I was largely undecided when I finished medical school and tried different fields and I couldn't shake a sense of dread when thinking I have to do this for the rest of my life. When I was in medicine I was completely frustrated by the lack of action, the complex patients with a thousand comorbidities and the fact that no matter how good of a job you did, the patients kept getting sicker and coming back to the hospital. I then changed to the least medical field there is: ortho. And guess what. I was also bored out of my mind. I could not give a single fuck about radial fractures, didn't care much for the elderly population with hip fractures and couldn't for the life of me sit down and even pretend to read anything ortho related. I fell asleep immediately. And while I was there, I had to do a short rotation in general surgery. After about a week of scrubbing in for lap appys, choles and a few hemicolectomies I finally knew that's what I wanted. I made moves and switched to general surgery and never looked back. I can honestly say if I have to only do the bread and butter of it for the rest of my life I would still be happy. And you don't get up in the middle of the night unless it's to save a life. Couldn't pass on that either.
Unfortunately, my gen surg rotation was perpetuated by the toxic environment and burnt out residents/attendings which had me counting down the seconds until the end of that clerkship. One surgeon was on his 5th marriage!
Whoever thinks ophthalmology isn’t real surgery should come take off sometimes lateral orbital rim and remove an orbital tumor with me sometime. Or if you’re just talking about comprehensive ophthalmology with cataract surgery- I’m not sure where else in a surgical field you need to do literally hundreds of a single surgery just to have baseline competency- cataract surgery is no joke.
Fantastic, honest video for someone pursuing general surgery! The fact that there’s so many sub-specialties, that I will be able to handle issues without needing as many procedural interventions, and that it is often quickly rewarding are just a few of the many reasons why general surgery is for me. Thank you!
Working in remote locations, general surgeons able to do most anything in an emergency were amazing and a Godsend. They amazed me over and over. Even things like the ER Dr and me the RN stitching up someone who was severely flayed, the GS wandered in, saw what we were doing, came back with surgical staplers, and we sped up care tremendously!
There are so many why I didn’t do episodes that pop up on my feed, I was wondering what you actually do apart from telling people what you didn’t do on UA-cam 😂!!
Better to divide boring vs not boring. Back in the days they used to divide into life style vs no life style.... Specialties i dont find them interesting: Derm, ent, urology, plástics, colon and rectal, ophthalmology... I find them interesting: Cardiothorac with circulatory assistive device fellowship, Neurosurgery to an extent, hand surgery, trauma surgery and ER if it is true ER since 80% is primary care, interventional Neurosurgery or neurology.... The most important factors....would you be bored???? This is key. You can make good money but if it is boring then it would be in my view a waste at least for me. Others only care about life style
Great video. I'm a junior radiology registrar (R1 radiology resident) in PNG after switching from emergency medicine residency. I would like to hear your subjective view on radiology.
If you like sick patients, complex medical management, and complex procedures I’d make a plug for gyn onc. I loved those things but didn’t love the bread and butter of gsurg and I love what I do!
What is life like doing research years? Are you still doing surgeries during dedicated research years? Is the lifestyle any better during research years ?
I suspect that you are correct about the difficult lifestyle of a general surgeon. In the last year, I had my general surgeon paged at 5 AM. She arrived to see me in the ER before 7 AM. And then several days later she stayed late to perform an unscheduled surgery on me starting at 8 PM.
I'm on surgery rotation right now - luckily the residents I'm with are pretty chill (definitely sleep deprived and a little jaded) but they are great. Surgeons are pretty chill as well and they definitely tried to gage our interest during the first week. The people that are looking to do GS have a few optional opportunities to take more call, hang out longer etc so they haven't been absolutely killing us as M3s.
