The Private Practice way...

[DrRobert]

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What happens when you leave residency and join a private practice group in terms of how you do cases?

Do you perform them the same way you did in residency?

Do you ask the other members of the group how they like to do particular cases and then adapt to their style?

Do you ask individual surgeons how the anesthesia is usually provided for a particular case and then copy that?

Just curious since each institution seems to have their own "way" of doing cases.

Also, if you are supervising CRNAs, do you let them practice how they are used to or do you dictate how the case should be handled?

 

[Gas]

What happens when you leave residency and join a private practice group in terms of how you do cases?

Do you perform them the same way you did in residency?

Do you ask the other members of the group how they like to do particular cases and then adapt to their style?

Do you ask individual surgeons how the anesthesia is usually provided for a particular case and then copy that?

Just curious since each institution seems to have their own "way" of doing cases.

Also, if you are supervising CRNAs, do you let them practice how they are used to or do you dictate how the case should be handled?

Great question. Answer is that it varies. For most cases, I modify what I do to fit more in line with what the group does, and what the surgeon prefers, as long as there is no potential of patient harm. However, if I don't feel comfortable doing something or it's not in the patient's best interest, I won't do it. One of the reasons it's important to get exposure to a wide variety of techniques during residency.

When I supervise CRNA's, I decide what type of anesthesia to do/what drugs to give for induction/RSI vs. not, which lines to do, etc, but I do let them induce the way they want(while I am standing there), titrate in narcotic the way they want, intubate the way they want, etc, as long as it is reasonable. If the patient is sick, I am more hands on.

 

[jetproppilot]

Great question. Answer is that it varies. For most cases, I modify what I do to fit more in line with what the group does, and what the surgeon prefers, as long as there is no potential of patient harm. However, if I don't feel comfortable doing something or it's not in the patient's best interest, I won't do it. One of the reasons it's important to get exposure to a wide variety of techniques during residency.

When I supervise CRNA's, I decide what type of anesthesia to do/what drugs to give for induction/RSI vs. not, which lines to do, etc, but I do let them induce the way they want(while I am standing there), titrate in narcotic the way they want, intubate the way they want, etc, as long as it is reasonable. If the patient is sick, I am more hands on.

Very well said.

Theres usually 20 ways to do any one thing in this biz, as you know.

Put your foot down when needed....which shouldnt be very often if you work in a group with reasonable, talented people.

Otherwise blend into the practice.

You wanna be known as talented, flexible, and amicable.

Cant accomplish this if you're a control freak when control isnt needed.

 

[Planktonmd]

Very well said.

Theres usually 20 ways to do any one thing in this biz, as you know.

Put your foot down when needed....which shouldnt be very often if you work in a group with reasonable, talented people.

Otherwise blend into the practice.

You wanna be known as talented, flexible, and amicable.

Cant accomplish this if you're a control freak when control isnt needed.

👍
Can't be said better.