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If so, any advice, stories, 'what to dos', 'what not to dos', for a first year guy right out of residency is appreciated!
Agreed. Find a local mentor. Learn the local customs. And do as the Romans do.....
You can change things up AFTER gaining the trust of the entire team.
I concur with everyone else statements about doing it the way of them romans when in rome. I would apply this to pretty much all cases and surgeons. But never compromise a core principal, call a partner in first before arguing with a surgeon. Once they trust you and know who you are a what to expect then gradually make changes. We had a guy who was a cardiac guy with TEE at another hospital for 20 years, came to our place and started doing it his normal way, guess what? everyone heard about it.
Whether you need a fellowship is a matter of location and practice. My practice does not require a fellowship for hearts.