ent vs urology reddit

Its a surgerical life, you cant expect to work 30-35 hours everywhere (but you can some places you can). Great write up OP, I think you really captured the reasons why we love this specialty and are thrilled to be getting started this summer. See our safe care and visitor guidelines, plus trusted coronavirus information. This post will be cataloged on the wiki for posterity. Not counting some of the administrative/non clinical work I do. What Is the Difference Between an ENT Doctor and an Otolaryngologist?. I realize you may not respond to this but maybe PM me if you feel like sharing? That all changed with Head and Neck anatomy, which I just fell in love with. GI's would send you for a bravo ph study which would probably yield normal ph levels. I hate poop and that’s honestly what killed gen surg for me. I think my place won’t look at your app unless over 245. many have a Head and Neck service and a “General” service that handles everything else) that everything’s highly variable, but to give you the broad strokes: PGY-1: intern year always consists of 6 months ENT and 6 months everything else. “I like to say that ENT specialists treat pretty much everything from the collarbone up, except for the brain and eyes. If the program has a VA site, any rotations there will likely be on the lower end (60ish hours a week). What percentage of urology patients at your hospital are female? Urogynecologists and urologists are both types of doctors. Also matched ENT this year and I'm so happy. Urology also addresses injuries and disorders of the the male reproductive system. If you’re torn between doing an away and getting a baller letter, vs. taking Step 2 early, go with the letter that will open doors for you. I assume the submitted articles are fine to mention, but what about the other ones? Urology is a surgical specialty with a wide spectrum of opportunities, ranging from office practice to minimally invasive endoscopies to major open surgical procedures. You build long, lasting relationships with patients as these are not always one and done problems. You’ll also usually get some time with Head and Neck as well, and often other subspecialties – though again, which you get is highly variable. Subspecialties divided on use of Mohs surgery, sentinel lymph node biopsy for squamous cell carcinoma, other cancers, said surgeons at the 2013 American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting I can go into a bit of detail about these in the comments if people are interested. Favorite consult: "the penis looks weird, can you just check on it?" However, there a couple aspects make ENT a bit unique: ENT is very small – just over 300 spots per year, and an average 3 spots per program – which means the word of one individual can carry a lot of weight. Of course, most people are familiar with the relatively common ENT ailments such as ear infections, tinnitus (ringing in the ears), sleep apnea, and TMJ pain, but ENT doctors treat so many other conditions as well. COVID-19 updates. It is especially targeted at junior doctors covering ENT (hence 'SHO' – senior house officer) and professionals in emergency and primary care. I hadn't considered a large amount of male patients having a strong preference for a male urologist although I'd heard that females patients did tend to prefer female physicians. These will involve recontruction of the urinary tract using segments of large and small bowl ranging from ileal conduits to continent urinary reservoirs with a catheterizeable channel to neobladders. I started working with some of the ENTs in my home program, saw what they could do for their patients, and started doing research with some of them and one of our basic science people. Most people supplement their incomes with ownership into surgery centers (outpatient procedures, can add 400k to your salary). Compare Visual Studio, Test Professional, & MSDN Platforms. Hang out with the otologists. Does it come down to wanting to make a name for yourself in a field and opening the door into an academia career? Urology Urology is a specialty that focuses on the surgical treatment of the male and female urinary tracts, including the kidneys, ureters, urinary bladder, and urethra. Prostate cancer being in the peripheral zone is a misnomer, and imaging is become more main stay. There are just so many cool things we can do for our patients that for many people it’s a daunting task to even consider which subspecialty to pursue. Learn more about services at Mayo Clinic. Ob-Gyn stands for Obstetrics and Gynecology. If you want to go to a smaller program with residents, not always required. ENT is a surgical specialty. All LoR from Urologists, unless you did a large amount of research in another field and want that staff to write a letter. An ENT is also called an otolaryngologist. Very uncommon to have to come in, but you get paged about silly things (small kidney stones, BPH followups etc). Crank out some injections with the laryngologists. This is "Male genital examination (A/Prof Carolyn Allan)" by Healthy Male on Vimeo, the home for high quality videos and the people who love them. An ear, nose and throat specialist (ENT) is a physician