Jobs that I'm not stuck endlessly in OR?

  • Thread starter Thread starter deleted899865
  • Start date Start date
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
D

deleted899865

Members do not see this ad.
In residency we always get regular breaks and always have someone easily free to get us out.


Looking for a job that either has a decent amount of supervising, or that isn't so understaffed that breaks are hard to come by and no one is free. Will I be able to find a PP job where my restroom use is not limited to the speed of a surgeon?

I have heard horror stories of attendings taking solo call at night and being stuck in the OR for hours.
 
Go pee and ask a nurse or colleague in another OR to watch your patient for 30 seconds.

99% of the time...the patient is rock stable. And the remaining 1% is anticipated typically. So you will know when it's safe tu run out.

Also private practice surgeons are generally much faster than residency
 
GravelRider said:
Oh no, not this debate again where some people advocate pooping behind the cart and call it patient abandonment if you run out for 60 seconds to take a leak.
Click to expand...

Self foley and poop behind drapes. Hopefully not a DIEP and senior partners hate you.
 
Prepooping can be your friend when taking solo call. Also changing your diet to none spicy sauce laden foods. Solo call is a biscuit.
 
Slothtronaut said:
In residency we always get regular breaks and always have someone easily free to get us out.


Looking for a job that either has a decent amount of supervising, or that isn't so understaffed that breaks are hard to come by and no one is free. Will I be able to find a PP job where my restroom use is not limited to the speed of a surgeon?

I have heard horror stories of attendings taking solo call at night and being stuck in the OR for hours.
Click to expand...
Isn't this a bit too late to think about this? How did you imagine anesthesiology, with a second in-house provider just to give you breaks? 😉

Don't worry. In most places, anesthesiologists are also the main airway people (plus OB needs to be covered), so the backup gets automatically called in if you get stuck in the OR (or you'll have an in-house CRNA with you).

Regarding PP daytime breaks: I used to work in a place where we were spread so thin that even the floor runner was in a room, so, if one needed help or a break, one had to ask the circulator to check if anybody was between cases (imagine how good our plans had to be, including for PACU). You are there to serve the mighty surgeon; you eat/toilet/break at the whim of your lord and master.
 
Last edited by a moderator:
Slothtronaut said:
In residency we always get regular breaks and always have someone easily free to get us out.


Looking for a job that either has a decent amount of supervising, or that isn't so understaffed that breaks are hard to come by and no one is free. Will I be able to find a PP job where my restroom use is not limited to the speed of a surgeon?

I have heard horror stories of attendings taking solo call at night and being stuck in the OR for hours.
Click to expand...
First let's get this out of the way ... when was the last time you saw a general surgeon's partner come in and offer a lunch or pee break?

Barring any acute illness or chronic medical issues that prohibit sitting still for a few hours, I've got no sympathy and precious little patience for this ridiculous break culture in anesthesia. Just eat, pee, poo, send your emails, drink coffee, and laze in the lounge between cases. You really can do it, despite being brainwashed to believe doing so violates some federal statute or fundamental law of thermodynamics.

Take heart though -
1) Outside academics there are relatively few cases that go 5+ hours, and they're usually not midnight emergencies.
2) When the day comes that "paycheck = revenue / people" then suddenly it'll be obvious how you'll manage without an extra body or three around to "give breaks" to people.
 
Slothtronaut said:
In residency we always get regular breaks and always have someone easily free to get us out.


Looking for a job that either has a decent amount of supervising, or that isn't so understaffed that breaks are hard to come by and no one is free. Will I be able to find a PP job where my restroom use is not limited to the speed of a surgeon?

I have heard horror stories of attendings taking solo call at night and being stuck in the OR for hours.
Click to expand...

Umm.... just get a 100% supervision job. They aren’t hard to find.
 
pgg said:
First let's get this out of the way ... when was the last time you saw a general surgeon's partner come in and offer a lunch or pee break?

Barring any acute illness or chronic medical issues that prohibit sitting still for a few hours, I've got no sympathy and precious little patience for this ridiculous break culture in anesthesia. Just eat, pee, poo, send your emails, drink coffee, and laze in the lounge between cases. You really can do it, despite being brainwashed to believe doing so violates some federal statute or fundamental law of thermodynamics.

Take heart though -
1) Outside academics there are relatively few cases that go 5+ hours, and they're usually not midnight emergencies.
2) When the day comes that "paycheck = revenue / people" then suddenly it'll be obvious how you'll manage without an extra body or three around to "give breaks" to people.
Click to expand...


Ya and it's this type of belief that has contributed to the self-flagellation of the medical specialty. Believe me, hospitals...residency programs..insurance companies have enjoyed taking advantage of this "Well in my day we worked 100 hours a day for two schillings and some saltine crackers..so you should too" attitude.
 
FFP said:
Isn't this a bit too late to think about this? How did you imagine anesthesiology, with a second in-house provider just to give you breaks? 😉

Don't worry. In most places, anesthesiologists are also the main airway people (plus OB needs to be covered), so the backup gets automatically called in if you get stuck in the OR (or you'll have an in-house CRNA with you).

Regarding PP daytime breaks: I used to work in a place where we were spread so thin that even the floor runner was in a room, so, if one needed help or a break, one had to ask the circulator to check if anybody was between cases (imagine how good our plans had to be, including for PACU). You are there to serve the mighty surgeon; you eat/toilet/break at the whim of your lord and master.
Click to expand...


We run the floor from a room and never keep an extra body around. Still I usually get more break time than I want. I wish our turnovers were faster so I have less bathroom/food/Fox News in the lounge time. If I need a break during a long case, the aforementioned long turnovers means someone is usually free to give me a break.
 
nolagas said:
Umm.... just get a 100% supervision job. They aren’t hard to find.
Click to expand...
And that’s the sad part. Those jobs way outnumber jobs were you provide your own anesthesia.

