15 Different Types Of Surgeons With an Allopathic medicine or Osteopathy degree

Posted by Callie Torres
January 04, 2021

A Surgeon is a medical doctor that specializes in using surgical and nonsurgical techniques to medically manage many diseases and disorders. There are a wide variety of surgical specialties and subspecialties. This article focuses on surgeons that complete an Allopathic medicine program or obtain an Osteopathy degree. There are two distinct paths that a medical school graduate can follow to become one of the many different types of surgeons, the main difference being the type of surgical residency completed:

9 Types of Surgeons That Complete A General Surgery Residency

After completing medical school, MD and DO Physicians have several different routes to become a Surgeon. The first path includes completing a general surgery residency which lasts 5 years.  

1. General Surgeon

According to The ACS (The American College of Surgeons), MD and DO general surgeons treat the widest variety of surgical conditions. They treat surgical disorders of the gastrointestinal tract, head and neck, breast, skin, soft tissue, upper and lower extremities, and endocrine systems. The most common conditions addressed in patients include:

  • Breast Disease
  • Gall Bladder Disease
  • Hernias
  • Gastrointestinal Cancer
  • Acute Abdomen/Appendicitis

 

General Surgeon Subspecialties:

After completing residency, general surgery trained physicians have the option of completing additional specialized training termed a fellowship. Surgical fellowships last at least one year but can continue up to four years.  Common fellowships after general surgery residency include, but are not limited to:

2. Colorectal Surgeon

Colorectal surgeons treat diseases of the intestinal tract, rectum, colon, anus and perianal area. Colorectal surgeons provide care to patients of all age groups and encounter a wide variety of medical conditions. The most common conditions addressed by colorectal surgeons include: 

  • Colon Cancer
  • Anorectal Disease
  • Hemorrhoids
  • Inflammatory Bowel Disease
  • Gallbladder Disease

 

Length Of Surgery Fellowship Training Overview

After completion of general surgery residency, a one year long surgical fellowship is completed in colorectal surgery at one of the 55 American training programs.

3. Pediatric Surgeon

Pediatric surgeons operate on patients aging from newborns to teenagers. They specialize in medically treating many conditions while operating on complex cases in children and small patients. The most commonly encountered surgical conditions that pediatric surgeons treat include:

  • Appendix Removal
  • Cancer Resection Surgery
  • Congenital Malformations Correction
  • GI Disorders
  • Intestinal Hernias

Length Of Surgery Fellowship Training

After completion of general surgery residency, a two year surgical fellowship in pediatric surgery is required at one of the 46 programs in the US.  

4. Plastic Surgeon

Plastic surgeons specialize in the repair, reconstruction and replacement of physical defects in the body.  The most common surgical conditions addressed by plastic surgeons include:

  • Cosmetic Surgery
  • Skin Cancer
  • Breast Reconstruction
  • Breast Reduction Surgery
  • Hand Surgery

Length Of Surgery Fellowship Training Overview  

After completion of general surgery residency, a two year surgical fellowship in plastic surgery is completed in one of the 71 programs in the US. A plastic surgery fellowship can also be completed after residency in neurological surgery, orthopedic surgery, otolaryngology (ENT) or urology.

Further Surgeon Subspecialties

Plastic surgeons can further specialize into craniofacial surgery or hand surgery.

5. Thoracic Surgeon

Thoracic surgeons specialize in surgically treating organs located within the chest including the lungs, esophagus, chest wall, trachea, heart, mediastinum and diaphragm. The most common conditions medically addressed by a thoracic surgeon include:

  • Lung Cancer
  • Non-Cardiac Vascular Disease
  • Coronary Artery Disease
  • Congenital Heart Disease

Length Of Surgery Fellowship Training Overview

After completion of the five year general surgery residency, a two year surgical fellowship is completed in thoracic surgery at one of the 65 programs across the US.

6. Vascular Surgeon

Vascular surgeons specialize in treating diseases and disorders of the arteries, veins, and lymphatic vessels. The most surgical common conditions that vascular surgeons treat include:

  • Peripheral Vascular Disease
  • Abdominal Aortic Aneurysms
  • Carotid Disease
  • Venous Insufficiency
  • Dialysis Access Surgery

Length Of Surgery Training Overview

After finishing the 5 year general surgery residency, a two year fellowship in vascular surgery is completed at one of the 107 programs in the US.