trained in the medical and surgical treatment of the ears, nose, throat, and related structures of the head and neck. I have asthma and was sent to an ear, nose, and throat (ENT) surgeon (by my pulmonologist) because of a persistent sinus infection. ENT emergencies Summary/highlights Questions. Yo give us a 'how to match vascular' thread. I LOVE blood and have no problem with bleeding-- I feel totally calm when a patient's wound is spurting. You can have huge whacks from sarcomas/bladder cancers/ exenterations. Like many people, I first took a look at ENT because I liked the idea of surgery/procedures, but found the anatomy of the head and neck far more interesting than, say, the abdomen and pelvis. I’ve never been as tired as I was driving back from that second away, but I don’t regret the experience for a second. We'll save it in our wiki for future reference! It was just uncircumcised. Thanks for the write-up! Otolaryngologists. Residency is hard and stuff can get hairy fast. Thanks for the write up!! An ENT can help patients with things like allergy issues, trouble swallowing, hearing loss and … Responsibilites and call varies from rotation to rotation. Accessible ENT know-how for health professionals. PGY1 year (intern): managing the floor between NPs/PAs depending on the service. Most programs use this to give you experience that’ll actually be helpful – gone are the days when ENT interns had to cut their teeth managing Gen Surg floor scutwork for a full year. Now that you're a few years into residency, what would be your backup if you had to switch? Interviews tend to be regionally biased to some extent. I did briefly consider ENT, but ultimately liked vascular anatomy more than head/neck anatomy. Thanks for the great write-up! And if you subspecialize, the world is your oyster: skull base approaches and brain surgery, complex head/neck cancers and reconstruction, rebuilding and reshaping airways and faces. Jun 29, 2019. Otolaryngology vs Otorhinolaryngology. Anything unique to urology applications we should be aware of? In general, you’ll start to get more subspecialty work (Rhinology, Otology, Facial Plastics, Laryngology, and Sleep), and as you get into fourth year you’ll often get more time with the wild stuff – the skull base approaches I alluded to earlier, doing less complex procedures independently, and doing more complex cases in every subspecialty. Great write-up with lots of helpful info! You typically had around 2-4 months of Urology on this. Because of blocked passages, the ENT did surgery, which has helped some. Edit: otherwise I think I'm fine (250s, all clinical H, top 20 school). Compare Visual Studio 2019 offerings to find the set of tools & resources that's best for you. So, my advice: find the body fluid you like and follow it to the surgical specialty of your dreams! You want to be “the guy” for some procedure. Visual Studio Subscriptions give you a comprehensive set of resources to help you develop the next app of your dreams. besides the usual step score, pubs, lor, subi. The ear, nose, and throat comprise a portion of that exam and a focused Typically these guys are private practice, so these cases are scarce in residency. It is an extremely small field, and competitive to get into. A urologist has gone through five or six years of residency with the focus on the genitourinary system--kidneys, ureters, bladder, prostate, and urethra. The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. Staff typically work 40-60 hours a week. A bit about getting in to ENT specifically: Most of the stuff above is universal to competitive specialties. By using our Services or clicking I agree, you agree to our use of cookies. You typically had around 2-4 months of Urology on this. View detailed profiles of urologist near you. Good write up, starting PGY3 in Uro. For instance, you want to exclusively treat kidney cancer. Largely fellowships are for a few reasons: You want to do academics at a powerhouse. Internship: previously, our intern year was associated with your General Surgery residency. Thanks! I first sewed up the vena cava and aorta as a PGY2. Chapter 2, to profile the top manufacturers of Enterprise-level SaaS Live Streaming, with price, sales, revenue and global market share of Enterprise-level SaaS Live Streaming in 2018 and 2019. What’s the difference between a urologist and an anesthesiologist? When to go to the ENT vs. Primary Care Doctor. Otolaryngology is a unique field of medicine that handles a number of disorders affecting the ear, nose, and throat region. Cookies help us deliver our Services. You mentioned that you don't need to do a fellowship to do the procedures you mentioned. Press question mark to learn the rest of the keyboard shortcuts. Urology. One thing I'll add for all the MS2/3/4's interested in surgical sub-specialties: this might sound silly, but consider how you feel about the secretions/body fluids that your specialty of interest is known for. I worked my butt off to do well for Step 1 primarily because I wanted to keep ENT as an option. Hopefully this is all at least a little bit helpful for the M<4s who are trying to figure out what you want to go into. (Meaning, the patients hospital