Integrated trained, but complication prepared?

[bobbyseal]

Just curious how prepared a resident in an integrated/combined program may be for possible complications.

If you're only doing 3 years of general surgery, the likelihood of seeing any kind of thoracic case is probably few and far between.

What happens when you run an omental flap into the the thoracic cavity and things don't go so well?

I imagine a resident who completes a gen surg residency and then does the 2-3 year traditional plastics residency comes out feeling much more comfortable dealing with complications.

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[maxheadroom]

If you're doing an omental flap in the chest, you'll have thoracic involved. We did a free jejunum for esophageal reconstruction a few weeks ago and CT surg helped out. You'll find very few places where anyone besides trauma opens the chest without CT there. It's just bad practice for a non-CT surgeon to be doing things in the chest without assistance from CT -- even if you are BE/BC in GenSurg.