So, I start my surgery rotation tomorrow and was told y the resident on service that I should read up on the procedures before coming in. I have no idea where to read up on/ see images for the various steps of the procedure. I have access to some online med databases like mdconsult and accessmedicine/ accesssurgery. Is there a particular resource that you guys would recommend to read up on a specific procedure or learn the procedure specific anatomy beforehand?
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Surgery Atlas?
Started by CBG23
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I personally like Zollinger Atlas of Surgical Operations.
Many of the hospitals I have been to have it in the library.
I bought a copy because I want to do surgery but, generally you get a good overview of the anatomy, the steps in the procedure and the common steps where a potential complication can arise.
Should be able to answer most questions you will be asked
You don't need to know how to do procedures, but know the following (I'll pick a gallbladder as an example):
1. Why you're doing the operation (biliary colic/cholecystitis)
2. What needs to be done beforehand (U/S, MRCP if elevated bilirubin/LFTs)
3. What are the major intraoperative complications (CBD injury, clamping off the hepatic artery)
Basically don't just show up with a "So what are we doing today?" attitude. Know why you're doing the operation, how to work up that specific chief complaint, etc.
1. Why you're doing the operation (biliary colic/cholecystitis)
2. What needs to be done beforehand (U/S, MRCP if elevated bilirubin/LFTs)
3. What are the major intraoperative complications (CBD injury, clamping off the hepatic artery)
Basically don't just show up with a "So what are we doing today?" attitude. Know why you're doing the operation, how to work up that specific chief complaint, etc.
I agree - you don't need an atlas.
Zollingers and others are excellent, but those are for residents and those actually doing the cases.
The advice from VisionaryTics to know is excellent:
- what the cases are for the next day
- what the indication for the cases are
- common presenting complaints
- pre-op work-up/diagnosis
- common complications
Get yourself a student text (Lawrence for example) and a handbook (Surgical Recall, Mount Reid, Washington Manual, etc), not an atlas.
Zollingers and others are excellent, but those are for residents and those actually doing the cases.
The advice from VisionaryTics to know is excellent:
- what the cases are for the next day
- what the indication for the cases are
- common presenting complaints
- pre-op work-up/diagnosis
- common complications
Get yourself a student text (Lawrence for example) and a handbook (Surgical Recall, Mount Reid, Washington Manual, etc), not an atlas.
I've planned for an away rotation later this year, in Gen surgery or trauma surgery (depending on which I get), what should I read up on? besides that you mentioned above. I'm planning to have Surgical Recall downpact, but anything else? Is there a HY text for getting pimped...lol. Also what surgical skills should I have down for the OR, since an away is kind of an interview im guessing they will want to see if I have basic surgical skills right?
If you have a general surgery elective then you'll read up on the cases as they are booked. In general, however, you would want some working knowledge of the management of cholecystitis,hernias, wound care, colon surgery, acute appendicitis, neck masses, bowel obstructions and breast malignancies.
A trauma rotation will be mostly critical care with a few exceptions left which require ex laps. You will want to know the initial evaluation and management of trauma, nonoperative management of solid organ injuries, nutrition and basic vent management.
Surgical recall is your high yield book.
No the away rotation is not your opportunity to show off your surgical skills. I do expect final year students to be able to do a two-handed tie and a subcuticular suture.
Most importantly however, the rotation is the opportunity for me to make sure you're not an ******* and are someone whom I can stand seeing every day for the next 5 to 7 years.
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YouTube has a lot of good videos of quite a few cases, honestly. I'm a PGY-3 in surgery and watched some videos of a specialty operation that I scrubbed into this week, because my textbooks were a little lean, and it's kind of a newer procedure.
Bingo, another bullet point on the ol' CV.
