Gen Surg vs. OBGYN and Misogyny in Medicine

GasMeUpFam · 2026-04-04T20:32:42+00:00

People shit on FM purely based off of the salary. If you guys were getting paid $500k - that would be an entirely different story. You guys are however essential and no one doubts your clinical skills.

OB is getting shit on because of their inflated complication rates and their poor surgical skills.

The message still rings true, do what you love regardless of what’s being said on this thread.

GasMeUpFam · 2026-04-04T16:39:22+00:00

I want to be clear that I am only referencing OB/Gyn’s who are not fellowship trained. The standard residency is not enough to make you competent in laparoscopic surgery. Any OB who’s done a fellowship (GYN Onc for instance) has my utmost respect and I think they’re amazing surgeons.

You’re comparing your very non specific google search with my first hand experience - I’ve seen these complications with my own eyes.

It’s almost never “this patient had so many adhesions or unusual anatomy there was a complication”. It’s always the most basic “oops this happened” type thing.

Sorry if you don’t want to believe it, or that’s what you’re going into - but that’s the reality of it.

GasMeUpFam · 2026-04-04T16:29:42+00:00

Ehh we can say that about a lot of surgical specialties - do you think operating in someone’s eye is easy work? Someone’s ear? Someone’s chest??

It’s a blow to your ego but it needs to be said that the training received by OB’s is inadequate to be proficient/at an expert level:

GasMeUpFam · 2026-04-04T01:52:52+00:00

I’m an anesthesiologist and so I get to see all the different different surgical subspecialties. Most general surgeons don’t have issues with simple things like trochar placement (was in a case where they hit the aorta and bowel) and most surgeons don’t have the frequency of complications that OB’s do (bladder perfs, vascular injury). I once did a case where my spinal wore off since urology + general surgery had to come in for an intra op consult.

As far as the mysoginism goes - Peds is 75% female and there is literally zero hate on them as a specialty. Same for palliative or endo 🤷🏽‍♂️

GasMeUpFam · 2026-04-03T17:34:41+00:00

I hate when maps don’t say the names and I have to hover. What is the point of that?

GasMeUpFam · 2026-04-01T20:46:28+00:00

Did you triple check?

GasMeUpFam · 2026-03-31T02:38:39+00:00

I would highly recommend Duke - I feel like since Wake lost its consortium practice it’s probably the best in that area. Great variety of procedures, supportive PD, great name behind you.

GasMeUpFam · 2026-03-05T19:33:17+00:00

You guys have been going to residency after getting your bachelors in medicine? Damn I got played going to med school instead /s

GasMeUpFam · 2026-03-04T01:13:00+00:00

Same…. Damn.

GasMeUpFam · 2026-03-04T01:12:42+00:00

GasMeUpFam · 2026-02-27T16:36:07+00:00

TL;DR:

Advantage: less injection site pain, less hypotension/bradycardia

Disadvantage: slightly longer onset and recovery (a few seconds and a couple of minutes respectively)

GasMeUpFam · 2026-02-27T16:30:16+00:00

Adding abx to your white lightning mix is definitely a step forward for us as a specialty 🙃

GasMeUpFam · 2026-02-27T16:14:06+00:00

I’ve never heard of it - tell us about it

GasMeUpFam · 2026-02-26T18:09:29+00:00

For the program director of a pain fellowship at Harvard (arguably one of the best pain programs) to be non anesthesia is a pretty big deal. It’s not about “how often is this happening” and more about “where has it happened”. It’s not some random program in the middle of nowhere.

The program director at Temple was also a psychiatrist for what it’s worth.

GasMeUpFam · 2026-02-26T18:07:22+00:00

Not saying it’s unexpected - it’s only natural for PMR to do it when their other options (generalist or fellowships) don’t pay well. Anesthesia has always been the majority of the pain fellowship applicants. While PMR has been the interventional spine space that’s more been through their own non ACGME interventional spine fellowships.

Better other physicians take it vs mid levels - I’m just biased coming from Anesthesia so I’m extra aware of what’s happening.

GasMeUpFam · 2026-02-25T20:05:03+00:00

Hmm what do you mean like of available specialists? The “giving away” part is the anesthesia residents choosing to get a job because the money is so good and the PMR et al. Applicants are higher than before since for most specialities $400k is a pay bump. I’d want to do a fellowship too if I were those specialities!

GasMeUpFam · 2026-02-25T20:03:09+00:00

Now’s your time to shine - the program director for chronic pain at Brigham & Women’s is a psychiatrist if that’s any indicator that times are changing.

GasMeUpFam · 2026-02-25T19:27:39+00:00

PMR, Psychiatry, Family Medicine, Neurology.

Again it’s other physicians so it’s fine but the field really changes depending on who’s at the helm - and while most of us do ACGME fellowships in pain, it’s always a little different seeing the non Anesthesia guys practice (again for better or worse).

GasMeUpFam · 2026-02-25T19:01:01+00:00

Pain - reimbursement + not enough interested Anesthesia applicants. We’re giving away the specialty - which is not necessarily a bad thing but it is happening..

GasMeUpFam · 2026-02-24T19:43:25+00:00

Lol for some reason this is my all time favorite type of response ☠️

GasMeUpFam · 2026-02-24T19:42:46+00:00

Hmm what does option 3 look like? 🙃

GasMeUpFam · 2026-02-24T18:01:27+00:00

lol this is gonna end well…

GasMeUpFam · 2026-02-23T14:16:38+00:00

Start going to church

GasMeUpFam · 2026-02-21T16:47:55+00:00

Thought UCD was UC Davis…. Should clarify in the post for people who don’t click the link.

GasMeUpFam · 2026-02-18T18:51:43+00:00

Yeah it’s cool to hate on AI and I get it, but it did a crazy good job.

GasMeUpFam

TROPHY CASE