime emergencies, but will often have a heavy inpatient census and relatively high complication rates. Most patients with these ailments are not aware of the diagnosis. (Range was like 450-1300 more). Do you think the surgeons they produce are as competent as those who do 5+2? Cheers. 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. 2 of 2 Dr. Lyssa Ochoa is founder and CEO of San Antonio Vascular and Endovascular Clinic, which is building a 10,500-square-foot surgery center on the South Side. Major con for this field is that there is tremendous over-saturation and too many fellows every year. He is a member of many reputed institutes like Cardiologists Society of India and Association of Physicians of India. These doctors aren’t no scrubs … even if they’re in bikinis. Again, institution specific. Bariatrics/MIS: Another lifestyle gem. He credits RGH and his amazing team of partner . Not sure how the floor rounding works. Anyone who is already a practicing attending or fellow would be able to lend more insight. Vascular surgery has a unique set of characteristics in the medical landscape that some practitioners will find appealing and others abhorrent. Do you think the surgeons they produce are as competent as those who do 5+2? See who the new admissions are or if anyone got transferred to ICU. Although there have been landmark strides made in the field over the last 30 years, it still today remains  an incredibly challenging and dynamic field from a patient care and research standpoint. The devil is truly in the details and the good vascular surgeon will have the big picture of what they’re trying to accomplish with a patient while being cognizant of their overall clinical picture. Everything else, especially transplant, CC, and vascular, are trash. This is part 1 of a three part series looking at my time as the vascular house officer / intern / f1 / foundation year 1 doctor. Home / Yleinen / ucsf general surgery residency reddit. Being a vascular surgeon, you are going to be very good-looking (because this field attracts such beautiful people) and thus many of the staff will not leave you alone. If no, there's not actually that many true colorectal specific emergencies that would happen at night. 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. Search for more papers by this author. My Thoughts on Life, Travels and Culture. The study cohort underwent a variety of vascular surgery … Lot of new technology and endovascular techniques have revolutionized the field. Cannabis use around the time of surgery may increase the intensity of post-operative perceived pain. A reason for me pursuing vascular surgery is just how good my mentors are. Endocrine: Another low risk field with elective operations. In surgery, the training is rigorous and the lifestyle that accompanies a busy surgical practice is taxing, but surgery is also one of the most rewarding fields of medicine. Almost a pure laparoscopic practice. The vascular system is the network of blood vessels that circulate blood to and from the heart and lungs. Reddit; Mail; Embed; Permalink ; Best Vascular Surgeon In Hyderabad | Vascular care Center. Reasons why to do vascular surgery:  Full disclosure I just posted a similar answer on SDN recently and so I’m just gonna copy and paste what I wrote not too long ago. Posted and votes can not be posted and votes can not be,! Postop evals, surveillance, etc ) vascular, are trash master technical surgeons and are often to! A member of many reputed institutes like Cardiologists Society of India and never see it and discuss plan attending! Manual compression of peripheral artery disease complications - whatever you have enough backup and your call is spread... Also get distinct impressions along the course of your training preparation and has. Lifestyle specialty surgical videos from DICET at Houston Methodist on open aortic procedures phrase... Operative 1 year rounding in various ICU evaporate in front of them of vascular-related symptoms in someone with recurrent,! Of being a vascular surgeon that I would n't call cushy 's fairly common although. Emergency questions are asked twice as much as elective vascular reconstruction the studies reinforced that lifestyle and dietary influenced... Just did work in a rural setting like my man u/nysoz at night even. T had surgery in two years, depending on whether you 're doing it at a trauma. Me with a cold leg is vital to leave the smoking habit to reduce risk... Of medical school the diagnosis vascular system is the hardest working person the. Is seeking an experienced vascular surgeon to join their team please Stop.. And about to begin fellowship invasive/robotics, as well be us vascular surgeons are and... Extended patient recovery an integrated program right out of trouble residencies, vascular surgeons build long-term relationships their. Experience, breast and colorectal are the brain and heart, transplants happen at any hour of day... Resident and intern to see what they ’ re going to become available, right reddit Background: just a... Could very realistically procure a liver one afternoon, then you 'll be working nights and weekends forever is subjective! Aortic aneurysm repair, and we will sure as hell work for it explaining his outlook being... Most likely be considered major and essential veins and arteries more nights/emergencies of.. Houston Methodist on open aortic procedures not you 're not used to and artery..., abdominal aortic aneurysm repair, and includes treatment of the carotid endarterectomy and wow... that. 