Portable Surgical Mentor

A Handbook of Protocol for Interns and Residents in Surgery
1. Auflage 2010
ISBN: 978-0-387-33029-7
Verlag: Springer-Verlag
Format: PDF
Kopierschutz: Wasserzeichen (»Systemvoraussetzungen)

E-Book, Englisch, 148 Seiten

Concise guidebook, essential to surgical trainees that want to stand out from the rest. Provides background information to prepare surgeons for the environment they're about to enter. Day to day guide on the processes of the intern and resident in surgery. 

Autoren/Hrsg.

Inhaltsverzeichnis

1;The Author;6
2;Acknowledgments;7
3;Foreword;8
4;Preface;13
5;Table of contents
;14
6;1 The Transition - Part 1 ;18
6.1;1. Younow LIVE INA GLASS HOUSE;19
6.2;2. BE HUMBLE;19
6.3;3. BE RESPECTFUL and courteous to everyone that you encounter
;20
6.4;4. Be aware that MORALITY and ETHICS have a strong interplay when it comes to the practice of medicine
;21
7;2 Attire
;22
8;3 The Little Black Book
;26
8.1;PDA;27
8.2;Little Black Book;28
9;4 Communications
;30
9.1;Overhead Page-Very Unreliable;31
9.2;Digital or Numeric Pager-Very Reliable;31
9.3;Cell Phone-Very Reliable;31
9.4;Home Telephone;32
9.5;E-Mail;33
10;5 Surgery Suite Etiquette
;35
10.1;Scheduling;35
10.1.1;Start Time;36
10.1.2;Equipment and Supplies;36
10.1.3;Personnel;37
10.1.4;Working Relationships;37
10.1.5;Drawbacks;37
10.2;Preoperative Activities;38
10.2.1;Assume Responsibility;38
10.2.2;Notes and Orders;38
10.2.3;Reports;39
10.2.4;Wounds;39
10.2.5;Communicate;39
10.2.6;Consent;39
10.2.7;Document;39
10.2.8;Prepare;40
10.3;Operating Room Conduct;40
10.3.1;Prepare;41
10.3.2;Reports;41
10.3.3;Time;41
10.3.4;Be Helpful;42
10.3.5;Music in the Operating Room;42
10.3.6;Stay Put;42
10.3.7;Skin Prep;43
10.3.8;Assume Responsibility;43
10.3.9;Scrubbing;43
10.3.10;Assisting or Starting;44
10.3.11;Be Assertive;44
10.3.12;Idiosyncrasies;45
10.3.13;Finishing Up;45
10.3.14;Thank You;45
10.4;Postoperative Activities;46
11;6 The Clinics
;47
11.1;Institutional Clinics;47
11.1.1;1. Entering the Examining Room:;48
11.1.2;2. Communicating with Patients:;49
11.1.3;3. Examining Referred Patients:;49
11.1.4;4. Observing the Patient:;50
11.1.5;5. Follow Up with the Patient:;50
11.1.6;6. Exiting the Examining Room:;50
11.1.7;7. Writing in the Patient's Chart:;50
11.1.8;8. Ending Each Clinic:;51
11.2;The Private Office;51
12;7 Rounds
;53
12.1;Rounds by Yourself;55
12.2;Rounds with Residents and/or Students;55
12.3;Rounds with Attendings;56
12.4;Rounds with the Chief;57
12.5;Weekly Rounds;57
12.5.1;If You Are the Presenter of Weekly Rounds;58
12.5.2;If You Are a Helper at Weekly Rounds;59
12.5.3;If You Are a Listener at Weekly Rounds;59
12.6;Grand Rounds;59
12.7;Teaching and Teachers;60
12.8;Note;61
13;8 Difficult People
;62
13.1;The Difficult Patient;62
13.1.1;Was It You?;63
13.1.2;Was It Them?;63
13.2;The Difficult Family Member;64
13.3;The Difficult Co-Resident;65
13.4;The Difficult Attending;66
13.5;The Difficult Consultant;67
13.6;Difficult Hospital Personnel;67
14;9 Documentation
;69
14.1;Patient Charts;71
14.1.1;History and Physical Examination;71
14.1.2;Progress Notes;72
14.1.3;Consultations;72
14.1.3.1;1. YouRequest the Consultation.;72
14.1.3.2;2. You are the Consultant;73
14.1.4;Orders;74
14.1.5;Operation Reports;74
14.1.5.1;1. Preoperative Note.;74
14.1.5.2;2. Operative Report.;75
14.1.5.3;3. Postoperative Note.;77
14.1.6;Discharge Summary;77
14.1.7;Face Sheet;78
14.1.8;Informed Consent;78
14.1.9;DNR;79
14.1.10;Living Will;80
14.2;Prescriptions;81
14.2.1;Letters, Authorizations, Status Reports;81
15;10 Presentations
;83
15.1;Preparation of Slides;83
15.2;Presentation;84
16;11 The Mortality and Morbidity Conference
;86
16.1;Preparation;86
16.2;Presentation;87
17;12 The 80-Hour Week
;91
18;13 The Boards
;94
18.1;The Operative Record;94
18.2;The In-Service Exam;95
18.3;Tips for Remembering and Studying for Tests;96
19;14 The Interview
;98
19.1;The Preparation;99
19.2;The Application;100
19.3;The Interview;100
19.4;The Match;102
20;15 Medical - Legal
;103
20.1;Malpractice;103
20.2;Legal Documents;104
20.3;Responding to a Subpoena or Requests from Attorneys
;105
20.4;Testifying;105
20.5;Conflict of Interest;108
20.6;Child Abuse;108
21;16 HIPAA
;110
21.1;Suggestions for HIPAA Compliance;111
21.2;HIPAAat a Glance;112
21.2.1;What Is HIPAA?;112
21.3;Hippocratic Oath-Classic Version;115
22;17 Assorted Affairs
;117
22.1;OnCall;117
22.1.1;On Call in the Hospital;117
22.2;Research;117
22.3;History;119
22.4;Left Handedness;120
22.5;Libraryand Filing System;120
22.6;Cameras;121
22.7;Computers;123
22.8;Ethics;124
22.9;Charity;125
22.10;Missions;126
22.11;Political Action Committees;126
22.12;Insurance;126
22.12.1;Medical Malpractice Insurance;127
22.12.2;Life Insurance;127
22.12.3;Disability Insurance;129
22.12.4;Health Care Insurance;129
22.12.5;Long-Term Care Insurance;130
22.13;Family and Friends;130
22.14;Your Health;131
22.15;Vacations;133
23;18 The Transition - Part 2 ;135
23.1;Introduction;135
23.2;The Start;136
23.3;Fellowship Training;137
23.4;Private Practice;138
23.4.1;1. Where do You and Your Spouse Want to Live?;138
23.4.2;2. Solo, Group, Mu1tispecia1ty or Clinic?;139
23.5;Academia?;140
23.5.1;Pros:;140
23.5.2;Cons:;141
23.6;The Search;141
23.7;The Decision;142
23.8;The Investigation;142
23.9;Due Diligence;144
23.10;Obligations;145
23.11;The Beginning;145
24;19 The Mentor's Wrap-Up
;147
25;Appendix A
;152
25.1;Commonly UsedWeb SItes;152
25.1.1;Medicine In General;152
25.1.2;Surgery;152
25.1.3;PDA;153
25.1.4;Finance;153
26;Appendix B
;154
26.1;Books of Interest;154
26.1.1;Surgery;154
26.1.2;Atlases;154
26.1.3;Handbooks;155
26.1.4;Resources;155

