UCSF Students

July 18, 2010

Eating on your surgery rotation

Filed under: General Surgery Rotation — admin @ 11:50 am
You are a medical student on your surgery rotation. Today, you wake up early in the morning, drive to the hospital, round on all of your patients in time, give a succinct presentation on each of your patients, have a great post-op plan in place, and successfully answered questions in the OR. Now your resident is online searching for a topic related to a consult. As you sit there, on call, you realize that you are very, very hungry but you’re afraid that asking to eat will have repercussions. This is exactly the situation Mike found himself in not too long ago.
Mike, a medical student, asked his resident if he could go for a quick bite while both were on call. The resident agreed and the student went off to eat. About 20 minutes later, the medical student arrived to a resident that was clearly unhappy with his food break. Now who made the mistake? The medical student for asking for food, or the resident for having an attitude after saying it was OK to go eat?
Medical students and residents by the nature of their work have different priorities. When deciding whether to eat or not to eat, a medical student should consider whether the team is having a “down time” or free time. If the surgery team is busy, it is not the right time to ask to go get food. Sometimes what is “down time” to the medical student may not be perceived that way by the resident.  In addition, medical students are under the constant cloud of evaluations. Asking to eat might make you look bad. Furthermore, each rotation, and for that matter each program, has a specific culture that medical students are expected to quickly learn.
What about the resident’s position? A resident will probably not say “no” if a medical student asks him or her to eat. Even if they don’t say no, they could generate a negative perception of the student if he or she asks to eat during a time when the resident himself cannot eat.
Are there then any general rules to help medical students navigate eating on a surgery rotation? Well, one answer is that you try to eat when the resident eats. Surgery is a team effort, and so is eating on your Surgery rotation.  Your first goal is to try to eat with the group.  If your residents appear extremely busy and you are hungry, why not offer to grab something for them to eat? That way you can get food, and the resident will be happy with you.  An offer like that might even buy you a free meal, as the resident will probably offer to pay for your food since most of them get food stipends.
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July 12, 2010

How to tie a surgeon’s knot

Filed under: Knot Tying — Tags: — admin @ 7:06 pm

How to tie a surgeon’s knot

http://www.youtube.com/watch?v=P4ri6zWNyz4

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How to tie a one handed knot

Filed under: Knot Tying — Tags: — admin @ 7:03 pm

How to tie a one handed knot

http://www.youtube.com/watch?v=b8JEuD0C3Pw

How to tie a one handed knot (right handed)

http://www.youtube.com/watch?v=dfVDzO6oEqM&NR=1

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How to tie a knot

Filed under: Knot Tying — Tags: — admin @ 7:01 pm

How to tie a knot

http://youtube.com/watch?v=XHk_191uYP4

http://www.youtube.com/watch?v=XHk_191uYP4&NR=1

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June 30, 2010

What UCSF medical students can expect on their general surgery rotation in Fresno

What UCSF medical students can expect on their general surgery rotation in Fresno

Each year, third year medical students start the wards.

They have to do rotations in………..

In general surgery, they do their rotations at the VA, SFGH, or Moffit Hospital.

Some students choose to do their rotation at Fresno.

Here is a summary of what students experience while at Fresno for general surgery.

First, students will need a little adjustment in their mindset. It turns out that the population is Fresno is relatively poor, and the Fresno healthcare system is overwhelmed. This means that medical students do indeed make a difference by being there — their presence is actually important.

Get a personality check. Coming from a place like UCSF, where political correctness and professionalism rules the day, you might be put off by some of the things you see in Fresno.  Some of the personalities, as one student put is, are “hard to deal with.”  That being said, if you go with an open mind and a friendly attitude, things should work themselves out.

Get ready to rumble. The experience medical students get at Fresno is unsurpassable. You will be in the OR often, and you will work hard. As one student puts it, “Call is tough, but you can learn a lot and be really useful to the resident.”

Learn here and there. Students often say the teaching is slighly lack luster, as compared to the teaching they expect to receive at Moffit Hospital or SFGH.

