Career Development - Surgery

What Does Training Look Like?

Residency in surgery involves usually a five to seven year residency where you are trained in general surgery and all surgical fields. Following residency there is the option of a Fellowship in any one of numerous sub-specialties in which you will gain additional training over the course of usually one to two additional years. There are also other direct admission residencies for such fields as Ears, Nose & Throat (ENT), Urology, and Orthopaedic Surgery, to name a few.
 

Subspecialties

Almost every body system has a sub-specialty, such as Cardiothoracic, Plastic Surgery, Minimally Invasive Surgery, Vascular Surgery, Colorectal Surgery, Surgical Critical Care, Bariatric Surgery, Surgical Oncology, and many more.
 

What Does a Typical Workday Look Like?

As an attending, fully trained surgeon, the average work week is usually split between the clinic and the operating room. According to the American College of Surgeons, the average general surgeon works 50-60 hours per week, not including on-call time. Residency usually requires a greater time commitment, with weekly hours ranging between 50, but no more than 80 per week on average.
 

Important Qualities and Traits

Qualities recognized as important to surgery include:

  • Determination/Perseverance
  • Ability to work well with others
  • Being a team leader
 

Shadowing Opportunities

Please contact Caroline Rhodes for more information about shadowing opportunities. We encourage students to only shadow one time every three months.

 

Research Opportunities

The Surgery Department focuses research on Minimally Invasive Surgery, Robotic Surgery, Surgical Education, Endocrinology, Oncology, Transplant, and Trauma. Please contact Dr. Danielle Tatum, who is the Director of Research in the Department of Surgery.

Additionally, students may want to pursue research opportunities through the DeBakey Scholars Program. This program offers medical students the opportunity to pursue and complete a longitudinal, structured, closely supervised research experience culminating in a capstone presentation prior to graduation. For more information, contact Dr. Derek Pociask.

 

Specialty Interest Group

Tulane Surgical Interest Group

The Tulane Surgical Interest Group (TSIG) is a student-run organization dedicated to advancing knowledge of the art and science of surgery through education, experiential opportunities, and research.

TSIG affords students a variety of rich opportunities to become immersed in the world of surgery. The group boasts a mentorship program, organizes a simulation center skills series, and holds a T4 Match Panel talk.

The Surgical Interest Group hosts speaking events where medical professionals offer a wide array of perspectives on the field of surgery, its newest advancements, and what it means to be a surgical resident or attending surgeon in medicine today. Through its programs and events, TSIG seeks to provide Tulane medical students with opportunities to explore the exciting field of surgery.

 

Tulane Women in Surgery Group

The purpose of the Tulane Women in Surgery Group (WIS) is to inspire, encourage and enable aspiring female surgeons to achieve their personal and professional goals. WIS facilitates substantial and repeated exposure of Tulane’s medical students to female surgeons by 1) highlighting role models at Tulane and in the local community, 2) providing networking and mentorship opportunities with female surgeons and surgical residents, and 3) providing a forum for open and guided discussion about challenges that pertain to the woman surgeon. Ultimately, WIS’ unique focus is to provide opportunities in which interests, concerns and common experiences, both professional and personal, can be effectively addressed. Many issues that are considered “women’s issues” truly pertain to all modern day surgeons; therefore, WIS is open to all members of the medical community at Tulane. The Tulane Women in Surgery Interest Group was founded in 2012 by Claire Janssen, Chelsea Grimes, Abby Nix and Laura Harper.

 

 

 

Recommended T3 & T4 Coursework

Clerkship in Surgery can be taken at any time in the third year, however it is recommended that this rotation occur in the first half of the third year to allow students the opportunity to be involved in meaningful research, to position them well for sub-internships and Honor’s Surgery, and to ensure faculty know them well enough to write strong letters of recommendation.

Sample-T4-SURG-Schedule.pdf

 

Specialty Statistics

One of the most common questions we get asked is “How do I know if I’m competitive for this specialty?” There are a lot of metrics that are provided by sources like the NRMP’s Charting Outcomes report that can help you gauge whether you are a competitive applicant, and help guide your choices of activities. 