As far as eating between breaks? Let me tell you, when I was out west and doing my own cases, which I much prefer, I went many days without eating a proper lunch. It sucked at first, but one got used to it. The cases and surgeons often moved too fast that by the time you dropped off your patient, gave report and closed the chart it was time to go back with the next one.

Especially if the surgeon was flipping rooms, which many surgeons do. I would take snacks and eat behind the drapes as long as the charge nurse didn’t see me drag them in.
 
Ronin786 said:
ICU gets a bad rap around here (for some good reasons) but not having to worry about going to the bathroom, grabbing coffee or even eating lunch with a colleague somewhere is a definite perk.
Click to expand...
Amen. I have said that repeatedly. Maybe that’s why I can’t button my pants these days. Lol.
Proper lunch breaks are to blame.
 
Quoting what ppg said........

''First let's get this out of the way ... when was the last time you saw a general surgeon's partner come in and offer a lunch or pee break?''

This should be the end of the thread the for the OP (and others).

This kind of issue is one reason anesthesiologists are not, sadly, treated with the respect they deserve.

Own your specialty as a physician.
 
To clarify, are there 100% supervision jobs? Are they hard to come by? I'm assuming jobs that are mixed supervision/own cases likely have some docs supervising rooms so they could break you out if necessary. Correct?

For medical reasons it is not an option for me not to have relief available. I chose anesthesia because I loved it. It's been fine for me for years so there must be a way to make it work.
 
Slothtronaut said:
To clarify, are there 100% supervision jobs? Are they hard to come by? I'm assuming jobs that are mixed supervision/own cases likely have some docs supervising rooms so they could break you out if necessary. Correct?

For medical reasons it is not an option for me not to have relief available. I chose anesthesia because I loved it. It's been fine for me for years so there must be a way to make it work.
Click to expand...

Yes. Plenty, if that’s what you want. You’ll find them. They’re very easy to come by.
 
TXEMC344 said:
Quoting what ppg said........

''First let's get this out of the way ... when was the last time you saw a general surgeon's partner come in and offer a lunch or pee break?''

This should be the end of the thread the for the OP (and others).

This kind of issue is one reason anesthesiologists are not, sadly, treated with the respect they deserve.

Own your specialty as a physician.
Click to expand...

I’ve seen plenty of surgeons take piss breaks. Surgeons also skip out of the room to have an hour long sit down lunch while the PA closes. Let’s not pretend surgeons are some manly stoics and we’re a bunch of whiners (well, there are plenty of whiners). As a healthy adult, you should be able to hold your bladder for a few hours. Occasionally a case goes long or you just have to go, so you either look to see if someone is free so you can step out or you choose an opportune time to take a 60 second whiz.

Man, this debate is so weird. You either have people beating their chests and bragging how long they can hold their bladder or you have people who literally take 12 dumps a day and can’t stray more than 10 feet from a toilet.
 
TXEMC344 said:
Quoting what ppg said........

''First let's get this out of the way ... when was the last time you saw a general surgeon's partner come in and offer a lunch or pee break?''

This should be the end of the thread the for the OP (and others).

This kind of issue is one reason anesthesiologists are not, sadly, treated with the respect they deserve.

Own your specialty as a physician.
Click to expand...

If you arent respected...I hate to say it...its most likely not because you take a piss during a case.

If you are good at what you do...respect comes with it
 
Just as an aside, I work in a primarily supervisory practice, and there are definitely days where I can't find the time to pee for 5 or 6 hours. Especially on call. Running three or four rooms plus preops, plus blocks, plus covering L&D, plus PACU calls, etc can definitely be worse than being in-room doing cases. My in-room days feel super low-key compared to most days supervising.
 
B-Bone said:
Just as an aside, I work in a primarily supervisory practice, and there are definitely days where I can't find the time to pee for 5 or 6 hours. Especially on call. Running three or four rooms plus preops, plus blocks, plus covering L&D, plus PACU calls, etc can definitely be worse than being in-room doing cases. My in-room days feel super low-key compared to most days supervising.
Click to expand...


I imagine supervising the right way in a busy ACT is the most demanding practice model. MD only is quite chill most of the time.
 
nimbus said:
I imagine supervising the right way in a busy ACT is the most demanding practice model. MD only is quite chill most of the time.
Click to expand...
Yep, an ACT practice where you're not a lazy slug in the lounge letting the CRNAs run amok is incredibly fast and busy. It's exhausting.

Although I'd also point out that one of the big reasons physician-only solo practice is often "quite chill" is because there aren't any fires to put out.
 
There are plenty of breaks between one hour Appy's, Chole's, Knee Replacements and Cesareans. And if I need a break, I can always call a colleague who is doing the same kind of cases to get me out.

If it was a Tertiary academic medical center, I imagine it might be the residents who would get me out.
 
UscGhost said:
this "Well in my day we worked 100 hours a day for two schillings and some saltine crackers..so you should too" attitude.
Click to expand...
I hope you can at least appreciate the humor of this statement in the context of a question posted by an OP whose username is an animal renowned for laziness.
 
You must log in or register to reply here.

Similar threads

P
UC (university of California) jobs in cali
Replies
39
Views
3K
repititionition
R
T
Job market in Denver ?
Replies
18
Views
2K
deleted87051
D
N
I'm Going to Just Leave This Right Here....
Replies
9
Views
1K
NicholasPavona
N
Y
Pursue a fellowship or not?
Replies
27
Views
6K
pgg
pgg
L
Administrators meddling in OR operations
2
Replies
66
Views
6K
lotsapain
L
Top