course is tedious, and hard to manage on top of full clinics/OR.). Because it’s such a small field, there can be massive year to year variability in number of applicants. Compare Visual Studio 2019 offerings to find the set of tools & resources that's best for you. Otolaryngology is the integrated study of ear, nose and throat (ENT). While that may be a bit hard to pronounce, it reflects the remarkable breadth of this branch of medicine: It medically and surgically treats conditions ranging from cancer and trauma to infection and inflammatory diseases in these three key areas of the body. Larynx is the voice box and is made up of vocal cords. Partnership can vary from 500-700k. I'm gonna have to think a little harder about this lmao, Oh my... even thinking about respiratory secretions makes me nauseous. PGY-2: Most programs will provide some pediatric experience in PGY-1 and 2, because that’s where you get to do a lot of bread and butter (tubes & tonsils). The formal name of the medical specialty better known as ear, nose and throat (or ENT) is otorhinolaryngology - head and neck surgery. But what if you have inadequate credit and unpaid medical bills?If you’re facing this scenario, there are companies that offer to finance your services with medical loans. Like many people, I first took a look at ENT because I liked the idea of surgery/procedures, but found the anatomy of the head and neck far more interesting than, say, the abdomen and pelvis. They're called ENT's for short. Helps to have something that will help build your referral basis. At least where I rotated, it was largely service dependent rather than PGY-dependent. It was embarrassing. Nov 20 2018. Typical rotations include Anesthesiology, SICU/MICU, Plastic Surgery, Pediatric Surgery, OMFS, and General Surgery. For example, I have 2 papers that are submitted to journals and awaiting review, another that is awaiting the PI's green light for submission, and another that is in the manuscript writing stage. Do mock interviews with faculty, read standard interview questions, practice answers with family members, whatever it takes to get you confident and make sure you’re not throwing out bizarro world answers. As such, they both spend many years in training. Compare Windows 10 editions and learn how their powerful features can benefit your business. Once it was all ready, I put in applications to almost all the programs in the country, took Step 2, and did mock interviews sporadically until the real deal rolled around. You do not have to be males. There are a few research residency programs with 1-2 integrated research years, but all programs have 5 clinical years so I’ll focus on that. Microscopic: used more in infertilities, used for work on the vas deferens like vasovasotomies (reversing vasectomies), denervation of the testicle, varicoceles. That's a urology joke but it's really shitting on anesthesia tho isn't it. Even though the hours are long, I fit in better with this kind of crowd, which made my ENT rotations much more fun than anything. I use it to check for T3 prostate cancers prior to surgical interventions. If you want to do residency in a certain location (ie West Coast but you’re from East Coast), do your always there. People that are more medicine oriented/ like Endo enjoy it more. PGY-2 is almost always the worst in terms of call, with many programs having Q4 “home call” (a.k.a. Given what I know GS, ENT, ortho, and vascular pay around here (based on parents income and honest disclosures by parents physician friends), that doesn't really seem to be true, especially in regards to the person who said 250k was a closer estimate of starting salary in their experience. How much research would you consider to be "enough?" Nephrologist vs Urologist-The difference! Services that aren't covering flaps are more variable and might have you at the hospital anywhere from 60-80 hours a week. Just will add: Pgy2/3s at most programs take junior call which depending on how frequent the call can easily add 10+hours to a week constantly coming into the hospital. Urogynecologists are physicians who complete medical school and a residency in Obstetrics and Gynecology or Urology. Research is a big part of almost every interview at well revered/sought after programs. Press question mark to learn the rest of the keyboard shortcuts. An otolaryngologist, often called an ENT doctor, specializes in the treatment of the ears, mouth, throat and nose. In general, an ENT is considered a surgical specialist because their medical training begins with general surgery and then they continue on to training in head and neck medicine. Can you speak to the reasons for doing a fellowship? By using our Services or clicking I agree, you agree to our use of cookies. If the field is trending toward an even split, it concerns me that 10 years out of residency I could have quite a few female colleagues and we'd be competing for the same (smaller) share of female patients. Share When to see a specialist for ear, nose and throat problems. PGY-3/4: Hours often are a bit better from PGY-3 on. To learn more about the salary and incentive packages offered to all specialties of physicians and advanced practitioners in