We do 24 hour in-house calls in cardiology fellowship. During these calls, you’re the point person in cardiology for the entire hospital. On busy call days, you work every minute of those 24 hours. To give a reference point, during a busy call, my Apple Watch will record ~26,000 steps (~15 miles), and standing for 18 hours. Before I went into medicine, such things would seem unfathomable to me. But when you’re put in that spot, you just do it. Bottom line, don’t let videos like this discourage you. Human beings do amazing things, which may seem unimaginable before its done.
@@aluminiumknight4038exactly. They just accept being overworked as the norm instead of realizing it needs to change for better patient outcomes and better work life balance for physicians.
Hardest transition for me was going from intern PGY1 to Ortho PGY2. Still vividly remember taking solo overnight call….the sweat rolling off my face as I was doing a fracture reduction in the trauma bay at 3am knowing I had 5 others consults to see before rounds at 515.
Thank you for your amazing videos Dr. Webb! I am 35 years old and preparing for the MCAT and your videos help keep me grounded and motivated as a non-traditional student.
Ever since I found this channel, I haven't been able to stop watching your videos! I'll be able to find use in them when I finish undergrad in 4 years. Thanks for making these!
Have no interest in medicine; but, I do respect the profession. Appreciate these videos though. Find them fascinating & your voice tone calming. Sweet to have a heart to help the injured and inspire others. God Bless.
I went through a tough program with 30 other students. Some were straight out of high school then undergraduate, then the professional program. While others had previous professions, prior military experience, and/or extensive work experience before they entered the professional program. I noticed the stress level, fear level, and most complaints came from those who had no prior work or training experience. I was one with prior experience. I found I could not study with those who did not have life experience because they spent study time festering over failing, competing against each other, or gossiping instead of studing. I found the program grueling but not difficult.
Im An RD-APC and that was incredible difficult so I cant imagine going the MD/DO route and all the trials and tribulations that come with it! Enormous respect to yall!
Hi Dr. Webb, M2 here, starting rotations next year after taking Step 1 this summer. Thanks for your guidance and congrats on completing your residency!
Dr. Webb do you know Jonny Kim? You and him are my inspiration. I already did my time in the U.S Army now im in school as a pre med. Thank god its all paid for👍
Hello Dr. Webb! I have a quick question- as an ER and trauma nurse, we run around and constantly look stressed. Nearly all MDs I know always seem cool, calm, and collected. They never seem stressed. Is this something you learn in your training? Despite all the hard work and time required to be an MD, you all never seem overwhelmed or stressed. What's your secret?
I'm a RN too but a Male run and people tell me I keep my cool all the time even in stressful situations. Imo, some people just have a higher stress tolerance than others.
I am not a doctor (imagine this applies), but have worked my way up the ranks in a Fortion 100 company into a higher management position at such a young age with so many direct reports telling me the same exact thing (appearing calm and collected when everything and everyone is the exact opposite). The secret and what my mentor told me is controlling what you can control. I may not be able to control all the madness going on around me, but I can control my response to it. Many people look to me for answers, and I owe it to them to appear to be in control, even if truthfully I'm as scared or stressed as they are. Therefore if it makes a more stabile environment while giving others strength and increased moral even in the slightest by effectively managing how I display my emotions, then thats a no brainer. Granted my increased responsibility has thickened my skin which has allowed me to develop this masterful pokerface I am speaking of lol (hope that helps).
@Chris - I don't know how much time you have in nursing, but in my ER, most of my nurses as fairly young and only have a couple years experience, with only the charge nurse and a couple others being more mature in their career. One time seeing a gsw a nurse commented to me "you look so calm". My reply was "this is one person, shot with one bullet. I know what the problem is, I just have to determine the extent" that plus my record having been 17 people shot in 12 hours, made it easier. It's the other things - the guy with the weird symptoms, is he sick or just weird? The nurse who is worried about something seemingly trivial - is something wrong or are they just overly concerned? The consultant on duty who is a known jerk, is he going to give me a hard time about this admission? It's stuff like that that stresses us out.
surgery residency is rough. Gen Surg/Ortho/Plastics are all rough residencies....I've heard ENT and Urology are the less stressful surgical residencies
I understand the stress and unhealthy lifestyle of the medics more ( long hours on call), the issue is that this phenomenon has costs. Lay patients going into hospital often see nurses and doctors that are very overweight, stressed out and some (@ small minority) , smoking near the bike sheds . I’ve witnessed Surgeons on the oxygen tanks before surgery, trying to clear their heads after a heavy night out. ( I worked in a surgical ward in my summer vacation when 20.). I think patients expect to see medical staff as super fit, healthy , mentally resilient all of the time. But they don’t. But it’s not the fault of the individuals. It’s the system. A Navy Seals induction.
