Monday New patient Takes longer Needs x-rays Complete history and physical exam EMR documentation Medical assistant and x-ray technician help
Monday Follow up Post surgical Cast check After injections/therapy
Monday Meetings Home by 5 PM
Tuesday Up at 6:15 A.M. At hospital by 7 A.M.
Tuesday 2 Operating rooms Flip back and forth In-patient surgeries TKR THR TSR Most fractures Ill patients
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
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
Tuesday Post-op Rounds Review X-rays Examine patient and talk to families Communicate with nurses
Wednesday 6:30 AM
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
Wednesday Still need to prepare for surgery Discussion with surgery center, reps Review labs/films Patients may need medical clearance
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
Wednesday www.drjennifercook.com Post op Protocols PT guidelines Bio
Wednesday Head back to hospital to round on patients, see new consults Go to office to do paperwork, billing, go through inbox
Thursday 6:30 A.M.
Thursday Hospital rounds at 7:30 A.M. Clinic starts at 7:50 A.M. Same clinical schedule
Friday Catch up Day!
Friday Hospital rounds at 7:30 (or later) Surgery Clinic Paper work/return phone calls Meetings PT Home Health Care Office Admin Partners Hospital
Weekend Practice call Emergent surgeries referred to practice Evaluate ER/floor patients referred to practice Rounds
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)
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