I don’t mean to be creepy, but what hospital are you doing your surgery rotation at? I want to be a part of a GEN surge residency that is not malignant. knowing that their chill would be a huge plus, and get me interested in their program
The best thing in general surgery residency that you can go in wonderful fellowships after it like plastic surgery and cardiothoracic, I actually wish if there orthopedic fellowship or Neurosurgery in the future if it possible
OK, listen folks. You want to be woken up on a regular basis in the middle of the night, do surgery, then spend the rest of the next day doing surgery or seeing patients in your office? Or, do you want to spend half your life elbow deep in poop? No problem. Then, general surgery is for you. You won't see your family much, but that's OK, because - you know - you're a beast! My advice? Opthalmology. Eyeballs don't poop and you have banker's hours. One caveat, however. You must be at the top of your medical school class.
Once you’re an attending, you can definitely see your family. Can negotiate a better call schedule, M-F hours only, etc. I work with many general surgeons who are present for their families and don’t have to take a bunch of midnight emergency calls but there are also those that choose to operate all the time because they prioritize money.
What do you suggest for someone who is interested in Derm and ophthalmology? I am mostly scared of how well dermatology will pay if health care changes and if mid-level start taking over procedures that they do. It seems that ophthalmology is a safer bet, but at the moment dermatology wins out in terms of lifestyle and pay
@@smellypatel5272 With respect to dermatology, there will always be people who will want the best in terms of training, competence and skill. Although other specialties will cull part of your business because they want a part of what you have studied and trained so hard for, don't be afraid. Your moat is your expertise and skills that others don't have.
@@enochbrown8178 I'm not trying to sound rude or harsh-that sounds nice on paper, but in reality how will that play out? Let's say I'm a derm who does mohs surgery or cosmetic surgery/operations. If an underqualified NP or PA is allowed to do it, I imagine the bottom line is that I will lose business due to fewer referrals or fewer patients coming to me when they have a closer or more convenient option. It's obviously wrong from a health safety perspective that midlevels be allowed to do this, but that doesn't seem to be the priority for legislators. That's why I'm concerned for derm's future. It's hot now, but if things go down that road and reimbursement decreases, people won't want to touch it with a 6 ft pole
@@rareracecar there are tons of better things if you just want money. CS is a good one. Only needs an undergrad degree, and you can get to six figures pretty reliably. Companies also give you stock and other amenities (gym membership, free food) for working there.
Of course they are, I don't think anyone implied otherwise. The emergency c section is almost as adrenaline inducing as an ed thoracotomy. Only with much better results.
STOP USING SOCIAL MEDIA FOCUS ON CAREER NO WASTE A SINGLE TIME DO GOOD WORK FOR ME AND ORTHER NO FAB START PRAYER DOPAMINE DETOX LEARN NEW THING STUDY MINIMAM 4 HOUR DO GYM 8 hour sleep no more No cool drink Don't overthink
so in India majority have to take a broad specialty like general surgery which is 3 year residency. After this one can write an exam to take a super specialty( we call the that instead of sub) which includes cardiothoracic, plastic, neuro, uro etc. which is another 3 years of residency. . There are direct 6 year courses but very few hospitals provide that course and its the least preferred route and least competitive when compared to first general surgery and then superspecialization. frankly loved general surgery when i was a resident even though almost everything you said in the video were true (masochism, difficult hours etc) and I am absolutely loving plastic surgery now as im doing that
@@Dr.OneilAakashBiswas1038 I wouldn't say so. Depends on where you plan to practice I suppose. The bigger metros maybe a bit saturated but i think there is still plenty of opportunities as plastic is a very wide speciality. Where even if one particular place is saturated with a subspecialty like aesthetic surgery, we still have cleft, burns, reconstruction,hand etc etc to chose from and still stay relevant as a plastic surgeon in that locality
Dr. Jubbal, please help me! I cant find this answer anywhere!! If someone is having chest pain and they have hyperacute t-waves in leads 2,3,aVF on a EKG, can you give them Nitro? Even with a history of a inferior wall MI w/RVI. Obviously the heart is preload dependent and Im worried the Nitro will drop blood pressure, even if its just hyperacute t waves and not a STEMI. Can you still give it?
