Thoroughly revised and updated to reflect current Australian and New Zealand practices, this third edition of Fundamental Skills for Surgery considers not only the basic instrument, tissue handling and suturing techniques, but a wide range of non-technical skills.
The full range of new surgical skills are explained, following a logical progression from the initial chapters focusing on surgical conduct, safety and surgical instruments, to more complex issues, such as wound management, anaesthesia and laparoscopic surgery.
Maintaining the tone and feel of an instructional manual, the reader is guided through procedures with clear descriptions of the surgical principles and over 200 step-by-step illustrations. .
Updates to this edition include:
• New surgical decision making processes
• New ACORN standards for scrubbing procedures
• New information on local anaesthetics
• 20 new illustrations.
Written by the Australian and New Zealand Surgical Skills Education and Training (ASSET) committee of the Royal Australasian College of Surgeons, this is the authoritative guide for all surgical trainees and those requiring an understanding of surgical procedures.
October 27, 2016
Concurrent, or overlapping, surgeries involve the simultaneous scheduling of substantial portions of two or more surgeries under the supervision of a single surgeon, requiring delegation of responsibility to trainees and assistants if necessary. The practice is not uncommon, especially at teaching hospitals, but patients often have no idea that their doctor may also be operating on someone else at the same time. This panel discussion described the practice, its risks and benefits, and recommended approaches to preserve patient trust and safety.
Panelists
- Jonathan Saltzman, Reporter, The Boston Globe Spotlight Team (contributor to “Clash in the Name of Care”) - Setting the Stage: Key issues and concerns raised by concurrent surgeries, patient experiences and outcomes
- Griffith R. Harsh IV, MD, MA, MBA, FACS, Professor of Neurosurgery and Associate Dean, Postgraduate Medical Education, Stanford University - Surgeon’s Perspective: Pros and cons of concurrent scheduling, pressures to schedule this way, potential impact on patients, and the recent statement by the American College of Surgeons
- I. Glenn Cohen, JD, Professor, Harvard Law School; Faculty Director, Petrie-Flom Center - Legal and ethical perspectives: Institutional risk, medical malpractice, informed consent, and applicable regulations
- Moderator: Robert Truog, MD, Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, & Pediatrics and Director, Center for Bioethics, Harvard Medical School; Executive Director, Institute for Professionalism & Ethical Practice and Senior Associate in Critical Care Medicine, Boston Children's Hospital
This event was free and open to the public.
Sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund.
Lecture presented by Dr Jose Maria Nicolas at e-ICU Egypt conference held at Cairo Egypt on 3and 4 December 2014.Organized by Scribe(www.scribeofegypt.com)
October 27, 2016
Concurrent, or overlapping, surgeries involve the simultaneous scheduling of substantial portions of two or more surgeries under the supervision of a single surgeon, requiring delegation of responsibility to trainees and assistants if necessary. The practice is not uncommon, especially at teaching hospitals, but patients often have no idea that their doctor may also be operating on someone else at the same time. This panel discussion described the practice, its risks and benefits, and recommended approaches to preserve patient trust and safety.
Panelists
- Jonathan Saltzman, Reporter, The Boston Globe Spotlight Team (contributor to “Clash in the Name of Care”) - Setting the Stage: Key issues and concerns raised by concurrent surgeries, patient experiences and outcomes
- Griffith R. Harsh IV, MD, MA, MBA, FACS, Professor of Neurosurgery and Associate Dean, Postgraduate Medical Education, Stanford University - Surgeon’s Perspective: Pros and cons of concurrent scheduling, pressures to schedule this way, potential impact on patients, and the recent statement by the American College of Surgeons
- I. Glenn Cohen, JD, Professor, Harvard Law School; Faculty Director, Petrie-Flom Center - Legal and ethical perspectives: Institutional risk, medical malpractice, informed consent, and applicable regulations
- Moderator: Robert Truog, MD, Frances Glessner Lee Professor of Medical Ethics, Anaesthesia, & Pediatrics and Director, Center for Bioethics, Harvard Medical School; Executive Director, Institute for Professionalism & Ethical Practice and Senior Associate in Critical Care Medicine, Boston Children's Hospital
This event was free and open to the public.
Sponsored by the Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School and the Center for Bioethics at Harvard Medical School, with support from the Oswald DeN. Cammann Fund.
Lecture presented by Dr Jose Maria Nicolas at e-ICU Egypt conference held at Cairo Egypt on 3and 4 December 2014.Organized by Scribe(www.scribeofegypt.com)
INTRODUCTION
The term ‘non-technical skills’ was first applied to safety by the European civil aviation regulator in relation to airline pilots’ behaviour on the flight deck but is now used by a number of professions .
Non-technical skills can be defined as ‘ the cognitive, social, and personal resource skills that complement technical skills, and contribute to safe and efficient task performance.
NTS typically include situation awareness, decision-making, team work, leadership, and the management of stress and fatigue.
