Does anyone have any advice on what I'm supposed to get out of my surgery rotation. I've been trying to think what to try and get out of thie month that's relevant to family practice and all I can think of is when to consult surgery and how to identify if someone needs to go to the OR?
Surgery Rotation during intern year
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D
deleted87716
That's kind of up to you.
I thought it was a pleasant distraction from the wards, personally. I told the surgeon I rotated with that I wanted to focus on office procedures and pre-op and post-op care, and he was more than happy to turn me loose in his clinic and let me round on his hospital patients. I did a ton of office procedures. He didn't make me to go to the O.R. with him unless I wanted to, for which I was thankful.
I think a lot of it depends on the surgeon. Usually, the ones who have agreed to work with FM residents are pretty cool.
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I rotated with 2 surgery attendings. With 1, I did more clinic, more outpatient procedure/suturing, and closing. With the other, I did more hospital inpatient rounds, consults, and pre-case intubations.
I really worked hard on physical exam of the thyroid & abdomen. I learned a lot of GI on gen surgery. Learned a lot about wound care. Got lots of central lines, intubations, and peripheral IV's during the 7 am scramble. And pus. So much pus during this rotation. Not as many chest tubes as I had hoped. Also, not as much trauma as I had hoped.
On OB, got lots of subcuticular closures on my C/S assists and vaginal lac repairs.
My advice is, at the very minimum, to learn the GI system well on Gen Surg. If you aspire to be a hospitalist or moonlight in ED's, use this time to get some procedures, maybe get in on a couple trauma codes if you can. If you want to do urgent care, focus on wounds care, suturing, I&D's, and learn how do properly administer local anesthesia.
At most unopposed programs, surgery rotation is easy because the service does not depend on the FP resident. At opposed programs, you will be used.
I really worked hard on physical exam of the thyroid & abdomen. I learned a lot of GI on gen surgery. Learned a lot about wound care. Got lots of central lines, intubations, and peripheral IV's during the 7 am scramble. And pus. So much pus during this rotation. Not as many chest tubes as I had hoped. Also, not as much trauma as I had hoped.
On OB, got lots of subcuticular closures on my C/S assists and vaginal lac repairs.
My advice is, at the very minimum, to learn the GI system well on Gen Surg. If you aspire to be a hospitalist or moonlight in ED's, use this time to get some procedures, maybe get in on a couple trauma codes if you can. If you want to do urgent care, focus on wounds care, suturing, I&D's, and learn how do properly administer local anesthesia.
At most unopposed programs, surgery rotation is easy because the service does not depend on the FP resident. At opposed programs, you will be used.
D
deleted6669
there is an unopposed family medicine residency at my primary job. our interns all take atls(trauma) during this month and are supposed to get comfortable with the initial evaluation and preliminary stabilization of pts with varying degrees of traumatic injury, when to refer and to what type of setting, etc.
they spend time on the trauma service, the outpt surgical clinic, and in the surgical icu and very little time in the o.r. unless they really want to assist appys/choles/etc
they do take some first call to the e.r. for primary evaluations so they can get comfortable with those workups.
they spend time on the trauma service, the outpt surgical clinic, and in the surgical icu and very little time in the o.r. unless they really want to assist appys/choles/etc
they do take some first call to the e.r. for primary evaluations so they can get comfortable with those workups.
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In my experience and dealing with FM programs and FM residents, a good program will already have things worked out with your surgery rotations and attendings. You should have a very clear idea/plan of what your program wants you to get out of your surgery rotation. Your surgery attending should have a very clear idea and plan of what your learning objectives are and what he/she needs to do to assure you achieve and hopefully exceed those objectives.
I think in a generic terms, heavier office based and outpt minor procedures should be the technical component as spending 4 hours holding a retractor for a whipple would likely be lost time. Similarly, you should definately learn what you can about preoperative evaluation and risk stratification and postoperative care. But again, your FM program should have clear objectives.
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Survive and fight another day.
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deleted87716
What's with the noobs resurrecting all of these zombie threads lately? Geez. This one's nearly ten years old. 🙄
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Is this not a bannable offense? One or two threads are understandable if they are relevant. But this is absurd. It’s like this is his first time on the internet.
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