1 / 34

A Week in the Life of an Orthopaedic Surgeon

A Week in the Life of an Orthopaedic Surgeon. b y Jennifer L. Cook, M.D. Florida Joint Care Institute. What time do you get up?. Monday. 6:30 AM. What is the first thing you do in the morning?. Monday. SNOOZE!. Monday. Head to the hospital for rounds at 7:30 AM

ulmer
Download Presentation

A Week in the Life of an Orthopaedic Surgeon

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. A Week in the Life of an Orthopaedic Surgeon by Jennifer L. Cook, M.D. Florida Joint Care Institute

  2. What time do you get up?

  3. Monday 6:30 AM

  4. What is the first thing you do in the morning?

  5. Monday SNOOZE!

  6. Monday • Head to the hospital for rounds at 7:30 AM • See and examine all patients • Review labs • Review X-rays • See any new consults

  7. Monday • PA, physician assistant accompanies me on these rounds • Writes a clinical note in computer which I cosign

  8. Monday • 7:50 AM clinic starts • Last patient at 3:50 PM • Typically see 45 patients a day • 6 patients an hour

  9. Monday • Fractures • Sports medicine • Arthroscopy knee • Arthroscopy shoulder • Joint reconstruction • Knees • Hips • Shoulders

  10. Monday • New patient • Takes longer • Needs x-rays • Complete history and physical exam • EMR documentation • Medical assistant and x-ray technician help

  11. Monday • Follow up • Post surgical • Cast check • After injections/therapy

  12. Monday • Meetings • Home by 5 PM

  13. Tuesday • Up at 6:15 A.M. • At hospital by 7 A.M.

  14. Tuesday Surgery!!!!!!

  15. Tuesday • 2 Operating rooms • Flip back and forth • In-patient surgeries • TKR • THR • TSR • Most fractures • Ill patients

  16. Tuesday • 3-8 surgeries per day • Can be done by noon or rarely 7 P.M., usually around 4 P.M. • Lunch between cases • Post-op orders • Talk to families • Mark site

  17. Tuesday • Many preparations to have a successful surgical day • Patient is safe for surgery – no infection, medically cleared, NPO • X-rays reviewed – discussion with vendor about instruments • Discussion w/ anesthesia re special circumstances, length of case

  18. Tuesday • Post-op Rounds • Review X-rays • Examine patient and talk to families • Communicate with nurses

  19. Wednesday 6:30 AM

  20. Wednesday Surgery!!!!!!!

  21. Wednesday • Outpatient surgery – Surgery Center • Day surgeries • Knee arthroscopy – ACL, meniscus • Shoulder arthroscopy – Rotator cuff, impingement, labral tear • Fractures – wrist • Shorter, less involved surgery, medically safe patients

  22. Wednesday • Still need to prepare for surgery • Discussion with surgery center, reps • Review labs/films • Patients may need medical clearance

  23. Wednesday • 3-8 surgeries • Mark site • Time out • Dictate operative note, write post-op orders • Talk to family • Examine patient prior to discharge • Discharge with instruction sheet

  24. Wednesday www.drjennifercook.com Post op Protocols PT guidelines Bio

  25. Wednesday • Head back to hospital to round on patients, see new consults • Go to office to do paperwork, billing, go through inbox

  26. Thursday 6:30 A.M.

  27. Thursday • Hospital rounds at 7:30 A.M. • Clinic starts at 7:50 A.M. • Same clinical schedule

  28. Friday Catch up Day!

  29. Friday • Hospital rounds at 7:30 (or later) • Surgery • Clinic • Paper work/return phone calls • Meetings • PT • Home Health Care • Office Admin • Partners • Hospital

  30. Weekend • Practice call • Emergent surgeries referred to practice • Evaluate ER/floor patients referred to practice • Rounds

  31. Weekend • ER Call • 5 days a month • All traumas/infections/orthopaedic issues that come into hospital • Must be in town and available via cell phone at all times • Rare to have to go in (3-5x/year)

  32. Summary • Busy schedule • Work as much as you want • 2 weeks of vacation year • Conferences • WOGO charity work • Outreach work • Plenty of time for family, friends, hobbies

More Related