Safety & efficiency in any field of work is not just limited to possession of thorough academic knowledge & skilful application of the technical skills, but it also encompasses the basic human behaviour & attitude of individuals during the course of performance of their duties.
Deficiencies in non-technical skills can increase the chances of error, which in turn can increase the chances of an adverse event.
Detailed investigations of adverse health care events have shown that in almost 80% of the cases the underlying cause is poor application of NTS like poor communication, inadequate monitoring, failures to cross-check drugs and equipment.
Good non-technical skills (e.g. vigilance, anticipation, clear communication, team coordination) can reduce the likelihood of error and consequently of accidents
Two categories of NTS have been recognized:
1. Cognitive & Mental skills which include planning, decision making, situation awareness etc.
2. Social & Interpersonal skills like coordinated team work, leadership, communication etc.
Challenges in Everyday Leadership Capabilities Conversations with Senior Clin...ijtsrd
Abstract Senior Charge Nurses SCNs are faced with an increasingly wide range of responsibilities as part of their workload and consequently devote less time to patient care. It is noted that Leadership and organizational management are also important, although adequate training, education, resources, and support to realize these ambitions lag needs. Design A mixed method focus group informed by a well established leadership framework was used to explore senior clinical nurses perceptions of their Leadership. Methods Purposive sampling of SCNs working in Scotland was employed. Data sources included a small focus group and one to one face to face interview. 142 SCNs participated in this interview from 2000 to 2013. Results Twelve main themes were identified Patient focused leadership and Organization focused leadership These two themes were further described through domains of Leadership and capabilities that articulate confidence, quality improvement, and team performance. Grace M Lindsay | Sahar Mohammed Aly | Pushpamala Ramaiah "Challenges in Everyday Leadership Capabilities - Conversations with Senior Clinical Nurses" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33442.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33442/challenges-in-everyday-leadership-capabilities--conversations-with-senior-clinical-nurses/grace-m-lindsay
Let's Talk Research Annual Conference - 24th-25th September 2014 (Gail Woodburn)NHSNWRD
"Maximising the potential of the clinical research nurse workforce in order to promote research and innovation": Gail Woodburn's presentation from the conference.
Career prospects of an operation theatre technicianPoojaSSharma
Operating theatre technicians (OTTs) are an integral part of the operation unit team functioning with surgeons, anesthetists and theatre nurses to help make certain every operation is as safe and successful as possible.
Paramedics are people who enable the healthcare services such as blood sampling, CT scans, MRI, operation theatre preparations, nursing care, emergency support, dialysis, and optometry to name a few. In a widespread sector where doctors and medical practioners primarily treat the patients, paramedical personnel helps in the facilitation of the treatment.
A B.Sc Anaesthesia and Operation Theatre Technology degree from Santosh deemed to be university, Ghaziabad can provide you skills to work in field of medicine and Operation Theatre. It helps you develop your critical thinking, analytical, communication and practical skills. It is wide comprehensive program in which students are trained theoretically and practically for various job opportunities.
B.Sc. in Anaesthesia Technology course is opted by students who wish to learn about anesthesia equipment, anesthesia agents, techniques as well as dosage in order to ensure a better monitoring of the patient.
The knowledge gained by the students through B.Sc. in
Paramedical Courses: A Pathway to Global Healthcare OpportunitiesCINPSInstitute
In today's rapidly evolving healthcare industry, paramedical courses have emerged as a crucial pathway to global healthcare opportunities. These courses equip individuals with specialized skills and knowledge to support healthcare professionals in diagnosing, treating, and caring for patients. With the increasing demand for healthcare services worldwide, paramedical professionals play a vital role in ensuring quality patient care.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
Abstract
- The role of medical technologists in the
years due to changes in the laboratory environment.
curriculum is needed to prepare graduates for
changes in laboratory medicine. It is the ultimate
goal of the College to prepare students for career
entry positions as medical technology professionals.
The curriculum should be designed to prepare the
graduates and demonstrate the core competencies
expected of them in the workplace. It is for this reason
that this study was conducted to assess the career entry-
level competencies expected of the graduates of the
College of Medical Technology of Lyceum of Batangas.
Findings of the study served as basis in enhancing the
curriculum to make it more responsive to the needs of local and international healthcare systems. Using
a descriptive method, the respondents were the chief
medical technologists and immediate supervisors of
selected hospitals who have as their staff LB Medical
Technology graduates under the AHSE curriculum
(2002-2006). A total of 77/138 (56%) graduates were
evaluated using a structured type of questionnaire
following a Likert scale with 5 as the highest and one as
the lowest values. The parameters in the questionnaire
were derived from the model formulated from the
various competency-based standards of various local
and international accrediting professional associations.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
Analysis of a Career in Surgery
Student Name
Professor Williams
English 122 02H
Date Due
Outline
Thesis: This analysis will explore the education, training, and career of a Surgeon.
