Here are my top 3 tips for getting autonomy in the OR as a resident. A 🧵
#1
demonstrate you have prepared by asking specific questions about the case. I want to gain access here because of their previously surgical history etc.
@AjvictoryMD
Completely agree. The nurse in the room wouldn’t open the stitches I asked for because of cost…. My response. How would you like to do this anastomosis. The things I needed were then opened.
#2
tell us what part(s) of the procedure you want to work On - this let’s us know you a. the steps of the procedure and b. Have evaluated your skill and thought of areas you want to work on
Here is a
#subtlesurgeonburn
that was used on me today. Co-surgeon walks into the room for their portion of the case. Immediately states “is it time to re-dose antibiotics?”
#sizzle
@herniabarbie
doing a live TAR in Delhi and reconstructing the thinnest posterior sheath I’ve seen in a while. Putting in a clinic in how to manage the difficult posterior layer.
@awrsurgeons
I think the worst thing we have done as surgeons is convince their hernia has come back when they lifted too much or too soon when in all reality they got a sub optimal repair to begin with
#makeherniasgreatagain
What a fantastic few days at this years AHS meeting. Amazing event thanks to
@NovitskyYuri
and everyone else that made it possible. Learning from the greats of hernia, seeing old friends and making new ones
@ACHQC
#charlotteincharlotte
Despite being in the US for a decade. As a Canadian I still struggle with Fahrenheit. Wore this into work today. It’s 50F.
#alwaysacanadian
#abittoasty
The best part about residency is meeting life long friends. Not only did we start as interns together. Now three fellowship trained, dive certified female surgeons hanging out at 145ft at the blue hole
#FriendshipGoals
#wanderlust
I am shocked by how little I knew about what being an attending is actually like. Both the goods and the bads. I think we need to do a better job of helping or residents/fellows transition or practice and sharing our experiences openly
#transitiontopractise
#newattendinglife
Great mentors are learners as well as teachers.
Data: when mentors value insights from below, they're more engaged and effective—and their mentees are more successful.
Mentoring is not a transfer of wisdom from one to another. It's a relationship where two people grow together.
@rbarbosa91
a patient’a spouse brought these in to clinic today. Old needles for medics to use during Vietnam. Look at the swedge on the needle for the fascia 👀👀
#surgicalhistory
Tonight’s run was 🔥 crisp air. Night rise. Playlist on point and the legs just wanted to go for it. Perfect way to unwind after a stressful day
#WorkLifeBalance
#runforlife
#nikerunning
@CPark_MD
If you are a hernia specialist when do you ask your subspecialty surgeons to take out a colon mass. Or a IPMN. It is interesting how different the question is if you ask it in reverse.
#makeherniasgreatagain
More familiar surgeon-anesthesiologist dyads can yield better outcomes for complex GI surgery: each surgery done together is associated with 5% lower odds of morbidity for the next patient.
@HalletJulie
@DrTonyEskander
@propelresearch
So often we focus on the technical aspects of surgery in talks. It was an absolute pleasure to talk about something equally important
#worklifebalance
. Thanks
@awrsurgeons
and
@rambodoc
for recognizing the importance of this
And that’s a wrap! Another successful ACHQC QI Summit. Every year we are impressed by the questions this database can answer and the addition of new surgeons and trainees from all practice settings. Providing continuous quality improvement hernia care is possible because of you!
To all the amazing nurses out there. I truly wouldn’t be the doctor I am today without you. Thanks for keeping the hospital together every July but also the rest of the year, putting our patients first and for everything you do.
#HappyNursesWeek
An advertisement for a mesh product. In an attempt to make the photo relatable? I have lots of thoughts. But just going to put that out there for
#MedTwitter
#thefutureisnotsobright
I am a huge fan of abdominal core health and understanding the implications of a rectus diastasis on abdominal wall function. Just not at 4:30 am.
#calllife
#corehealth247
With many additional contributions not listed in this image,
@chornemd
is our
#HeavyHerniaHitter
and all set to create Deep Impact. Follow her sessions!
As with all women in medicine I do get the occasional comment about my age and appearance. Today however took the cake. When I was told I look to young to be married….. eye. Roll.
#aginggracefully
#wtf
@drninashapiro
Not to mention these often are laden with significant bias against race and gender. I get a lot of comments about the poor parking situation. Because I play such a large roll in that…….