Jump to content
Premed 101 Forums

Recommended Posts

may sound stupid, but why is anesthesiology considered a lifestyle specialty but not surgery?

I mean, they both need to be present during surgery right? 

And will I ever be able to see the sunlight again if I become a surgeon? Is the lifestyle that bad?

Share this post


Link to post
Share on other sites
8 minutes ago, offmychestplease said:

If anything like lifestyle + job opportunities are even remotely important to you , stay far far away with from anything surgery 

How bout anesthesiology?

Share this post


Link to post
Share on other sites
2 hours ago, Suranest said:

may sound stupid, but why is anesthesiology considered a lifestyle specialty but not surgery?

I mean, they both need to be present during surgery right? 

And will I ever be able to see the sunlight again if I become a surgeon? Is the lifestyle that bad?

a bunch of reasons - but lifestyle specialities are about control in many ways - the ability to have a schedule that is predictable and you can stick to. Sure they both have to be there for the OR time but that is just one part of things - anaesthesia has a lot going for it beyond that (less call, shorter shifts, predictable end times to shifts....). No 6 am (or earlier) rounds. The OR ends and can go home. Surgery has a lot still to do. 

 

Share this post


Link to post
Share on other sites
11 hours ago, Suranest said:

may sound stupid, but why is anesthesiology considered a lifestyle specialty but not surgery?

I mean, they both need to be present during surgery right? 

And will I ever be able to see the sunlight again if I become a surgeon? Is the lifestyle that bad?

As mentioned above, performing surgery is only a single part of being a surgeon. There are still clinics to run (to assess referrals, consent for surgery, follow-up post-op, disease surveillance, etc.) and a ward to manage (early morning rounding before the OR starts, rounding at the end of the day after OR ends to deal with any issues from the day).

Typically with anesthesia, unless you are on call, your day starts about 20 minutes before the OR and ends when your last patient is in PACU. There is no list of patients to round on or follow-up with. When your day is done, you get to go home and not worry about anything in the hospital. Because the service is usually bigger (some places may have 15-20 anesthesiologists depending on how big the site is) who are capable of taking call (vs. 2-3 urologists, 4-5 general surgeons, 1 neurosurgeon), the call is spaced out more and less frequent. That being said, anesthesia call can be very very busy, especially if you are at a site with obstetrics.

Anesthesia may still be considered a bit of a "lifestyle" speciality, but certainly is not a lifestyle residency so keep that in mind as well that you will have a tough training before enjoying some of the specialty benefits.

Share this post


Link to post
Share on other sites
On 10/4/2020 at 6:02 AM, robclem21 said:

As mentioned above, performing surgery is only a single part of being a surgeon. There are still clinics to run (to assess referrals, consent for surgery, follow-up post-op, disease surveillance, etc.) and a ward to manage (early morning rounding before the OR starts, rounding at the end of the day after OR ends to deal with any issues from the day).

Typically with anesthesia, unless you are on call, your day starts about 20 minutes before the OR and ends when your last patient is in PACU. There is no list of patients to round on or follow-up with. When your day is done, you get to go home and not worry about anything in the hospital. Because the service is usually bigger (some places may have 15-20 anesthesiologists depending on how big the site is) who are capable of taking call (vs. 2-3 urologists, 4-5 general surgeons, 1 neurosurgeon), the call is spaced out more and less frequent. That being said, anesthesia call can be very very busy, especially if you are at a site with obstetrics.

Anesthesia may still be considered a bit of a "lifestyle" speciality, but certainly is not a lifestyle residency so keep that in mind as well that you will have a tough training before enjoying some of the specialty benefits.

Are most anesthesist only working in the OR or do they have other roles to?

Share this post


Link to post
Share on other sites
23 hours ago, cotecc said:

Are most anesthesist only working in the OR or do they have other roles to?

 
 

Some subspecialists such as pain docs can work in clinic as well. But most are peri-operative, I think.

Edit: also some anesthesiologists also sub-specialize in critical care!

Share this post


Link to post
Share on other sites
18 hours ago, DrOtter said:

Some subspecialists such as pain docs can work in clinic as well. But most are peri-operative, I think.

Too add, if they do, it would be by their choice in an area they are personally interested in. Not part of the general scope of practice. Even then its still majority in the OR and it would not be OR, followed by clinic or vice versa. Clinic would be in lieu of the OR on those days.

Share this post


Link to post
Share on other sites

Interesting discussion. On the CARMS stats it says that the ratio between first choice discipline to number of spots available in anesthesia is 0.82-ish. Would this be considered a moderately competitive speciality? Also, if you check out individual program descriptions, for example at uOttawa, there's approx 600 applicants for like 8 positions.. am I reading that right??? Seems super competitive haha

Share this post


Link to post
Share on other sites
On 10/10/2020 at 12:04 PM, premed72 said:

Interesting discussion. On the CARMS stats it says that the ratio between first choice discipline to number of spots available in anesthesia is 0.82-ish. Would this be considered a moderately competitive speciality? Also, if you check out individual program descriptions, for example at uOttawa, there's approx 600 applicants for like 8 positions.. am I reading that right??? Seems super competitive haha

I would say anesthesia fits into the "moderately competitive" group of specialties. It is not insanely competitive, but you have to be fairly committed to be successful in matching. Applications to spots at a single school are often misleading since many applicants apply broadly, but have no intention on going to many of the schools they apply to. (even though they may rank them). Students are often competing against each other for spots across many institutions, not for spots at a single institution. 

I don't agree with the number stated on CaRMS website. I think that is misleading. There are approximately 100 spots for english-speaking anesthesia programs across the country so you can expect about 130ish people to rank anesthesia first to get your ratio. Most schools interview between 40-60 and students for 5-10 spots, which means they interview about one third to half the candidates that apply in any given year.

Share this post


Link to post
Share on other sites
On 10/3/2020 at 9:46 PM, MasterDoc said:

What if you are willing to relocate to the US, then is Surgery viable?

Viability of this option will depend on your specialty and specific personal factors.  It is possible in some circumstances. Relocation should not be considered as an 'easy out' to surgical employment difficulties after Canadian surgical training.  The number of people who are successful at it would be about 5% of all graduating Canadian surgeons (rough estimate based on observations of my peer group).

Share this post


Link to post
Share on other sites
3 hours ago, jnuts said:

Viability of this option will depend on your specialty and specific personal factors.  It is possible in some circumstances. Relocation should not be considered as an 'easy out' to surgical employment difficulties after Canadian surgical training.  The number of people who are successful at it would be about 5% of all graduating Canadian surgeons (rough estimate based on observations of my peer group).

Hmmm... From some of the digging I did, I talked to an ortho who didn't have a US green card but was able to find a job where they sponsored an H1B visa. Though this was job was located in a small population area. Found out about a cardiologist who got her green card sponsored through her work and a Canadian trained radiologist working down south suggested as long as you do the USMLEs, you have the option of going down south. Also said visas are not usually an issue for Canadians. 

Don't know how much merit this holds as it is all anecdotal. 

Share this post


Link to post
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...

×
×
  • Create New...