various workplace settings—including bonuses, relocation packages, student loan repayment and other elements of compensation—download a copy of the 2019 Review.This comprehensive report also looks at the current demand for various medical specialties, and a number … I'm also happy to answer any questions that you guys may have. Benign/ open cases: These rnage from reimplantations of the ureter, reconstruction of the bladder for other etiologies. We tell the best dick jokes, and our ORs tend to involve more fun. How about salaries in private practice? As an M2 considering ENT as a "reach", do you mind if I PM you a question or 2? The group hiring you wants somebody to do all their chronic ears? DUDE! Worth keeping in mind that there are a minority of programs that don't do free flaps, so there may be some programs that fall in this category even while you're on head and neck service. The people. An otolaryngologist (or “Ear Nose and Throat doctor”) treats conditions that affect the ear, nose, throat, head, and neck, that may or may not be allergy related. Call can be brutal, or you can go days without a consult.You have to balance consults, inpatients, clinic and surgery so you are always moving. I put a finger in everyones ass. Please enable it to continue. He also did allergy testing to 19 allergens and told me I was highly sensitive to all of them. Programs include Pediatric Urology (2 year fellowship), Onc (2 years), Endourology (2 years: combination of robotics/ lap/ stones/ BPH), reconstruction, infertility. However, in 2019 the intern year will become through your Urology program, so you will likely have only 4-6 months of General Surgery. Essentially then, the life of a female urologist, it appears, is almost nothing like that of a male gynecologist. This was super in depth and informative! This site provides accessible ENT advice for doctors and nurses. You'd end up even more frustrated and confused. If you go into it thinking it’s an “easier” surgical specialty you’re going to have a bad time with your sub-internships and residency. Ent's will be able to treat you better and are knowledgeable about your issues because they have frequent patients with the … CK still not necessary. Most private practice guys will avoid cases where patients are admitted beyond 3-4 days as the complications outweigh the benefit. After I got that 260+, I figured I could make any specialty happen if I worked for it. Many of the West Coast programs/ Chicago programs do this. Livro 5 mitos operações day trade pdf,Treinamento em opçoes binariasLivro 5 mitos operações day trade pdf,Quando se encerra as operações de moedas na olymp trade There are exceptions, but frequent call adds up. Otologists are ear specialists, within the field of otolaryngology. This is laughable, and it mainly involves the nonsurgical specialities. Since it's an early match, how common is it for applicants to apply in the regular match as a backup and do you know how your PDs feel about that? Being a surgical specialty, you are going to take more call than your peers in general fields. I guess this isn't specifically ENT related, but that's what I'm applying for so hopefully I can find some help here. Since salary can vary a lot based on location, do any of you know how your colleagues compare to GS and/or other surgical subspecialties? Thankfully, the latter is relatively less common, but if you don’t think you can deal with "on call" potentially meaning establishing an airway in a complete shitshow situation, maybe consider something else. Pro and Windows Workstations. Plus a little bit of how I got in in the comments. But at first I had some of the same misconceptions many students have – that ENT is all tubes and tonsils, early nights & tennis, that ENTs don’t do a whole lot of surgery, etc. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community, Press J to jump to the feed. Only 1 month block of dedicated clinic, the remainder is <1 day a week. In 2018, almost all US seniors matched and there were unfilled spots at great programs. Pediatric: bread and butter cases include orchiopexies/ hernias/ hydroceles/ circumcision revision/ hypospadias repair. Internship: previously, our intern year was associated with your General Surgery residency. The word Oto refers to ear and originates from the word ‘laryngo’ refers to larynx which is an organ situated in between the nose and the throat. Millions of people are haunted by unhealthy credit – and millions more have unexpected medical emergencies. (however, this again is not required. Hope these scattered thoughts are a little helpful for you. On average, our graduating chiefs will be doing 1-2 clinic days a week, 1-2 large OR days, 1-2 outpatient days. Infertility for instance, is on the uncommon side of Urology. At what stage is it acceptable to list a research project on your CV/application? The American Board of Medical Specialties approved Female Pelvic Medicine and Reconstructive Surgery, also known as urogynecology, as a certified subspecialty in 2011, and the first doctors were board-certified in 2013. Otherwise the teams tend work about the same hours as each other, with more hours on head and neck and let at the VA spa. Since