Best way to (re)learn anatomy for surgery pimping

[Poit]

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Our surgery attending told us that we are expected to know the anatomy for our cases cold. We will be pimped on this. What is the best way to familiarize myself with the anatomy relevant to the surgeries I'm on? I'm watching youtube videos that point out the anatomy right now, since learning from a book doesn't always translate as well to a laparoscopic view. Any other advice/resources for this?

 

[bankai.]

I found a reddit post from a few years back detailing experiences... I will search for it, you might try it as well.

 

[SouthernGent]

Teachmeanatomy app.

 

[Redpancreas]

I know it’s exciting to be given such an ultimatum, but understand that there’s no way to know everything cold. Review stuff using the Netter App, but realize that your ability to visualize and identify in a surgery will vary based on your innate ability.

 

[Donald Juan]

Watch the surgeries and read the steps beforehand. Most of the time, the structures they will be pimping you on are structures that are known to be things you need to dissect or identify in that particular surgery, and not just random things they found.

 

[Tenk]

Heaven forbid a student have fun in the OR. No they must live in absolute terror every moment they stand holding a retractor!

 

[sinombre]

Read up on the surgeries beforehand. Medscape is a great reference. Or a surgical atlas like Zollinger's if you have access to it. Knowing the steps makes watching the surgery as a med student ten times more interesting. Otherwise you'll just stand there retracting without any idea of what's going on.

 

[Oh_Gee]

Read up on the surgeries beforehand. Medscape is a great reference. Or a surgical atlas like Zollinger's if you have access to it. Knowing the steps makes watching the surgery as a med student ten times more interesting. Otherwise you'll just stand there retracting without any idea of what's going on.

sounds like anatomy lab

 

[sinombre]

sounds like anatomy lab

Hah... not if you're doing it right.

 

[Oh_Gee]

Hah... not if you're doing it right.

i definitely did not do it right lol. i'm gonna have to do a lot of review for that rotation

 

[Moose A Moose]

UpToDate + Netters = Profit

 

[operaman]

Yeah YouTube the procedure ahead of time. I still do this as a resident.

Surgical atlases can be helpful and usually your library will have access to some electronic version. The difficulty in going from Netters to surgery is the exposure.

Google the name of your procedure and “pimp questions” and you’ll often pull info about common questions. There are really only so many things you can ask about a given case, so this will help you know the common ones.

Your residents can also be good resources. We definitely know which of our staff are pimpers and what they like to ask about most of the time. Whenever I have a student in a case I also like to take them through imaging and discuss the plan for the case so it isn’t so painfully boring as mindless retraction can be. So many of our cases are done in tiny deep dark holes that the first case you actually see is the first one you do. As such, blind retraction is par for the course (even for me at times) but I try to make it more interesting by making sure they’re prepared.

 

[CherryRedDracul]

Read up on the surgeries beforehand. Medscape is a great reference. Or a surgical atlas like Zollinger's if you have access to it. Knowing the steps makes watching the surgery as a med student ten times more interesting. Otherwise you'll just stand there retracting without any idea of what's going on.

Retracting always sucks, but it's much, much more tolerable if you have a good grasp on what, where and why you're retracting. As a med student, I was an active retractor in the sense that I anticipated where the surgery residents and fellows wanted the retractor(s) to be before I was told, and they appreciated that.

 

[Osteoth]

The thing that always gets me is that you can know the steps of the procedure + all the anatomy, but when you run into abnormalities or have special circumstances it feels like you're learning a completely different procedure and for me following along basically becomes next to impossible.

Aka if you're doing a partial nephrectomy and the pt has a horseshoe kidney. Simply being able to identify major vascular structures or understanding 3-dimensional orientation of the capsule gets dicey for me...