7. Transplant Surgeon

Transplant surgeons specialize in performing surgical transplant of organs and tissues from donors to recipients. This includes not only whole organ transplantation but also smaller transplants such as skin, bones, tendons, ligaments, veins and heart valves. The most common organs transplanted are:

  • Kidney
  • Liver
  • Heart
  • Lung
  • Pancreas

Length Of Surgery Training Overview

After completion of the 5 year general surgery residency, fellowship in transplant surgery lasts up to three years and programs are located nationwide.

Further Surgeon Subspecialties

Transplant surgeons can choose to either to train to perform surgical transplants of several different organs or focus on one particular organ system. For example, a surgeon that focuses on transplanting multiple different organs may be an abdominal transplant specialist. Another example includes a surgeon that may choose to further focus only on one organ and become a transplant nephrology specialist who only works with the kidneys.

8. Bariatric Surgeon

Bariatric surgeons specialize in using surgical intervention to treat obesity and help patients to lose weight. The most common types of surgeries utilized to help patients lose weight include:

  • Roux-en Y Gastric Bypass
  • Gastric Banding/Lap Band
  • Sleeve Gastrectomy
  • Duodenal Switch

Length Of Surgery Training Overview

Following completion of general surgery residency, bariatric surgery fellowship typically lasts one year. It is important to note that some general surgeons may be trained and perform bariatric surgery although they did not complete a bariatric surgery fellowship at one of the accredited bariatric surgery programs.

9. Trauma Surgery/Critical Care Surgeon

Trauma surgeons specialize in taking care of critically ill surgical patients. Trauma surgeons are also called surgical critical care specialists and acute care surgery specialists. Many trauma acute care surgeons also specialize in taking care of burn conditions as well. Common procedures that trauma surgeons utilize include:

  • Explorative Laparotomy
  • Emergency Thoracotomy
  • Resuscitation
  • Chest Wall Stabilization
  • Perforated Organ

Length Of Surgery Training Overview

After completion of the 5 year general surgery residency, a fellowship in trauma or critical care surgery is completed. The length of fellowship and type of training varies between programs for trauma surgeons.

specialty doctor with minimally invasive procedure involving an ocular type of  surgery

 

back specialty M.D. and nursing staff

 

6 Different Types of Surgeons That Complete Other Surgical  Residencies

The second category of surgeons is made up of physicians who perform surgery but did not complete a general surgery residency. These MDs and DOs were trained to perform specialized types of surgery during their specific residency. The 6 most common examples include:

Ophthalmology
Obstetrics and Gynecology
Urology
Otolaryngology
Orthopedic Surgery
Neurosurgery


10. Ophthalmology

An Ophthalmologic Surgeon will treat the eye, orbit, and visual systems. In addition to operating, ophthalmologists provide vision checks and prescribe glasses and contacts. The most common surgical conditions treated by ophthalmologists include:

  • Glaucoma
  • Cataracts
  • Retinal Disease
  • Refractive Error
  • Macular Degeneration

Length Of Surgery Training Overview

After finishing medical school, a one year internship, also called a preliminary year, is completed in either internal medicine or general surgery. After conclusion of a surgical or internal medicine intern year, the ophthalmology specialty residency requires three years of training at one of the 116 programs nationwide.

Further Surgeon Subspecialties

Ophthalmologists can specialize many particular portions of the eye including the cornea and the retina as well as certain diseases such as glaucoma. Other ophthalmology specialties include pediatrics, oculoplastics and neurological ophthalmology.

11. Obstetrics and Gynecology

Obstetric and gynecologic surgeons treat a wide variety of conditions that affect women both young and old. The most common conditions addressed include:

  • Pregnancy and Childbirth
  • Abnormal Uterine Bleeding
  • Menopausal Concerna
  • Vaginitis

Length Of Surgery Training Overview

After finishing medical school, a four year residency in obstetric and gynecologic surgery is required at one of the 242 programs nationwide.

Further Surgeon Subspecialties

Surgical subspecialties in obstetric and gynecology include female pelvic medicine and reconstructive surgery, gynecologic oncology surgery, maternal-fetal medicine, and reproductive endocrinology. These specialties require at least one year of fellowship to be completed after residency.

12. Urology Surgeon

Urologic surgeons focus on the surgical and medical management of the female and male genitourinary systems which includes the urethra, kidney, bladder, ureter and prostate. The most common addressed surgical conditions in patients include:

  • Benign Prostate Disease
  • Prostate Cancer
  • Kidney Stones
  • Urinary Tract Infections
  • Sexual Dysfunction

Length Of Surgery Training Overview

After completion of medical school, a five year residency in urology is required. The first year of residency is spent in general surgery as a preliminary year, while the last four are spent in urology. There are 126 urologic surgery programs in the US.