Residency depends on program. My psychiatry residency was much more difficult than my wife's internal medicine. 80 hour + work week for all 4 years on top of studying for exams and boards.
IMHO if your residency is easy, you're at the wrong residency. 😀 It would be awful to finish all those years of training and not be prepared for practice. That being said, there are definitely some residencies that are harder than others, even within the same specialty! You made some great points!
@@stephenjones7432 yeah cause we're on "break" even though we have 19 assigned lectures for an exam on Monday, but STEP 1 boards happen this summer, so i'll let you know if I survive or get parried and ripostéd Dark Souls 3 style, leading to my death 😊🥵
It’s so interesting when the doctors make their rounds and they have the residence? Interns? With them. My one and a half year old has been admitted twice for the same thing in three months. Two weeks ago was when we got out and I was able to witness a teaching moment from the supervising doctor? Or something like that. Asking what they thought was wrong with my daughter and watching them give blank stares and looking around then watching the quiet one behind everyone speak out. They said it was from the ileus they diagnosed her with the first visit. They ran test after test because she would scream in pain. Hopefully these meds work that they gave her.
My biggest problem is my knee pain 😩 I had a car crash and I have chronic problems. After 1 hour of working my knee is screwed I can't imagine 24 hours. Idk what I'm gonna do when I get to internship
Hi Dr. Webb!! I’m a current M1 who is getting married this summer. How did you manage school, relationship, fitness/hobbies while med school and residency?? Especially having a kid
Hi Dr. Webb, I'm a current M1 and was wondering if you could make a video (if you haven't already) comparing different surgical subspecialties, specifically ENT vs Ortho? Keep up the great videos!
Not sure if you've done this or plan on it, but how about reacting to medical show clips and movies? House MD, Bones, Scrubs, etc. Fo course they aren't fully acuurate but would be interesting to see what all episodes caught your attention and why. I havent seen much scrubs or Bones, but I definitely enjoy House.
Im a senior in highschool and i still can’t decide if i want to do this, but i really love anatomy and biology, and helping people is super appealing to me. If i were to get into med school, i think id aim for orthopedics because i love the skeleton
Hey doctor Webb, I remember you have mentioned that you were planning a trip to Ethiopia, I was wondering if you have made that trip and if so,would love to hear about it.
This sounds insane when you explain it. I thought you guys just go in, operate, and dip. Juggling 20 critical patients at a time sounds like a special type of hell.
Thanks. Whilst actually working and being on call as a resident for 80-100 hrs per week, how many hours did you manage to study per day, per week etc ?
4:28 How can your residency program require you to have a social life? Your personal affairs are none of your program director's business as long as they don't interfere with your work performance. If their ability to trust you to take care of their patients depends on you disclosing your personal affairs, they need to step up their game.
Really want to try to get into med school. Don’t know what to major in as an undergraduate. Do you think it is a bad idea to get a BSN just in case I don’t get into med school? I was thinking of biology because I would knock out most of my pre med..what are your thoughts on this Dr. Webb?
Doesn't matter how you do it. Just get good grades, knock out the pre-reqs, and most of all kill the MCAT. Some of your BSN courses may over lap with the pre-reqs so that's a bonus. If it takes 5 years, its fine, just do well in school.
![So You Want to Be a GENERAL SURGEON [Ep. 29]](http://i.ytimg.com/vi/J9CRG3F2I4w/mqdefault.jpg)
I like how he just answered the question in the first 5 seconds.
Bruh that is infact , an interesting name
Is that Dr. Mike lmao?
Except, he didn't?
