Surgery Rotation scheduled first!

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AnnaMags

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I just found out that I have two months of surgery scheduled as my first rotations. The first is in a small town. Supposedly the doctor does not hire anyone...the student is always first assist! I'm not interested in surgery for my future and have never had any experience with that. How should I prepare??

I'd love to hear your advice for things to review, books to use, etc.

Thanks!
 
Here's my two cents...

I would suggest doing all of the things that you would normally do in preparing for any surgery rotation (i.e., ones where students are not first assist).

Select one or two really good surgery texts, a good Q&A book, and maybe something high-yield and portable (like Surgical Recall). As far as specifics, I'm sure there are plenty of book threads on this forum with varied opinions...but I would highly recommend Lawrence's Essentials of General Surgery (as well as Essentials of Surgical Specialties).

Other than that, just make sure you read up on your patients (I guess, in this case, your doctor's patients too)...anything you can about their conditions and the anatomy involved. From my own experience, most attendings will not expect you to know all of the intricacies of every specific procedure. Instead, they will expect you to be comfortable with the patient's H&P and things they know you have been exposed to during your pre-clinical years (i.e., anatomy).

A few last things I found helpful... Practicing knot-tying with any suture material I could get ahold of, and practicing suturing on things like rolled up sponges or pigs' feet. I checked a copy of Basic Surgical Techniques by Kirk out from the library to help me with this...I don't know how this stacks up against the competition, but I liked the detailed explanations and step-by-step diagrams.

Good luck! 🙂
 
Outside of the University setting it is rare for a surgeon to have another surgeon assist them on their cases. There is a scrub tech trained to retract etc to assist the surgeon while a second tech passes instruments. It may sound horrible that you are expected to first assist, but if he really relies on students to be his assistant then he is aware of when new M3's start their rots and should not expect you to come in to the OR day 1 knowing everything. Talk to a couple of 4th year non-surgeon types and find out what their experience was like.
Let us know how things work out.
 
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