13. Otolaryngology

Otolaryngolic surgeons, also called ENTs (ear, nose, throat) or Otorhinolarygologists, surgically treat patients of all ages with conditions that affect the head, neck, ears, throat, nose, upper respiratory system and upper esophagus. The most common surgical conditions addressed include:

  • Sinusitis/Sinus Disease
  • Otitis Media
  • Hearing Loss
  • Head and Neck Cancers/Tumors
  • Allergies

Length Of Surgery Training Overview

After completion of medical school, a residency of five years in otolaryngology is completed at one of 106 programs across the US.

Further Surgeon Subspecialties

There are several subspecialties that an otolaryngogic surgeon can complete. Fellowship in one of the subspecialties lasts at lease a year. Some examples of subspecialties for otolaryngogic surgeons include: neuro-otology, pediatric otolaryngology, otology, and head and neck specialists.

14. Orthopedic Surgeon

Orthopedic surgeons specialize in treating diseases, disorders and trauma that affects the arms, legs, back and spine. An orthopedic surgeon commonly addresses musculoskeletal surgical conditions including:

  • Arthritis
  • Fractures
  • Sprains and Strains
  • Back Pain
  • Carpal Tunnel Syndrome

Length Of Surgery Training Overview

After finishing medical school, a five year residency in orthopedic surgery is completed at one of the 156 programs nationwide.

Further Surgeon Subspecialties

There are many different types of subspecialties that an orthopedic surgeon can complete. This includes: adult reconstructive orthopedics, foot and ankle orthopedics, hand surgery, musculoskeletal, oncology, sports medicine, spine surgery, trauma, and pediatric surgery.

15. Neurological Surgeon

Neurological surgeons primarily treat disorders of the nervous system- including the neurovascular supply and neurological support structures. The nervous system includes the brain, meninges, skull, and spinal cord. The most common conditions addressed by neurological surgeons include:

  • Back Pain
  • Brain Tumors
  • Cervical Pain
  • Nervous System Trauma
  • Neurological Vascular Disease

Length Of Surgery Training Overview

After completion of medical school, a seven year residency in neurological surgery is required at one of the 105 surgical training programs nationwide.

Further Surgeon Subspecialties

Due to the high complexity of the neurological system, neurological surgery has many different types of subspecialties. Neurologic surgeon subspecialties include spine surgery, pediatric neurosurgery, neuro-trauma, neuro-oncology, neuro-intensive care, functional neurosurgery, endovascular surgical neuroradiology, and cerebrovascular skull base surgery.

female surgeon

 

African american doctor

 

More Information About General Surgery

 

What Does A General Surgeon Do?

Surgery involves the study and management of a broad spectrum of diseases that require surgical care including preoperative, operative, and postoperative care. Surgeons require a wide breadth of medical knowledge notably including: anatomy, physiology, oncology, critical care, wound healing, and trauma management. Surgical physicians split their time between the operating on patients, seeing patients in clinic, and rounding on hospitalized patients. Most commonly, general surgeons focus on cases involving the gastrointestinal tract, breast, vasculature, skin, and the endocrine system.

A surgeon commonly interacts with patients for the entirety of their surgical care. For example, a patient with a diagnosis of breast cancer will initially present to the surgery clinic. The surgeon will meet with the patient and develop a treatment care plan that includes surgery. The surgeon will then perform the surgical procedures that are necessary. If the patient requires hospitalization after surgery, the general surgeon will continue to round on and take care of their patient while they are hospitalized and having issues. Once the patient is discharged, they will continue to visit their general surgeon for follow-up surgical care visits even years later. This patient-physician dynamic allows for a continuity of care that fosters long term relationships with many patients while also gaining the immediate satisfaction of surgically solving medical problems. 

What Education is Required to Become A General Surgeon?

The education required to become a surgeon is very rigorous and requires many years of education. First, one must complete a college bachelor degree and get all the necessary pre-requisite credits. Many students complete a degree in a health sciences related major although this is not required. This is followed by obtaining a medical degree from either an Osteopathic Medical program (DO degree) or an Allopathic Medical program (MD degree) which takes four years to complete. Upon graduation, students are officially a DO or MD doctor but their training is not complete. 

After medical school, DOs/MDs must match into a general surgery residency training program. Most surgical residency programs are four years in duration and are associated with at least one hospital. After residency, individuals have the option of completing a fellowship in a specialty surgical field of study. Most surgical fellowship programs are one to two year and allow individuals to further specialize into a different types of surgery.

