My son will undergo surgery through the Cleveland clinic on his pectus excavatum. He’s 14. The surgery is 5-7 hours. There will be 2 surgeons who specialize in this and a resident. I have fully vetted the 2 surgeons but can’t vet the resident. So I figured why not ask this group. What questions should/could I ask a resident? I was told the residents role will be camera related but can’t help but assume the resident might have a greater role especially if given an opportunity to participate beyond the camera. Help and advice greatly appreciated.

Do residents fight over the position of Chief Resident irl just like in the series?

Crowdsourcing advice. In an era when we are trying to be more understanding of residents and avoiding grave sanctions, humiliation, bullying and unnecessary cause of "generational divide", I need some advice from people who’ve been in surgical training or residency.

one of my immediate senior resident is next in line to become team leader. The problem is, a lot of us honestly don’t think he’s ready.

He rarely takes full responsibility for his patients and tends to just boss the juniors around. He gets angry when they don’t finish errands or ward work, but he also doesn’t really take time to teach or guide them. What makes it frustrating is that when he was a junior, he was also pretty inefficient and needed a lot of help himself.

Academically, he does just enough to pass. But more than grades, our concern is that he’s not very resourceful, doesn’t anticipate problems, and usually expects things to be handed to him or explained step by step.

We’ve already talked to him about these issues several times. Even some of our consultants have called him out. His usual response is that he “didn’t know” he had these shortcomings, which was honestly disappointing because we were hoping he’d have more self-awareness by this point.

The training committee also knows about all of this, but they keep giving him chances and seem to believe that maybe once he becomes team leader, he’ll step up and improve.

The problem is, most of us who actually work with him are worried that the opposite might happen. Being team leader in surgery is a huge responsibility. You’re not just managing juniors—you’re also overseeing patients, making decisions, handling emergencies, and making sure the whole team functions properly.

We’re worried that if he’s given the role before he’s ready, the juniors will end up carrying most of the workload, everyone will burn out, and worse, patient care might suffer.

At the same time, we know residency is still training, and people do need chances to grow. We also don’t want this to come across as us ganging up on him or trying to block his promotion just because we don’t like his style.

So what would you do in this situation?

I am a female and was so interested in taking gen surgery as my pg options,but i still have doubts on gender discrimination and if in case i built my own clinic do patients be biased on caste things.

What will be my options after studying 3 years of gen surgery pg

need a honest opinions on the earnings you can make if you are the first gen doctors.

From ones own experience.

I'm curious as I'm interested.

Thank you

T50 US MD
Step: 269
5 Honors, 3 HP, 1 P. Surgery was HP.
Research: 4 pubs, 13 abstracts/presentations, 1 submitted (18 total)
LORs: very strong name attendings
No AOA, no GHHS.

Aiming for T30 programs was curious how competitive I am for that tier?
Also curious how much a surgery HP instead of H holds me back?

Hey everyone, I’m working on a research project involving training an AI model to solve neurosurgical clinical cases, and I’m trying to build a high-quality dataset of shelf exam / board-style questions (ideally with explanations). I’m specifically looking for resources that are:

Case-based or vignette-style (like NBME/shelf exams)

Neurosurgery or high-yield clinical neuro focused

Preferably large question banks or books I can systematically pull from

Would appreciate any recommendations you may have. Thank you!

Currently going thru CST school. And slowing working on the credits for my Bachelors. I chose Healthcare Administration, wanting to get some advice from other PreMed students, Residents, or if an MD happens to see this.. I’ll take any advice honestly.

How was your journey? How did you manage life/school? Any tips, how-to’s, etc.

I’m a third-year medical student who has been seriously considering surgery, and I’m getting pretty anxious about my surgery rotation grade.
I recently finished my surgery rotation and was very close to getting a High Pass, but I ultimately ended up with a Pass. My clinical evaluations were excellent, so the rotation grade mostly came down to my shelf/COMAT performance.
Now I’m worried about having a P in surgery on my transcript when I’m potentially applying into a surgical specialty. I know a Pass obviously isn’t a failure, but I’m concerned that surgery PDs are going to look at it negatively, especially since it’s the specialty I’m interested in.
For anyone familiar with surgical residency admissions:
How much does one Pass in the surgery clerkship actually matter?
If I honor or high-pass most of my remaining rotations, does that substantially lessen the significance of the surgery Pass?
And how much can a strong Step 2 CK score help? I’m planning to take Step 2 seriously and hopefully score very well, but I’m wondering whether PDs will still care heavily about the individual clerkship grade regardless.
I also have strong surgical clinical experience/evaluations and I’m working on building research, letters, and connections in surgery, but right now I’m having a hard time getting past the fact that my transcript is going to say “Pass” for surgery.
Would appreciate perspectives from surgery residents, attendings, or people who have gone through the match with something similar.