· Introduction
· Definition of Surgeon
· Qualities of a Surgeon
· Thesis, Purpose, and Audience
· Source and Scope of Research
· Career Analysis
· Education
· Undergraduate Degree
· Application Requirements
· Medical School
· Residency & Fellowship
· Life of a Surgeon
· Duties and Responsibilities
· Surgery
· Teaching
· Research
· Work/Life Balance
· Employment Prospects
· Career Growth
· Advancement Opportunities
· Pros and Cons
· Conclusion
· Summary of Findings
· Interpretation of Findings
· Recommendations
Analysis of a Career in Surgery
INTRODUCTION
A career as a surgeon is long, incredibly difficult, competitive, costly, and one of the most rewarding pursuits you can have in your life. Something not typically mentioned to aspiring pre-medical students is the complicated nature of applying to medical school and residency. Much more is required than just a set of good grades. Volunteer work in the community, leadership and research experience, writing and interviewing skills, are all necessary for a successful application to medical school. All of those things are required yet again, when applying to surgical residency.
Before digging into all those things, let’s look at the definition of a surgeon. The United States Department of Labor, Bureau of Labor Statisticsdescribes the surgical profession in the Occupational Outlook Handbook as the following: “Using a variety of instruments, a surgeon corrects physical deformities, repairs bone and tissue after injuries, or performs preventive or elective surgeries on patients.” This is a strict definition however; a more useful outlook would be to focus on what traits lend themselves to becoming a successful surgeon.
There is a useful list created by the American College of Surgeons (ACS), titled, “So You Want to Be A Surgeon: An Online Guide to Selecting and Matching with the Best Surgery Residency,” which aims at current medical students. The guide says that a surgeon should work well as a member of a team; enjoy quick patient outcomes; welcome increasing responsibility; excel at solving problems with quick thinking; be inspired by challenges; and love to learn new skills (American College of Surgeons). The ACS recommends looking into a surgical career if you believe some or all of those traits apply to you. However, there is no such thing as a “standard surgical resident” and the ACS points out that “surgeons are trained, not born.…Becoming a good surgeon is a lifelong process.”
For students interested in pursuing a surgical career, this analysis will explore the education, training, and career of a Surgeon. Information for objective analysis will be taken from multiple sources including article databases, government sources, a personal interview with an orthopedic surgeon, the American College of Sur.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
INTRODUCTION
The term ‘non-technical skills’ was first applied to safety by the European civil aviation regulator in relation to airline pilots’ behaviour on the flight deck but is now used by a number of professions .
Non-technical skills can be defined as ‘ the cognitive, social, and personal resource skills that complement technical skills, and contribute to safe and efficient task performance.
NTS typically include situation awareness, decision-making, team work, leadership, and the management of stress and fatigue.
Safety & efficiency in any field of work is not just limited to possession of thorough academic knowledge & skilful application of the technical skills, but it also encompasses the basic human behaviour & attitude of individuals during the course of performance of their duties.
Deficiencies in non-technical skills can increase the chances of error, which in turn can increase the chances of an adverse event.
Detailed investigations of adverse health care events have shown that in almost 80% of the cases the underlying cause is poor application of NTS like poor communication, inadequate monitoring, failures to cross-check drugs and equipment.
Good non-technical skills (e.g. vigilance, anticipation, clear communication, team coordination) can reduce the likelihood of error and consequently of accidents
Two categories of NTS have been recognized:
1. Cognitive & Mental skills which include planning, decision making, situation awareness etc.
2. Social & Interpersonal skills like coordinated team work, leadership, communication etc.
Challenges in Everyday Leadership Capabilities Conversations with Senior Clin...ijtsrd
Abstract Senior Charge Nurses SCNs are faced with an increasingly wide range of responsibilities as part of their workload and consequently devote less time to patient care. It is noted that Leadership and organizational management are also important, although adequate training, education, resources, and support to realize these ambitions lag needs. Design A mixed method focus group informed by a well established leadership framework was used to explore senior clinical nurses perceptions of their Leadership. Methods Purposive sampling of SCNs working in Scotland was employed. Data sources included a small focus group and one to one face to face interview. 142 SCNs participated in this interview from 2000 to 2013. Results Twelve main themes were identified Patient focused leadership and Organization focused leadership These two themes were further described through domains of Leadership and capabilities that articulate confidence, quality improvement, and team performance. Grace M Lindsay | Sahar Mohammed Aly | Pushpamala Ramaiah "Challenges in Everyday Leadership Capabilities - Conversations with Senior Clinical Nurses" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-6 , October 2020, URL: https://www.ijtsrd.com/papers/ijtsrd33442.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/33442/challenges-in-everyday-leadership-capabilities--conversations-with-senior-clinical-nurses/grace-m-lindsay
Let's Talk Research Annual Conference - 24th-25th September 2014 (Gail Woodburn)NHSNWRD
"Maximising the potential of the clinical research nurse workforce in order to promote research and innovation": Gail Woodburn's presentation from the conference.
