by Jennifer L. Cook, M.D. Florida Joint Care Institute Slide 2
What time do you get up? Slide 3 Monday 6:30 AM Slide 4 What is the
first thing you do in the morning? Slide 5 Monday SNOOZE! Slide 6
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 Slide 7
Monday PA, physician assistant accompanies me on these rounds
Writes a clinical note in computer which I cosign Slide 8 Monday
7:50 AM clinic starts Last patient at 3:50 PM Typically see 45
patients a day 6 patients an hour Slide 9 Monday Fractures Sports
medicine Arthroscopy knee Arthroscopy shoulder Joint reconstruction
Knees Hips Shoulders Slide 10 Monday New patient Takes longer Needs
x-rays Complete history and physical exam EMR documentation Medical
assistant and x-ray technician help Slide 11 Monday Follow up Post
surgical Cast check After injections/therapy Slide 12 Slide 13
Monday Meetings Home by 5 PM Slide 14 Tuesday Up at 6:15 A.M. At
hospital by 7 A.M. Slide 15 Tuesday Surgery!!!!!! Slide 16 Tuesday
2 Operating rooms Flip back and forth In-patient surgeries TKR THR
TSR Most fractures Ill patients Slide 17 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 Slide
18 Slide 19 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
Slide 20 Tuesday Post-op Rounds Review X-rays Examine patient and
talk to families Communicate with nurses Slide 21 Wednesday 6:30 AM
Slide 22 Wednesday Surgery!!!!!!! Slide 23 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 Slide 24 Wednesday Still need to prepare for surgery
Discussion with surgery center, reps Review labs/films Patients may
need medical clearance Slide 25 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 Slide 26 Wednesday www.drjennifercook.com Post op
Protocols PT guidelines Bio Slide 27 Wednesday Head back to
hospital to round on patients, see new consults Go to office to do
paperwork, billing, go through inbox Slide 28 Thursday 6:30 A.M.
Slide 29 Thursday Hospital rounds at 7:30 A.M. Clinic starts at
7:50 A.M. Same clinical schedule Slide 30 Friday Catch up Day!
Slide 31 Friday Hospital rounds at 7:30 (or later) Surgery Clinic
Paper work/return phone calls Meetings PT Home Health Care Office
Admin Partners Hospital Slide 32 Weekend Practice call Emergent
surgeries referred to practice Evaluate ER/floor patients referred
to practice Rounds Slide 33 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) Slide 34 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
