Was told I was being passive during surgery rotation

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studentdoc911

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So I'm on my surg oncology rotation, and I got told I was being very passive in the OR. I do the usual things like getting the bed in and out, taking the drapes off when necessary etc.. however, in my previous surgical rotations (ortho, vascular), my residents expected me to basically "get out of the way" in the OR. So I kinda had the same attitude and only did things when asked. Apparently, I don't walk fast enough either during rounds.

wtF? I still have half my rotation left and want to remedy this... how much do you guys do to look like model students in the OR/general?
 
Always, always help out in the OR. Not just the getting the bed, or using the little mitt. It's important to be on the look-out for things you can do to help. If you know they're going to want the blankets next, just go get them yourself before someone's looking around for it. Go get the razor if it's not already brought out. Help tie up the back of the scrub tech's gown, if you see the nurse is busy doing something else. Throw trash away for people.

I see a lot of other students just stand there when there's plenty of work to be done. But ime, those little things are really appreciated. Also, I used to always offer to write a post-op note, do post-op exam, etc. Other things you can do: volunteer to put the catheter in, iv in, etc.

Surgery is unlike other rotations where you can talk your way out of actually working & still get a good grade. 😉 It's kind of fun though, because if you anticipate what they need correctly without anyone having to ask you, they are really easily impressed. This applies for during the operation, if you have the ray-tech available before they ask for it, etc.

It's double-edged though, in that if you don't anticipate correctly & actually do something helpful, you will get in the way... and they'll tell you to get out of the way. Also, it's tricky in that some techs will let you assist with instruments (& you look like a rockstar when you can anticipate what the surgeon will need)... but a lot won't, and apparently it's bad form to do it in general... though you really do make an impression on the surgeon when you can do it!

Yeah, so basically it's not hard. Figure out where supplies are located. Go get them before someone else goes around looking for them. Help everyone in the OR, not just surgeon/residents.
 
So I'm on my surg oncology rotation, and I got told I was being very passive in the OR. I do the usual things like getting the bed in and out, taking the drapes off when necessary etc.. however, in my previous surgical rotations (ortho, vascular), my residents expected me to basically "get out of the way" in the OR. So I kinda had the same attitude and only did things when asked. Apparently, I don't walk fast enough either during rounds.

wtF? I still have half my rotation left and want to remedy this... how much do you guys do to look like model students in the OR/general?

The above advice is great, I just wanted to add a comment that you aren't alone. Every attending is different, and that is one of the greatest challenges of third year. Just when you have it figured out you switch and have no idea what the next one wants. One attending I had was such a micromanager that you literally did nothing unless told. He went so far as to point to the ground to tell you where he wanted you to stand. Others I've experienced completely ignore you. (Also not joking, once did procedure that took over 4 hours, not a single word, very weird.)

All that to say, sounds like they've let you know what they want by telling you that you are passive, so I'd follow the above advice. The key to third year is sucking up correctly 🙂
 
Always, always help out in the OR. Not just the getting the bed, or using the little mitt. It's important to be on the look-out for things you can do to help. If you know they're going to want the blankets next, just go get them yourself before someone's looking around for it. Go get the razor if it's not already brought out. Help tie up the back of the scrub tech's gown, if you see the nurse is busy doing something else. Throw trash away for people.

I see a lot of other students just stand there when there's plenty of work to be done. But ime, those little things are really appreciated. Also, I used to always offer to write a post-op note, do post-op exam, etc. Other things you can do: volunteer to put the catheter in, iv in, etc.

Surgery is unlike other rotations where you can talk your way out of actually working & still get a good grade. 😉 It's kind of fun though, because if you anticipate what they need correctly without anyone having to ask you, they are really easily impressed. This applies for during the operation, if you have the ray-tech available before they ask for it, etc.

It's double-edged though, in that if you don't anticipate correctly & actually do something helpful, you will get in the way... and they'll tell you to get out of the way. Also, it's tricky in that some techs will let you assist with instruments (& you look like a rockstar when you can anticipate what the surgeon will need)... but a lot won't, and apparently it's bad form to do it in general... though you really do make an impression on the surgeon when you can do it!

Yeah, so basically it's not hard. Figure out where supplies are located. Go get them before someone else goes around looking for them. Help everyone in the OR, not just surgeon/residents.

👍

Follow this advice and you'll impress.
 
I agree with everything unsung said.

I've only done OB/GYN so far, but it bothered me to no end that whenever I asked a question about where something was located I got the evil eye. Heaven forbid you tell me where something is so I can get it in the future and help out.
 
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