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Private Practice
#11
i am 10 yrs out of training and agree with all of the above. shoulda done ortho
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#12
(12-13-2018, 11:50 PM)Guest Wrote: I love how a PGY-3 brings up "happy/chill residents" in ortho and and is subsequently bashed in stereotypical toxic NS fashion by a fellow NS resident.

Neurosurgery has by far and away the most interesting pathology and interventions. The only real negative is without a doubt the asshole residents and attendings (and not the hours/outcomes). I have no idea why a substantial proportion of people can't just act normally.
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#13
(12-13-2018, 03:02 PM)Guest Wrote:
(12-13-2018, 02:51 PM)Guest Wrote: ^The saddest thing is that this is actually true. >90% of private practice neurosurg is spine and most people do a ton of spine even if they're trying to build a cranial practice. I honestly kind of regret not doing ortho - happy/chill residents, happy attendings, Q8 call, patients are all happy, healthy, and grateful. Similar money and honestly probably better academic spine (Lenke, Vaccaro, Albert, etc.) But I'm in the middle of my PGY-3 year so take this with a grain of salt.

Second this.  I'm a newish attending at an academic program, fellowship trained in cranial.  I do 90% spine, shunts, and wound washouts.  The cranial cases I do are the garbage the senior guys don't want to do.  All of the private interviews I went on cared was if I could do spine.  This field is dying.  They should make spine its own specialty, and "neuro" its own, and 5 years.

This.

+1
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#14
(12-14-2018, 12:51 PM)Guest Wrote:
(12-13-2018, 03:02 PM)Guest Wrote:
(12-13-2018, 02:51 PM)Guest Wrote: ^The saddest thing is that this is actually true. >90% of private practice neurosurg is spine and most people do a ton of spine even if they're trying to build a cranial practice. I honestly kind of regret not doing ortho - happy/chill residents, happy attendings, Q8 call, patients are all happy, healthy, and grateful. Similar money and honestly probably better academic spine (Lenke, Vaccaro, Albert, etc.) But I'm in the middle of my PGY-3 year so take this with a grain of salt.

Second this.  I'm a newish attending at an academic program, fellowship trained in cranial.  I do 90% spine, shunts, and wound washouts.  The cranial cases I do are the garbage the senior guys don't want to do.  All of the private interviews I went on cared was if I could do spine.  This field is dying.  They should make spine its own specialty, and "neuro" its own, and 5 years.

This.

+1
spine for winners, tumor for losers
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#15
It is ridiculous to compare the spine training of a neurosurgeon and orthopedic surgeon

Neurosurgery:
-7 years of training
-approx 60-70% spine that whole time

Orthopedics
-a couple of months during a "spine rotation"
-1 year fellowship
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#16
(12-14-2018, 07:06 PM)Guest Wrote: It is ridiculous to compare the spine training of a neurosurgeon and orthopedic surgeon

Neurosurgery:
-7 years of training
-approx 60-70% spine that whole time

Orthopedics
-a couple of months during a "spine rotation"
-1 year fellowship

I don't think anyone was claiming that orthopods do more cases. They said that it would be much more cush and potentially make sense to go to the ortho route if the only time you'll ever do a cranial case after graduation is for the 1 epidural hematoma you might evacuate on call per month. It's also true that a lot of the best academic spine fellowships are run by orthopaedic surgeons (Vaccaro/Hilibrand at Rothman, Lenke/Riew at Columbia, etc.)
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#17
Ortho training better for deformity
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#18
Ortho training better period.

Orthopedists in general are more well rounded individuals and more capapable. Could have done anything kind of people. Sports etc..

Neurosurgeons are usually less capable and more of the insecure overachiever type. Often not really good at anything including neurosurgery, but hey their neurosurgeons. Not 100% true obviously but in general this is true.
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#19
(12-14-2018, 09:46 PM)Guest Wrote: Ortho training better period.

Orthopedists in general are more well rounded individuals and more capapable. Could have done anything kind of people. Sports etc..

Neurosurgeons are usually less capable and more of the insecure overachiever type. Often not really good at anything including neurosurgery, but hey their neurosurgeons. Not 100% true obviously but in general this is true.

Not sure this is necessarily true - probably depends on the program. Most of the guys I know are pretty cool. Obviously we have our fair share of autistic cucks like the guy who posted about being more talented. That being said all the ortho guys we've shared call with have been awesome too. If you think you only want to do spine and don't mind some femur fracture fixations on call then do ortho. If you want to do academic tumor/skull base, functional, or endovascular then obviously do neurosurgery.
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#20
(12-14-2018, 09:46 PM)Guest Wrote: Ortho training better period.

Orthopedists in general are more well rounded individuals and more capapable. Could have done anything kind of people. Sports etc..

Neurosurgeons are usually less capable and more of the insecure overachiever type. Often not really good at anything including neurosurgery, but hey their neurosurgeons. Not 100% true obviously but in general this is true.

This might be the dumbest comment on this site, which is saying something
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