I was largely undecided when I finished medical school and tried different fields and I couldn't shake a sense of dread when thinking I have to do this for the rest of my life. When I was in medicine I was completely frustrated by the lack of action, the complex patients with a thousand comorbidities and the fact that no matter how good of a job you did, the patients kept getting sicker and coming back to the hospital. I then changed to the least medical field there is: ortho. And guess what. I was also bored out of my mind. I could not give a single fuck about radial fractures, didn't care much for the elderly population with hip fractures and couldn't for the life of me sit down and even pretend to read anything ortho related. I fell asleep immediately. And while I was there, I had to do a short rotation in general surgery. After about a week of scrubbing in for lap appys, choles and a few hemicolectomies I finally knew that's what I wanted. I made moves and switched to general surgery and never looked back. I can honestly say if I have to only do the bread and butter of it for the rest of my life I would still be happy. And you don't get up in the middle of the night unless it's to save a life. Couldn't pass on that either.
This is me right now. 2 weeks before having to make the big decision... Should I go for it?
what did you choose?@@sanaa.2195
Someone made a big decision. I am already at your place right now. Don't know wht to choose between Ortho and general surgery.
Do why I didn’t do cardiothoracic surgery
Yes! Hoping he does this
Wondering the same.
Cardiothoracic is next level. Only a select percent of people have what it takes to sacrifice their life to becoming skilled in this field
We need this one!
It appears he made a vid on this
I'm doing my general surgery residency it's hectic as hell but straight up bad ass
That’s awesome! Good luck with everything.
Unfortunately, my gen surg rotation was perpetuated by the toxic environment and burnt out residents/attendings which had me counting down the seconds until the end of that clerkship. One surgeon was on his 5th marriage!
Imagine letting others shape your mind and your decision. Very lame
@@sonyog9399 imagine making such a judgemental comment
@@sonyog9399 imagine not learning from other people’s mistakes.
Whoever thinks ophthalmology isn’t real surgery should come take off sometimes lateral orbital rim and remove an orbital tumor with me sometime. Or if you’re just talking about comprehensive ophthalmology with cataract surgery- I’m not sure where else in a surgical field you need to do literally hundreds of a single surgery just to have baseline competency- cataract surgery is no joke.
Triggered
Fantastic, honest video for someone pursuing general surgery! The fact that there’s so many sub-specialties, that I will be able to handle issues without needing as many procedural interventions, and that it is often quickly rewarding are just a few of the many reasons why general surgery is for me. Thank you!
Subscribe this channel for Latest Medical Lectures.
It’s not what you think it is
@@sonyog9399 I sure hope not :) Then there'd be no surprises and possible excitement.
Working in remote locations, general surgeons able to do most anything in an emergency were amazing and a Godsend. They amazed me over and over. Even things like the ER Dr and me the RN stitching up someone who was severely flayed, the GS wandered in, saw what we were doing, came back with surgical staplers, and we sped up care tremendously!
I believe that the compensation is much less compared to those who specialize in a particular type of surgery. So that's another downside
Great video! I love your honesty, i'm still considering general surgery but this was great insight! Thanks Kevin!
Why I didn't cardiothoracic surgery?
There are so many why I didn’t do episodes that pop up on my feed, I was wondering what you actually do apart from telling people what you didn’t do on UA-cam 😂!!
😂
I was actually really curious about this one because general surgery was something I’m currently looking into 🙏🏽
Hi
That’s dope. How’s that going?
Are you going to med school?
Yey finally the first time viewer 😆.
here 🥇
Finally yesss!!!much love Kevin❤️
Why i didn't OBGYN please!:)
I want why I didn’t… psychiatry
Better to divide boring vs not boring.
Back in the days they used to divide into life style vs no life style....
Specialties i dont find them interesting:
Derm, ent, urology, plástics, colon and rectal, ophthalmology...
I find them interesting:
Cardiothorac with circulatory assistive device fellowship, Neurosurgery to an extent, hand surgery, trauma surgery and ER if it is true ER since 80% is primary care, interventional Neurosurgery or neurology....
The most important factors....would you be bored???? This is key.
You can make good money but if it is boring then it would be in my view a waste at least for me.