Leseproben

"11 The Mortality and Morbidity Conference (p. 73-74)

Tell me and I forget. Show me and I remember Teach me and I learn. -BENJAMIN F RANKLIN The Mortality and Morbidity Conference (M & M) is certainly the most important hour of the week for residents and their teachers. Here is the last bastion of medical intellect, competition, showmanship, and debate. And, the most important component in the M & M is the absolutely perfect presentation, which requires extensive preparation.

Preparation

1. Collect all of the facts of the case. If certain historical information is not readily available , search it out. If necessary, call previous doctors, clinics, hospitals, and if appropriate, the patients family. The data, regardless of how trivial, must be sought.

2. Discuss the case to be presented with your attending. This is not only a matter of courtesy, it may also give you additional, detailed information, and it will also prevent you from getting blind-sided by questions from. that attending. If the attending for that case cannot be present for the conference, the case should not be presented.

3. Only residents who thoroughly know the case, the main issues, and the controversies surrounding the complication, should be presenting. Thus, the case should be presented by the most senior resident who will conduct himself as if he were the attending surgeon and the patient was from his private office.

Presentation

Each institutions M & M Conference has its little idiosyncrasies not limited to specific seating arrangements, attendance, and the precise way in which the case is presented. While some (very few) places do not take the conference very seriously, you have the opportunity to elevate it to a new level by preparing your presentation in the following format.

1. Prepare a brief, printed summary to serve as a.sort of "database." Do not waste time reviewing facts. Members of the audience will have more time to formulate their thoughts and questions. Include line drawings if applicable.

2. Have audiovisual aids available (overhead projector, slide projector, microscope projector, etc.). A picture is worth a thousand words, and it certainly makes your discussion more objective."