if you are going to bgh i think you picked the right place because i mean come
on, q4 is way better than q3 (everyone gets a 'golden weekend' - that means you
are on call thurdays, post call friday and don't have to come in on sat and sun),
residents are less stressed so they are nice and we can sleep because we have
call rooms!
haha, anyways, down to business
- first day is first day - nothing special here, go in at 8am and dr. hassett
will meet w/ you and introduce you to your respective team leaders. the teams
are divided into white, blue and red teams. I was on the same team (white team)
as Dr. Dayton (he usually likes at least 2 medical students, and he is a
wonderful educator). The red team is the vascular team. Blue and White are
general surgery teams with their respective surgeons.
-KJ i know will not let you come in at 5:30am to take vitals for rounds at 6am so
we on the white team got that extra 30minutes to sleep in and came in at 6am.
the other teams did the same thing, so second day and the rest of the days you
can show up at 6am. double check w/ them if you feel the need to, otherwise, 6am
is safe to go.
-every thursday is Dayton rounds at 5pm on the 14th floor in the conference room
next to the vending machine right as you walk out the elevator. get the keys to
the storage room for the projector and laptop from briste (she's a blonde girl
who works for the department and will show you what to do, her office is in the
hallway on the 3rd floor on your way to the surgical resident room). DO NOT SHOW
UP LATE and make sure the projector and presentation is working. if you have a
OR case, make sure you speak to the attending of that case before hand about the
dayton rounds for permission to leave the OR. dayton rounds take all precedents.
Dr. Dayton likes everyone to change out of your scrubs and into formal attire
for this so make sure you do so (particularly the presentor). It's low key, and
Dr. dayton doesn't ask very difficult questions. It is nice to let the residents
know about the topic you are presenting because he pimps them as well and some of
them take time to read a little as well. format of the presentation doesn't have
to be long. present the CC, HPI, PMH, PSH, Meds/Allergies, FH/SH, he then likes
to ask the audience for the DD, he likes images, so go down to radiology on the
2nd floor to get the CD for the patient you are presenting. if you want you can
put down the hospital course and any procedural/complications of the procedure
but the latter is not so emphasized. Don't be nervous, these aren't too bad -
just don't be late and dress up.
-everyday sign up for gen surg cases first. if the day is slow and all the gen
surg cases are covered, feel free to go in an ENT or Ortho case if you want, but
cover the gen surg cases first. The attendings grade you ultimately, but the
chief residents have a say and so do the intern/residents if something is
particularly good/bad. most of the time it's pretty chill and laid back. take
time to read a little about the case if you have the time, if not, don't sweat
it. a lot of them don't even ask you questions anyways, but it's good for
learning purposes.
-dr. hassett operates every once in a blue moon, dr. dayton usually operates on
fridays (i was just in on a 13 hour case w/ him yesterday) - ALWAYS have one med
student cover dayton's cases. that's one of those rules you don't know until the
residents get yelled at and then they get pissed at us. so make sure someone
cover his cases when he operates on fridays.
-if you are on call thurs or friday and post call friday and sat, you do not have
to come in on the weekend. so thurs on callers get a 2.5day weekend and friday
on callers get sat post call and sunday off. decide amongst yourselves which
cases you want to cover and how you wanna work out the call schedule, but call
starts on the first day (monday for the new peeps going in this week). if it's
like it's supposed to be and q4 the way it is, everyone should have a golden
weekend; and likewise, everyone will do a saturday call, too.
-in the OR it's nice to help out the scrub techs and anesthesiologists/nurses w/
transport and moving the patients from bed to bed. you don't have to, but it
looks bad to just stand there while others are working.
-you can leave for the day when you are done with your last case and check to see
if your residents need help w/ anything else. checking lab values for them is
always helpful and shows you care (but normally we are in the OR and they already
checked it by the time we are out), but if you have the free time, it's nice to
do something that needs to be done. (the chief usually have a list of to do's
for the residents at morning rounds, so listen up and see if you can help when
you aren't in the OR)
-the earliest i left was around 3:30pm, that was only a one day thing - most of
the time i left around 5-6pm. so 6-6 isn't bad at all.
-just show up in scrubs - the only people who cares is dr. hassett and dr. dayton
and they are never there as early as you guys are and the residents don't care at
all. scrubs is fine. just make sure you always dress up for Dayton rounds and
M&M's, Grand rounds. M&M's at BGH is on Wed mornings from 7-8am. Grand rounds
at the south campus from 6:45-8 on Thursdays.
i think that's it - if you have specific questions, feel free to ask me. have a
good time guys. i definitely think i picked the right site. you guys will have
a great 4 weeks. i have no doubt. PS - i asked the residents to be nice to yall.
hopefully they will take that into consideration =)