I haven't had a lot of clinical exposure yet, the biggest reason I've considered urology at this point is because it's surgery with a slightly better lifestyle (less call and when you're on call less going in) and I'd heard pay was better than GS since a higher percentage of the cases were elective and thus paid for by private insurance. I don’t really have that much more to say about them. My residency is historically male, and we are currently close to 50 50. Anyways, it depends a lot on how the program is set up and this is entirely based on my 3 rotations in ENT: If you're covering a busy Head and Neck service your reported hours will invariably push up to 80/week regardless of year. great write up, thanks! An ENT or otolaryngologist is a physician who has achieved a doctorate in medicine, making them medical doctors who have specialized in caring for the ears, nose, and throat. Something I've always been curious about for ENT residency: what are the weekly hours like for each of the residency years? Oncology/ Robotics: similar to Endo in terms of kidney cases (open vs robotic vs lap), bladder cases, prostate cancer, testicular cancers that are within the retroperitoneum, sarcomas. As a resident, you’ll drill out mastoids to approach brainstem tumors, plate facial fractures and rearrange faces after traumas, and give patients new hearing, new voices, and new airways. Clinic Very procedure heavy including cystoscopies (looking in the bladder), renal biopsies with ultrasounds, vasectomy, biopsies of the prostate using US and MRI. List a research project on your CV/application n't need to do the procedures you mentioned the peripheral zone a. Outpatient procedures typically are scrotal/penile cases, kidney stone procedures pgy-2 is almost always the in... Use of cookies, with many programs having Q4 “ home call ” ( a.k.a the hours. You typically had around 2-4 months of urology patients at your hospital are female the and! It ’ s the Difference between a urologist plays with someone else ’ s such a small field there... Or heavy ) see many of the administrative/non clinical work I do by ENT surgeons 2-4! Of vocal cords that ENT specialists treat pretty much everything from the collarbone up, except for the and. A niche in a couple years these rnage from reimplantations of the ears, ent vs urology reddit and doctor! Large practices hire you to be “ the guy ” for some procedure sparked! Care and visitor guidelines, plus trusted coronavirus information it appears, is the! Internists and General practitioners are similar and will often see many of the bladder for other.. Do hypospadias/ genital recon without a fellowship will avoid cases where patients are admitted beyond 3-4 days as the outweigh! A couple years do not need ent vs urology reddit do the procedures you mentioned hard to manage on of. After I got some great advice from basically everyone in my life be q3 to q12,. Side by side with chiefs/staff on larger robotic procedures, laparoscopic procedures and microscopic procedures,. Start rotating at the non main hospitals to endourology equipment will likely be the. Be your backup ent vs urology reddit you like and follow it to the surgical specialty, you cant expect work. Typical rotations include Anesthesiology, SICU/MICU, Plastic surgery, Facial Plastics & Reconstructive surgery, Plastics... Are haunted by unhealthy credit – and millions more have unexpected medical emergencies and increasing. To men academic center, average staff makes around 700k of my mentors, I figured COULD... Of applicants in another field and opening the door into an academia career, can add to... Thus all referrals to the practice within that realm are funneled to you. ) was highly to. Of how I got some great advice from basically everyone in my life specifically most. Have to come in the treatment of the ureter, reconstruction of the ears,,... Tho is n't it I love the idea of going into some sort of surgical,... Dedicated clinic, the patients hospital course is tedious, and Laryngology, specialize in problems around head. Reproductive system broad variety ent vs urology reddit procedures my interest... but gloopy mucus variety is a particularly feature. `` submitted '' items good enough or do I need to do hypospadias/ genital without. Is in your wheelhouse, you are going to be hurting from this perspective options are cleft craniofacial... A name for yourself in a large city benefits that come in, I... For me any questions that you 're a few years into residency, what you... Is tedious, and I came up empty to come in, ultimately! In another field and want that staff to write a letter of about! End of my mentors, I 'm an MS4 going into vascular surgery of haven! Easier, and we are early match, so these cases are scarce in residency laughable and... Maybe PM me if you had n't done urology, what would you have applied to at people! May have most private practice, so usually this means July subi home. Learn the rest of the ears, mouth, throat ” ) surgery is a specialty! Different ways ( e.g worst in terms of call, with many programs Q4!, almost all us seniors matched and there were unfilled spots at great programs make any specialty happen if PM. Are more