The table below shows the 25th percentile, the median and the 75th percentile for a number of the more regularly used metrics to gauge competitiveness. It’s important for you to understand what these numbers represent, and why they may be different from the averages you might see elsewhere.

  • The 25th percentile represents the lower range of “normal” for a successful applicant in this specialty.
  • The median represents an average for successful applicants in this specialty.
  • The 75th percentile represents the higher range of “normal” for a successful applicant in this specialty.

Medical students are usually over-achievers, who have exceeded expectations throughout their educational years. However, it’s important to realize that overachievement is not always a good thing when it comes to match. Instead, you should aim for “fit.” This means that you should fall somewhere between the 25th and 75th percentile on these metrics. Below the 25th percentile, and you have a relatively low chance of match (25% chance, to be specific). Above the 75th percentile, and you also have a lower chance of matching (again, 25% chance), as program directors are typically looking for candidates who “fit” their profiles more so than those who exceed those profiles.

Between the 25th and 75th percentiles is the sweet spot. This range spans 50% of successful applicants, with only 25% of successful applicants falling above the 75th percentile and 25% of successful applicants falling below the 25th percentile. The closer you fall to the median (i.e., the 50th percentile), the better! This doesn’t mean you’re average, but rather that you are fitting the demands of this specialty!

A note about medians vs. means as a measure of “average”: We use medians to determine competitiveness rather than means for a simple reason. Medians are not as warped as means by outliers, or those successful candidates who fall very much outside the average on a particular measure. You may have heard that the “average” Step 2 score or number of publications for a specialty are incredibly high (or low), and you may wonder how it’s even possible to hit this “average.” These unrealistic “averages” are typically means that have been influenced by just a very small number of people who have incredibly high (or low) scores or numbers of publications, and often those high numbers of publications in particular, are the result of having earned a research Ph.D. or having spent years in a research career! This is NOT the expectation, but rather an exception!

SURG 25th percentileMedian75th percentile
Step 1 First Time Pass Rate99.80%   
National Step 2 CK 245255262
Successful Tulane Step 2 CK (2022-2026) 242249255
Research Experiences 358
Abstracts 125
Presentations 359
Publications 136
Volunteer 357
Work 124
     
THORACIC 25th percentileMedian75th percentile
Step 1 First Time Pass Rate100%   
National Step 2 CK 256260265
Successful Tulane Step 2 CK (2022-2026)    
Research Experiences 469
Abstracts 47.511
Presentations 61120
Publications 610.518
Volunteer 356
Work 235
     
VASCULAR 25th percentileMedian75th percentile
Step 1 First Time Pass Rate100%   
National Step 2 CK 248256264
Successful Tulane Step 2 CK (2022-2026) 251259265
Research Experiences 3610
Abstracts 248
Presentations 4812
Publications 3611
Volunteer 347
Work 124

 

 

 

Special Considerations When Applying for Residency

There are no special considerations when applying for residency in Surgery.

 

Important Advice

Focus on your Step 1 & 2.

Surgery is competitive and if your Step 1 or Step 2 is below the national average, make an appointment with Dr. Killackey as early as possible. The department and Dean’s office will work together to create a recommendation.

Surgery is hard work and at times, long hours, so you must love the field. After training, there are many possibilities on how to structure your practice, some less demanding than others – feel free to come talk to the Department leaders, we’re here to educate and help!

 

Where Past Tulane Students Have Matched (Past Five Years)

