Improving medical students

Archive for September 19th, 2008

How to Excel on Surgical Rotation

Posted by medliorator on September 19, 2008

Another gem from Half MD:

become very familiar with the reasoning behind the procedures. Attendings don’t care if you know how to remove a gallbladder. They will, however, expect you to know what are the indications for taking one out… How urgent is this procedure? Are there any alternatives to this procedure, including medical ones? What are the risks to a cholecystectomy? If the resident in the case prematurely cuts the bile ducts, what do you do then? What’s some of the relevant anatomy in that area? That is, what do you have to watch out for during surgery? Once the gallbladder is removed, is there any chance for recurrence of disease?

[You’ll be expected to] manage hospitalized patients.  [Understand] fluids and electrolytes because those issues become very important once a patient comes out of surgery and cannot eat for several days. You should also be aware of your patients’ conditions at all times… Some attendings are also very big on wound care—so you should always carry gauze, tape, suture removal kits, staple removal kits, and a pair of scissors.

Do not speak unless spoken to. If you have a question, you should keep it to yourself and look up the answer later. …Do not ask your attendings any questions regarding any disease is that you may encounter. You’re attending will very likely turn the question around and either pimp you or force the resident to answer.

The Life Raft for surgery [Half MD]

Posted in Clinical Rotations, How-To, Surgery | 1 Comment »