Hey, what’s up you guys? Hey, thank you for watching this video.
In this video, I wanna talk about the weekly schedule of a surgeon- a general surgeon, trauma surgeon, stuff like that. It’s actually changing some. We’re seeing a big change in, well, big change in medicine to begin with but also our scheduling.
I think in the olden days, general surgeons would work- were a private practice. General surgeon. They were not affiliated with the hospital, they were not employed by a hospital. They either were by themselves, running their own practice and business, or they were in a group. It could be a small group of a couple people or a big group of multi specialties. General surgeons. GYN and all that stuff, so they used to do that for- well, we still do that for cost purposes. Overhead. Everybody foots the overhead and then, depending on your model, you may take whatever only you make. Or you may split the profits between all the partners in the group.
None of those are what I do. What I currently have is I work for a company called m.Care, and it’s a staffing company. They go to hospitals and get contracts and say, “We will staff you with a general surgeon or a trauma surgeon or whatever it is.” Then, depending on the place, you’ll do 12-hour shifts. In some places…I worked in Florida for a while. That’s 12-hour shifts, seven on, seven off-ish. Sometimes you’ll do days, and sometimes you’ll do nights. Seven A to seven P, seven P to seven A. In other places, depending on the business or whatever you wanna call it, the acuteness of the hospital, it’s 24, maybe 24 on, 24 off. We did that in- I did that in Florida too. Other places yet are 24 on, four maybe five days, seven days, 10 days even, depending on again the acuteness.
If there are patients non-stop in the middle of the night and in the daytime, you’re not gonna do 24/7. That’s just stupid. I mean, if you’re doing a long period of time. You do 24/7 for a week if you get an operating in the middle of the night. You’re seeing patients.
Some places, they really don’t see many very sick patients in the middle of the night. You may get one or two over the week or over a couple weeks, and so that’s sustainable to do that. You can sleep. You can go in, round, see your patients, do any elective practice or elective surgeries, and then see the new patients that come in on an emergent basis. I always say emergency, but it’s not like you’re running towards- to the patient every time.
When you’re an intern, you’re like, “Oh (bleep), there’s a (bleep) emergency right now. Let me go!” Then by the time you’re a chief resident, you’re like, “Whatever.” You only get excited when there’s- they call GSW to the chest or something like that.
My schedule now is 24s for, like, five days, seven days, 10 days. Then I’m off, and so for the month, you’ll do – depending where you are – you’ll end up doing, you’re counting 12-hour shifts. Anywhere from 15 to 35 shifts a month. 35 is a lot, but if you’re doing 24/7s, then it’s not as busy. You can do that and not get totally burned out. 12- 12’s in a busy place. 7, 12’s in a really busy place. It’s busy, and it’s a lot. You can’t do quite as many as those. You end up doing 15 or maybe 20 of those a month and then you get the rest of the time off.
Those are nice when you do seven on, seven off because you’d have that entire week off. Sometimes that week that you’re on can be really rough ’cause- especially if you don’t live close to the hospital, but it’s just something that I learned from another Youtuber. Tai Lopez of all people.
He pointed out that there’s been studies that show that if you live close to your place of work, as in two miles, the stress you have is much lower. Just on a daily basis. Because the stress that you develop because your mind is going like, “I have to leave an hour before. That means I have to get up two hours before, or that means I can’t get home for two…” When I was doing those 12s in Florida, in Orlando, I had to get there at 7:00. There was a 45-minute drive, so I gotta get up at 5:00 basically or 5:30. Drive 45 minutes, get there at 7:00 a.m. Then on the way home, it’s 45 minutes. I finish at 7:00 – actually, you never finish at 7:00 – so 12s are never 12s. They’re always, like, 13 at least. You’re there signing out, doing bullshit. Sometimes it’s 14, 15, whatever. Then you get home at 9:00, 10:00 that night.
What are you gonna do? You’re gonna eat something and go to sleep, get up the next day, and do it again. It can be- It’s rough. It’s actually, I think, better doing 24s. You do a 24, you come in. You only drive to work that one time in that day or that 24. You don’t make that drive four times if it’s a long way away.
Now I live closer to work. It’s way less stress. I can get there quick if I need to. They call me in and say, “Oh, we need you quick.” It’s not that big of a deal. I’m not all angry ’cause I have to drive 45 minutes.
Then when you go home, sometimes they call right back. If you’re 45 minutes away, you’re gonna be pissed. If you’re seven, it’s not that big of a deal. I highly recommend that.
That’s my schedule now and could be your schedule. Other people do it differently. If you’re doing a private practice group type of thing, then that schedule is generally…You’ll have a couple days of operating during that week. You’ll have one to two days of clinic during that week. Generally, you’ll have one to two days of on-call. That is way different. In that, you have these ebbs and flows. Some days, it’s a clinic day and there’s four patients and it’s only morning clinic and you’re done by noon. Other days, you have clinic, you’re on-call, and you have elective surgery. You’re there. You can never leave.
Both have it’s plus and minuses.
When we do general surgery or acute care surgery and trauma and stuff, some people have elective practices. Some people don’t. I think most people, really, have elective practices as well because – I mentioned in one of the other videos – it’s a lot of trauma stuff. Especially if you’re in level two. It’s really non-operative. A lot of level ones even have a ton of blunt injury, which is- a lot of that’s non-operative too. If you have a bunch of non-operative patients, then you’re not- you’re gonna operate. If you don’t have elective surgery, then you’ll forget what the fuck you’re doing. Most people have elective surgery.
I think I answered that, and here I am. I’m at the hospital. Pulling in right here. Right on time.
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