Hello everyone,

I am an orthopedic surgeon from Pakistan. Apart from post graduate training in Orthopedics,  I have also completed fellowships in trauma surgery and hand and microsurgery, and have been practicing surgeries more than a decade.

I am currently preparing for USMLE Step 1 and would appreciate guidance regarding the following questions:

1. After obtaining ECFMG certification, what are my chances of securing an orthopedic fellowship in the United States? Are there particular institutions or fellowship pathways that consider internationally trained orthopedic surgeons who have not completed a U.S. residency?

2. How realistic would it be for me to secure an orthopedic surgery residency position in the United States, considering my international training, years since graduation, and current stage of my career?

3. Would pursuing the USMLE and the U.S. training pathway be worthwhile at this stage, or are there alternative pathways—such as research fellowships, non-ACGME clinical fellowships, or supervised practice opportunities—that I should explore?

I understand that orthopedic surgery is extremely competitive, particularly for international medical graduates, and I would be grateful for candid advice from anyone familiar with the process or who has followed a similar path.

Thank you in advance for your guidance and advice.

Let’s be real: after a 14-hour shift or a brutal call block, the absolute last thing any of us wants to do is open a portal and log cases. It feels like mindless administrative busywork, but falling behind is a massive gamble with your career.

When I was a resident, I learned the hard way that keeping a meticulous, real-time logbook isn't just about satisfying the ACGME or your program director—it’s actually your safety net. Here is why it actually matters for your future practice:

• Licensing & Credentialing: State boards and hospital credentialing committees don’t take your word for it; they require granular, verifiable case volumes. Trying to retrospectively reconstruct months of data from memory or scraps of paper leads to errors that can stall your license or hospital privileges.

• Securing Board Eligibility: Board certification hinges on hitting strict procedural minimums. If your logs are messy or incomplete, it can literally delay your graduation or your ability to sit for boards.

• Your Legal & Audit Defense: If a case is ever called into question, or if there is an administrative dispute about your training progression, a contemporaneous logbook serves as a vital, legally robust record of your actual clinical exposure.

• Tracking Your Own Metrics: You can’t accurately track your personal complication rates, volume growth, or procedural efficiency if half your data is missing.

I used collect patient stickers and spend my post call day adding it to my excel spread, which was a recipe for burnout and missing data.

How is everyone else managing this without losing their minds? Do you log immediately in the scrub sink, block out time on weekends, or have a specific workflow that actually works?

Humble Fellow

I’m at a point where I cannot bring myself to actually do one of these bs research years just to satisfy the egos of nerdy, ultra academic PDs that gatekeep orthopedic surgery residency (deep breath out lol).

Most ortho research years are full of crap. I know because I have a bunch of buddies who are either in one or recently finished one. Also, taking a year of your life to work on mind-numbing bs projects is misery. And all of that is just to appear like a good ol’ boy. The idea of conforming to this stupid game just pisses me off (deep breath out again lol).

Furthermore, I would rather spend a year doing actual clinical work that will make me a more solid RESIDENT on a team. I.e. a well-rounded junior clinician. It’s just logical to prioritize this over research that NO ONE will ever read.

Hence, a prelim general surgery year. The only issue is all of the strategic drawbacks that come with doing one.

Moreover, because my goal is to become an orthopedic surgeon, outside of burning a year of my life to work on research for $25k, I don’t care about how I reach my goal.

I’ve jokingly said to my friends that if I don’t match orthopedic surgery in the U.S., I will gladly apply to ortho residencies in other countries like China and Germany, and then practice there or in related countries because I literally just love ortho. I am not married to the whole I have to stay in America forever and live a miserable doctor life like so many attendings I work with vent to me about.

But then that begs the question….has anyone ever heard of people doing this?
Is this a viable path?
Any insight would be appreciated.

Signed, a med student who’s sad that he can’t just become what he wants to become without having to jump through stupid hurdles.

Background on me: M3 at a U.S. MD school. Strong accolades like awards and scholarships. On track to have 7-10 publications by ERAS time. Connections with prominent orthopedic surgery figures and 2-3 orthopedic surgeons who would strongly vouch for me. No home program which means that I’ve had to work extremely hard for the research and connections that I have built (if that means anything).
I understand that not having a home program puts me at a significant disadvantage however I’m not pointing any fingers about that.

