General Description
This is an ideal career for analytical and logical thinkers. As a general practitioner, you assess and treat a wide range of conditions, ailments, and injuries, from sinus and respiratory infections to broken bones and scrapes; you refer more serious conditions to specialists for more intensive care. Specialist physicians broadly work in anaesthesiology, family and general medicine, general internal medicine, general paediatrics, obstetrics and gynaecology, psychiatry and surgery.
Surgeons are physicians who specialise in the treatment of injury, disease, and deformity through operations. Using a variety of instruments with patients under general or local anaesthesia, you correct physical deformities, repair bone and tissue after injuries, or perform preventive surgeries on patients with debilitating diseases or disorders.
While some surgeons perform general surgery, most specialise; common specialisations include orthopaedic surgery (the treatment of the skeletal system), neurological surgery (the treatment of the brain and nervous system), ophthalmology (the treatment of the eye), otolaryngology (treatment of the ear, nose, and throat) and plastic or reconstructive surgery (reshaping the body after trauma or illness). There are nine official classifications of surgical specialisations and the number is increasing.
The beauty about surgical work is the immediate restorative or elimination effect it has on the patient’s health and quality of life. The pressure can be enormous, often battling against a time deadline, resurrecting a patient from near death or working in spaces where the finest of tolerances can mean the difference between success and failure.
Surgeons are supported by anaesthesiologists who focus on the care of surgical patients and pain relief, conferring with other physicians and surgeons before, during, and after operations. You are responsible for maintenance of the patient’s vital life functions such as heart rate, body temperature, blood pressure and breathing, through continuous monitoring and assessment during surgery.
What you do every day
There are days for surgery and hospital rounds and days for patient consultation. They all start early and finish late. Irrespective, your career commences as a resident working in the major hospitals. Residency is tough, hard work with long days commencing at 6.30am in the operating room and finishing once the surgeons’ patient list is completed. Your day usually ends around 6pm but once every four nights you may finish at 8am, a 26 hour shift. Patients trust you and you need to be there for them. Medical training is exhausting, and rewarding both financially and in terms of personal satisfaction. Many physicians and surgeons work long, irregular hours; almost one-third of physicians work 60 or more hours a week.
Personality that best fits this occupation
You must have a desire to serve patients, compassion towards others, be self-motivated, and be able to survive the pressures and long hours of medical education and practice. You also must have a good bedside manner, excellent communication skills, emotional stability and the self confidence to make decisions in emergencies. Ongoing study throughout your career is necessary to keep up with medical advances so you must have a high degree of motivation and self discipline. Employment opportunities will continue to expand due to a growing and ageing population which will inevitably increase demand for physician services.
Best thing about this career
You can make an immediate and huge difference to your patients' lives and to the communities you serve. You are challenged every day as people are different and medical technology constantly changes. The financial rewards can be substantial, so you can afford an affluent lifestyle, but in the end the status, respect and trust afforded to you is the greatest reward.
Worst thing about this career
The downsides of a medical career are: the long time it takes to finally become qualified, knowing that despite what you do people will die anyway, the long hours, and the difficulty in maintaining a work-life balance. There is a growing culture of litigation across the medical industry which has made medical indemnity a topical issue in some specialisations.
About the Author
Wes Jame
Dr Wes Jame has over 30 years experience in general practice including the provision of GP obstetrics , GP anaesthetics , inpatient hospital care , palliative care , aged care, after hours care and home visits in rural and urban settings. His interests include long term involvement in undergraduate teaching , peer education and communication , IT development and senior management roles in several community agencies. He is principal of Berwick Medical Centre a 100 year old family group medical practice.

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