Fresh attendings

[veetz]

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For all the new attendings, how are you liking your new gig compared to life as a resident?

 

[rsgillmd]

For all the new attendings, how are you liking your new gig compared to life as a resident?

I like it overall. The toughest part is getting used to working with CRNAs. They have a lot of independence at my new institution, and some are a little heavy handed with their "sedation." I think I'm getting the hang of it though.

Didn't have much exposure to CRNAs before this -- only 2 in my residency and they weren't very good. These guys seem better trained as far as skills are concerned, but still more technician like, at least in their preops (checking off stuff but not expanding on the pertinent positives).

 

[ProRealDoc]

I like it overall. The toughest part is getting used to working with CRNAs. They have a lot of independence at my new institution, and some are a little heavy handed with their "sedation." I think I'm getting the hang of it though.

Didn't have much exposure to CRNAs before this -- only 2 in my residency and they weren't very good. These guys seem better trained as far as skills are concerned, but still more technician like, at least in their preops (checking off stuff but not expanding on the pertinent positives).

They are technicians.

 

[seinfeld]

1 week into it...So far much fun. It has been nice not having someone micromanage your every decision. The hard part is not turning around and doing the same to the CRNA. I did my first solo cardiac case this week. Between getting the TEE done and the faster speed of the private surgeons, and then all the paperwork it was definitely challenging. I am so used to having extra hands to do the case and electronic charting.

Compared to training also a real slant toward billing issues. Found out that more of the older partners were most concerned when i forgot to sign a record and it delayed them getting the case billed.

I feel i am getting more respect from the surgeons and nurses throughout the hospital. Actually the cardiac case i did was a request by the surgeon b/c i was facile with the TEE (funny b/c i did a CCM fellowship not cardiac, also great to get a request case in my first week)

For my first Epidural in 1.5 years, it was thoracic, it was weird not having someone standing over your shoulder. The worst part of all of it was figuring out the new standards for taping it in.

 

[maceo]

1 week into it...So far much fun. It has been nice not having someone micromanage your every decision. The hard part is not turning around and doing the same to the CRNA. I did my first solo cardiac case this week. Between getting the TEE done and the faster speed of the private surgeons, and then all the paperwork it was definitely challenging. I am so used to having extra hands to do the case and electronic charting.

Compared to training also a real slant toward billing issues. Found out that more of the older partners were most concerned when i forgot to sign a record and it delayed them getting the case billed.

I feel i am getting more respect from the surgeons and nurses throughout the hospital. Actually the cardiac case i did was a request by the surgeon b/c i was facile with the TEE (funny b/c i did a CCM fellowship not cardiac, also great to get a request case in my first week)

For my first Epidural in 1.5 years, it was thoracic, it was weird not having someone standing over your shoulder. The worst part of all of it was figuring out the new standards for taping it in.

how long do you think it would take for me to learn TEE?

would like someone to teach me. nobody here can teach me.

 

[seinfeld]

how long do you think it would take for me to learn TEE?

would like someone to teach me. nobody here can teach me.

Cant say for sure, i was aggressive during my residency and then did a 4 week rotation during my CCM fellowship on TEEs. Of course in addition to freetime readings.

 

[ilovehooters]

For all the new attendings, how are you liking your new gig compared to life as a resident?

FRESH attending here in the private world (no fellowship), and I can say without a doubt that life is sooo much ****ing better. (of course i'm not doing hearts or trauma..) being on your own is both exhilarating and terrifying at the same time. Not to downplay other fields of medicine, but your brain after an anesthesiology residency has the ability to work at lightning speed, and can sometimes be too much. (i did a ga on a t4 plegic the other day, and literally had a ****load of syringes drawn up waiting for crazy ass systolics)

i'm a long time reader of this site, and a friend of ventdependents if you guys remember him. i'm interested in hearing some new-attending horror stories some of you old guys might have, and tips to avoid bad outcomes.

 

[bigdan]

1 week into it...So far much fun. It has been nice not having someone micromanage your every decision. The hard part is not turning around and doing the same to the CRNA. I did my first solo cardiac case this week. Between getting the TEE done and the faster speed of the private surgeons, and then all the paperwork it was definitely challenging. I am so used to having extra hands to do the case and electronic charting.

Compared to training also a real slant toward billing issues. Found out that more of the older partners were most concerned when i forgot to sign a record and it delayed them getting the case billed.

I feel i am getting more respect from the surgeons and nurses throughout the hospital. Actually the cardiac case i did was a request by the surgeon b/c i was facile with the TEE (funny b/c i did a CCM fellowship not cardiac, also great to get a request case in my first week)

For my first Epidural in 1.5 years, it was thoracic, it was weird not having someone standing over your shoulder. The worst part of all of it was figuring out the new standards for taping it in.

Sein -

This post put a smile on my face. Thanks.

I'm 3 weeks into internship, so I realize that I'm naive, but after a kinda sh*tty call, seeing this makes me think there really is a light at the end of this long long tunnel.

Kudos and congrats!

dc

 

[sevoflurane]

Feels great. So far, lots of regional, a couple supra renal AAA (third day), younglings above 2 y/o. Surgeons are cool. Got out by 12:00 twice last week. Start CT in August. Got my first pay check 🙂. Taking the boards in one week. Enjoying the new house, car and German shepherd puppy. And.... My wife gets me out of the OR for breaks.

Life is soooooo much better.

Definately worth medical school/residency.

 

[veetz]

Feels great. So far, lots of regional, a couple supra renal AAA (third day), younglings above 2 y/o. Surgeons are cool. Got out by 12:00 twice last week. Start CT in August. Got my first pay check 🙂. Taking the boards in one week. Enjoying the new house, car and German shepherd puppy. And.... My wife gets me out of the OR for breaks.

Life is soooooo much better.

Definately worth medical school/residency.

Congrats, looking forward to that feeling!

 

[usnavdoc]

Feels great. So far, lots of regional, a couple supra renal AAA (third day), younglings above 2 y/o. Surgeons are cool. Got out by 12:00 twice last week. Start CT in August. Got my first pay check 🙂. Taking the boards in one week. Enjoying the new house, car and German shepherd puppy. And.... My wife gets me out of the OR for breaks.

Life is soooooo much better.

Definately worth medical school/residency.

I feel you brother. Im looking forward to getting another GSD puppy in a while. Greatest dogs.

Definitely a nice feeling after so much work. It will really be better come wed next week.

 

[sevoflurane]

I feel you brother. Im looking forward to getting another GSD puppy in a while. Greatest dogs.

Definitely a nice feeling after so much work. It will really be better come wed next week.

Yes. GSD are awsome. This little guy is my first one. Being his dad, of course I think he is just the best dog all around.... but I know the breed has a lot to do with it. At 6 weeks he was potty trained. A week and a half after we got him (9 weeks), he knew his name, he could sit and stay and would come on command. Now, at 2.5 months he loves to fetch and can also shake with one hand and then with "the other paw". I can ask him to sit and he will stay put until I ask him to come when I'm half way across a football field. I've owned a siberian husky/wolf while I lived in the mountains and this dog is simply the best and loyal to his family as can be. No tempermant issues what so ever. Good luck with yours. If you want a name of a reputable breeder pm me. BTW, his mom and dad come from Germany... My guy is first generation American!