Medliorate

Improving medical students

Archive for the ‘Surgery’ Category

Regional Anesthesia – Review of Basic Nerve Blocks

Posted by medliorator on March 21, 2010

The New York School of Regional Anesthesia describes the anatomy, technique, and complications of common nerve blocks.  Medical students,  especially those rotating on surgery or anesthesia, will benefit from this exceptional collection of classic nerve block techniques including…

  • Genitofemoral Block
  • Saphenous Nerve Block
  • Wrist Block
  • Thoracic Paravertebral Block
  • Digital Nerve Block
  • Ankle Block

Nerve Blocks [NYSORA]

Posted in Anatomy, Anesthesia, Surgery | Comments Off on Regional Anesthesia – Review of Basic Nerve Blocks

Prepare for Surgical Cases with Websurg

Posted by medliorator on February 10, 2010

The knowledge if your next day’s surgical cases is a priceless resource on any surgical rotation.  Capitalize by reviewing surgical textbooks, skimming review articles, and going over the nuts and bolts of the procedure at WebSurg.

With summaries of over 120 procedures, websurg is a great resource when used in conjunction with a surgery textbook.  Access is free if you’re willing to share an email address.  Chapters include a review of indications, anatomy, OR setup, complications, and postoperative care.

The right panel is a great place to start, under “Looking for anything specific? Start search.”  Check out the operative technique chapters,

WebSurg

Posted in Surgery, Tools | Comments Off on Prepare for Surgical Cases with Websurg

Online Surgical Primer – Surgical-tutor

Posted by medliorator on October 22, 2009

surg-logo

English expert Mr. Stephen Parker, FRCS has built an excellent surgical resource for students with time constraints.  Surgical-tutor offers clinical tutorials in surgery, multiple choice questions, and extensive image galleries.

Surgical-Tutor

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Survey Study: Surgical Lifestyle & Job Satisfaction

Posted by medliorator on August 7, 2009

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researchers conducted a national survey of American Board of Surgery-certified surgeons who completed their training in the years 1988, 1992, 1996, 2000, or 2004.

Of the 3,507 surgeons who were certified in these years, 25.5% completed the questionnaire on their professional and personal lives.

Both sexes reported that they worked too much.

Notably, most surgeons of both sexes would recommend their profession to others, indirectly suggesting a high rate of professional satisfaction and fulfillment…

women were somewhat more likely than men to say they would choose the surgical profession again (82.5% versus 77.5%, P=0.15).

Female surgeons were also less likely than their male counterparts to have children (63.8% versus 91.3%, P<0.001). Female surgeons with children most often gave birth to their first children while they were in actual practice, while male surgeons typically reported that their first child was born during their residency.

Female Surgeons Report High Job Satisfaction [medpagetoday]

Posted in Surgery | Comments Off on Survey Study: Surgical Lifestyle & Job Satisfaction

Guidelines for Surgical Rotation Success

Posted by medliorator on July 8, 2009

Ted Melnick, MD

If you are able to reduce a resident’s workload, he or she will likely think positively of you and will provide positive feedback to the clerkship director.

First, arrive on time. Surgical rounds occur as a team. If you are late, the whole team will be waiting for you and will be unable to round on time.

don’t draw negative attention to yourself. Especially in the operating room (OR), don’t speak unless spoken to… This also holds true on rounds. Time is limited there, so the team is trying to accomplish as much as possible as efficiently as they can. If you draw attention to yourself on rounds for anything but contributing to getting the job done, you may leave a bad impression.

How Should I Prepare for a Surgical Rotation? [Medscape]

Correlate: How to Excel on Surgical Rotation

Posted in Surgery | Comments Off on Guidelines for Surgical Rotation Success

Occupational Injury in Surgery

Posted by medliorator on October 21, 2008

A survey of more than 350 plastic surgeons indicates that occupational injuries, especially muscle strains, are the norm, not the exception in this profession, according to study findings to be presented next month at the American Society of Plastic Surgery meeting in Chicago.

Muscle strain was reported by 70 percent of the surgeons, vision changes by 40 percent, cervical disc degeneration by 30 percent, lumbar disc degeneration by 25 percent, and shoulder arthritis by 20 percent. Roughly half of the subjects reported being treated for a health condition related to operating.

The DASH findings suggested that the injuries often had a functional impact. Age, years in practice, and loupe use were all found to correlate with injury.

This is the “first systematic assessment of injuries occurring in the surgical workforce,” lead researcher Dr. Pranay M. Parikh, from Georgetown University Hospital in Washington, DC, told Reuters Health.

Occupational injuries very common in surgeons [Reuters]

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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 »

General Surgery Demographics

Posted by medliorator on August 25, 2008

From the November 14th edition of JAMA, an article penned by Dr. Josef Fischer titled The Impending Disappearance of the General Surgeon via A Chance to Cut is a Chance to Cure:

The population of general surgeons is decreasing. Fewer residents are choosing general surgery and existing general surgeons are aging, and as a result 32% of general surgeons are older than 55 years and 20% are younger than 35 years. Emergency department visits have increased 26% since 1993, and 75% of hospitals report inadequate on-call surgeon coverage. For the first time ever, the Medicare Payment Advisory Commission found that their beneficiaries have more trouble accessing specialists than do private-pay patients

While most attention of health policy experts has focused on the care of the chronically ill, changes have occurred in an important component of the workforce—general surgeons. Their numbers have been decreasing precipitously. Causes of this shortage include an unfavorable work environment, reimbursement issues, professional liability, and, probably most important, the change in the nature of the workforce of individuals who are entering medicine.

The Future of Surgery XII [A Chance to Cut is a Chance to Cure]

Correlate: Gender in Surgical Demographics

Posted in Health Policy, Surgery | Comments Off on General Surgery Demographics

Gender in Surgical Demographics

Posted by medliorator on August 20, 2008

Women now account for more than 50% of American medical students, but only 10% of neurosurgery residents.

part of the reason more women aren’t going into neurosurgery is because there aren’t more women in the field to serve as mentors and role models. Women account for less than 6% of the neurosurgery ranks.

Women Remain Scarce in Neurosurgery [wSJ Health Blog]

Posted in Neuro, News, Residency, Surgery | 1 Comment »

The Cost of Surgical Errors

Posted by medliorator on August 3, 2008

Preventable medical errors during or after surgery cause 10 percent of surgery-related deaths and may cost employers nearly $1.5 billion a year, according to a U.S. government report released on Monday.

The agency looked at the records of more than 161,000 patients aged 18 to 64 covered by employer-based health plans who had surgery in 2001 and 2002.

“Eliminating medical errors and their after effects must continue to be top priority for our health care system,” AHRQ Director Carolyn Clancy said in a statement.

Surgical errors cost $1.5 billion a year: report [Reuters]

Posted in News, Surgery | Comments Off on The Cost of Surgical Errors