Introduction to Surgery December 3, 2009 Fia Yi, M.D. Danny Kim, M.D.

Topics Rounding Note Writing Pre-op Care Post-op Care

Rounds

Rounding Pre-Rounds Rounds Post Rounds

Pre-Rounds Gather information See patients Have patients ready for rounds

Rounds BE CONCISE Be accurate Be decisive Be prepared

Post-Rounds Write notes and d/c summaries Help first year residents

Note Writing

Note Writing For New Patients or readmission to hospital, need a full H/P For returning patients in clinic or on the wards, notes only need to tell new information

Note Writing DO NOT LIE DO NOT COPY NOTES BE COMPLETE AND CONCISE