Dupa Curriculum de pregatire in specialitatea Chirurgie generala:
Chirurgia generală este specialitatea ce se ocupă cu diagnosticul şi tratamentul afecţiunilor chirurgicale ale abdomenului precum şi a altor afecţiuni chirurgicale care fac obiectul altor specialităţi, ce necesită tehnici speciale cum ar fi traumatisme, afecţiuni vasculare, genitale, urologice, toracice, endocrine, neurochirurgicale, chirurgie oncologică etc.
Durata de pregatire: 6 ani
Dupa Pathway Evaluation Program:
General Surgery is a discipline of surgery having a central core of knowledge common to all surgical specialties—anatomy, physiology, metabolism, immunology, nutrition, pathology, wound healing, shock and resuscitation, intensive care, and neoplasia. General surgeons are trained to manage a broad spectrum of diseases and injuries affecting almost any area of the body that requires surgical intervention. These physicians are involved in diagnosis, preoperative, operative and postoperative care of the surgical patient, and they are trained to provide comprehensive management of trauma and complete care of critically ill patients with underlying surgical conditions. Although its scope is broad, general surgery usually involves the abdomen, breasts, peripheral vasculature, skin and neck.
Today’s general surgeons rarely perform neurologic, orthopaedic, thoracic, or urologic procedures, but they should be familiar with other surgical specialties to know when to refer a patient to another specialist. They should possess excellent manual dexterity and make decisions quickly and decisively.
Common conditions encountered: Breast disease, Gall bladder disease, Hernias, GI cancer, Acute abdomen/appendicitis.
Dupa The Ultimate Guide to Choosing a Medical Specialty:
Surgeons save lives and heal the sick with their own hands. Surgery is the ultimate curative therapy for many patients and is an essential part of modern medicine. It is a career of constant excitement, high energy, quick decisions, and intellectual stimulation. No day is the same as the one before, and you learn to expect the unexpected. It is extremely gratifying to see the immediate results of your actions: the changes you make in your patients’ anatomy and in the quality of their lives.
General surgery primarily encompasses diseases of the abdominal organs, breast, skin, and endocrine glands.
Surgeons are also knowledgeable in many aspects of critical care, such as manipulating ventilator settings and adjusting powerful blood pressure medications. Many patients undergoing complicated operations are still sick and unstable after leaving the operating room, requiring extensive management in the surgical intensive care unit (SICU).
They treat diseases of the entire body that may or may not require surgical intervention. Some common examples include appendicitis, cholecystitis, pancreatitis, bowel obstruction, peri-anal abscesses, and a myriad of cancers. The diversity of general surgery extends past the strictly surgical into endocrine issues (thyroid, parathyroid, and adrenal disorders) as well as the complications of diabetes (leg ulcers, peripheral vascular disease). Obesity, an epidemic sweeping across the US population, has also become the realm of the surgeon, with stomach stapling and gastric bypass procedures receiving a remarkable amount of media attention. Although the basic principles of surgery have not changed in over a century, the field continues to develop, as highlighted by the introduction of innumerable elegant and ingenious laparoscopic procedures over the past decade. The most avant garde frontier is robotic surgery, which is now gaining momentum in both the pediatric and adult populations. These new and evolving aspects give aspiring surgeons the opportunity use their ingenuity to expand medical horizons.
Knowing the entire anatomy of the human body inside and out is absolutely essential, especially when many patients may have a normal anatomic variant. For instance, a routine gallbladder removal (cholecystectomy) can easily become quite complicated.
The practice of surgery takes a team approach. Although the surgeon performs the procedure itself, they are never alone in the care of the patient.
When choosing a specialty, medical students who dislike the idea of having to wait weeks to months to see if a pharmacologic treatment works gravitate toward the fast-paced surgical specialties, where you can see the results of your efforts right away.
WHAT MAKES A GOOD
SURGEON?
- Has excellent hand-eye coordination and manual dexterity.
- Can think quickly and act decisively.
- Enjoys mastering new technology.
- Demands the highest level of perfection.
- Is an energetic, dedicated, and compassionate physician.
Patients are entrusting their welfare and their lives to your clinical judgment and technical skill. They are apprehensive about undergoing even simple operations like removing an obstructed gallbladder or an inflamed appendix. It is a daunting, frightening experience to allow another person to cut them open and manipulate their internal organs. At this point, patients are unable to answer questions, express their wants or beliefs, or provide any input regarding their care. A good surgeon takes time to reassure the patient before operating. As a surgeon, you have to convey that you will act in your patient’s best interest and stand by your word.
The lifestyle of a surgeon—whether a resident, fellow, or attending—is infamous. Before heading off to a full day in the operating room, surgeons have to round on their pre- and postoperative patients quite early in the morning. There is no argument that surgical training is indeed quite rigorous, perhaps the most time consuming and physically draining of all specialties in medicine.
Students who love a fast pace and high energy will thrive in this field.
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