Who’s cool to be in the OR with? Students recommend scrubbing in with Dr. Maser and Dr. Townsend.

Student responses to a survey on clinical rotations
Student #1: Remember that in Fresno we really make a difference for the patients, even if it’s hard to deal with some of the personalities. The attendings are quite smart and wary of UCSF students given some bad history so starting off with an open mind and friednly attitude is important. The teaching is not as good but the experience tops anything else. Ask questions even if no one is listening. Try to participate in the OR. Call is tough but you can learn a lot and be really useful to the resident. Get into OR with Maser and Townsend.

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June 25, 2010

How to drape a patient in the operating room

Filed under: Draping — Tags: — admin @ 6:18 pm

How to drape a patient in the operating room

http://www.sweethaven.com/sweethaven/MedTech/Surgery/coursemain.asp?whichMod=module0324

Surgical Positioning, Prepping and Draping DVD sample clip

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April 5, 2010

Two handed tie (knot tying)

Filed under: Knot Tying — Tags: , — admin @ 7:47 pm

Two handed tie (knot tying)

Two handed tie

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The square knot (knot tying)

Filed under: Knot Tying — Tags: , — admin @ 7:45 pm

The square knot

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One handed tie

Filed under: Knot Tying — Tags: , , — admin @ 7:38 pm

One handed tie

http://www.youtube.com/watch?v=dfVDzO6oEqM

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February 5, 2010

Surgery rotation at Parnassus

Surgery rotation at Parnassus

1. Tell us the rotation AND site you just completed
Surgery UCSF

2. What books/tools did you use for this rotation?
Surgical recall is essential!

3. Describe your call schedule. Ex. # days on call, what time you realistically got out, etc.
N/A

4. How did you prepare for the finishing exam/shelf exam. How would you prep differently if you could do it again.
Surgical recall i would do more practice questions

5. Comment on one or more aspect of the rotation
Bring surgical recall and read it during the down time…you’ll often get back too late to read

Surgery rotation at Parnassus

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General Surgery at Highland Hospital

General Surgery at Highland Hospital

1. Tell us the rotation AND site you just completed (ex. OBGYN, Kaiser Oakland)

Surgery, Highland

2. What books/tools did you use for this rotation?

You need Recall. Liu’s book Case Files is an easy way to learn a lot and useful for the shelf. Others used NMS, Blueprints. Pretest is helpful but don’t be fooled if you start to answer those q’s right–the shelf is more difficult!

3. Describe your call schedule. Ex. # days on call, what time you realistically got out, etc.

Take call like once/twice a week and front load it so that you don’t have to take a lot of call towards the end. You work hard on call.

4. How did you prepare for the finishing exam/shelf exam. How would you prep differently if you could do it again.

Study when you can starting in the beginning and take every chance to see cases that are bread and butter shelf stuff, like AAA repair even if you’re not on vascular. Bone up on the fancy stuff that the Parnassus kids get to see all the time.

5. Comment on one or more aspect of the rotation

Work hard, be brave. Be somewhat afraid of clinic but do your best–it’s a great opportunity to help your pts.

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December 26, 2009

How to cut with a scalpel

How to cut with a scalpel

Below is a great website that describes how to cut with a scalpel. Great for medical students and surgery residents. When you go to the website, scroll down to the title “How to cut with a scalpel”

WikiSurgery
http://wikisurgery.com/index.php?title=Scalpel_07_How_to_use_a_scalpel

How to cut with a scalpel

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How to hold a scalpel

How to hold a scalpel

Here is a great website that describes the best way to hold a scalpel (and the wrong ways to hold a scalpel)

WikiSurgery
http://wikisurgery.com/index.php?title=Scalpel_07_How_to_use_a_scalpel

How to hold a scalpel

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December 25, 2009

How to put on a surgical mask

How to put on a surgical mask

HOW TO PUT ON YOUR SURGICAL MASK

Medical Education Website

How to put on a surgical mask

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December 22, 2009

How to put on surgical gloves

Filed under: Put on Surgical Gloves — Tags: — admin @ 6:40 am

How to put on surgical gloves

Putting on Sterile gloves

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