Career prospects of an operation theatre technicianPoojaSSharma
Operating theatre technicians (OTTs) are an integral part of the operation unit team functioning with surgeons, anesthetists and theatre nurses to help make certain every operation is as safe and successful as possible.
Paramedics are people who enable the healthcare services such as blood sampling, CT scans, MRI, operation theatre preparations, nursing care, emergency support, dialysis, and optometry to name a few. In a widespread sector where doctors and medical practioners primarily treat the patients, paramedical personnel helps in the facilitation of the treatment.
A B.Sc Anaesthesia and Operation Theatre Technology degree from Santosh deemed to be university, Ghaziabad can provide you skills to work in field of medicine and Operation Theatre. It helps you develop your critical thinking, analytical, communication and practical skills. It is wide comprehensive program in which students are trained theoretically and practically for various job opportunities.
B.Sc. in Anaesthesia Technology course is opted by students who wish to learn about anesthesia equipment, anesthesia agents, techniques as well as dosage in order to ensure a better monitoring of the patient.
The knowledge gained by the students through B.Sc. in
Paramedical Courses: A Pathway to Global Healthcare OpportunitiesCINPSInstitute
In today's rapidly evolving healthcare industry, paramedical courses have emerged as a crucial pathway to global healthcare opportunities. These courses equip individuals with specialized skills and knowledge to support healthcare professionals in diagnosing, treating, and caring for patients. With the increasing demand for healthcare services worldwide, paramedical professionals play a vital role in ensuring quality patient care.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
Abstract
- The role of medical technologists in the
years due to changes in the laboratory environment.
curriculum is needed to prepare graduates for
changes in laboratory medicine. It is the ultimate
goal of the College to prepare students for career
entry positions as medical technology professionals.
The curriculum should be designed to prepare the
graduates and demonstrate the core competencies
expected of them in the workplace. It is for this reason
that this study was conducted to assess the career entry-
level competencies expected of the graduates of the
College of Medical Technology of Lyceum of Batangas.
Findings of the study served as basis in enhancing the
curriculum to make it more responsive to the needs of local and international healthcare systems. Using
a descriptive method, the respondents were the chief
medical technologists and immediate supervisors of
selected hospitals who have as their staff LB Medical
Technology graduates under the AHSE curriculum
(2002-2006). A total of 77/138 (56%) graduates were
evaluated using a structured type of questionnaire
following a Likert scale with 5 as the highest and one as
the lowest values. The parameters in the questionnaire
were derived from the model formulated from the
various competency-based standards of various local
and international accrediting professional associations.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
Analysis of a Career in Surgery
Student Name
Professor Williams
English 122 02H
Date Due
Outline
Thesis: This analysis will explore the education, training, and career of a Surgeon.
· Introduction
· Definition of Surgeon
· Qualities of a Surgeon
· Thesis, Purpose, and Audience
· Source and Scope of Research
· Career Analysis
· Education
· Undergraduate Degree
· Application Requirements
· Medical School
· Residency & Fellowship
· Life of a Surgeon
· Duties and Responsibilities
· Surgery
· Teaching
· Research
· Work/Life Balance
· Employment Prospects
· Career Growth
· Advancement Opportunities
· Pros and Cons
· Conclusion
· Summary of Findings
· Interpretation of Findings
· Recommendations
Analysis of a Career in Surgery
INTRODUCTION
A career as a surgeon is long, incredibly difficult, competitive, costly, and one of the most rewarding pursuits you can have in your life. Something not typically mentioned to aspiring pre-medical students is the complicated nature of applying to medical school and residency. Much more is required than just a set of good grades. Volunteer work in the community, leadership and research experience, writing and interviewing skills, are all necessary for a successful application to medical school. All of those things are required yet again, when applying to surgical residency.
Before digging into all those things, let’s look at the definition of a surgeon. The United States Department of Labor, Bureau of Labor Statisticsdescribes the surgical profession in the Occupational Outlook Handbook as the following: “Using a variety of instruments, a surgeon corrects physical deformities, repairs bone and tissue after injuries, or performs preventive or elective surgeries on patients.” This is a strict definition however; a more useful outlook would be to focus on what traits lend themselves to becoming a successful surgeon.
There is a useful list created by the American College of Surgeons (ACS), titled, “So You Want to Be A Surgeon: An Online Guide to Selecting and Matching with the Best Surgery Residency,” which aims at current medical students. The guide says that a surgeon should work well as a member of a team; enjoy quick patient outcomes; welcome increasing responsibility; excel at solving problems with quick thinking; be inspired by challenges; and love to learn new skills (American College of Surgeons). The ACS recommends looking into a surgical career if you believe some or all of those traits apply to you. However, there is no such thing as a “standard surgical resident” and the ACS points out that “surgeons are trained, not born.…Becoming a good surgeon is a lifelong process.”
