residentcasepresentationoutline-ether.docVIP

RESIDENT CASE PRESENTATION AND ANESTHETIC PLANNING OUTLINE Cliff Schmiesing, M.D. July 11, 2012 The following is an outline and general information I hope will be helpful to you in organizing your case presentations for discussion with your attending. It is more detailed than will be appropriate in some instances, and less detailed than appropriate for complex cases. General comments: Try not to present your case while by reading down the Epic screen. If it is a bigger case and/or you are green to that service, take the time to write out or in some way organize your presentation. Avoid doing it on the fly until you are more experienced and very comfortable with the patient and plan. Call before 9 PM. If you are here late, try to arrange to make this call before you leave to save you precious evening time. Most attendings will gladly support this especially when you are here late and especially when you are not on call and here late. Text paging your contact info is helpful as both you and the attending may be out of the hospital and out and about as well. Read the Jaffe text to understand the key elements of a surgical procedure and anesthetic. Usually there are just a few key things that will be of special concern. Read a little bit about the unique aspects of your case — come in ‘armed and dangerous’. It is a useful way to advance your knowledge base one surgery and one patient at a time. Plus, the memory is stickier when fear of your attending and the case are both at work. Force yourself to work your way through to the end of this outline. Typically you will find yourself stalling after presenting the history. Think through all elements of the anesthetic from start to finish. Realize that different attendings will have a different style of discussing the next day’s cases (not to mention different ways of doing the cases…). Roll with the punches as best you can and look on the positive side—you will learn multiple ways to do the same thing. Eventually you