Surgery Specialty at a Glance

General surgeons provide a wide range of care to patients with conditions affecting a variety of areas including the gastrointestinal tract, the skin and soft tissues, endocrine, and other systems. Care is provided in outpatient, inpatient, and critical care settings. Interventions performed by general surgeons include minor, minimally invasive and major procedures.

Strong academic performance in required course is the top priority. Additionally, engaging in extracurricular scholarship (basic science/clinical/education research), service and leadership are great ways to build your professional identity and position yourself as a well-rounded candidate. Passionate dedication to a few projects/activities over time is almost always better than a multitude of activities that require minimal investment.

A clinical general surgery elective on the Indianapolis campus in early fourth year, paired with the general surgery sub-I, is recommended for academic training exposure and for acquiring letters of recommendation. A surgery elective can be completed in the third year but is not necessary. Additional fourth year electives in surgical education (teaching or curriculum design), minimally invasive surgery (technical skills) or relevant medical specialties such as cardiology, nephrology and infectious disease are all reasonable choices.

The general surgery sub-I is critical for anyone applying to general surgery and is highly recommended for students dual applying to general surgery and any other specialty. This should be completed prior to application submission, ideally in rotations 1-4. Scheduling preference is given to students who indicate general surgery as their top career preference in MSAS.

Away rotations are not necessary for general surgery application, but many students elect to do one for exposure to another training program. Potential increase in odds of being offered an interview from a program in a different geographic region or slightly at reach for a particular candidate may also be reasons a student would choose to do an away rotation.

Research is not absolutely necessary for all general surgery training programs, but is much more common for applicants pursuing academic institutions. It is not necessary for research work be focused in general surgery. This experience generally serves as a surrogate for motivation and engagement with extracurricular scholarship, as well as other characteristics/competency traits such as life-long learning, seeing projects through to completion and interpersonal communication skills.

General surgery training is five clinical years. Many programs offer additional time (one to two years) for professional development, often research, and some even require this time. Additional fellowship training is available for many subspecialized areas of general surgery including trauma, surgical oncology, pediatric, transplant, cardiothoracic, plastic surgery and others.

Letters of recommendation should come from surgeons who have worked with the student clinically and can speak to their medical knowledge, clinical reasoning and interpersonal communication skills. Letters from physicians in other specialties generally do not carry the same weight unless there is a long standing, unique relationship such as significant research or other work. A departmental/chair letter of recommendation is provided by the Department of Surgery and is largely based on objective elements from the general surgery sub-I.

The American College of Surgeons has several resources for students interested in pursuing a surgical career.

Katie Stanton-Maxey, MD, serves as the primary career mentor for students pursuing general surgery training, and is also available for assistance to students considering surgical specialties. Mentor connection starts with an email to the project manager for surgery undergraduate medical education, Megan Rendina at mrendina@iu.edu.