Gotra keep it real though, haha.
@@amandal.1422 maybe
We do 24 hour in-house calls in cardiology fellowship. During these calls, you’re the point person in cardiology for the entire hospital. On busy call days, you work every minute of those 24 hours. To give a reference point, during a busy call, my Apple Watch will record ~26,000 steps (~15 miles), and standing for 18 hours. Before I went into medicine, such things would seem unfathomable to me. But when you’re put in that spot, you just do it. Bottom line, don’t let videos like this discourage you. Human beings do amazing things, which may seem unimaginable before its done.
Yes but its hard anyways it just a warning for people who i don't know want to have more family time,etc.
He's not trying to discourage people, he's just being open and honest
Well the thing is it doesn't have to be this way, you were being abused
@@aluminiumknight4038exactly. They just accept being overworked as the norm instead of realizing it needs to change for better patient outcomes and better work life balance for physicians.
I live in a third world country and it's 60-hour in house calls lol. There's no law here limiting work hours for doctors
I'm in community college and then I'm headed to a University then med school. I got this !!!!
Awesome!
Wendy Moran YES! You got this!
I’m in the same route! We got this!!
@@antoniowebbmd thank you so much for replying ! Big supporter of yours!! Keep it up!
I believe in you!
Final year of medical school to first year as an intern is the biggest most challenging year, I agree it’s extremely hard but you get through it! 🙏
Absolutely!
It is! but it doesnt get easier!
DR JUDE really?? Is that why you moved to Canada? Lol
I am a medical student . This comments make me scared ...
Doctor Nosa its harder in Canada. We have it way to easy in the UK!
Hardest transition for me was going from intern PGY1 to Ortho PGY2. Still vividly remember taking solo overnight call….the sweat rolling off my face as I was doing a fracture reduction in the trauma bay at 3am knowing I had 5 others consults to see before rounds at 515.
*first solo overnight call
Did you take the MCAT during medical school or getting into medical school if you have went
You take the mcat before entering medical school
@@Hi-hb3mr okay thanks
I’m a resource nurse tech currently and I only see a little bit of what you guys go through. I give all doctors so much gratitude and praise!
Thank you for your amazing videos Dr. Webb! I am 35 years old and preparing for the MCAT and your videos help keep me grounded and motivated as a non-traditional student.
Awesome! Good luck!
It's a challenging transition, but so worth it - and you got through, as we all did!
Ever since I found this channel, I haven't been able to stop watching your videos! I'll be able to find use in them when I finish undergrad in 4 years. Thanks for making these!
Thanks Noah and good luck!
I just finished first year now and I can't wait to finally start seeing patients next year!
Good luck you’ve got this!
Thank you doc, its really motivating me. I am in the first year surgical residency in Universitas Andalas, Indonesia.
About to start GS residency and this is absolute gold. Thank you.
Good luck you’ve got this!
Have no interest in medicine; but, I do respect the profession. Appreciate these videos though. Find them fascinating & your voice tone calming. Sweet to have a heart to help the injured and inspire others. God Bless.
Thank you Karon. God bless you as well 🙏🏾
@@antoniowebbmd I am a network engineer and I'm studying to get my CCIE, long and difficult exam. I watch the videos too for inspiration.
I went through a tough program with 30 other students. Some were straight out of high school then undergraduate, then the professional program. While others had previous professions, prior military experience, and/or extensive work experience before they entered the professional program. I noticed the stress level, fear level, and most complaints came from those who had no prior work or training experience.
I was one with prior experience. I found I could not study with those who did not have life experience because they spent study time festering over failing, competing against each other, or gossiping instead of studing. I found the program grueling but not difficult.
Im An RD-APC and that was incredible difficult so I cant imagine going the MD/DO route and all the trials and tribulations that come with it! Enormous respect to yall!
Hi Dr. Webb, M2 here, starting rotations next year after taking Step 1 this summer. Thanks for your guidance and congrats on completing your residency!
Victor,
Thanks for watching. Good luck on step. You got this! 💪🏾
I’m an intern now, and overwhelmed is putting it mildly.
Hows it going?
