MDU 4003 Lecture 4: Lesson 4a: Surgery notes

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University of Florida
Health Outcomes & Policy
MDU 4003
Rhamani, Mariam

Surgery A surgeon is a physician who has gone through years of training in an accredited residency program to learn the specialized skills of a surgery. Surgery, in some instances, can be viewed as one of the most demanding positions in the medical community due to the fact that it is a specialty which is required in every hospital setting. Besides performing surgery, surgeons practice in hospital, office, and academic settings. Surgeons also assist patients by counseling and consultation. General surgery will be the primary focus of this unit, although the specializations within the surgery field are numerous and very diverse. Surgery with Dr. Lam Assistant professor of surgery at UF Why did you choose to be a surgeon? she considered all areas during her third year of medicial school and clinic corpship with the exception of PEDIATRICS and psychiatry She went into medical school thinking she would go into pediatrics or geriatrics She’s a hands on person, 3-D, fascinated with anatomy, and the job in terms of the human body function related to structure. she’s the result oriented person, sees effects of what you’ve done and see results of intervention after diagnosis, for a while, she considered missionary medicine (general surgery suited to that because she had a broad scope of practice as wide as internal medicine ) gained additional therapeutic option of surgical intervention which she would not have had she chosen only internal medicine. Training: 4 yrs of college, 4 yrs of medical school, residency program that avgs 5-7 yrs, General surgery: 5 yrs of residency training, additional of 2-3 years fellowship training for cardiothoracic surgery, plastic surgery, vascular surgery OR 1-2 years of research in NIA if interested in academic career Competitve field: always; good grades in medical school, top quartile of the medical school class, concerns (surgery as a career): related to infringement upon lifestyle because the sum of the preconceptions of surgeons - in terms of lifestyle the idea of the practice of medicine is such that when you take on the social responsibilities you sign a social contract with the patients. When patients are ill, or are not feeling well or have a potentially life threatening illness, they are at their most vulnerable and they come to you looking for guidance. Responsibility as a human, not just a physician, will mandate working on a 40 hour workweight. It doesn’t matter what your specialty in medicine is if you directly responsible for direct patient interaciton and care, you will probably spend 60 hour work. Passion will drive you. medicine requires passion and time. Work becomes a reward. Different types of Surgery practicies: work solo, HMO, GROUP practice, academic practice different subcategories in surgery (like internal medicine) colorectal surgery surgical oncology surgical endocrinology-- much more elective, less emergency type lifestyles therefore, time you have to yourself varies depending on what practice you choose to have: Trauma: if you like adrenaline rush and being called in to the hospital for emergencies and very ill patients, Colorectal Surgery: if you are interested in a much more elective lifestyle,not too many disasters She is married to another sur
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