tag:blogger.com,1999:blog-7675087351939177300.post1807435437870841961..comments2023-08-15T09:39:41.235-05:00Comments on Sutured for a Living: Should Doctors Say How Many?rlbateshttp://www.blogger.com/profile/15236331355857884458noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-7675087351939177300.post-23401754625068099172009-06-18T13:18:09.945-05:002009-06-18T13:18:09.945-05:00nice post. always tough to define your limitation...nice post. always tough to define your limitations, especially as a younger attending. Self appraisal isn't easy; but you have to be honest first with yourself, then the patient...Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-21639848730977739082009-06-13T01:58:21.252-05:002009-06-13T01:58:21.252-05:00my professor of surgery brought this up at our res...my professor of surgery brought this up at our research meeting once. he said it seems the thinking out there is that you got to do a certain number of procedures eevery year to maintain your proficiency in it. however, he reckons that it is the training period that matters much more, because say for example a gen surg resident was the primary operator of 500 laparoscopic cholecystectomies under supervision, then that might probably suffice and its highly unlikely his/her skills will be affected even if he/she does only a handful a year. compared to someone who continues to do 100 a year. <br /><br />not sure if people out there agree, but it seemed to make sense.Jeffreyhttps://www.blogger.com/profile/06540388790434163301noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-73725876992635021912009-06-10T14:11:45.756-05:002009-06-10T14:11:45.756-05:00It's really a tough one - I've never actua...It's really a tough one - I've never actually thought about it before. Fortunately in my setting, patients don't have a choice - it's me or nobody :) Still,I would never do an unsupervised procedure I wasn't comfortable with. I guess that's where real responsibility lies: knowing and being able to acknowledge your limitations.Karen Littlehttps://www.blogger.com/profile/10446187228064686202noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-33754034019324485962009-06-10T07:42:20.315-05:002009-06-10T07:42:20.315-05:00Great post, Ramona!
I often have mixed feelings a...Great post, Ramona!<br /><br />I often have mixed feelings about asking a patient to a allow a "rookie" to attempt an intubation. But as you pointed out, without practice on real patients in the absence of good simulators, how is any practitioner to develop proficiency? What I try to do is reassure the patient (and warn the student) that I will step in and take over immediately if I feel I need to. But part of learning how to do something well is struggling a little when it's not as easy as expected, and figuring out how to problem-solve on the spot...<br /><br />I am still awed and humbled by the trust placed in us by our patients.T.https://www.blogger.com/profile/09208990104460795917noreply@blogger.com