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You thought you were done after Medical School, residency lasts anywhere from three to seven
years in the US and is the final stage between you and practicing medicine clinically as
a fully trained doctor.
Let's go over medical school and residency and see how they compare.
What's going on guys, Dr. Jubbal, MedSchoolInsiders.com.
Check out our new vlog channel for a behind the scenes look at the life of a doctor.
Link in the description below.
The first key aspect to understand is that in medical school, you are in school.
You're a student, and you pay tuition to earn your MD.
In Residency, you're working a job.
Congrats, you're now a doctor, but you still need to hone your craft before you're fully
licensed, board-certified and can practice on your own without supervision.
During the first two years of medical school, you primarily learn in the classroom through
didactics and smaller group, in the last two years, you are on your clinical rotations
where you learn how to apply principles to patient care, tune your ability to work in
teams and practice your bedside manner.
In residency, you're no longer a student.
You're now the doctor with real responsibility.
You take care of your patients and are ultimately the one responsible for their care.
All residents require an attending physician to overlook and ensure patient safety.
As the years progress however, you are expected to be more independent and rely less and less
on this attending supervision.
By the end of residency, you should be ready to take care of patients on your own out in
the real world.
As for the length, Medical school is generally four years.
Many students do however opt to take an additional year to conduct research or earn another degree
such as a master's.
Residency is highly variable in length and it actually just depends on your specialty.
Generally, surgical specialties are longer.
For example, the longest is Neurosurgery at 7 years, although certain programs are eight
years because of a mandatory research year.
I matched into plastic surgery which is the second longest at six years although a few
programs also require a mandatory research year extending that to seven.
Internal medicine and pediatrics are on the shorter end, each at three years.
While almost all residences fall within the three to seven years, certain sub specialties
do require additional training in fellowship, which is essentially part two of residency.
Next, let's talk about grading and evaluation.
While many medical schools are transitioning to a pass/fail grading system for the first
two years, it is ultimately still insanely competitive to get into certain specialties.
For example, plastic surgery has the highest average Step1 score, which hovers around the
low 250s.
Getting the 90th percentile on Step 1 makes you only an average plastic surgery applicant.
And the second two years are your clerkship years, which are generally graded on a honors
Pass/fail system or some variation of the sort.
If you want to go into something competitive like plastic surgery, dermatology or orthopedic
surgery, you'll need to work your butt off to earn an honors grade.
Clinical grades are usually on a curve so that only a small percentage of the class
can earn them.
Meaning, you have to outshine your colleagues.
In this regard, Medical School is much more stressful than residency.
In residency, the pressure to outperform your peers is an order of magnitude lower.
There are no grades.
You'll take a yearly in-service exam specific for your specialty and you'll be evaluated
by your attendings.
But overall, it's much less high stakes.
Now, let's talk about the cost and finances.
The most recent figures place the average medical school graduate debt at approximately
one hundred and ninety thousand dollars.
That's right, nearly two hundred thousand dollars in debt to be a doctor.
This includes both college and medical school loans.
So I have good news and bad news about residency.
The good news is that hey, you'll be making money so you can start paying off your loans.
The bad news is that you'll probably be making minimum payments and accruing significant
interest since residency salaries are usually around fifty to sixty thousand dollars per
year.
Now, I want to introduce my friend and special guest Dr. David Hindin.
He is in his last year of general surgery residency and also has an excellent YouTube
channel.
Link in the description below.
As someone who has been in residency for several years, he knows a thing or two about the differences
between medical school and residency.
Hey guys, Dr. David Hindin here.
Next, let's talk about your work-life balance.
One of the biggest differences is how your schedule and time are structured.
In med school you've classes many of which you can skip and watch online or get notes
from a friend and later you've rotations where let's be honest, if you need to leave early
or take the day off for personal reasons, it's almost always allowed.
But once you reach residency, your free time is no longer totally under your control.
You receive a schedule of when you're expected to be at the hospital, whether this is for
a daytime shift or 24 hours shift and that is where you must absolutely be.
You aren't just required by your residency contract, you have patients whose lives and
well-being depend on you.
You'll start to discover that your time at the hospital doesn't always end exactly on
schedule the way a class would.
If I'm operating on an emergency trauma patient and my shift is over, I don't leave the operating
room, I stayed to finish the surgery and wait until care has been transitioned.
And then come the differences in classroom testing; in med school I remember having constant
tests but in residency, evaluations are much more informal.
An intern might finish a surgery and the attending might say "great job, but next time make sure
not to pick up the needle with the forceps".
All of these are ways to ultimately help a resident improve their skills and clinical
judgment.
And finally, there are standardized tests.
So, in med school, you'll take Step 1, Step 2CK and Step 2CS.
In residency, you'll just take Step 3 then a yearly exam known as the in-service and
finally, a formal licensing exam at the end of your training known as the board's exam.
At the end of the day, the most Important difference is that being a resident is the
first time in your life that you are taking care of patients as their own doctor.
It can be stressful, tiring, and even frustrating, but most importantly – being a resident
is incredibly rewarding.
You’ve spent years and years of studying and hard work – first to get into a good
college, then to get into medical school and finally to match into a strong residency program.
Residency is the culmination of all of that hard work.
This is the moment you’ve been waiting for – you’re finally becoming that doctor
you’ve always dreamed of being.
Thank you doctor Hindin.
Again, you can find a link to his channel down in the description below.
For those of you interested in getting into either medical school or residency, check
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Now that we have a video on college versus medical school and on medical school versus
residency, I would love to hear your thoughts on how all three compare.
What are you excited about in each Step and what are you the most apprehensive about.
Leave your comments down below and I will do my best to respond.
Thank you all so much for watching and shout out to my Patreon supporters that helped make
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