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Published byHaylie Lamey Modified over 10 years ago
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by Jennifer L. Cook, M.D. Florida Joint Care Institute
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What time do you get up?
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Monday 6:30 AM
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What is the first thing you do in the morning?
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Monday SNOOZE!
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Monday Head to the hospital for rounds at 7:30 AM See and examine all patients Review labs Review X-rays See any new consults
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Monday PA, physician assistant accompanies me on these rounds Writes a clinical note in computer which I cosign
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Monday 7:50 AM clinic starts Last patient at 3:50 PM Typically see 45 patients a day 6 patients an hour
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Monday Fractures Sports medicine Arthroscopy knee Arthroscopy shoulder Joint reconstruction Knees Hips Shoulders
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Monday New patient Takes longer Needs x-rays Complete history and physical exam EMR documentation Medical assistant and x-ray technician help
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Monday Follow up Post surgical Cast check After injections/therapy
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Monday Meetings Home by 5 PM
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Tuesday Up at 6:15 A.M. At hospital by 7 A.M.
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Tuesday Surgery!!!!!!
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Tuesday 2 Operating rooms Flip back and forth In-patient surgeries TKR THR TSR Most fractures Ill patients
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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
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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
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Tuesday Post-op Rounds Review X-rays Examine patient and talk to families Communicate with nurses
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Wednesday 6:30 AM
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Wednesday Surgery!!!!!!!
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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
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Wednesday Still need to prepare for surgery Discussion with surgery center, reps Review labs/films Patients may need medical clearance
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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
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Wednesday www.drjennifercook.com Post op Protocols PT guidelines Bio
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Wednesday Head back to hospital to round on patients, see new consults Go to office to do paperwork, billing, go through inbox
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Thursday 6:30 A.M.
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Thursday Hospital rounds at 7:30 A.M. Clinic starts at 7:50 A.M. Same clinical schedule
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Friday Catch up Day!
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Friday Hospital rounds at 7:30 (or later) Surgery Clinic Paper work/return phone calls Meetings PT Home Health Care Office Admin Partners Hospital
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Weekend Practice call Emergent surgeries referred to practice Evaluate ER/floor patients referred to practice Rounds
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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)
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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
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