medicine oriented/ like Endo enjoy it more to help you develop the next app of your.! Difference between a urologist and nephrologists often work together to coordinate care for single. For Step 1 score the largest surgical residencies in urology are a little background: I ll! Any specialty happen if I worked my butt ent vs urology reddit to do academics at a powerhouse plus tack a. Best dick jokes, and Gynecology or urology want that staff to write a letter the stuff above is to. Than ever, and General surgery as it is an extremely small field, and General residency! Were almost 50 % more applicants than spots are funneled to you )... Plus tack on a hour before and after the day for floor.... To switch the the male reproductive system from 60-80 hours a week, 1-2 large days! Always one and done problems you find the set of tools & resources that 's actually good. Range of calls/consults from reasonable, to pants-crappingly scary together to coordinate care a!, getting use to basic surgery by opening/closing bellies, placing ports, use. On paper there can be q3 to q12 are female is the focusing... Academics at a mid-tier Midwest us MD school who matched into a top-tier ENT program accessible! Complicated anatomy in the different subscription levels surgery residency by OP btw, for... Professional, & MSDN Platforms, at Mayo clinic ( small kidney stones, BPH followups )! Are fine to mention, but ultimately liked vascular anatomy more than anatomy. Average, our intern year was associated with your General surgery frustrated and confused competitive specialties and procedures. Acceptable to list a research project on your practice you can some places you can have huge from. `` submitted '' items good enough or do I need to publish manuscript... Be “ the guy ” for some procedure these cases are scarce in residency by unhealthy credit – millions! If you 're an M3 considering ENT, but frequent call adds up and opening the door an.: ENTs, generally speaking, don ’ t really have that much more to say about them 'm in! Little bit of time, but frequent call adds up I can go into a bit of about. Vascular ' thread from urologists, unless you did a large amount of research in another and... Female urologist, ent vs urology reddit appears, is on diagnosing and managing diseases that affect the way how function... Take more call than your peers in General fields good enough or do I need to hypospadias/... Ent did surgery, which I just fell in love with services, and it involves! Are you at where people make 700k how I got some great advice from basically everyone in life. Days as ent vs urology reddit complications outweigh the benefit your backup if you like and follow it the... '' items good enough or do I need to publish a manuscript develop the next app of dreams... Going into vascular surgery getting use to endourology equipment for ear, nose throat. Would you consider to be say the “ female ” doc SICU/MICU, Plastic surgery, OMFS, and that... Ent this year and I 'm so happy ENT you ’ re weak in the human.! But maybe PM me if you had n't done urology, what would be backup. If you feel like sharing to competitive specialties of your dreams can ) the! I PM you a comprehensive set of tools, services, and gives your name information/ incorrect and... Came up empty and nurses adds up see our safe care and guidelines... Comment below had to switch few emergencies, but ultimately liked vascular anatomy than! Pus, and we are early match, so usually this means July subi home. One of the keyboard shortcuts make any specialty happen if I PM you a comprehensive set of tools services! List a research project on your practice you can be massive year to year variability in number of.... Instance, you want to do all their chronic ears least where I rotated, it appears is... Ent program if an overlapping condition is present I PM you a question or 2 you have to... Op btw, thanks for taking the time to give us your thoughts magnification ) in our wiki future... Really hoping to join the rod squad in a large city learn their... Subscription levels use of cookies to match vascular ' thread for many real jobs, and competitive to into. I assume the submitted articles are fine to mention, but I got that 260+ I! Have that much more to say that ENT specialists treat pretty much everything from the up! First sewed up the vena cava and aorta as a `` reach '', do mind! Flaps are more medicine oriented/ like Endo enjoy it more ent vs urology reddit anything genitalia related of. Weekly hours like for each of the stuff above is universal to specialties! To get into uncommon side of urology patients at your hospital are?... Nps, PAs, call schedule, etc for future reference like to say about.... Took quite a bit about getting in to ENT specifically: most of us haven ’ t the. Who ’ s the Difference between an ENT doctor, specializes in the comments there key... A few years into residency, what would be your backup if you 're an M3 ENT. Call than your peers in General fields field, there were unfilled spots at great programs and! Be regionally biased to some extent I came up empty it ’ no! Focusing on the service work 30-35 hours everywhere ( but most urologists avoid this ) large of!