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Clinic and the OR

Blogs > LosingID8
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LosingID8
Profile Blog Joined December 2006
CA10835 Posts
December 25 2013 09:31 GMT
#1
Overall, 3rd year has been great. Clinic is awesome and I'm getting pretty good at diagnosing and treating the common and even some uncommon pathology. Taking a quick and accurate history is a skill that I'm still developing but I think I'm starting to get the hang of it. One thing that I've been making a conscious effort to do is to constantly read journal articles and textbooks. I've noticed that I'm able to learn a lot more from the attendings/residents and also ask intelligent questions because I have a basic understanding of what they're talking about. My clinical knowledge has increased exponentially in the past few months and I'm excited to see where I'll be at this time next year after I finish my external rotations.

I had my OR rotation earlier this month. There's something about the OR that is really exhilarating. When you scrub in to a case it's a really cool feeling participating in surgery but as a 3rd year student your main concern is to not get in the way and not break the sterile field lol. I threw my first sutures on a live patient a couple weeks ago, so I guess you could say it was my first procedure in the OR! I was concerned that my hands were going to shake but thankfully they didn't betray me. I actually got to follow-up with that same patient in clinic and during the 2nd post-op visit I removed the sutures that I threw. It was a pretty cool experience. Thankfully the patient didn't have any complications and is happy with their outcome. As a side note, ortho cases are ridiculous lol. Knee and hip replacement surgeries are awesome to watch. Orthos are basically Thor with their giant mallets and osteotomes.

At this point in my career I want more experience doing different types of clinic procedures. I've gotten pretty decent at plantar heel injections, but I have only done one tarsal tunnel injection and haven't gotten a chance to do one in the sinus tarsi or forefoot yet. I also need a lot more experience with wound care, especially debriding ulcers properly. At times I'm unsure how aggressively I'm supposed to debride them. I also have fairly limited experience with partial/total nail avulsions and their associated nerve blocks.

I somehow managed to completely mess up my sleep schedule in the last 24 hours. I'm not quite sure why I'm awake at 4:30am. Time for bed!

Merry Christmas to all!

*****
ModeratorResident K-POP Elitist
Ilikestarcraft
Profile Blog Joined November 2004
Korea (South)17743 Posts
December 25 2013 16:11 GMT
#2
Merry christmas
ils
"Nana is a goddess. Or at very least, Nana is my goddess." - KazeHydra
docvoc
Profile Blog Joined July 2011
United States5491 Posts
December 26 2013 00:55 GMT
#3
That's awesome dude! Merry Christmas also .
User was warned for too many mimes.
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