R1 Reflections: Dr. Cam Elgie from Casting: the junior Ortho Pod

Casting: the junior Ortho Pod

Ajay Shah

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R1 Reflections: Dr. Cam Elgie

21 minutes Posted Mar 11, 2021 at 8:09 pm.

to 3:00 Unique highlights of NOSM (small program, excellent nature, early responsibility)

to 5:15 Learning how to be a doctor (being responsible for patient safety, taking ownership of patients)

to 6:15 Ward management (Pain, Medications, Disposition, Followup)

to 8:00 Daily responsibilities (Rounding, Prioritizing, Organizing Dispo/FU, Preventing Complications), Keep the service moving

to 8:30 Preoperative optimization (ABx, pRBCs, NPO, Meds), Follow patients postop

to 9:30 Clinic (Injections, Autonomy, Documentation)

to 10:30 Pre-OR Checklists (NPO, Meds, ABx, ACO, Cardiac risk, pRBC), Growth from Assisting to Ownership

to 12:15 OR Mentality (Planning, Equipment, Table, Positioning, Tourniquet, Meds, TXA, Ancef, Allergies, Incision, Approach), Specifics (Incision, Retraction, Layers), Postop (Splint, Followup, Recovery)

to 14:25 Time Management (Juggling pages, consults, cases, imaging on OR days), Teeing things up (Prioritize, Call Ahead)

to 15:00 Having the confidence to attempt procedures, reductions, injections (Safely!)

to 16:30 The difference between a poor resident and a great resident, treating patients like humans

to 17:45 OR Advice: Mindful watching (Position, Body, Needle, Bite Size), Volume & Repetition

to 20:00 Overcoming setbacks: feeling amateurish, difficulty seeing planes, having to "know everything", being handed the knife

to 21:15 Cam's Golden Rule for Staying Well On Call!

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I sat down with Cam Elgie (PGY-1, NOSM) for a fantastic conversation that covers:

- The immense shift in responsibility upon starting residency in the OR and ward (MS4: help out, R1: take ownership)

- The importance of humanizing patients when providing care

- Key advice for staying well during call shifts (DRINK WATER!)

If you're going to listen to any episode, this is the one. High yield, high energy, and clearly listed responsibilities make this a must-listen for incoming R1s.

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