From the Guidelines
To maximize your chances of matching into general surgery residency as a family medicine resident, focus on research that demonstrates your surgical interest, technical skills, and commitment to the field, as this will significantly enhance your application. Start by identifying surgical mentors at your institution who can guide your research efforts and potentially provide letters of recommendation, as emphasized by the need for effective mentorship in surgical education 1. Pursue research projects directly related to general surgery topics such as surgical outcomes, minimally invasive techniques, surgical education, or quality improvement initiatives in surgical care, which are areas of high priority in the field of surgery 1. Aim to produce publishable results in peer-reviewed surgical journals, as publications carry significant weight in the application process, and consider the recommendations for research training of surgeons, including training in basic research methods and biostatistics, and the creation of a surgeon–scientist training pathway leading to a Masters and/or PhD degree 1.
Key Strategies for Success
- Identify and work with surgical mentors who can provide guidance and support
- Pursue research projects that are directly relevant to general surgery and have the potential for publication
- Develop technical skills through surgical electives, workshops, and simulation training
- Network with surgeons at your institution and at conferences to build personal connections
- Document all surgical procedures you participate in during your family medicine training, highlighting significant involvement
- Articulate a clear and compelling narrative about your transition from family medicine to surgery, emphasizing the unique perspectives your primary care background brings to surgical practice
By following these strategies and focusing on research that demonstrates your commitment to the field of surgery, you can significantly enhance your chances of matching into a general surgery residency program, despite the challenges and competitive nature of the application process.
From the Research
Research Opportunities for Family Medicine Residents
To maximize chances of matching into general surgery residency, family medicine residents can explore research opportunities in the following areas:
- Surgical site infections (SSIs): Investigating strategies to prevent SSIs, such as antimicrobial prophylaxis, surgical debridement, and antimicrobial therapy 2, 3
- Enhanced recovery after surgery (ERAS) protocols: Examining the impact of ERAS on postoperative outcomes, including SSI incidence and hospital stay duration 4, 5
- Evidence-based practices: Studying the implementation and effectiveness of evidence-based practices, such as mechanical and oral antibiotic bowel preparation, smoking cessation, and chlorhexidine-based skin antisepsis, in reducing SSIs 3
Skills and Attributes for Successful Residents
Research can also focus on the skills and attributes that make a successful surgery resident, including:
- Procedural and clinical capabilities
- Ability to pass board exams
- Personality, grit, and career goals 6
- Resident life, comradery, and relationships with faculty or mentors 6
Program Evaluation and Recruitment
Additionally, research can investigate how applicants evaluate surgery residency programs, including: