A couple of things I thought of a few days ago that I needed to mention to the medical student in my OR:
- when being asked about anatomy, don't respond, "I don't know, its been 2 (or however many) years since I had anatomy." The attending's anatomy course will always have been longer ago than yours (as it happened, my surgical assist that day was a retired Ob-Gyn who said something like, "its been 39 years since I had anatomy and I still remember the name of that structure!"
)
- there is something to be learned from every case. Please do not tell me you've seen this "like 3 times before" when asking to do a different case.
- learn to walk faster
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bring some food in your pocket; you may not have time to eat before the OR
- do not eat in front of your residents who may not have time to eat or even sneak a granola bar (but then your mother taught you it was rude to eat in front of others anyway, right?)
- do not wear your stethoscope around your neck or on a belt loop holder; put it in your pocket
- on services with lots of dressing changes (ie, vascular),
keep some trauma shears, dressing materials and tape in your lab coat pocket (some teams have a cart);
run ahead of the team to the next room and take the dressing down
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describe the characteristic of what's coming out of the drains; the amount is nice, but if you don't tell me its succus I might be a little peeved
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learn how to suture, remove staples, remove drains, strip drains and everything you can about normal post-operative wound healing. Even if you don't become a surgeon, these skills may prove helpful in many other fields.
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get into the OR before anyone else; help the patient move over to the table, put in the Foley (if needed and if so, without asking...unless its your first time), write your name on the board so the circulator can note it, get out your gloves and gown for the scrub nurse/tech, page the resident when the patient is in the room, help position, do not complain about your arms/shoulders/neck, etc. hurting during the case, if you must leave to puke/pee/whatever please give us notice so we can adjust retractors, assist in moving the patient back to the bed after the case, go to the PACU with them, offer to write the post-op note, do the post-op check on your patient...
- try to be present for at least one end of life discussion with family; there are two types - the elderly SICU patient and the young trauma patient. These are totally different conversations with different reactions and it can be helpful if you have a good resident or attending who handles these and teaches you how.
- there's always more, but this is a start...(and I'm sure we've got some threads here or in Clinical Rotations about this very topic)