Sabistons is too much for a sub-i, although it is an excellent text. If you want to read it go to the hospital's library. Cameron's is popular but still too dense at this stage in the game IMHO. Residents would copy a chapter out of it and carry it with them throughout the day, seemed to work. However if you can manage to get Lawerence's Essentials down then you da man. Perfect book for a sub-i.
The regular surgical recall is plenty for pimp sessions. I don't think the advanced version will even fit in a white coat.
That being said here's some tips for ye sub-i:
Flip open Zollingers Atlas before a case you are interested in. Practice your ties non stop. Once you get em down, then practice with your non-dependent hand. Keep the hemoccult slides/developer handy. Put the foley in before the resident hits the OR for bonus points from the OR team. Maybe they will remember you after that. Pre-op, pre-op, pre-op, post-op notes, post-op notes, post-op notes. Get face time with the resident director. Give a high five to your anesthesiologist.
Now then, just know your abdominal wall layers, various triangles, retroperitoneal structures, portal flow, that damn celiac trunk, colon watershead areas, the intercostobracial nerve/axillary nerve/long thoracic nerve relations for your breast surgeries along with lymph flow, the fecolith, the friggen gallbladder, dumping syndrome. Throw in MEN syndromes for the thyroid surgeries as well as first signs of hypocalcemia (perioral tingling I think) and recurrent laryngeal nerve anatomy, BP drops in stage 3 hypovolemic shock. Oh yeah, know your electrolytes and always know your I's and O's. Thats a good start. All that stuff is in Recall and Lawerence. Pimp city brother.
Current Clinical Strategies: Surgery is a handy book to put in your front pocket.
Yes I was extremely interested in surgery at one time. Now would be a good time to purchase The ICU book as well.
If you do/know all this you'll be fine....probably.
N'joy!
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