tooty Posted October 11, 2010 Report Share Posted October 11, 2010 We know as a family doctor you can train for 1 year general surgery and do a limited number of procedures. (As an aside, can they do awesome stuff like wipples?) Does anyone know what job options are available for 2 family + 1 gen surg people? And what other surgery options are available for family doctors? It seems like if you can get someone to train you, you can get licensed to work. I can't imagine a family doc getting trained in plastics ENT or ophtho but what about something like easy ortho stuff? Not sure how familiy + surgery works in terms of jobs and licensing. If someone can point me to where to look that'd be great. Cheers. Edit: nevermind. Found lots of answers in this thread in the surgery forum. According to the list of third year programs that ploughboy posted, only U of A offers 'Surgery,' which is awfully vague. But if what the one poster said was true, I guess we can find any surgeon who's willing and get him/her to teach you how to cut. Link to comment Share on other sites More sharing options...
moo Posted October 11, 2010 Report Share Posted October 11, 2010 As a family doc, you're a licensed physician and surgeon. Legally, you can pretty much do anything you like. This includes appys, C-sections, cholecystectomies, whipples, you name it, you can legally do it. Ethically, morally, and whether any hospital will grant you privileges to do it is another story. There's also the issue of whether any provincial plans will actually pay a CCFP to do these procedures. So while legally you can perform these procedures, for all intents and purposes, it's impossible to do it. Now if you have 1 year of "general surgery" training under your belt, you can probably do simple procedures like appys and cholecystetomies. It's unlikely that you will be able to be trained well enough to do whipples. You can probably get hospital privileges to do these procedures but they will likely be in rural areas. As for "jobs" if you're a rural doc, and you can prove to the rural hospital that you're well enough trained you will be allowed to do these procedures. When I did rural family med, I've met family docs who do c-sections and appys and choles. They would never be able to do these in a major center. Could they? Probably but no hospital would grant them privileges because in the city, as a general surgeon you'd be expected to handle more difficult cases as well, whereas rurally you'd be expected to ship these cases out to the city. Link to comment Share on other sites More sharing options...
tooty Posted October 12, 2010 Author Report Share Posted October 12, 2010 Cool thanks moo Link to comment Share on other sites More sharing options...
omni. Posted October 12, 2010 Report Share Posted October 12, 2010 How is one supposed to apply for a 1 year general surgery training? Link to comment Share on other sites More sharing options...
apache Posted October 14, 2010 Report Share Posted October 14, 2010 one of the docs in town does only vasectomies every friday, if that helps Link to comment Share on other sites More sharing options...
aaronjw Posted December 20, 2011 Report Share Posted December 20, 2011 Found this thread through google while doing a search for the topic. Great info and bumping it in case ppl were interested and maybe for any updated info Link to comment Share on other sites More sharing options...
bloh Posted December 20, 2011 Report Share Posted December 20, 2011 I listened to a talk given by a GP with surgery and he pretty much reinforced that you're only doing C/S, appys and choles. A GP that can do this in a rural setting is an asset, otherwise you'd be shipping them to a major centre. If you really wanna be doing complicated cases like whipples, train to be a GS instead. I don't see how you'd ever really need to do a whipple in a rural setting. You'd need to be seen in a major centre for CT/specialist consult for that case anyway, in which case you'd be going to the major centre no matter what. Link to comment Share on other sites More sharing options...
A-Stark Posted December 20, 2011 Report Share Posted December 20, 2011 We know as a family doctor you can train for 1 year general surgery and do a limited number of procedures. (As an aside, can they do awesome stuff like wipples?) Does anyone know what job options are available for 2 family + 1 gen surg people? You mean Whipple's? I very much doubt that any kind of one-year program is going to provide sufficient training to perform complex abdominal surgeries requiring multiple staple lines and anastomoses. Link to comment Share on other sites More sharing options...
Lactic Folly Posted December 21, 2011 Report Share Posted December 21, 2011 Around here, those are done by general surgeons with hepatobiliary fellowships. Link to comment Share on other sites More sharing options...
greatgefilte Posted December 21, 2011 Report Share Posted December 21, 2011 You mean Whipple's? I very much doubt that any kind of one-year program is going to provide sufficient training to perform complex abdominal surgeries requiring multiple staple lines and anastomoses. And what patient would want a family doctor with only a year's extra training doing a Whipple's on them? Taking out appendices and gall bladders from healthy people is one thing; doing a complex procedure on an ill patient with pancreatic cancer is another. Link to comment Share on other sites More sharing options...
NLengr Posted December 21, 2011 Report Share Posted December 21, 2011 Even taking out gallbags and appy's can get pretty hairy when things start to go wrong. I don't know if I would be comfortable even doing those as a 2+1. Link to comment Share on other sites More sharing options...
Lactic Folly Posted December 21, 2011 Report Share Posted December 21, 2011 Yeah, I witnessed a CBD transection once. Instant phone call to HPB... Link to comment Share on other sites More sharing options...
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