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Preliminary surgery responsibilities (Q/A)
作者:USMedEdu
发表时间:2009-03-24
更新时间:2009-03-24
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发信人: LZY67 (LZY), 信区: MedicalCareer
标 题: preliminary surgery responsibilities
发信站: BBS 未名空间站 (Sat Mar 21 12:55:21 2009)

不知道prelim surg Gen到底要干些什么?还有三个月要在surgical ICU。
各位过来人,有什么书推荐?
多谢了。
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发信人: guidewire (guidewire), 信区: MedicalCareer
标 题: Re: preliminary surgery responsibilities
发信站: BBS 未名空间站 (Sat Mar 21 14:19:06 2009)

I copied some of my old post from last year, hope this helps.

首先恭喜进入住院训练.

Sorry, it is too hard for me to tpye Chinese. So I just use English here.

It will be total new experince for you. especially for those who had
surgical training back home. because when you go into program as an intern,
you are just a machine. only judged by whether you can follow command and do
the floor work well. My chief used to joke: I am the only resident, you
guys are all slaves. you will be yield at very often, don't take it
personally, it happens to everybody. the question is how to react, if you
react with anger, that is a big minus, may get your ass kicked out of the
program.

work hard, follow command, do not argue. I used to tell my intern, I only
want to hear 3 words from you: yes, no, sorry. This is not only you,
everybody has to go through the same.

Try hard to score well on the ABSITE. it will greatly increase your chance
to get a catagorical spot.


books to read:

absite review by fischer

advanced surgical recall

intern survival guide ( a red pocket book )

a pharmacopia book


prelim 就是当奴隶, 一年以后用完就踢走了。很少有留下来或能在别处作外科的。
所以你要想作外科,就要付出比别人多的多的努力。值班表公平与否不要在意。工作
第一,没作完主动要留下来。主动多干活。

我刚开始时很不习惯,觉得每个人都骂我。每作一件事都要挨骂。有一次被骂的很
厉害,以为要被开了。 就找主治医生道歉。 考评时, 被认为很会接受批评。大概
主治医生没想到被骂的人会道歉。

但是我心里很难受。跟家里诉苦,被告之: 人家讨厌你并不是因为你是外国人,而
是你活干不好。 如果你让大家省心,就都喜欢你了。 于是,恍然大悟,努力工作,
尽量为上级着想,不让他们累到。结果后来都原意跟我值班, 我虽然累的够呛,但
是大家开始尊重我了。后来3 个总住院联名要求科里收我。

还有要 nice, 对别人要尊重。象推车的,扫地的,护士等。不要发脾气。如果你只
对上级好,大家不会有好印象。有很多眼睛在看着你。
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发信人: eufool101 (eufool), 信区: MedicalCareer
标 题: Re: preliminary surgery responsibilities
发信站: BBS 未名空间站 (Sun Mar 22 16:33:42 2009)

I feel prlim surgery is pretty easy.
You just need to do the work and don't argue. Actually, the works are so
easy. The H&P and notes are easier to write than medicine pt. I also like
working with surgeons. I hate working with medicine doctors, too much
bullshit.

Forgot to add, Communication is very very important.
You have to know how to talk with you seniors. Generally speaking ,
Surgeons and IM doctors are so different, they have different personally and
different thinking.
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发信人: USMedEdu (US_CMGs), 信区: MedicalCareer
标 题: Re: preliminary surgery responsibilities
发信站: BBS 未名空间站 (Tue Mar 24 12:36:12 2009)

as a prilim surgery intern, remember rules of thumb:

1. your senior and/or attending, nurse ALWAYS right (even it's true that
they are wrong, you are NOT qualified to say: they are wrong! you can use
other way to ask questions, not judge)

2. the most words you need/must always say daily to all others are:

thank you very much!---when others help you or tell you sth.

I'm sorry, I apologize for ....., thank you for your pointing out/advice/
instruction/......

remember, surgery training is the second next to military training tough job
, if you want to be a good surgeon, you HAVE to be tortoured and swollow the
bitter, otherwise, you quit!


dok

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