For students interested in pursuing a surgical career, this analysis will explore the education, training, and career of a Surgeon. Information for objective analysis will be taken from multiple sources including article databases, government sources, a personal interview with an orthopedic surgeon, the American College of Sur.
Implantology Courses Inc
845 S Main St
SUITE 306
Lombard, IL 60148
(630) 705-1002
http://www.m.implantologycourses.com/
Dental education organization offering hands-on surgical and practical courses for dental practitioners.
NURSING AS A PROFESSION - FUNDAMENTALS OF NURSING.pdfHaraLakambini
NURSING AS A PROFESSION
SCIENCE AND ART OF NURSING PRACTICE
BENNER: FROM NOVICE TO EXPERT
SCOPE AND STANDARDS OF PRACTICE
ANA STANDARDS OF NURSING PRACTICE
STANDARDS OF PROFESSIONAL NURSING PRACTICE
STANDARDS OF PROFESSIONAL PERFORMANCE
ANA STANDARDS OF PROFESSIONAL PERFORMANCE
CODE OF ETHICS
PROFESSIONAL RESPONSIBILITIES AND ROLES
NURSING AS A PROFESSION (FUNDAMENTALS OF NURSING)HaraLakambini
NURSING AS A PROFESSION
SCIENCE AND ART OF NURSING PRACTICE
BENNER: FROM NOVICE TO EXPERT
SCOPE AND STANDARDS OF PRACTICE
ANA STANDARDS OF NURSING PRACTICE
STANDARDS OF PROFESSIONAL NURSING PRACTICE
STANDARDS OF PROFESSIONAL PERFORMANCE
ANA STANDARDS OF PROFESSIONAL PERFORMANCE
CODE OF ETHICS
PROFESSIONAL RESPONSIBILITIES AND ROLES
Running head NARRATIVE 10- BURN UNIT1NARRATIVE 10- BURN UNIT.docxtoltonkendal
Running head: NARRATIVE 10- BURN UNIT 1
NARRATIVE 10- BURN UNIT 2
New practice approaches
An experience with new technology and better ways of dealing with burn cases, treatment is quite fast and easy! Unlike the traditional way of airway maintenance, the new way that follows the ATLS guidelines enables the nurse to have a definitive airway maintenance as well as ventilation monitoring.
Extraprofessional collaboration
The burn unit required a great deal of collaboration between different medical practitioners in order to achieve quick recovery and optimum treatment results. With the airway and c-spine protection, monitoring the heart rate and blood pressure would require different physicians to acquire optimum results.
Health care delivery and clinical systems
With the Airway with C-spine Protection, different procedures and systems collaborate together to produce the best treatment results. Assessment of breathing, circulation, disability and exposure worked well with the clinical system each stage was important in contributing to the greater good.
Ethical considerations in health care
When it comes to Airway with C-spine Protection, Improving access to care, Protecting patient privacy and confidentiality are paramount. Building and maintaining strong health care workforce, Marketing practices and Care quality helps the unit achieve quality care.
Population health concerns
In the Airway with C-spine Protection, the section has the mandate of providing quality and convenient care. These help to improve the workability of the hospital system in general.
The role of technology in improving health care outcomes
When accessing the Airway with C-spine Protection, use of technology proved to be important especially when inspecting for singed nasal, facial and eyebrow hairs.
Health policy
Definitely, health policies serve as important ways through which the burn unit could provide quality healthcare. I did notice this when it comes to ensuring that each patient gets the most out of treatment they undergo.
Leadership and economic models
At the burn unit, it is almost blatant that leaders are responsible and are economical in their decision making. This is evident by the efficient allocation of resources.
Health disparities
Different patients come with different conditions. However, it is the function of the nurses to do all they can to ensure that their patients get well.
Running Head: Reflective Narrative 1
Oncology Unit: Reflective Narration
Student’s Name:
Institution- Affiliated:
Health disparities in Cancer
One of the most significant issues I encountered during of the course of the week is the existing disparities in various aspects of cancer such as death rates, higher rates of advanced cancer diagnoses, less frequent use of proven screening test in specific populations is an area in which progress has not been at par. I noted health disparities existed in African American women compared to women from other ethnic ...
Similar to Fundamental Skills For Surgery - Sample (20)
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
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1. 1
SURGICAL CONDUCT
CHAPTER ONE
INTRODUCTION
Technical aspects of operative surgery are only one part of a surgeon’s skill. Technical
skill underpins safe surgical practice, but it does not guarantee it, and is not enough on
its own. A competent and safe surgeon will be able to interact with patients and other
members of the surgical team in an appropriate and ethical manner, make good clinical
decisions, and perform complex surgical tasks to a high standard.
Most medical graduates can be trained in the technical aspects of operative surgery.
However, mastery of conduct and decision making is essential to the development of a
safe and effective surgical practice.
WHAT IS A SURGEON?
It is said that ‘a surgeon is a physician who operates’. This statement emphasises the fact
that knowing when and when not to operate is at least as important as knowing how
to operate. Hence, one of the most important surgical skills that trainees must acquire
is clinical perspective and decision making. Surgeons undertake a wide range of tasks
Circumstances are beyond human control,
but our conduct is in our own power.
