At least that's the feeling. The reality is that when more in-depth on a topic, More I am aware of all that I have yet to learn. The problem of not having units within a surgery department, and speak in terms of training of residents is concerned, is that you must have a basic operation in any surgical pathology shortly. I noticed in the course of hernias that were not rotated by the wall unit, their hospitals, they felt the need to know some things that I lose sleep. Imagine, rotate and neck, is dominated by example the thyroid, but surely nobody is going to ask next when you know the anatomy of the rectum and surgical indications of rectal diseases or maybe yes ... I would like someone coming from one of these hospitals opine here to find out for sure ...
Being in a hospital battle is knowing solve things, that both can be a complicated inguinal hernia, perianal abscess, one blocked, the classification criteria of pancreatitis according to Balthazar in the TC, a perforated or know the indications and management of chest tubes pneumothorax ... The feeling I have is sometimes it is impossible to dominate everything. What I do to survive in the urgency, and make life more pleasant for my patients is to study little by little, the most frequent and most common clinical course of surgical diseases of the door. The truth is to learn to diagnose, manage and understand the basic surgical techniques from an appendectomy, cholecystectomy or inguinal hernia, or when a patient may or may not wait for an additional test gives me some comfort, but not peace.
I keep rotating for anesthesia, so while I learn to make a good history, or to drive the ions, liquids or patients shocked with a little less fear, lose basic surgical pathology management and rust on me a lot. At this point in my training, I am much more reassured knowing how to manage a critically ill patient, a perianal abscess, for obvious reasons. But every time I think I a step, I realize everything I have to walk.
This morning I had a conversation with what I consider the best of global attachment surgery. I told you that each is the best at something, but this, which I going to allow nickname as Ed Harris (if you want to know why id the minute 6:15 to 6:33 of this video), is the best the set. If I spend the day with him, one of two, and I learned the EMC memory or leave the specialty ... For now, when I'm with him I become aware of how much I do not know, and I try to get something by osmosis from me site focuses more on knowledge (head) at least (mine). Today when I got home, I've studied a topic in the manual of the ACS, which has led me to look also at Sabiston, in Atlas of Anatomy always at hand, and finally I've looked at EMC, not me time to review because I'm going to see the Calderón Atlético ...
Greetings;)
0 comments:
Post a Comment