Others only care about life style
Any worthy gen surgery residents’ UA-cam channels? Besides Daisy Sanchez
Great video. I'm a junior radiology registrar (R1 radiology resident) in PNG after switching from emergency medicine residency. I would like to hear your subjective view on radiology.
If you like sick patients, complex medical management, and complex procedures I’d make a plug for gyn onc. I loved those things but didn’t love the bread and butter of gsurg and I love what I do!
I want to be a general surgeon
general surgeon *salute*
Him fighting for his life with opthamology and og/gyn is so fcking funny to me idk why
"when my algorithms and protocols permit me to do so", I'm wheezing🤣🤣💀💀
2:48 the. Best Moment 😅
I was dying 😂💀
Love these videos! Could you please do one on OB/GYN?
Why I didnt ENT!!!! How would anyone not like ENT
Why I didn't anesthesia and ICU
What is life like doing research years? Are you still doing surgeries during dedicated research years? Is the lifestyle any better during research years ?
I suspect that you are correct about the difficult lifestyle of a general surgeon. In the last year, I had my general surgeon paged at 5 AM. She arrived to see me in the ER before 7 AM. And then several days later she stayed late to perform an unscheduled surgery on me starting at 8 PM.
I'm on surgery rotation right now - luckily the residents I'm with are pretty chill (definitely sleep deprived and a little jaded) but they are great. Surgeons are pretty chill as well and they definitely tried to gage our interest during the first week. The people that are looking to do GS have a few optional opportunities to take more call, hang out longer etc so they haven't been absolutely killing us as M3s.
I don’t mean to be creepy, but what hospital are you doing your surgery rotation at? I want to be a part of a GEN surge residency that is not malignant. knowing that their chill would be a huge plus, and get me interested in their program
I like your cut g
I know I want to be a surgeon… I don’t think I’ll know which one until I actually get into med school and get exposed to real surgeons.
3:17 - RIP endocrinology
Why I didn't oncology
Hi kevin
Great video as always
Ty Rex!
which faculty has highest earning bread and butter case? except for gynae/Obs
The best thing in general surgery residency that you can go in wonderful fellowships after it like plastic surgery and cardiothoracic, I actually wish if there orthopedic fellowship or Neurosurgery in the future if it possible
What’s a physician entrepreneur ?
I will make a video for response as a General surgeon. Thanks for your objektive and sincere evaluation
Why I didn't anesthesia plss
Why I didn’t do ENT!!!
What about a why I didn't, trama surgery?
Would like an understanding of RVU pay vs hourly or yearly
11:42 😂😂 how did U know😂😂¿?
🙃
Well said.
OK, listen folks. You want to be woken up on a regular basis in the middle of the night, do surgery, then spend the rest of the next day doing surgery or seeing patients in your office? Or, do you want to spend half your life elbow deep in poop? No problem. Then, general surgery is for you. You won't see your family much, but that's OK, because - you know - you're a beast! My advice? Opthalmology. Eyeballs don't poop and you have banker's hours. One caveat, however. You must be at the top of your medical school class.
Yeah, plus you can kill the guy. I don't want to carry that weight
Once you’re an attending, you can definitely see your family. Can negotiate a better call schedule, M-F hours only, etc. I work with many general surgeons who are present for their families and don’t have to take a bunch of midnight emergency calls but there are also those that choose to operate all the time because they prioritize money.
What do you suggest for someone who is interested in Derm and ophthalmology? I am mostly scared of how well dermatology will pay if health care changes and if mid-level start taking over procedures that they do. It seems that ophthalmology is a safer bet, but at the moment dermatology wins out in terms of lifestyle and pay
@@smellypatel5272 With respect to dermatology, there will always be people who will want the best in terms of training, competence and skill. Although other specialties will cull part of your business because they want a part of what you have studied and trained so hard for, don't be afraid. Your moat is your expertise and skills that others don't have.