Benjamin Disraeli (1804–1881),
British Prime Minister, novelist and essayist
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2. 2
FUNDAMENTAL SKILLS FOR SURGERY
and assume many roles within their day-to-day work. Most of these are not dependent
on technical skill alone. The roles and attributes required of a surgeon are defined by
the Royal Australasian College of Surgeons (RACS) (see Table 1.1). The definition of
surgical competence is expanded on the RACS website, www.surgeons.org.
Clinical skills
To achieve the best possible clinical outcomes for patients, surgeons require more than
just the obvious clinical skills involved in history taking, physical examination and
operative surgery.
A competent surgeon will have good interpersonal and communication skills which
enable the surgeon to interact, communicate and work with patients, medical colleagues,
nurses and other staff from diverse social, economic and ethnic backgrounds.
In the role of a surgeon, the technical task of ‘performing’ in the operating theatre
is actually a more transparent task. It requires the integration of a series of defined
technical steps. If these are performed for the right reasons, at an appropriate standard
and in the correct sequence, the operation should be a success. All complex operations
can be broken down into a series of simpler steps.
Surgical behaviour
Most surgeons in training are keen to engage their surgical mentors and become part
of the surgical team. They usually model their behaviour on how they see their mentors
behave towards colleagues, juniors, patients and other hospital staff. The stereotype of
the irascible, bombastic senior surgeon from past decades, in particular, may be a poor
example for trainees to emulate.
The modern surgeon must be an excellent communicator and treat colleagues (at
all levels) courteously and with respect, while maintaining those characteristics that are
Table 1.1 Essential roles and key competencies for surgeons
Collaboration
Communication
Health advocacy
Judgement—clinical decision making
Management and leadership
Medical expertise
Professionalism
Scholar/Teacher
Technical expertise
Source: Royal Australasian College of Surgeons. Originally adapted from ‘Skills for the new millennium: report of the societal
needs working group’, Royal College of Physicians and Surgeons of Canada’s Canadian Medical Education Directions for
Specialists 2000 Project, September 1996.
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3. 3
SURGICAL CONDUCT CHAPTER 1
essential to surgery: decisiveness, willingness to make a decision based on incomplete
information, and the ability to take control of situations when appropriate. Trainees
should seek to balance the practical role required for good surgical practice with
responsibilities and opportunities in other areas of endeavour.
It is also important for surgeons to develop a balance between their workload and
the rest of their life. Demands made of surgeons can be considerable, but it is neither
appropriate nor sustainable for surgeons to allow all their time to be consumed by
surgical practice. Surgeons may become overwhelmed with work-related tasks, and it is
essential that reasonable limits are set so that a balance is achieved between work and
life outside work.
Teaching
Teaching is an integral part of the surgical profession. It is not only students who benefit
from the surgeon’s teaching. Teaching requires a deeper understanding of the principles,
processes, knowledge and skills that are the foundation of surgery. One of the best ways
to refine one’s own practice is to teach it. Surgeons have the privilege and responsibility
to pass their professional knowledge and skills on to medical students and trainee
surgeons to ensure that high-quality surgical services are available to future generations.
All surgeons must be engaged in teaching at some level. Past and current generations of
surgeons have assisted with undergraduate and postgraduate teaching, often pro bono.
Teaching undergraduate medical students the principles of surgical disease, diagnosis
and treatment is an important responsibility. If surgery as a discipline is to continue to
attract the best and brightest undergraduates into its ranks, then all surgeons will need
to inspire their students and give them a positive experience of surgical practice. The
postgraduate teaching of both junior and senior surgical trainees is equally important.
How surgeons interact with early postgraduate trainees has a profound impact on
future career choices. For many surgeons, postgraduate teaching will be their principal
contribution to the activities of the Royal Australasian College of Surgeons.
Keeping up to date
Surgeons have a responsibility to remain up to date with advances in surgical knowledge,
andtokeepabreastofnewdevelopments.Continuousprofessionaldevelopment,clinical
audit and reaccreditation all contribute to this. The body of surgical knowledge does not
remain fixed in time, and it is critical that trainees develop habits and strategies that
facilitate keeping abreast of new developments throughout their independent surgical
practice. The ability to assess and critically appraise one’s own practice will facilitate and
drive ongoing learning. Support from colleagues, particularly in the area of audit and
acquiring new skills, is also necessary for this. As a surgeon's clinical practice evolves
and changes, it will be necessary to learn new procedures and skills, and the support of
colleagues who can work together will facilitate this. These new skills may include non-
operative or non-technical skills.
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4. 4
FUNDAMENTAL SKILLS FOR SURGERY
Research
Through research, surgeons contribute to their profession and to the wider community.
