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  • This video is sponsored by the all new Med School Insiders website.

  • Visit MedSchoolInsiders.com to learn more.

  • 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 importantlybeing a resident

  • is incredibly rewarding.

  • You've spent years and years of studying and hard workfirst 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 foryou'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

  • out the all new Med School Insiders website.

  • We have the resources and tools to help you maximize your chance of success.

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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

  • videos like these possible.

  • If you liked the video, make sure you press that like button.

  • Hit Subscribe and the notification icon if you have not already and I will see you guys

  • in that next one.

This video is sponsored by the all new Med School Insiders website.

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Medical School vs Residency Comparison

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    Summer posted on 2020/09/17
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