Imposter Syndrome
where is the attending?
call your friend
1 room, 2 room, 3 room, 4
the answer is: it depends....
Call structure
In house call vs. home call
Residents
staff, staff, staff
But they only had....
always think about NPO status, no one else does, so you have to
surgeon's attitudes
stay strong! you know your specialty better than they do
PreOp work flow
get to know the nurses!
will I survive?
yes, the answer is always yes
Fellows
fellow = peer
William's Syndrome is a thing
always remember PMH / current medical history...children can change quickly and so can their medical conditions
is the resident smarter than me?
NO! they haven't seen as many bad things so are over confident
sitting in my office is so nice...
but going into the room gives you insite to the case that you don't get from the chart
Be prepared
CRNAs
Be respectful and communicate the plan
But my OR day is full tomorrow...
urgency of case, Robert's study, is it really in the best interest of the patient to do this case at 2am to accommodate a schedule?
CRNA algorithms
just because they have done something 1000 times doesn't mean it is appropriate this time
Be proactive
Review your patients the day before, stay in communication with pre-op and OR staff, see your next patient when you have a chance, keep the day moving!
take care of yourself
eat / hydrate / have snacks...this is an endurance situation
Golden Rule
Trust but verify!!
pressure from the parents / surgeons / patients
At the end of the day it is your decision to do the case or not. Talk to your experienced colleagues and trust your gut feeling. You must be able to justify your decision in court.