Good luck you’ve got this! Is it hard yes but remember why you got into it
Well get off UA-cam and get back to work!!!! Lmao 😅
Intern year was the darkest time of my life. I was overwhelmed despite being relatively efficient compared to other residents.
In my 3rd year of General Surgery Residency and the good thing about first year is it always ends.
I just know, I could not handle those multiple stressors and study like you do. Good information for those on the path.
You are stronger than you think..
Dr. Webb do you know Jonny Kim? You and him are my inspiration. I already did my time in the U.S Army now im in school as a pre med. Thank god its all paid for👍
Unfortunately I don’t but good luck and thanks for your service
@Loveduhmusic
What was your mos? Also, what is your major as a pre med?
I’m planning on joining the army in hopes to become a 68W (medic).
Success equates persistence of a worthy goal or idea. Dr. Webb you truly exube this!!! You are inspiring!!!
Thanks!!
Yes Dr. Webb if someone else has done it so can I!!! I always tell myself that!!! ♥️♥️
🙏🏾🙏🏾
Facts!
Well....it was extremely hard! Love your honesty!
Thanks for watching!
My heard dropped when he said that.
Nice Video bro! Glad its done! Onwards and upwards!
Hello Dr. Webb! I have a quick question- as an ER and trauma nurse, we run around and constantly look stressed. Nearly all MDs I know always seem cool, calm, and collected. They never seem stressed. Is this something you learn in your training? Despite all the hard work and time required to be an MD, you all never seem overwhelmed or stressed. What's your secret?
I'm a RN too but a Male run and people tell me I keep my cool all the time even in stressful situations. Imo, some people just have a higher stress tolerance than others.
Good question. Most doctors are prob stressed out but we just know how to hide it more LOL
I am not a doctor (imagine this applies), but have worked my way up the ranks in a Fortion 100 company into a higher management position at such a young age with so many direct reports telling me the same exact thing (appearing calm and collected when everything and everyone is the exact opposite). The secret and what my mentor told me is controlling what you can control. I may not be able to control all the madness going on around me, but I can control my response to it. Many people look to me for answers, and I owe it to them to appear to be in control, even if truthfully I'm as scared or stressed as they are. Therefore if it makes a more stabile environment while giving others strength and increased moral even in the slightest by effectively managing how I display my emotions, then thats a no brainer. Granted my increased responsibility has thickened my skin which has allowed me to develop this masterful pokerface I am speaking of lol (hope that helps).
@Chris - I don't know how much time you have in nursing, but in my ER, most of my nurses as fairly young and only have a couple years experience, with only the charge nurse and a couple others being more mature in their career. One time seeing a gsw a nurse commented to me "you look so calm". My reply was "this is one person, shot with one bullet. I know what the problem is, I just have to determine the extent" that plus my record having been 17 people shot in 12 hours, made it easier.
It's the other things - the guy with the weird symptoms, is he sick or just weird? The nurse who is worried about something seemingly trivial - is something wrong or are they just overly concerned? The consultant on duty who is a known jerk, is he going to give me a hard time about this admission? It's stuff like that that stresses us out.
Omgee thank you so much for these medical overview videos and your experiences it keeps me pushing to looking forward to being a doctor. Thank you
Thank you! You can do it!
surgery residency is rough. Gen Surg/Ortho/Plastics are all rough residencies....I've heard ENT and Urology are the less stressful surgical residencies
Every residency is tough in my eyes. Just a matter of how tough lol
The only way someone can make it through this is passion. No amount of money alone is enough to motivate someone to go through this.
I understand the stress and unhealthy lifestyle of the medics more ( long hours on call), the issue is that this phenomenon has costs. Lay patients going into hospital often see nurses and doctors that are very overweight, stressed out and some (@ small minority) , smoking near the bike sheds . I’ve witnessed Surgeons on the oxygen tanks before surgery, trying to clear their heads after a heavy night out. ( I worked in a surgical ward in my summer vacation when 20.). I think patients expect to see medical staff as super fit, healthy , mentally resilient all of the time. But they don’t. But it’s not the fault of the individuals. It’s the system. A Navy Seals induction.