Job Outlook For General Surgeons

The job outlook for future surgeons is excellent and there may even be a potential shortage in the future. According to data collected from a longitudinal study published by the Archives of Surgery and by the Center for Workforce Studies: AAMC Data Workhouse, while the general population continues to rise by one percent per year, the number of general surgeons nationwide has remained constant since 1994. Additionally, the ratio of general surgeons to a population of 100,000 individual continues to decrease. In 1981 there were 7.68 general surgeons per 100,000 while in 2005 there were 5.69 per 100,000 individuals. To compound this, up to 1/3 of currently practicing physicians will reach retirement within the next decade. All of these factors contribute to a rise in demand for surgeons and great job security in the future.

General Surgeon Salary

There are several reports that collect information about physician salary and the numbers vary. According to the Medscape Physician Compensation Report in 2020 general surgeons make an average of $364,000 plus a 41,000 incentive bonus. According to AAMC Careers in Medicine Report general surgeons that work academic medicine with an assistant professor role make $344,000. General surgeons that work in academic medicine with an associate/full professor role make $435,000.

COVID-19 and Surgery

Since the beginning of 2020, COVID-19 has had an immense impact on business and jobs nationwide. Physicians and other healthcare related jobs are no exception. Overall, medical practices in the U.S. report a fifty-five percent decrease in revenue and a sixty percent decrease in average patient volume since the beginning of the COVID-19 crisis. Due to this drastic decrease in revenue, medical practices and hospitals have furloughed and laid off employees including 43,000 healthcare workers in March 2020 alone. Nine percent of independent medical practices state they have at least temporarily closed their business and practice. As social distancing guidelines remain in effect, remote patient engagement has soared and increased by an astounding two hundred twenty five percent. Virtual appointments are a necessity to keep medical business running.

General surgery and its subspecialties may be one of the most impacted medical professions by COVID-19. The majority of non-urgent surgeries have been postponed in COVID-19 heavy areas with some locations not allowing any surgeries with the exception of emergency situations. Many hospitals and surgical practices are separating patients into a classification of importance based on their clinical scenario and how urgently surgery is required. Surgeries have also adapted to the COVID-19 era. Patients must have a negative COVID-19 test for surgery to proceed. Additionally, surgeons and staff in the surgical business now require additional personal protective equipment (PPE) and extra sanitization steps are required for each surgery. Clinic work and business has also adapted, and virtual video or telephone visits are being utilized whenever possible.

New Types Of Innovations in Surgery

By far, the most impactful recent technology innovation in general surgery is the use of robotic laparoscopic surgery. When comparing robotic surgery to traditional surgery there are several drastic improvements. The use of a robot during surgery allows for the highest possible level of dexterity which supersedes human flexibility. The robot technology also allows for greater ability to access hard-to-reach areas during surgery. Additionally, surgical time is usually decreased with the use of robot technology during which leads to a quicker recovery time for the patient.

Every year the Cleveland Clinic names the top ten medical innovations, and surgical related technology innovations always make the list. Notably, the use of patient specific 3D printed devices like airway stents, cranial implants and external prosthetics was recently ranked. These 3D printed devices are customized down to the millimeter for each individual patient. This decreases potential complications from devices that were once one-size-fits all. Other distinct surgical technology innovations recognized include the use of antibiotic embedded envelopes for implantable devices to reduce infection risk and implantable pacemaker technology that connect to smartphones for monitoring and device setting adjustment.

What Types of Surgical Organizations Are There Where I Can Learn More About Surgeon Types, Their Training, Work And Duties?

The most prominent surgical organization is The American College of Surgeons (ACS). Their website has a wide variety of information and resources about surgery including an overview of the different surgical specialties, common surgical duties in providing patient care, information about residency training programs, peer reviewed surgical research,  and the latest technology advances. A link to there website is found here: https://www.facs.org/ Each surgical subspecialty has an associated organization or society that provides information about the job duties, latest technological advances, and resources for the public. Some example organizations include:

 

Please check out our other popular articles about Medicine and medical specialties by clicking on the links below:

 

Interested in getting a medical degree and practicing in one of the types of surgery specialties as a board certified Physician?

It all begins with getting your MD and you can start right now.  Contact us by clicking on the banner below and start talking with one of our health sciences admissions associates today! 

 

 

 

Learn more about UMHS

 

Posted by Callie Torres

Callie Torres is a published author and Lieutenant In the United States Air Force. With a Bachelors's and Masters's degree in Biology, she has received multiple grants and loves writing about modern-day medicine.

Topics: Feature Medical Practice

Add a comment