I think I was expecting to be in a perpetual state of fear and not knowing anything for my surgery rotation but I am quite enjoying it so far.
The rotation is mostly structured as we are placed in different units every 1-2 weeks, with additional scheduled tutorials and clinics. This is what my 8 weeks in surgery looks like:
- Week 1 & 2 – Upper GI (General Surgery)
- Week 3 & 4 – Colorectal (General Surgery)
- Week 5 – Trauma
- Week 6 – Acute Surgery
- Week 7 – Burns Unit
- Week 8 – Urology
There are other units I will unfortunately not have the opportunity to work in: Breast/Endocrine, Hepato/Pancreatic, Plastics and Vascular.
We also have scheduled sessions in multiple clinics that include: Breast Clinic, Breast Screening Clinic, Burns Outpatient Department, Colonoscopy Clinic, Endoscopy Clinic, and Minor-Ops Clinic.
Despite being more structured than in previous rotations, there are lots of opportunities to expand your knowledge and skills, depending on your willingness and your comfort level. Always take advantage of those opportunities! My partner and I have had the chance to see our own patients in the Gastroenterology Clinic and I finally got to put in my first IV canula – hurray!
And of course, being in surgery, we’ve gone in to the operating theatre (OT) to observe 2 surgeries so far. Both patients were from our surgical team. Patient 1 had a complete closure of an enormous abdominal hernia. He already had a surgery to repair the hernia months ago but suffered major complications with a wound that didn’t heal. Patient 2 had a distal gastrectomy (part of stomach removed) due to early stomach cancer.
Perhaps the most important thing in viewing operations: Know who your patients are, what operation they are having and why. Otherwise, not only do you look stupid if the doctors ask you any questions, but you will have no idea what’s going on and not be able to appreciate what you are observing.
If you have the chance to see patients in the ward or in the pre-admission clinic, take the opportunity to talk to them – get a history, do an examination, review their investigations, and read their file so you get the complete story. After surgery, follow the patient’s progress 🙂
We haven’t scrubbed in yet, which I think was a smart thing to do because it gave us the opportunity to walk around and get to know the staff (ie. nurses, anaesthesiologists, etc), and more importantly, stand back and observe how the team works and how the OT functions. Perhaps next time we will ask to scrub in!
[I wrote such a long post, but unfortunately half of it got deleted when I tried to publish and now I’m too lazy to rewrite it all… this is all for now]