Always on the money. Please pass some love to CRNAs that you work with. Your story from LVN to Ortho spine is inspiring on results of hard work
Thanks Joe! Appreciate that 👊🏾
Residency depends on program. My psychiatry residency was much more difficult than my wife's internal medicine. 80 hour + work week for all 4 years on top of studying for exams and boards.
IMHO if your residency is easy, you're at the wrong residency. 😀 It would be awful to finish all those years of training and not be prepared for practice. That being said, there are definitely some residencies that are harder than others, even within the same specialty! You made some great points!
Anything, ANYTHING IS HARD if you have to do it 100+ hours a week. Being abused by the system doesn't make you a better person nor a better doctor
Love watching your videos, very informative and real yet entertaining
Thanks!
I'm in Medical school, and i'm dying
Just started Med school can confirm
Did it get any better?
@@stephenjones7432 yeah cause we're on "break" even though we have 19 assigned lectures for an exam on Monday, but STEP 1 boards happen this summer, so i'll let you know if I survive or get parried and ripostéd Dark Souls 3 style, leading to my death 😊🥵
@@saleemchoudry5922 update!
It's good to know this, it's gives me motivation
Always look forward to your videos!
Thanks!
Hoping to be a premed in about a year and a half. Very long and hard road but I’m sure it’ll be worth it in the end 💪🏼
you are so encouraging! thank you for being our inspiration
Thank you Sarah! 🙏🏾
Another fantastic video. Thank you, doctor.
Thanks for watching!
I LOVE your outlook! Always so inspiring! Also from my hometown! I can't wait to go back and maybe shadow you one day!!!
Thanks Amanda!
I begin preparing for the MCAT in a 1-2 months and then onto the long med school application process 😁
If surgery residency wasn’t so intense I’d really be considering it
Every residency is tough! I suggest finding something you are passionate about and think long term/after residency
Antonio J. Webb, M.D. that’s good advice, thank you!
Thank you for this video!
It’s so interesting when the doctors make their rounds and they have the residence? Interns? With them. My one and a half year old has been admitted twice for the same thing in three months. Two weeks ago was when we got out and I was able to witness a teaching moment from the supervising doctor? Or something like that. Asking what they thought was wrong with my daughter and watching them give blank stares and looking around then watching the quiet one behind everyone speak out. They said it was from the ileus they diagnosed her with the first visit. They ran test after test because she would scream in pain. Hopefully these meds work that they gave her.
oof! I hope your baby is feeling better now. It's crazy how they (the attendings) grill you but one day you have to know it all on your own.
My biggest problem is my knee pain 😩 I had a car crash and I have chronic problems. After 1 hour of working my knee is screwed I can't imagine 24 hours.
Idk what I'm gonna do when I get to internship
Just ordered your book on Amazon, can't wait to read it when it comes
Awesome! Thx for the support! 🙏🏾
You are legendary. I’m a CO at a jail. If I get hurt, I want you to operate on me.
Thx Kevin!
I heard you COs are really messed up people - looking the other way during beatings, turning off peoples flushing, making their showers too hot, etc
@@thefenerbahcesk4156Most of them are sadistic and enjoy hurting the prisoners.
How could anyone dislike this video?
Hi Dr. Webb!! I’m a current M1 who is getting married this summer. How did you manage school, relationship, fitness/hobbies while med school and residency?? Especially having a kid
So you have a kid and youre getting married, but dont know how to manage your time?
Maurizio Arrivabene I think he’s just asking him how he did it so he can get advice from a man who has done that and apply his advice
@@johnjerge160 exactly. my time management is fine, but dr webb has been through it already. always room to optimize
your screwed.
D ...you’re **
I don’t think it is-ready to get started-
You should do a fun collab/interview with Doctor Mike
Hi Dr. Webb, I'm a current M1 and was wondering if you could make a video (if you haven't already) comparing different surgical subspecialties, specifically ENT vs Ortho? Keep up the great videos!
Hi this may help
ua-cam.com/video/1CYCU-JFzCk/v-deo.html
Not sure if you've done this or plan on it, but how about reacting to medical show clips and movies? House MD, Bones, Scrubs, etc. Fo course they aren't fully acuurate but would be interesting to see what all episodes caught your attention and why. I havent seen much scrubs or Bones, but I definitely enjoy House.
