发信人: guidewire (guidewire), 信区: MedicalCareer
标 题: fellowship 申请体会
发信站: BBS 未名空间站 (Sat Jun 21 09:59:45 2008)
to be honest, I don't want to apply for fellowship in the beginning, general
surgery residency takes at least 5 years, too long for me. But now 80-90%
of graduating residents want to do fellowship, so the future of surgery is
sub-specialization, which leave general surgeon very limited work, or have
to work in remote areas. so I have to no choice but pursuit further training.
the next step is which specialty to choose. this is a very hard one. I think
you have to combine a lot of factors together.
The most important thing is go with your heart. what you like most, you need
to enjoy the work you do, otherwise, the next 20-30 years, you are going to
be miserable. The next thing to me is can I be good at it?
This is very important. people have different talent. make sure yours fits
the specialty you chose. you need to excel in your area to survive. another important factor is the future of the specialty. don't jump into something
that is dying. To me, I would not go into cardiac, not matter how cool it
seems. I have seen too many people could not find jobs after their fellowship.
The other thing to consider is life style and earning potentials etc. you are
young and strong now, but you need to think further ahead 20 years down the line.
are you still able to do the same thing when you approaching 60? to me, I can't
do trauma, it is exciting, but I can't see myself opening somebody's chest in the trauma bay at 3 am when I am 65. I enjoy it now though. it was a hard decision for me, I was really struggle in between several specialties. took me some time to
decide. luckily, once I decide, I found out this is the right decision for
the next thing is how to apply. people say that you are only as good as you
last trained. so get a good fellowship is very important for your career.
how to get a good fellowship? I don't know about other specialties. but for
surgery, in service exam scores are the most important ones, because that
is the only subjective measurement PDs have. the next thing is research. how
many publication do you have, especially in the area you are applying for.
they won't give a shit for research in other areas. first they are not
interested, second, they won't know that area, so they can't judge how good
you are in research. letter of recommandation is also very important, you
need to have PD and attendings support you, to do this, you need work hard
during residency to earn the credit.
the other things the fellowship PD thinking is: does this guy have potential?
when I was interviewing, the guy interveiwed me is The Guy in the field. he
said, we spend time to train you hoping you can contribute to the specialty.
so if you show them that, they will like it, don't be over confident though.
and also important to the PD is weather you can work hard or not, fellows
basically off load attendings' burden. if you can convince them you can do
a good job about that, they will be happy.
※ 修改:·guidewire 於 Jun 21 10:02:27 2008 修改本文·[FROM: 24.229.]