Going back to Anesthesia, any advice?

[deleted880510]

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[Ducttape]

regarding anesthesia - can you go back to your original residency program and shadow for a week?

regarding pain - does the anesthesiology group you joined have some doctors doing pain? if so, can you ask that group if you can do a day a week of pain?

 

[mid|ine]

Will you be doing your own cases or supervising? Have you been open with the group about being nervous? If its supervision, then you could basically doing a mini-refresher residency with some of the stronger docs in the group.

 

[Ronin1]

I’ve gone a few years without doing anesthesia a few times in my career. First day is hard and then it’s automatic. Go in and follow a MD around for a couple of days to familiarize yourself with the EMR and associated nonsense

 

[Laryngospasm]

I’ve done this. It comes back fast. Honestly the worst part is the EMR, charting, whatever awful drug dispensing torture device is currently installed in the ORs and center core/pacu. Also the complete lack of respect and being called hey anesthesia.

 

[Orin]

Agreed. It's not that difficult to go back to OR anesthesia. The challenges are primarily logistics/workflow more so than knowledge/skill based. There may be some new drugs or cocktails to get used to but generally you just need to learn the local cookbook and review your emergency scenarios.

 

[Laryngospasm]

Pent/sux/tube

 

[epidural man]

I don’t think it has been that common because of money historically. Pain paid very very well.

I feel like that has changed now. Anesthesia seems to pay way better than pain, so I suspect this will happen more and more.

 

[deleted880510]

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[Ferrismonk]

Pent/sux/tube

Oh man, you must be old.

 

[Ferrismonk]

I recently changed gigs from 100% pain to 3 days pain and 1 OB call per week at a new place. Don't sweat it. Its like riding a bicycle. You'll be fine.

Most likely hospital will want you to do some supervised time anyway to get credentialed when they realize you haven't tubed anyone in over a year.

Biggest downer is the hospital politics and over-complicated EMR with attached clipboard nurses. Best upshot is that when a case is done, its 100% done. No more paperwork and billing/auth issues. It's actually rather refreshing.

And btw, Suggamadex is a game changer. It's like cheating.

 

[deleted880510]

I recently changed gigs from 100% pain to 3 days pain and 1 OB call per week at a new place. Don't sweat it. Its like riding a bicycle. You'll be fine.

Most likely hospital will want you to do some supervised time anyway to get credentialed when they realize you haven't tubed anyone in over a year.

Biggest downer is the hospital politics and over-complicated EMR with attached clipboard nurses. Best upshot is that when a case is done, its 100% done. No more paperwork and billing/auth issues. It's actually rather refreshing.

And btw, Suggamadex is a game changer. It's like cheating.

thanks for the info. i guess im worried about the difficult airway, difficult/hard to get spinal, or missing the occasional A-line. I guess i cant be too critical on myself and do my best!

 

[clubdeac]

I mean if CRNAs can do it how hard can it really be?