Im a senior in highschool and i still can’t decide if i want to do this, but i really love anatomy and biology, and helping people is super appealing to me. If i were to get into med school, i think id aim for orthopedics because i love the skeleton
do you watch any medical shows just to laugh at how unrealistic they are?
@@awkwardfreakinperson7936 i dont like shows but i do know they’re unrealistic 😭
Hey doctor Webb, I remember you have mentioned that you were planning a trip to Ethiopia, I was wondering if you have made that trip and if so,would love to hear about it.
What kind of questions are being asked during Medical school interviews & Residency? 😌
despite all those things, i accept this specialty.
Hi Dr. Webb! I recently matched into orthopaedic surgery. Any tips on things to do prior to the start of intern year?
Congratulations!!!
So you're saying it doesn't get easier after med school.........
Required to have a social life as well? Well ship, I think I would prioritize sleep...
Hey i say that to myself all the time! Infact just said it yesterday haha
That spine is toast lol
This sounds insane when you explain it. I thought you guys just go in, operate, and dip. Juggling 20 critical patients at a time sounds like a special type of hell.
Yup! Def a lot of hard work
I practice in Latin America, the work /life balance is do much better than in America.
Awesome! Thx for sharing
Any moment of doubts during training whether it'd be all worth it in the end?
Thanks. Whilst actually working and being on call as a resident for 80-100 hrs per week, how many hours did you manage to study per day, per week etc ?
Dr Webb I have a question. How much does weigh have to do with back problems. Could you do a video on this topic
Can you please make a video on how a physician trained outside the United States can get licensing and training opportunities in the United States.
If Medicare for all were to be put in place who would want to do all that hard work for $150k a year with $400-600k in student debt.
blastman8888 I understand the incentive, but those who enter it are in it for the passion. Of course there is people in it for money
"Excscreamly Hard!!"
Can you explain snapping hip syndrome?
As a former athlete my hips snap at least 5 times within an hour.
Can be internal snapping or external snapping. I have internal snapping myself. I can hear it (iliopsosas tendon) pop when I do sit ups lol
Antonio J. Webb, M.D. definitely internal.
Hello doctor Webb ! How r u doing?
I’m well how are you
4:28 How can your residency program require you to have a social life? Your personal affairs are none of your program director's business as long as they don't interfere with your work performance. If their ability to trust you to take care of their patients depends on you disclosing your personal affairs, they need to step up their game.
Do you require a high education to get into medical university and be train as a surgeon.?
All surgeons are underpaid. You guys should be making 7 figures a year after residency.
Did you have to triage frequently?
How is life as a attending and fellow does it get easier after residency
Each year gets better but obviously more responsibility each year
Do you perform anterior or posterior approach during hip replacements ?
I prefer anterolateral approach when I is what I trained mostly with but familiar with all approaches
Really want to try to get into med school. Don’t know what to major in as an undergraduate. Do you think it is a bad idea to get a BSN just in case I don’t get into med school? I was thinking of biology because I would knock out most of my pre med..what are your thoughts on this Dr. Webb?
Doesn't matter how you do it. Just get good grades, knock out the pre-reqs, and most of all kill the MCAT. Some of your BSN courses may over lap with the pre-reqs so that's a bonus. If it takes 5 years, its fine, just do well in school.
Let's get it
Let’s get it!! 💪🏾💪🏾💪🏾💪🏾
hello, question how come Radiology could be 14 years as ortho spine surgeon??
That sounds insane
My man....
are we ever able to come to you personally like DM you on instagram or something?
all the money in the world is not worth this crap. the highest paid professional is CEO. average salary of CEO is $900,000 per annum
Sounds like it's far from worth it.
kudos to you but not for me.
imagine doing 7 years of residency.... no thanks hahaha
In this case, ortho is just 5 years.
0doublezero0 I know but I’m just saying imagine doing 7 years for other specialties hahaha
@@nikolar1234 Yeah totally. Could never see myself do plastic surgery or neurosurgery, both of which are 6-7 years long.
The silent climb systematically test because nic principally found through a obsolete lawyer. jobless, elderly root