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Greg25kk

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  1. To echo what has previously been said, In the OR, try to make yourself known to the nurses as they will be able to help you the most. Generally speaking, you want to avoid touching/bumping into things that are either green or blue as those tend to be sterile. If there are TV's setup, that will probably be your best bet for seeing things, if not, I'd wait until the patient is draped, everyone is gowned, gloved and has taken their position around the table, then you can try to find a shoulder to look over. Keep in mind that depending on the procedure being done, those who are scrubbed may change position, so be attentive and step away when required. If you ever feel lightheaded or ill in the OR then step out or take a seat until you feel better. Your first day in the OR and clinic will probably feel clumsy but depending on how long you're around you'll pick up on the rhythm in time. If a resident tells you to eat lunch then it's probably a good time to get something to eat. No matter where you are, be sure you have comfortable shoes, you may be standing for a few hours at a time and nothing sucks more than having your shoes give you problems. If you know what area of otolaryngology the staff surgeon is specialized in then it would be good to prime yourself using something basic like UpToDate so you can have a simple understanding of what's going on. Feel free to PM me with any inquiries. Best of Luck
  2. I will give the disclaimer that I am only an Undergraduate so interpret what I say as you will. I have somewhere around 2500+ hours now of clinical experience with my local plastic surgery team and some of the senior residents have previously asked me for my opinion on elective students. I will say that the big thing, regardless of the specialty, is to be knowledgeable in it. Universities or large academic centers sometimes have webpages giving a brief bio of each staff surgeon stating what their focus is and this Information can be useful if you know who you're working with on your rotation. To further refine that first point, I'd say that common things that I've seen is not taking a focused history, not knowing the dominant hand and occupation in hand injury pt, not looking inside the mouth in a patient with suspected facial fractures, not using both hands to operate (ie using only one hand to cut sutures [Typically with a metzenbaum or mayo scissors] when both are free) and not being able to interpret facial CTs for fractures (ie Le Fort 1, 2 or 3, ZMC fracture, orbital floor fracture, etc) or not assessing cap refill or nerve function in a finger lac and a number of other things that I cannot recall at this time. For most nuanced things, your best bet is either asking the residents at morning rounds or buying coffee for the clinic nurse or other support staff as they will probably know what that certain surgeon wants. It's quite rare for someone to go into an elective knowing something like what prep a certain staff surgeon likes so it's best to always ask the residents or nurses in the clinic what they like done. Beyond that, the number of Plastic Surgery residents that I've encountered, only a few had a graduate degree going in, some decided to peruse it once in residency but, at this time, It's not required. I will end this by saying that of all the Mac elective students that I've encountered, a number of them have matched into plastics and, personally, I'd attribute it to the fact that you can see that they have the knowledge and are willing to learn more, in addition, they are truly passionate about plastics. You are still a few years from being an elective student but doing plastics research can't hurt, as Shady suggested, if you can reach out to Plastic Surgery residents at Mac then that would be the best option as I know a number of them went to Mac. If you wish, you're free to DM me as I regularly interact with a number of plastic surgery residents and staff. Best of luck in your future endeavors, -Greg
  3. I'd imagine that these were quite rare as I've spoken with one of these residents before, and they said that they were able to back out of their contract as long as they repaid the entire cost of their Canadian training. If you were doing something like a 5 year surgical residency it would pretty quickly turn into a significant sum of money even for a fairly well off individual.
  4. I'm not certain if they're forbidden, but I've only seen people wearing the "Misty Green", hospital provided scrubs when in the OR. That being said, you get the scrubs from a machine and you're allowed to have two sets taken out at once. As a result some people wear one pair while stowing the spare in their bag in event they have to change while on the floor. You might be good with just the two pairs, if not then you can always run down and exchange the soiled set for a clean one (time permitting).
  5. I feel you may be approaching this the wrong way. I would suggest finding an area of Medicine or Dentistry that you are particularly passionate about, and then getting into contact with people who work in that field. The important thing to remember is that there are a number of reasons why a physician many not want to have someone shadowing them. The only thing that you can really do in that situation is thank them for their time and ask someone else. Recently I had the amazing opportunity to do, essentially an extended observership, with a surgeon throughout August. My benefit to him was near negligible. The biggest thing I could do is just try not to interfere with anything. At the end of the day, my purpose there was to learn and that's what I did.
  6. I was a patient model last year and I can confirm it was a spectacular experience. The CSTAR facility is rather nice and, assuming the layout is the same as last year, there are TVs above each bed that you can watch the scan on with relative ease. There is a good amount of independent scan time so you'll often find yourself being more proficient with the procedures than the attendees. At one point we were even taught how to do an ultrasound guided central line although, we could not cannulate the wire as we wanted it to be in the best condition for the attendees. Overall I found it rather enjoyable and I look forward to doing it again this year.
  7. You may just have to alter the URL so that it is forums.premed101.com/etc rather than the previous www.premed101.com. I'm not sure it will work, it would depend on if the indexing is the same.
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