Some surgeons may prefer clinic dress when you’re in clinic – ask your resident
Different services have different schedules
Most days start at 5-6 and end by 4-6.
0500-0600 – pre-rounds with intern/resident
0600-0730 – various morning conferences
0700-1700 – procedures on some days, clinics on others
Monday is lecture day
Morbidity and Mortality (M&M) conference on Wed morning at 0630 on 8th Floor Clinic Towers where Vascular and Cardiothoracic Surgery is located (follow your resident)!
The general surgery operating rooms are on the 2nd floor
The operating rooms for urology are on the 1st floor of the Merrill Hines Building (south of the hospital elevators)
The general surgery clinics are on the 8th floor of the Clinic Tower
Recommended pocket resources
4×4 gauze pads
Most used clinical skills
Reading imaging studies
Examining surgical wounds for proper healing
Systems-based presentations in the ICU
Recommended Study resources
Dr. Pestana’s Notes (Shelf Prep)
UWorld Step 2 CK QBank
Blackboard lectures for MCQ/SAQ exam
Essentials of General Surgery by Peter Lawrence
Problem Oriented Medical Report (POMR) – 10%
Clinical Case Presentation (CCP) – 20%
Exam, short answer – 40%
Exam: MCQ – 30%
PASS/FAIL: CPA x4; You MUST pass this portion in order to pass the rotation
Pearls for success
Pre-reading is important in every rotation, but in surgery it is very important. Find out each afternoon what the next day’s cases (EPIC Master Daily List) are and pre-read about the anatomy and surgical details of those cases.
If you have intelligent questions for the surgeon, it will impress him or her
Again, you WILL get pimped on anatomy – so review it! Your resident or intern may be kind enough to tell you ahead of time what questions a specific surgeon likes to ask. Most surgeons ask the same questions time after time.
Perhaps more than any other rotation in Year 3, there is a big gap here between what you learn every day at Ochsner and what is on the UQ written exams. Spending 60 hours/week on service at Ochsner may not help you as much as you’d think on the UQ exams. The exams come from the Blackboard resources, so study those well.
One way to give your mark a boost is to get a good grade on the POMRs. Pick simple cases and carefully dissect each of their surgical components. Ask your resident to review your write-up the day before you turn it in.
Not getting to do much in the OR? Then ask. Be polite, respectful – but definitely ask.