Coming out of the lab

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Scrubbed In

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Anyone have advice for re-acclimating to clinical residency when coming out of the lab after two years? What have you read, practiced, or done that has helped? Advice for rounds, the OR? Thanks in advance!
 
Anyone have advice for re-acclimating to clinical residency when coming out of the lab after two years? What have you read, practiced, or done that has helped? Advice for rounds, the OR? Thanks in advance!

argh. i'm dealing with that dilemma myself. I am in my 2nd lab year, go back as a 4 to very difficult services. some of my friends in upper years have really struggled on their first services, esp as trauma chief.

my plan:
1. I scrub in with a senior surgeon about once a month for big cases when the other residents are in conference
2. I am studying very hard for ABSITE (via SESAP and the surgical portal MCQs)
3. I plan to force myself to do 2 hours a week in our skills lab startign in april, esp with laparoscopic intracorporeal knot tying ; I have a castro at home so will practice vascular anastomoses, etc.

One of the hardest thing, via other residents, has been relearning the system, rememorizing anesthesia's #, the pager for the NP on surg onc, how to print up d/c instructions, etc.

occasionally scrubbing also helps me remember the postop order sets, where they are, the new "rules" for postop DVT ppx, antibiotics, etc.
 
Lab residents at my institution are not allowed to scrub into cases.

I plan to hit up the sim lab. Read a bit. I'm not sure there's much you can do to prevent yourself from flailing for a few weeks. One thing I'm not going to do is re-learn how to print up d/c instructions. 🙂
 
One thing I'm not going to do is re-learn how to print up d/c instructions. 🙂

Isn't that the truth. It was funny this year rotating early with 4th years that just came out of the lab and having them know less about the day to day mechanics of how the hospital bureaucracy works (things can change a lot in 2 years, I guess), and hearing them say "Yeah, I'm not learning how to do that. Just make sure it gets done."

Of course, I didn't care because I can't wait until I'm in the position of not having to worry about (as much) of the minutia.
 
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