Jeff Lee Colorectal Service Attendings Dr Clark Dr Turner Clinic 9B or 1K clinic What it is Basically it is Dr Clark and Turner seeing follow ups or scheduling surgery for patients Colorectal OR time as well ID: 494774
Download Presentation The PPT/PDF document "Colorectal Clinic & Surgery" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.
Slide1
Colorectal Clinic & Surgery
Jeff LeeSlide2
Colorectal Service
Attendings
: Dr. Clark, Dr. Turner
Clinic: 9B or 1K clinic
What it is: Basically it is Dr. Clark and Turner seeing follow ups or scheduling surgery for patients
Colorectal OR time as wellSlide3
Clinic on 9B
Take elevator to 9B
Go down the hallway and the clinic will be on your left
Enter the clinic and you will see this:
Go straight ahead through that door and turn to your rightSlide4
Where Clinic HQ isSlide5
Clinic on 1K
Set-up is similar to 9B
Go down to the 1
st
floor and follow the signs for Surgery ClinicSlide6
Clinic HeadquartersSlide7
What to expect
Dr. Clark
Expect to do H&P’s on new patients
Expect to be rushed (try to keep H & Ps) to 10 minutes
Expect to type up a note (try to find a good template that will include their PMH, SH, PSH,
etc
)Expect to present them quickly to Dr. ClarkExpect to be pimped!!! He is very nice but will keep the questions flowing! You WILL learn a lot!Slide8
What to expect
Dr. Turner
She typically does not expect you to see patients
You follow her around & shadow her
She does not usually ask questions
It be chill but you won’t learn muchSlide9
Your workstationSlide10
OR time
Time in the OR varies among the
attendings
as well
Clark
Know your anatomy
Be ready to do a rectal exam on the patient while he/she is under anesthesiaBe confident! Even if you are wrong!He will say things like:“You’re killin’ me doc!”“Good! We’re learning!”
“You need to read!”
He also likes to joke about pitting partners against each other
Don’t take anything personally; he says these things to everyone, even chief residents
Turner
ChillSlide11
Questions you will be pimped on
TMN for anal cancer staging & grading
Most common place where anal cancer occurs
TMN for colorectal cancer staging & grading
Colorectal cancer screening guidelines
Anal cancer treatment
When to use NIGRO protocolRectal cancer treatmentWhen to excise, when to use adjuvant therapyBlood supply to the gut
Branches off the Celiac, SMA, IMA
Blood supply to rectum, anus
Nerve supply to the gut
Congenital based cancers
Turcot
, Gardner, Lynch (know diff btw Lynch 1 & 2)
Grades of hemorrhoids
Goodsall’s
rule
Treatment for fistulas
Hinchey classification of diverticulitis perforations
Different types of Polyps
Which are malignant, which are benignSlide12
Bottom Line
Clark will pimp you a lot, but take it in stride and write everything down he tells you
Even if you get things right, he will keep asking more and more specific things until you get something wrong; don’t be offended by this, it’s not personal, it’s just his way
Look up things he tells you to look up: HE DOES NOT FORGET
Overall, he is a great guy; he may be sarcastic a lot but he wants you to learn and will push you to learn
Turner is chill