Resident Readiness General Surgery [NOOK Book]



Resident Readiness: General Surgery prepares you for success during your surgical internship. Inside is a full range of scenarios you may experience during your residency, supported by comprehension questions with detailed answer explanations and tips to help you remember. You will also learn the clinical problem-solving process so you can think quickly on your feet, especially when time is critical. With the book's step-by-step guidance, you ...

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Resident Readiness General Surgery

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Resident Readiness: General Surgery prepares you for success during your surgical internship. Inside is a full range of scenarios you may experience during your residency, supported by comprehension questions with detailed answer explanations and tips to help you remember. You will also learn the clinical problem-solving process so you can think quickly on your feet, especially when time is critical. With the book's step-by-step guidance, you will gain the confidence you need to perform at your best on Day One of your residency.


  • Handle inpatient problems on the floor
  • Manage patients in the ED, including trauma
  • Follow up with patients in the outpatient clinics post-surgery
  • Triage multiple simultaneous admissions and/or consults
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Editorial Reviews

Doody's Review Service
Reviewer: Christine J Waller, MD (University of Iowa Hospitals and Clinics)
Description: This compact, pocket-sized book uses a case study and question format to counsel medical students and residents on commonly seen general surgery problems. It is divided into three sections: problems seen in the emergency department, problems encountered on the wards, and problems seen in the clinic. It will be a great reference for graduating medical students entering a general surgery residency. The large middle section on inpatient problems could also be of benefit to trainee hospitalists, who care for many of these patients in hospitals around the country.
Purpose: The authors cite three objectives: to smooth the transition to and readiness for residency; to bring residents' readiness to the next level by using a case-based approach; and to target what they really need to know to care for patients on day one. Thus, the purpose is to orient and help transition fourth-year medical students to the intern year of general surgery residency. The book admirably fulfills this objective. Now a chief resident, I wish I had this book six years ago.
Audience: Written for fourth-year medical students or interns going into general surgery residency, the book also will be of use to third-year students on their surgery clerkship and to students entering related disciplines such as trainee hospitalists. Physician extenders working in surgery also will find it of value. The problem-based format can also serve as an excellent refresher for senior residents anticipating oral boards. The four editors include highly regarded surgical educators and they have assembled an excellent cadre of chapter authors. The editors have done an excellent job of assuring overall consistency and quality.
Features: A very nice introductory section with advice on all sorts of key issues such as writing notes, functioning in a team, and survival skills, starts the book. The rest of the book consists of 59 chapters devoted to common clinical scenarios, titled by problem rather than diagnosis (for example, "A 52 year old woman with a suspected congenital coagulopathy" in the "Clinic" section) and each chapter guides readers through a series of questions and answers and a logical approach to the situation. Pearls and selected readings are included. The problems are typical of those encountered in surgical practice — new premature ventricular contractions (PVCs) in a postoperative vascular surgery patient or sudden worsening of pain in a postoperative patient — and reflect the actual nature of practice, since patients rarely announce their diagnosis. The scenarios are grouped into three major settings — the emergency department, the hospital, and the clinic. The case presentations are brief and realistic and dovetail nicely with the current educational trends toward simulated patients and case-based learning. A limited number of well selected, high quality illustrations make key points.
Assessment: The expertise of the editors and authors, and their goal of providing their readers with the knowledge they need to move forward, distinguish this book from the many aimed at senior medical students. This is a not a board prep book, although it would function admirably for that; it is a true companion and guide. It will be of value to students and residents, and could be a useful resource for graduating residents looking toward the boards.
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Product Details

  • ISBN-13: 9780071779890
  • Publisher: McGraw-Hill Education
  • Publication date: 11/26/2013
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 1
  • Pages: 372
  • File size: 5 MB

Meet the Author

Dr. Debra L. Klamen is Associate Dean of Education and Curriculum as well as Professor and Chair of the Department of Medical Education at Southern Illinois University School of Medicine (Springfield, Illinois). She is also a Professor in the Department of Psychiatry at SIU.

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Table of Contents


I. Introduction
1. Welcome
2. How to Read this Book
3. General Advice
4. A 28-year-old Female Incoming Surgery Resident
5. How to Write a Note—Fast!