@@enochbrown8178 I'm not trying to sound rude or harsh-that sounds nice on paper, but in reality how will that play out? Let's say I'm a derm who does mohs surgery or cosmetic surgery/operations. If an underqualified NP or PA is allowed to do it, I imagine the bottom line is that I will lose business due to fewer referrals or fewer patients coming to me when they have a closer or more convenient option. It's obviously wrong from a health safety perspective that midlevels be allowed to do this, but that doesn't seem to be the priority for legislators. That's why I'm concerned for derm's future. It's hot now, but if things go down that road and reimbursement decreases, people won't want to touch it with a 6 ft pole
I wanted to be a doctor but I hate people lol
So, why do you want to be a doctor? Just curious.
@@gdaymates431 the money, duh
@@rareracecar That would depend on country and speciality. Also, it's not the best way to make decent money.
@@rareracecar there are tons of better things if you just want money. CS is a good one. Only needs an undergrad degree, and you can get to six figures pretty reliably. Companies also give you stock and other amenities (gym membership, free food) for working there.
😂😂😂😂😂😂
Bro, if you think OBGYNs and neurosurgeons aren't saving lives on a regular basis, you are HIGH. Hahahaha
Of course they are, I don't think anyone implied otherwise. The emergency c section is almost as adrenaline inducing as an ed thoracotomy. Only with much better results.
I didn’t do it because poop guts are gross…
Can you make a Why I didn’t do Rocket Surgery vid
Heyyy, may you please do why I didn't cardiothoracic surgery
Please do neurology next!
but i totally get the humor. and crap your famous now so who cares.
Please make one for interventiomal radiologist
Kevin send me regards please!! You are a genius and I admire you too much because of you I guess I've becomed a better person
Please do Why I didn’t do Critical Care Medicine
Is there one about Anesthesiology or Pediatrics?
Can you do “ why i didn’t ENT”, please 🥺
STOP USING SOCIAL MEDIA
FOCUS ON CAREER
NO WASTE A SINGLE TIME
DO GOOD WORK FOR ME AND ORTHER
NO FAB
START PRAYER
DOPAMINE DETOX
LEARN NEW THING
STUDY MINIMAM 4 HOUR
DO GYM
8 hour sleep no more
No cool drink
Don't overthink
can someone get over their fear of blood?
Can you do cardiothoracic surgery
Why I didn't Internal medicine
Can you do Critical Care at some point?
Why I didn't do anything
Do why i didn't do obgyn
Ophthalmology ?
Acute care surgery.
Let's go
so in India majority have to take a broad specialty like general surgery which is 3 year residency. After this one can write an exam to take a super specialty( we call the that instead of sub) which includes cardiothoracic, plastic, neuro, uro etc. which is another 3 years of residency. . There are direct 6 year courses but very few hospitals provide that course and its the least preferred route and least competitive when compared to first general surgery and then superspecialization. frankly loved general surgery when i was a resident even though almost everything you said in the video were true (masochism, difficult hours etc) and I am absolutely loving plastic surgery now as im doing that
Is plastic surgery saturated?
@@Dr.OneilAakashBiswas1038 I wouldn't say so. Depends on where you plan to practice I suppose. The bigger metros maybe a bit saturated but i think there is still plenty of opportunities as plastic is a very wide speciality. Where even if one particular place is saturated with a subspecialty like aesthetic surgery, we still have cleft, burns, reconstruction,hand etc etc to chose from and still stay relevant as a plastic surgeon in that locality
Nice shirt! The fabric looks great. May I ask where did you buy that shirt from?
Sorry don’t recall! Some casual spot at the mall
80 weeks sheesh
Yuppp f lap chole and hernia repairs. You only get the surgeries no one else wants to perform. Mad respect to anyone that goes through general surgery
Dr. Jubbal, please help me! I cant find this answer anywhere!! If someone is having chest pain and they have hyperacute t-waves in leads 2,3,aVF on a EKG, can you give them Nitro? Even with a history of a inferior wall MI w/RVI. Obviously the heart is preload dependent and Im worried the Nitro will drop blood pressure, even if its just hyperacute t waves and not a STEMI. Can you still give it?
yes
possibly.
Stop being so hypocritical
please do why i didnt urology ♥️♥️