12-26-2016, 06:38 PM
Overall impression: nice place
Attendings and Residents were always great to talk to and valued the sub-is input, which was refreshing.
The Sub-I experience is devided into 2 main hospitals i.e. 2 weeks at Zales Lipshy hospital and 2 weeks at Parkland Hospital - both hospitals are connected (for now - a new Parkland hospital is almost completed)
At Zale-Lipshy hospital, you spend your one week on the Tumor service with primarily Dr. Mickey, Dr. Barnett and also dabble in some functional/DBS procedures with Dr. Louis Whitworth. Side note: Dr. Mickey is one of the nicest physician I've ever met. Dr. Barnett is great too; both are very approachable and seemed interested in teaching.
You spend the 2nd week on vascular service with Dr. White (PD), Dr. Welch, Dr. Rickert and Dr. Batjer (chair) - an amazing team; they clipped an at least one aneurysm per day while I was on this service - maybe this was just my lucky week; along with endovascular procedures. I saw a 3cm "ICA" aneurysm clipped (large enough to cause visual problems)!!! now that's something cool to see. Open cerebrovascular procedures are starting to become a thing of the past, but UTSW is a place where you can still see the procedures done by individuals who are competent in the field. You don't have to take calls these 2wks, but it will only look good if you do.
You then spend the other 2wks at Parkland hospital, which is primarily their trauma hospital. Here, you'll see a wider variety of cases, injuries and GSW, afterall you are in the heart of Dallas, a major metropolitan. You get to take calls at Parkland and you can take as much as you want - there's typically just one of other sub-i at parkland with you, so enough cases and face time to go around. They require at least 2 calls, but it makes sense to do at least a Q3.
You don't have to write notes, but 4H&Ps are required by the end of your rotation - this can be in email form, but it's easier to just do it in EPIC and assign the attending as co-sign.
There's also a presentation (not grand round) that's typically given on the Wednesday evening your final week. It's not malignant, but they'll ask you reasonable questions - which I liked because you'll get to talk about your research by people who are not trying to stomp you.
At both places, you come in at 5AM (or earlier, if you were slow like me), see your assigned patients and the residents will ask you about them at 6AM when they do their rounds. OR starts at around 7:30AM, seeing 2 to 3 procedures that day. On some days, I scrubbed on all cases and assisted quite a bit; while others I only scrubbed on one case. It all depended on the acuity of the patient and how many residents were interested in seeing the case. Usually towards the end of each case, the attendings/chiefs would scrub out and let the junior and sub-i close the wound i.e. after the dura has been put back together. If there was no junior in the OR, the sub-i and the chief would close.
The day typically concludes around 7:30PM (ranging from 6PM-9PM) if not on call.
Hope this helps.
Attendings and Residents were always great to talk to and valued the sub-is input, which was refreshing.
The Sub-I experience is devided into 2 main hospitals i.e. 2 weeks at Zales Lipshy hospital and 2 weeks at Parkland Hospital - both hospitals are connected (for now - a new Parkland hospital is almost completed)
At Zale-Lipshy hospital, you spend your one week on the Tumor service with primarily Dr. Mickey, Dr. Barnett and also dabble in some functional/DBS procedures with Dr. Louis Whitworth. Side note: Dr. Mickey is one of the nicest physician I've ever met. Dr. Barnett is great too; both are very approachable and seemed interested in teaching.
You spend the 2nd week on vascular service with Dr. White (PD), Dr. Welch, Dr. Rickert and Dr. Batjer (chair) - an amazing team; they clipped an at least one aneurysm per day while I was on this service - maybe this was just my lucky week; along with endovascular procedures. I saw a 3cm "ICA" aneurysm clipped (large enough to cause visual problems)!!! now that's something cool to see. Open cerebrovascular procedures are starting to become a thing of the past, but UTSW is a place where you can still see the procedures done by individuals who are competent in the field. You don't have to take calls these 2wks, but it will only look good if you do.
You then spend the other 2wks at Parkland hospital, which is primarily their trauma hospital. Here, you'll see a wider variety of cases, injuries and GSW, afterall you are in the heart of Dallas, a major metropolitan. You get to take calls at Parkland and you can take as much as you want - there's typically just one of other sub-i at parkland with you, so enough cases and face time to go around. They require at least 2 calls, but it makes sense to do at least a Q3.
You don't have to write notes, but 4H&Ps are required by the end of your rotation - this can be in email form, but it's easier to just do it in EPIC and assign the attending as co-sign.
There's also a presentation (not grand round) that's typically given on the Wednesday evening your final week. It's not malignant, but they'll ask you reasonable questions - which I liked because you'll get to talk about your research by people who are not trying to stomp you.
At both places, you come in at 5AM (or earlier, if you were slow like me), see your assigned patients and the residents will ask you about them at 6AM when they do their rounds. OR starts at around 7:30AM, seeing 2 to 3 procedures that day. On some days, I scrubbed on all cases and assisted quite a bit; while others I only scrubbed on one case. It all depended on the acuity of the patient and how many residents were interested in seeing the case. Usually towards the end of each case, the attendings/chiefs would scrub out and let the junior and sub-i close the wound i.e. after the dura has been put back together. If there was no junior in the OR, the sub-i and the chief would close.
The day typically concludes around 7:30PM (ranging from 6PM-9PM) if not on call.
Hope this helps.