Duke Univ Med Ctr-NCDURHAMNC2022
East Tennessee St UnivJOHNSON CITYTN2022
Zucker SOM-Northwell NS/LIJ-NYNEW HYDE PARKNY2022
Tulane Univ SOM-LANEW ORLEANSLA2022
Medical University of SCCHARLESTONSC2022
Barnes-Jewish Hosp-MOST LOUISMO2022
Baylor Scott & White Med Ctr-TXTEMPLETX2022
Maimonides Med Ctr-NYBROOKLYNNY2022
Medical University of SCCHARLESTONSC2022
Brown Univ/Rhode Island HospPROVIDENCERI2022
Memorial Health-Univ Med Ctr-GASAVANNAHGA2022
Tulane Univ SOM-LANEW ORLEANSLA2022
CMSRU/Cooper University Hospital-NJCAMDENNJ2022
Tulane Univ SOM-LANEW ORLEANSLA2023
MedStar Georgetown Univ Hosp-DCWASHINGTONDC2023
U Southern CaliforniaLOS ANGELESCA2023
MedStar Georgetown Univ Hosp-DCWASHINGTONDC2023
Santa Barbara Cottage Hosp-CASANTA BARBARACA2022
LSU SOM-New Orleans-LANEW ORLEANSLA2022
U Connecticut School of MedicineFARMINGTONCT2023
U Washington Affil HospsSEATTLEWA2023
Harbor-UCLA Med Ctr-CATORRANCECA2023
Kirk Kerkorian SOM at UNLV-NVLAS VEGASNV2022
Mayo Clinic School of Grad Med Educ-AZPHOENIXAZ2023
Tulane Univ SOM-LANEW ORLEANSLA2023
Guthrie/Robert Packer Hosp-PASAYREPA2022
Barnes-Jewish Hosp-MOST LOUISMO2023
U Texas Southwestern Med Sch-DallasDALLASTX2024
U Rochester/Strong Memorial-NYROCHESTERNY2024
U Southern CaliforniaLOS ANGELESCA2024
Memorial Health Univ Med Ctr-GASAVANNAHGA2024
Oregon Health & Science UnivPORTLANDOR2024
AdventHealth FloridaORLANDOFL2024
Mayo Clinic School of Grad Med Educ-AZPHOENIXAZ2024
Morristown Med Ctr-NJMORRISTOWNNJ2024
Ochsner Clinic Foundation-LANEW ORLEANSLA2024
U Texas Southwestern Med Sch-DallasDALLASTX2024
Arrowhead Reg Med Ctr-CACOLTONCA2024
Mary Washington Healthcare-VAFREDERICKSBURGVA2024
U Colorado SOM-DenverAURORACO2024
U Colorado SOM-DenverAURORACO2024
Lehigh Valley Hosp-PAALLENTOWNPA2025
Cedars-Sinai Med Ctr-CALOS ANGELESCA2025
Tulane Univ SOM-LANEW ORLEANSLA2025
Tulane Univ SOM-LANEW ORLEANSLA2025
Mayo Clinic School of Grad Med Educ-FLJACKSONVILLEFL2025
Temple Univ Hosp-PAPHILADELPHIAPA2025
Bassett Med Ctr-NYCOOPERSTOWNNY2025
Thomas Jefferson Univ-PAPHILADELPHIAPA2025
Tulane Univ SOM-LANEW ORLEANSLA2025
Rutgers-New Jersey Medical SchoolNEWARKNJ2025
Baylor Coll Med-Houston-TXHOUSTONTX2025
Christiana Care-DENEWARKDE2025
Methodist Hospital-Houston-TXHOUSTONTX2025
U Texas Med Sch-HoustonHOUSTONTX2025
University Hosps-Jackson-MSJACKSONMS2025
U Florida COM-Shands HospGAINESVILLEFL2026
Ochsner Lafayette Gen Med Ctr-LALAFAYETTELA2026
Methodist Health System Dallas-TXDALLASTX2026
University of Rochester Med Ctr-NYROCHESTERNY2026
Tulane Univ SOM-LANEW ORLEANSLA2026
U North Carolina HospitalsCHAPEL HILLNC2026
Los Robles Health System-CATHOUSAND OAKSCA2026
U Tennessee COM-ChattanoogaCHATTANOOGATN2026
U Oklahoma COM-OK CityOKLAHOMA CITYOK2026
U Miami/Jackson Health System-FLMIAMIFL2026
Tulane Univ SOM-LANEW ORLEANSLA2026
U Southern CaliforniaLOS ANGELESCA2026
Rush University Med Ctr-ILCHICAGOIL2026
U South Florida Morsani COM-TampaTAMPAFL2026
University of HawaiiHONOLULUHI2026
EVMS Old Dominion University-VANORFOLKVA2026
 

How Many Programs Should I Apply To?

Most applicants apply to 46-82 programs.