Colorectal Clinic Surgery Jeff Lee Colorectal Service Attendings

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Colorectal Clinic & Surgery Jeff Lee

Colorectal Clinic & Surgery Jeff Lee

Colorectal Service • Attendings: Dr. Clark, Dr. Turner • Clinic: 9 B or 1

Colorectal Service • Attendings: Dr. Clark, Dr. Turner • Clinic: 9 B or 1 K clinic • What it is: Basically it is Dr. Clark and Turner seeing follow ups or scheduling surgery for patients • Colorectal OR time as well

Clinic on 9 B • Take elevator to 9 B • Go down the

Clinic on 9 B • Take elevator to 9 B • Go down the hallway and the clinic will be on your left • Enter the clinic and you will see this: Go straight ahead through that door and turn to your right

Where Clinic HQ is

Where Clinic HQ is

Clinic on 1 K • Set-up is similar to 9 B • Go down

Clinic on 1 K • Set-up is similar to 9 B • Go down to the 1 st floor and follow the signs for Surgery Clinic

Clinic Headquarters

Clinic Headquarters

What to expect • Dr. Clark • Expect to do H&P’s on new patients

What to expect • Dr. Clark • Expect to do H&P’s on new patients • Expect to be rushed (try to keep H & Ps) to 10 minutes • Expect to type up a note (try to find a good template that will include their PMH, SH, PSH, etc) • Expect to present them quickly to Dr. Clark • Expect to be pimped!!! He is very nice but will keep the questions flowing! You WILL learn a lot!

What to expect • Dr. Turner • • She typically does not expect you

What to expect • Dr. Turner • • She typically does not expect you to see patients You follow her around & shadow her She does not usually ask questions It be chill but you won’t learn much

Your workstation

Your workstation

OR time • Time in the OR varies among the attendings as well •

OR time • Time in the OR varies among the attendings as well • Clark • Know your anatomy • Be ready to do a rectal exam on the patient while he/she is under anesthesia • Be confident! Even if you are wrong! • He will say things like: • • “You’re killin’ me doc!” “Good! We’re learning!” “You need to read!” He also likes to joke about pitting partners against each other • Don’t take anything personally; he says these things to everyone, even chief residents • Turner • Chill

Questions you will be pimped on • TMN for anal cancer staging & grading

Questions you will be pimped on • TMN for anal cancer staging & grading • • • Most common place where anal cancer occurs TMN for colorectal cancer staging & grading Colorectal cancer screening guidelines Anal cancer treatment • When to use NIGRO protocol Rectal cancer treatment • When to excise, when to use adjuvant therapy Blood supply to the gut • Branches off the Celiac, SMA, IMA • Blood supply to rectum, anus Nerve supply to the gut Congenital based cancers • Turcot, Gardner, Lynch (know diff btw Lynch 1 & 2) Grades of hemorrhoids Goodsall’s rule • Treatment for fistulas Hinchey classification of diverticulitis perforations Different types of Polyps • Which are malignant, which are benign

Bottom Line • Clark will pimp you a lot, but take it in stride

Bottom Line • Clark will pimp you a lot, but take it in stride and write everything down he tells you • Even if you get things right, he will keep asking more and more specific things until you get something wrong; don’t be offended by this, it’s not personal, it’s just his way • Look up things he tells you to look up: HE DOES NOT FORGET • Overall, he is a great guy; he may be sarcastic a lot but he wants you to learn and will push you to learn • Turner is chill