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I have a year left. Does any attending have any advice on procedures that we should focus on for the real world. i feel pretty comfortable with my training at this point, but a heads up "you would be expected to do this" would be nice. I do know that jobs vary from place to place. Thanks for replying.
PS: to the above poster. I haven't done any percutaneous trachs. Mixed feelings on that one. I feel like you are taking aways ENT bread and butter procedure, will they come and bail you out if there is a complication?? Has that happened at your institution?
We do pigtails only but can / have done surgical chest tubes in the past .thats intriguing, people are doing more perc trachs than I expected. Only like 1-2 attending do it at my institution, but we are not trained. We also really don't do surgical chest tubes, mostly pigtails. I heard about the nav bronch course through Olympus is good.
Thanks for you input!!
The way my program is set up, we cover SICU during our MICU rotations (20 beds total between the two of them). Our SICU attending is a fairly new grad, and is the one training us for our perc trachs. We will typically do them in the OR, but will occasionally perform at bedside. The number that's actually done is variable, tho. I think I've only logged about 5-6 assists for per trachs over the past 2 years. Since I've been interviewing, one of the places has asked specifically about my ability to do perc trach. They have stressed that this will be required, and have offered to train me until I can get privileges.