II. Handling Patients in the ED
6. Admissions
7. A 56-year-old Female Status Post Motor Vehicle Accident
8. A 40-year-old Female With Abdominal Pain
9. A 42-year-old Man With Severe Right Upper Quadrant Pain
10. A 23-year-old Student With Periumbilical Pain That Has Migrated to Her RLQ
11. A 65-year-old Female in Severe Abdominal Pain
12. A Patient in the ER With a Blood Pressure of 60/– and a Heart Rate of 140
13. A 67-year-old Man With Mental Status Changes and a Suspected Diverticular Abscess
14. A 57-year-old Man With a Chief Complaint of Nausea and Vomiting
15. A 65-
year-old Man Status Post Surgery With a HCT of 24%
16. A 70-year-old Man With “Bad Blood”
17. A 37-year-old Man With a Painful Bulge Over His Left Forearm
18. Three Patients All Present With Issues Related toLaboratory Tests
19. A 73-year-old Man With Acute Right Lower Extremity Pain
20. A 36-year-old Woman Status Post Motor Vehicle Accident While Intoxicated
21. A 50-year-old Man Presenting With Extensive Burns
22. A 56-year-old Man 6 Days Status Post Colectomy With New Pelvic Discomfort

III. Handling Inpatients
23. A 75-year-old Man With Postoperative Pain
24. A 72-year-old Man With Acute Confusion Postoperatively
25. You (the Intern) Are Asked to Read a Chest X-ray
26. A 65-year-old Woman in Respiratory Distress
27. A Patient Who Is Postoperative Day 2 With New-onset Chest Pain
28. A 65-year-old Woman With a New-onset Cardiac Arrhythmia
29. A 60-year-old Man in the PACU With New-onset PVCs
30. A 65-year-old Man With Bradycardia
31. A 65-year-old Man With a Pacemaker Who Needs Surgery
32. A Patient With Pulseless Electrical Activity
33. A 55-year-old Man Who May Require Perioperative β-blockade
34. A 65-year-old Man Who Is in RespiratoryDistress 3 Days Postoperatively
35. A 68-year-old Man with Postoperative Hypotension
36. A 57-year-old Man Who Is Postoperative With aBlood Pressure of 210/95
37. A 65-year-old Female Who Is 4 Days Postoperative With Nausea, Vomiting, and a Distended Abdomen
38. A 30-year-old Woman With Postoperative Nausea and Vomiting
39. A 79-year-old Man, Postoperative Day 3,Who has Not had a Bowel Movement in 4 Days
40. A 70-year-old Postoperative Colectomy Patient Who Is Not Putting Out Much Urine
41. A 55-year-old Male With Postoperative Urinary Retention
42. A 52-year-old Female Who Is Dehydrated Postoperative Day #1
43. A 68-year-old Woman With Electrolyte Abnormalities
44. A 58-year-old Man With a Postoperative Fever
45. A 42-year-old Woman 4 Hours Postoperative With a Fever and Extreme Pain
46. A 35-year-old Man With Crohn DiseaseWho Needs Postoperative Orders
47. A 65-year-old Man With Diabetes NeedingPostoperative Orders
48. A 65-year-old Female Presenting for Preoperative Evaluation
49. A 33-year-old Woman Who Needs Postoperative Orders for DVT Prophylaxis
50. A 78-year-old Woman and a 62-year-old Man With Drains
51. A 58-year-old Woman Who had a Drain Pulled by the Resident in Error
52. A Resident Who Is Unsure About How to Remove a Chest Tube
53. A Surgical Intern in a Moral Dilemma
54. A 35-year-old Man Who Is Disruptive on the Floor

IV. Handling Patients in Clinic
55. Ambulatory Care and the Surgery Intern
56. A 55-year-old Man Who Was Struck by a Beer Truck and Needs a CT Scan
57. A 60-year-old Man With Postoperative Wound Complications
58. A 35-year-old Woman Who Needs a Lipoma Removed in Clinic
59. A 52-year-old Woman With a Suspected Congenital Coagulopathy

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