Post by hnaggarmd on Aug 19, 2006 13:42:27 GMT -5
This is a new sub-I. You work with Dr. Francis, a PGY-3 and maybe an intern during your 4 weeks.
Schedule:
Monday: clinic at MCG from 9-4 or 5 (but get there at 8 or earlier if you have inpts)
Tuesday: OR (room #17), usually 2-3 cases, get there at 7 or earlier if you have inpts to round on
Wednesday: clinic at Ponder Place, Evans (Grand Rounds at 7:30-Don't be late, it's his petpeeve)
Thursday: clinic at Ponder Place (usually 7 pts all day at this location) or OR (alternates weekly)
Friday: clinic at MCG 9-4 or 5 (but get there at 8 or earlier if inpts), Urogyn conference at 8 (you will probably have to give at least 1 presentation, maybe more if the PGY-3 or intern are absent).
This is pretty chill as a sub-I. I had to take 1 overnight call, but this is something Manting implemented in August (knowing her it may change on a monthly basis), if you are taking this as an elective, then I don't think you take call. The hours are really good, clinic is pretty relaxed. He says about 7 in the AM and another 7-8 in the afternoon. You mostly go in with him and do a lot of shadowing, even with new patients and returns. Everything you do, you do with the team. Dr. Francis is pretty big on being a team. You go to lunch, drive to Ponder place, kill time with him as a team. His surgeries are pretty interesting, ranging from different slings to transvaginal hysterectomy to laparoscopic procedures. You usually discharge patients the next day after surgery. So you usually don't have to deal with multiple stay inpatients. You pre-round with the intern and PGY-3, and you may or may not present the patient. Dr. Francis does ask a lot of questions, so study your anatomy and procedures before going into the OR. If you don't know any anatomy, he may get very upset and you want to avoid that. Questions he likes to ask...
1. in laparascopic procedures - inferior epigastric artery, because you follow the insertion of the round ligament, perineal body, ileocecal junction, cecum, appendix, ovary, fallopian tube, ovarian artery, infundibular-pelvic ligament. Study abdominal anatomy and not just pelvic anatomy for these procedures.
2. 3 muscles of levator ani - pubococcygeus, ileococcygeus and puborectalis, white line (arcus tendineus is where they insert)
3. layers of skin
4. parts of rectus sheath
5. injecting indigo carmine can take up to 8 minutes to reach the bladder
Helpful resources: www.tvtsling.com (but don't tell Dr. Francis as this is his competitor's website). It has good videos and some explanations as to urogyn procedures. Te Lindes and Nichols gyn operations. Ostergards Urogyn book - but is a little outdated.
He will let you do things in the OR if you are interested. However, when there is a 3rd year and an intern, then it's difficult to get involved. I don't think there will always be an intern on with you.
If you smile, act interested, read and laugh at his jokes then you should do well and he will probably like you. He asked me the first day what I would like to get out of this rotation. I told him I was going into ophtho and he really made an effort to make any urogyn connection with eyes. If I think of more things, I'll let you know.
Schedule:
Monday: clinic at MCG from 9-4 or 5 (but get there at 8 or earlier if you have inpts)
Tuesday: OR (room #17), usually 2-3 cases, get there at 7 or earlier if you have inpts to round on
Wednesday: clinic at Ponder Place, Evans (Grand Rounds at 7:30-Don't be late, it's his petpeeve)
Thursday: clinic at Ponder Place (usually 7 pts all day at this location) or OR (alternates weekly)
Friday: clinic at MCG 9-4 or 5 (but get there at 8 or earlier if inpts), Urogyn conference at 8 (you will probably have to give at least 1 presentation, maybe more if the PGY-3 or intern are absent).
This is pretty chill as a sub-I. I had to take 1 overnight call, but this is something Manting implemented in August (knowing her it may change on a monthly basis), if you are taking this as an elective, then I don't think you take call. The hours are really good, clinic is pretty relaxed. He says about 7 in the AM and another 7-8 in the afternoon. You mostly go in with him and do a lot of shadowing, even with new patients and returns. Everything you do, you do with the team. Dr. Francis is pretty big on being a team. You go to lunch, drive to Ponder place, kill time with him as a team. His surgeries are pretty interesting, ranging from different slings to transvaginal hysterectomy to laparoscopic procedures. You usually discharge patients the next day after surgery. So you usually don't have to deal with multiple stay inpatients. You pre-round with the intern and PGY-3, and you may or may not present the patient. Dr. Francis does ask a lot of questions, so study your anatomy and procedures before going into the OR. If you don't know any anatomy, he may get very upset and you want to avoid that. Questions he likes to ask...
1. in laparascopic procedures - inferior epigastric artery, because you follow the insertion of the round ligament, perineal body, ileocecal junction, cecum, appendix, ovary, fallopian tube, ovarian artery, infundibular-pelvic ligament. Study abdominal anatomy and not just pelvic anatomy for these procedures.
2. 3 muscles of levator ani - pubococcygeus, ileococcygeus and puborectalis, white line (arcus tendineus is where they insert)
3. layers of skin
4. parts of rectus sheath
5. injecting indigo carmine can take up to 8 minutes to reach the bladder
Helpful resources: www.tvtsling.com (but don't tell Dr. Francis as this is his competitor's website). It has good videos and some explanations as to urogyn procedures. Te Lindes and Nichols gyn operations. Ostergards Urogyn book - but is a little outdated.
He will let you do things in the OR if you are interested. However, when there is a 3rd year and an intern, then it's difficult to get involved. I don't think there will always be an intern on with you.
If you smile, act interested, read and laugh at his jokes then you should do well and he will probably like you. He asked me the first day what I would like to get out of this rotation. I told him I was going into ophtho and he really made an effort to make any urogyn connection with eyes. If I think of more things, I'll let you know.