- Joined
- Sep 17, 2017
- Messages
- 325
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I made a depressing/lazy post not that long ago talking about hating surgery and not doing anything to be proactive. After that vent post, I realized my mindset was off and I started focusing on what I’m *supposed* to get out of it.
Since then, I have been loving clinic and floor management. I am most interested in IM vs Neuro, and I love managing and assessing patients. I love determining if a patient has a surgical indication at all in new patient clinic, and then trying to determine if they *need* the surgery and if they can even have the surgery (usually I’m wrong haha but getting better). On the floor I like responding to patient complaints, and thinking about what complications they might have and why.
The OR however is where my soul dies. I don’t like standing there, retracting, driving the camera, suturing, cutting suture, etc. I like going to operations I haven’t seen before because I can at least gain an understanding of what the patient goes through. However, as I’m on peds Gen surg, lots of cases are repeats and bread and butter with very few complications. Ultimately I don’t find it super useful for me
I try to be proactive now; I read about all my patients as much as I can, and I read about the disease, the indication, the procedure, common complications, etc. However, this rarely helps in the OR because I’m ultimately standing there and ignored. If I try to ask questions, im treated like im asking the stupidest questions on earth. The attendings are also very focused on teaching the new fellows and the residents, so there isn’t much opportunity to ask during cases. I do ask later, typically the resident. Some of the attendings are also kinda rude. One asked me a bunch of questions about a patient, all of which I got right (and they were detailed!), then he asked me “what approach did the last surgeon use for [an unrelated procedure]?” I said I wasn’t sure, and he said “You need to read about your patients. You have a phone and you can Google anything you don’t understand. When I was a student, we would be kicked out if we didn’t know about our patients and our evaluations depended on these types of questions.” Even though I knew why we were in the OR, what the exact current procedure is, the complications, and how often the patient will need this procedure (among other things).
Since then, I have been loving clinic and floor management. I am most interested in IM vs Neuro, and I love managing and assessing patients. I love determining if a patient has a surgical indication at all in new patient clinic, and then trying to determine if they *need* the surgery and if they can even have the surgery (usually I’m wrong haha but getting better). On the floor I like responding to patient complaints, and thinking about what complications they might have and why.
The OR however is where my soul dies. I don’t like standing there, retracting, driving the camera, suturing, cutting suture, etc. I like going to operations I haven’t seen before because I can at least gain an understanding of what the patient goes through. However, as I’m on peds Gen surg, lots of cases are repeats and bread and butter with very few complications. Ultimately I don’t find it super useful for me
I try to be proactive now; I read about all my patients as much as I can, and I read about the disease, the indication, the procedure, common complications, etc. However, this rarely helps in the OR because I’m ultimately standing there and ignored. If I try to ask questions, im treated like im asking the stupidest questions on earth. The attendings are also very focused on teaching the new fellows and the residents, so there isn’t much opportunity to ask during cases. I do ask later, typically the resident. Some of the attendings are also kinda rude. One asked me a bunch of questions about a patient, all of which I got right (and they were detailed!), then he asked me “what approach did the last surgeon use for [an unrelated procedure]?” I said I wasn’t sure, and he said “You need to read about your patients. You have a phone and you can Google anything you don’t understand. When I was a student, we would be kicked out if we didn’t know about our patients and our evaluations depended on these types of questions.” Even though I knew why we were in the OR, what the exact current procedure is, the complications, and how often the patient will need this procedure (among other things).