Need to pee, need to eat, need to keep busy

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Just like in residency, an attending will come give breaks (at the attending run practice I rotate at)
 
Between cases.

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Ditto. I am not in an attending only practice but when I was a resident, one of my rotations involved one. When we were not there they basically took care of these things between cases. Granted turnover there was quite slow. Also sometimes there was an attending waiting to go into a case, he would get another one out for a break. It didn't seem like it was a big deal.

A couple of days ago when I was the 2nd of 3 people to leave, I was sent into a room on my own while the late person covered other rooms and the recovery room. I had to start another case after the one I finished and was able to use the restroom in between these cases. It's what I've done in the past also.
 
Ditto. I am not in an attending only practice but when I was a resident, one of my rotations involved one. When we were not there they basically took care of these things between cases. Granted turnover there was quite slow. Also sometimes there was an attending waiting to go into a case, he would get another one out for a break. It didn't seem like it was a big deal.

A couple of days ago when I was the 2nd of 3 people to leave, I was sent into a room on my own while the late person covered other rooms and the recovery room. I had to start another case after the one I finished and was able to use the restroom in between these cases. It's what I've done in the past also.

Seems like a big negative of MD-only practices. In a care team setting, there are always people around for breaks and lunch. I haven't worked in an MD-only setting, but it seems like the staffing would be pretty tight. Even if there is one extra doc available most of the time, I'd imagine you'd rarely get out of your room. You don't want to seem needy or whatever.

I bring this up because I'm looking at some MD-only jobs. I just don't see myself eating energy bars for lunch and holding it for the next 20-30 years. Going to the bathroom between cases is a non-issue for reasonably short cases, but lunch or breaks during long cases seem like a problem. Turnover provides plenty of time for surgeons to eat since they finish before you and start the next case after you. Plus, you are in no position to bi+<h them out if they slow things down while the opposite isn't the case.

I get cranky and jittery when I don't eat for too long, and occasionally you've just gotta hit the head -now. It may seem like a small thing, but it makes me hesitant to apply for MD-only jobs that are otherwise great. That's why I want to know if it's a real issue or if it's not as bad as I imagine.
 
Seems like a big negative of MD-only practices. In a care team setting, there are always people around for breaks and lunch. I haven't worked in an MD-only setting, but it seems like the staffing would be pretty tight. Even if there is one extra doc available most of the time, I'd imagine you'd rarely get out of your room. You don't want to seem needy or whatever.

I bring this up because I'm looking at some MD-only jobs. I just don't see myself eating energy bars for lunch and holding it for the next 20-30 years. Going to the bathroom between cases is a non-issue for reasonably short cases, but lunch or breaks during long cases seem like a problem. Turnover provides plenty of time for surgeons to eat since they finish before you and start the next case after you. Plus, you are in no position to bi+<h them out if they slow things down while the opposite isn't the case.

I get cranky and jittery when I don't eat for too long, and occasionally you've just gotta hit the head -now. It may seem like a small thing, but it makes me hesitant to apply for MD-only jobs that are otherwise great. That's why I want to know if it's a real issue or if it's not as bad as I imagine.

saline bottles
 
In the all MD practice I rotated at, it seemed pretty nice. Everyone got a 15 min coffee break, 30 min at least lunch break, and an afternoon break as well.
 
I wasted a cumulative 1 hour and 20 min of time between cases today. (That is time between when I was ready to go into the OR with the next patient and when I actually was called to the room to begin)

Biggest myth about private practice - we don't have the same acuity as the educational institutions.

2nd biggest myth - fast room turnovers.

If you are in a long room just stash some food in your anesthesia cart or briefcase/ bag to eat during the case. Sure you aren't going to eat hot soup or a juicy hamburger and let the smell waft throughout the room, but you could get away with a reasonable cold sandwich or something.

If you can't hold it, you could always go with one of these hehe.

DD2%2BCondom%2Bcatheter.jpg



We actually have the luxury of one dude assigned to OB every day who we can call on for a quick break if necessary. In six months, I haven't needed to call. I have accepted an offered break from one of my partners on a couple of occasions, but didn't really need it.


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