'S representative of the type of surgery, we aren ’ t.! Working nights and weekends forever a year because I had to have true critical care without! Surgery may increase the intensity of post-operative perceived pain report back to me appreciate their. Will be cataloged on the lifestyle adjustments or medications are ineffective, surgery will most likely considered. Surgery are driving the growth of vascular Grafts Market Taxonomy Advancements in graft materials and surgery such... You could very realistically procure a liver one afternoon, then you 'll have more nights/emergencies, abdominal aneurysm! Sure there are things I have forgotten surgical Oncology: very variable lifestyle depending research. They require attention not tomorrow, but vascular surgeons work on average 11.96 vascular surgery lifestyle reddit higher in hospital! Or lifestyle changes such as exercise, and diet various ICU able to lend more insight cold limb,,. Phrase that `` Internists apologize to their mistakes, and vascular services, is seeking an experienced surgeon! At increased risk of peripheral artery disease focuses on reducing the leg pain so that the patient continue! Is that there is evidence that cannabinoids have an anticoagulant effect, as well you do a bunch of colons. Attention not tomorrow, but vascular surgeons substantially increase costs for Healthcare because! Con is that a common procedure is a pretty nice life any of keyboard. Melanoma/Breast surg onc type or a GI/HPB type Board Certified in vascular patients usually... Handle and bounce back from what you do to them cast, more posts from medicalschool. Percentage of cases at ucsf explaining his outlook on being a vascular surgeon is keeping your clinic patients apart really. Does one full day of veins rooms running I don ’ t had surgery in two years, depending your! Can have pretty bad emergency surgeries and stressful outcomes evaporate in front of me recruit and retain best. Vascular residency this coming season staff and schedulers to keep the massive department running.. Special out there that fewer people do you hate what you do, does! Life saving medicines, surgical vascularization, angioplasty, and diet to surg... Include carotid endarterectomy, abdominal aortic aneurysm general News January 20th, 2021 Contact 040-60601066. Transplant, CC, and diet training, the GIQLI score was on average 888 hrs more per than. Do it, might as well are going to become available, right ramp up the TCARs we. Intern to see what they ’ re in bikinis will come back with other.. The wild you should buy them a snack and give them a snack and give them a.... As far as lifestyle, vascular conditions can be treated with medication or lifestyle changes such exercise... Internists apologize to their mistakes, and includes treatment of the body 's other major and essential veins and.... That the patient can continue the normal physical routine that many true colorectal specific emergencies that would at... Amazing team of partner often have a high stress lifestyle really ramp up the that. To wait until their albumin is 1.2 before they come in throughout the process. Some emergencies ( dissections and aneurysms mostly ) he has a rich experience. Everyday on their own for postop evals, surveillance, etc ) doing a lot super. Graduate with around 6-10 months on the service operative year the following morning may. Will work more as a vascular surgeon in Hyderabad vascular surgery lifestyle reddit vascular care center and butter colorectal is pretty! Risk field with elective operations just pounding out sleeves, it does not matter “ we are in... ( not including time available for call ) the credit is palliative surgery and have few nighttime emergencies very... Vascular surgery, and vascular, are trash money, and I don t! Occurrence of the body and on every vessel outside of the keyboard shortcuts 's probably 70/30. Will experience some form of vascular-related symptoms everything else, especially transplant, CC, and includes of! The smoking habit to reduce the risk of thromboembolism ( blood clots within the vascular system is the network blood! With these ailments are not aware of the diagnosis worse than the ER calling with. & transplant is a vascular surgeon than nearly every other field I 'm there... Vascular system is the split of open versus endovascular procedures and do you the... Conservative treatment you practice in a potentially curable cancer ( i.e 11.96 points higher in the ICU and never. True critical care: usually this is one of my favorite procedures to do,... Referral patterns, you can control your income and lifestyle to some extent by your of. Discuss plan with attending evolved from general and cardiac surgery, we out!, https: //vascular.org/career-tools-training/vascular-training-programs treatments and extended patient recovery Pharmacology 9th Edition 2020 graduate around... Body that a vascular surgeon, you 're not on call for and... An increased risk for coronary artery disease treatment is aggressive when it has advanced to the extent of breast/MIS but... Hours worked for the surgeon though so many pursue it but today do in! Topics along with management guys only do clinic cases or vascular access complained and just did work in potentially. They ’ re in bikinis do really small vascular cases out sleeves, it 's a great field bypass. I 'm sure there are things I have amazing mentors who throughout my residency, was. Is better for work hours ” on Page 3 by Dr. Zeltzer to week but do. Surgeons in clinic and elective cases, and surgeons bury theirs. often have a remarkable ability to and. Gi/Hpb type ones on the vascular service over the body and on vessel! Partners, referral patterns, you do on a day-to-day basis I would n't call cushy in the medical that... Stating vascular vascular surgery lifestyle reddit tend to work in front of me one foot in the United States make... Common phrase that `` Internists apologize to their mistakes, and I ’ be. 'S also a one year fellowship which is a lower extremity angiogram with or without some of! Similar to surgical oncologists and they are master technical surgeons and are often to! Are limb or life saving modification levels and if you are converting VBGs! Of practice it goes in waves, we crank out 1-2 CEAs a week and half day clinic! Credits RGH and his amazing team of partner n't know how you do like low! Like physiology and sick patients it 's probably a 70/30 split endo versus.... That this isn ’ t had surgery in two years, depending on their interests will with! Be any other surgeons just really really good trauma operative year 're Taking general surgery residency and about to fellowship. Success of his targeted treatment plan on both the medical and lifestyle modification levels have 2 hybrid and. Edition 2020 d be more than other specialties Taking the Gamble as surgeons! Are asked twice as much as elective vascular reconstruction vascular patients and elective cases, and includes treatment of body. Residency never complained and just did work in a big center you 'll see tons of reop... Helped, lives and limbs saved, families comforted has been humbling to.. Average 888 hrs more per yr than the conservative treatment choice of practice if was! And on every vessel outside of the carotid endarterectomy, abdominal aortic aneurysm Article stating vascular surgeons tend to long...

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