Some surgeons may become involved in laboratory science research. All surgeons
engagedinclinicalpracticecancontributetoclinicalresearch.Thismightinvolveclinical
audit (which can be presented and published as a clinical case series) or participation in
clinical trials. Opportunities exist for surgeons in teaching hospitals, rural practice and
in full-time private practice to engage in collaborative clinical research efforts, either led
by other surgeons or initiated by the individual. Engagement in research leads to better
understanding of the issues, practicalities and difficulties of conducting and publishing
high-quality research. This is particularly useful when appraising the strengths and
limitations of published papers.
Leadership
The role of a surgeon inevitably requires skills as a leader, even at the level of a junior
surgical trainee. Levels of leadership and responsibility are delegated to all members of
the surgical team. Leadership skills are needed in direct patient management and in
managing the surgical team and environment. At times, a surgeon must take a lead in
healthadvocacyonbehalfofapatient,hospitalorcommunity.Ultimately,criticaldecisions
and clinical responsibility rest on the attending surgeon who must have developed the
leadership ability to manage the surgical environment to the best benefit of the patient. A
good leader must sometimes make tough decisions and assume responsibility for them.
As a leader, a good surgeon does not function in isolation, but consults with colleagues,
respects and listens to other members of the team, and acts as a role model.
THE SURGICAL TEAM
Surgical trainees and ‘trained’ surgeons interact at different levels in a surgical
department and should function as an effective team. This team also includes a variety
of nursing and non-medical staff. It is essential that all of these individuals work as
a team, understand and perform their roles well, and have excellent communication
skills. In a teaching hospital, the surgical resident (or intern) and the surgical registrar
are responsible to a consultant surgeon for the day-to-day management of patients
under the consultant’s care. A trainee who cannot function as part of a team is unlikely
to progress within the training programme.
Surgical training is an apprenticeship of graded responsibility, progressing with
maturity and experience. All team members, from junior trainee to senior consultant,
must be aware of their own limitations and seek early assistance or advice. A competent,
responsible surgeon will recognise when assistance is necessary and will request it.
Collegial support may be needed in situations of technical, psychological, ethical or
physical difficulty.
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5. 5
SURGICAL CONDUCT CHAPTER 1
Exercising such clinical judgement is in the patient’s best interest, and it will earn the
surgeon the respect of his/her patients and colleagues. Failing to recognise the need for
help, and proceeding regardless, will lose that respect and is an unsafe and unacceptable
practice.
All surgeons have a professional and ethical obligation to respond appropriately to
calls for assistance from their colleagues.
Teamwork is important in surgical practice and a close working relationship with
non-surgical staff, including nurses and paramedical staff, is essential. Good and
appropriate communication, respect and courtesy should be the foundation of all
interactions with staff and patients.
SPECIFIC COMMUNICATION ISSUES
Communication with patients and relatives is as important as communication with
membersofthesurgicalteam.Itshouldbeopenandhonest.Informationaboutdiagnosis,
treatment and outcomes should be shared sensitively and fully with the patient. Privacy
considerations require that the surgeon has the patient’s consent to talk to relatives
about their condition but in general open communication and disclosure should be
encouraged. When complications and adverse outcomes occur, good communication
with the patient, and their family, will minimise the risk of litigation and complaints.
Informed consent
When patients make decisions about their medical care they should be provided with
appropriate information, preferably in both written and verbal form.
For consent to be valid a number of criteria must be met. Firstly, the person must be
able to understand the implications of having the treatment. The second requirement is
that consent must be freely given without coercion. Thirdly, the consent must be specific
and is valid only in relation to the treatment or procedure about which the patient has
been informed and to which they have agreed. Finally, the intended procedure should
be explained in a way that the patient can understand.
The Australian National Health and Medical Research Council recommends that
medical practitioners discuss:
1. the possible or likely nature of the illness
2. the proposed approach to investigation and treatment including:
(a) what the proposed approach entails
(b) the expected benefits
(c) common side effects and material risks (see below)
(d) whether the procedure is conventional or experimental
(e) who will undertake the intervention
3. other options for diagnosis and treatment
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6. 6
FUNDAMENTAL SKILLS FOR SURGERY
4. the degree of uncertainty of the diagnosis and any therapeutic outcome
5. the likely outcome of not having the diagnostic procedure or treatment, or of not
having any procedure or treatment at all
6. any significant long-term physical, emotional, mental, social, sexual, or other
outcome which may be associated with the proposed intervention
7. the time and cost involved including any out-of-pocket expenses.
Patients should be informed about the ‘material’ risks of any intervention, especially
those likely to influence a patient’s decision. A risk is ‘material’ if, in the circumstances,
a reasonable person in the patient’s position, if warned of the risk, would be likely to
attach significance to it, or if the medical practitioner is or should reasonably be aware
that the particular patient, if warned of the risk, would be likely to attach significance
to it (Rogers v. Whitaker). Thus, both common risks with small detriment as well as
uncommon risks with high detriment should be disclosed. Further, surgeons should
carefully consider whether knowing about a risk is likely to influence a patient’s
decision. Special consideration should be made to address specific patient concerns
about particular adverse outcomes, however unlikely.