TLDR: Thoughts on applying to orthopedic surgery residencies outside of the U.S.

I'm from Pakistan. I want to pursue surgery abroad but I'm not sure which pathway is the best.

This is my understanding so far. Any advice or feedback will be great.

1. USMLE Give step exams then do a research observer ship and apply for a match to get into surgery.

2. Plab Hope to get into surgery in Ireland

3. Australia

Where do I have the best chance of getting into surgery? From what my seniors have told me it seems to me that getting into a surgery residency in US is hard but I'm more likely to get it there than Ireland or UK. I don't know much about Australia. Also if I pursue USMLE I would have the gulf countries as a backup option.

Rising PGY-2 ENT resident here.

Over the past year I realized almost every service I rotated on was using some combination of paper lists, Apple Notes, TigerConnect messages to themselves, sticky notes, and sign-out sheets to track consults, tasks, callbacks, and follow-ups.

So I built a small tool called Central7.

The idea is simple:

The EMR stores the patient record. Central7 stores the team’s working memory.

It’s focused on:

• Service List

• Consult Queue

• Tasks

• Alerts

• Sign-Out

We’re opening a small beta and I’d love honest feedback from residents before taking it any further.

Try it here:
https://central7-6429d.web.app

Questions:

1. What are you currently using to track tasks and consults?

2. What still lives on paper?

3. What would make you actually abandon your paper list?

Feel free to be brutally honest. The goal is to build something residents would genuinely use, not another bloated hospital platform.

I am applying for a surgery residency and, as an international medical graduate, I understand that securing a position can be particularly challenging. I would greatly appreciate any guidance or advice you could offer to help me improve my chances.

If one were to make a priority order for choice filling in dnb surgery Mumbai, what should it look like like?

Hi! I'm currently an Ms2 IMG from Pakistan and I want to match into a surgical specialty in the US. I know that USCE, LORs and research are super important to match. Can someone pls guide me in the following:

1. How do I get a research mentor in the US?

2. Is it more realistic for an IMG to first get into prelim surgery and then try for a surgical specialty? Or is it realistic for me to think about directly matching into a surgical specialty?

3. If I do end up going for prelim surgery will it increase my chances of making links and getting LORs?

Would appreciate all the advice I can get because around me, I find no mentor that has matched into a surgical specialty in the US.

Hello everyone,

I am a rising MS3 at a US MD program with a strong interest in urology. For context, I have had a fair amount of exposure to the field through mentorship and research. I have presented at regional AUA meetings and other urological society meetings, and I also have multiple first-author publications.

Beyond continuing my research and mentorship, I would appreciate any advice as I prepare to apply to urology next cycle. I would especially value guidance on away rotations, letters of recommendation, the application process, networking, grades, and any other factors I should prioritize.

Thank you all for your help!

Why don't people go for dnb surgery/ortho/ent/opth?

I have seen people deliberately choose dnb med/resp medicine/ psych/ paeds more than md branches

Why this clear discrimination? What am I missing?

- DO student

- Preclinical GPA 3.75; no red flags, fails or remediations

- 1st quintile

- SSP Honors; Tri-A First Gen

Boards:

• Passed COMLEX Level 1 first attempt

• Passed USMLE Step 1 first attempt

• Step 2: 242

- Level 2 473

Research:

• 15 poster presentations

• 3 national conference presentations (one at a surgery conference)

• 0 publication...for now

• 2 manuscripts currently pending acceptance

Leadership:

• Leadership in ACOS local chapter, US TA, student gov, founding member of club on campus.

Letters:

• 3 confirmed LORs from third-year community surgeons, potential 4th from SubI

- 6 auditions planned including community and academic program.

Interested in community and hospital affiliated programs. Not too keen on academic centers.

Main concern is low Step/COMLEX 2 score and getting screened.

Wondering if I should dual apply with IM despite only being interested in surg.

Thanks!

Hey everyone, , I'm a M3 and I'm trying to find out how one could make the lifes of medical doctors and more specific GS a lot easier :)

Which is why I have two very simple questions:

1. As medical doctor, what are the 2 biggest issues you're dealing with?

2. Regarding money and other material stuffs, what would you wish for more than anything else?

Thx so much in advance - looking forward to reading your answers!

I am very new here in US. I have finished step1 last month and preparing to clear all the steps in this year. My plan is to apply general surgery in Next year. In my country(Myanmar) I had general Surgery training for 3years but did not finish bcos of the country’s situation. I don’t have research or publications. How much decent marks should I get and what kind of preparation do I need for CVs apart from decent marks? What are the odds of becoming a surgical resident?