Portable Surgical Mentor

Inhaltsverzeichnis

Foreword by Hiram Polk.
The Transition.
Attire.
The Little Black Book.
Communications.
Surgery Suite Etiquette.
The Clinics.
Rounds.
The Difficult Situation.
Documentation.
Presentations.
The Mortality & Morbidity (M&M) Conference.
On Call.
Family and Friends.
Your Health.
Medical-Legal Issues.
The Boards.
80-hour work week.
Vacations.
Finances.
HIPAA.
Appendix. (conversion charts, abbreviations, five-year calendar, Web sites of interest)

Leseprobe

"11 The Mortality and Morbidity Conference (p. 73-74)

Tell me and I forget. Show me and I remember Teach me and I learn. -BENJAMIN F RANKLIN The Mortality and Morbidity Conference (M & M) is certainly the most important hour of the week for residents and their teachers. Here is the last bastion of medical intellect, competition, showmanship, and debate. And, the most important component in the M & M is the absolutely perfect presentation, which requires extensive preparation.

Preparation

1. Collect all of the facts of the case. If certain historical information is not readily available , search it out. If necessary, call previous doctors, clinics, hospitals, and if appropriate, the patients family. The data, regardless of how trivial, must be sought.

2. Discuss the case to be presented with your attending. This is not only a matter of courtesy, it may also give you additional, detailed information, and it will also prevent you from getting blind-sided by questions from. that attending. If the attending for that case cannot be present for the conference, the case should not be presented.

3. Only residents who thoroughly know the case, the main issues, and the controversies surrounding the complication, should be presenting. Thus, the case should be presented by the most senior resident who will conduct himself as if he were the attending surgeon and the patient was from his private office.

Presentation

Each institutions M & M Conference has its little idiosyncrasies not limited to specific seating arrangements, attendance, and the precise way in which the case is presented. While some (very few) places do not take the conference very seriously, you have the opportunity to elevate it to a new level by preparing your presentation in the following format.

1. Prepare a brief, printed summary t
o serve as a.sort of "database." Do not waste time reviewing facts. Members of the audience will have more time to formulate their thoughts and questions. Include line drawings if applicable.

2. Have audiovisual aids available (overhead projector, slide projector, microscope projector, etc.). A picture is worth a thousand words, and it certainly makes your discussion more objective."

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