A person is incapable of giving consent if they are not ‘competent’. In general terms,
‘competency’ is determined by a patient’s ability to comprehend and retain treatment
information and consider the information in order to reach a decision. A patient may
lack competency due to factors such as mental illness, acute medical illness (such as
unconsciousness), intellectual impairment, delirium or being a minor. In such patients,
consent needs to be sought from a ‘person responsible’ (usually a spouse), a guardian
or from an appropriate other legal entity. Although minors are not legally allowed to
give independent consent, it is still desirable that they be given information about the
proposed procedure in understandable language.
Subject to a valid advance health directive to the contrary, consent is not required
where immediate treatment is necessary to save a person’s life or to prevent serious
injury to an adult person’s health where the person is unable to consent.
The operative note
Good record keeping and communication with colleagues and to referring doctors
is important. The operative note should describe succinctly and accurately what
has happened in the operating theatre. It is good surgical practice for the operative
note to include the indications for performing the procedure, the operative findings,
a description of the key technical elements of the procedure, and postoperative
management instructions. It should also record whether the procedure was uneventful,
and describe any difficulties that were encountered and any unusual aspects to the case.
It should provide enough information to enable the important details to be understood
by another surgeon who encounters the patient at a later date.
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7. 7
SURGICAL CONDUCT CHAPTER 1
Adverse events
No surgical procedure is risk free. Every procedure has an inherent risk of an
adverse event and unexpected events do happen. If the risk is significant, it should
have been discussed as part of the informed consent process. When the event is
rare or unexpected, this may not have happened. When an adverse event occurs,
open and honest communication and discussion should take place between the
surgeon and the patient, or the surgeon and the relatives. The patient should be told
what has happened, how it happened, and what will be done to rectify the problem.
It is usually appropriate to offer an apology. An apology is not an assumption of
blame, and is more likely to reduce than to increase the likelihood of litigation. The
majority of complications are not the direct fault of the surgeon and are not due to
negligence.
Perhaps surprisingly, an adverse outcome due to negligence will not necessarily
lead to litigation if good, effective and caring communication between the surgeon,
patient and their family occurs. Human nature, however, may lead a surgeon to avoid
the patient, communicate poorly, or not acknowledge the event following an adverse
outcome. This behaviour may make subsequent legal action more likely.
Adverse events are an important opportunity for learning, in order to benefit the
surgeon and future patients. This is the principle behind clinical audit, morbidity and
mortality meetings, and hospital quality assurance meetings. It is appropriate to review
most adverse events and outcomes in a controlled environment that is conducive to open
discussion of the event. Quality improvement can follow if the contributing factors are
identified. The clinical practice improvement (CPI) movement seeks to rectify system
issues in the environment in which surgeons work that contribute to adverse events, so
that the system can be redesigned to minimise risk.
Dealing with conflict
Conflict with patients, relatives and other staff inevitably arises from time to time.
A competentsurgeonhasthestrategiesandskillstodealwiththis.Whenconflictoccurs,
or an angry patient or relative is encountered, it is important not to respond with
anger. Often the problem is due to poor communication or misunderstanding, and an
angry response only makes the situation worse. First, listen to what the other person is
saying. It is very important to hear them out. This is the first step in defusing tension.
When they believe they have been heard, they will be more receptive to you. After
hearing their concerns, calmly and honestly explain what has happened, acknowledge
issues of importance to them, outline any review process that will be undertaken,
and apologise when appropriate! It is important to be seen to be sympathetic and
responsive.
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8. 8
FUNDAMENTAL SKILLS FOR SURGERY
LIFELONG SURGICAL EDUCATION
Surgical training and surgical education does not cease after passing the specialist
surgical qualification examinations. It must continue throughout a surgeon’s career.
Attendance at unit meetings and audits, courses and conferences is a good way of
updating knowledge and expertise. Participation in a conference by presenting a paper
is an even better way of engaging in education and peer review. As new procedures
are introduced, or a surgeon’s repertoire changes, it is necessary to have a strategy
for acquiring new skills and knowledge. Although information can be obtained at
conferences and workshops, an appropriate way to commence a new technique is to gain
assistance from another surgeon who is already skilled and trained in the procedure,
and to engage this colleague as a mentor. If there is no locally available expertise, then
operating with another consultant surgeon is a sensible strategy. This demonstrates
responsibility and integrity, and should help to reduce the risk of an adverse outcome.
SUMMARY
Surgicalconductisthematureprofessionalbehaviourthatresultsfromtheaccumulation
of clinical knowledge, surgical skills and wisdom through a long apprenticeship and
throughout a career as a surgeon. The many facets of a competent surgeon extend far
beyond technical and manual surgical skills to encompass sophisticated interpersonal
skills, communication, decision making, teaching, research, continued personal
learning and leadership.
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