As a surgery resident, one of the most frustrating things can be feeling like you aren’t getting enough opportunities to perform procedures yourself. Between time constraints in the operating room, demands for efficiency, and your attending’s busy workload, it can sometimes seem impossible to get the hands-on practice you need.
The lack of experience can leave you feeling unprepared and lacking in confidence as you approach the time when you’ll be practising independently. However, there are steps you can take to boost your skills even when direct opportunities are limited. With some creativity and initiative, you don’t have to leave your surgical training feeling like you missed out.
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Explore Alternative Learning Options
Don’t limit your learning to just the OR. Many hospitals now offer simulation labs where you can practice technical skills safely without the time pressure of an actual procedure. Suturing, knot-tying, and other essential skills can be repeated to build muscle memory.
You can also find many e-learning videos on surgery to observe techniques. Some e-learning platforms now have attending physicians who film and narrate their own operations to share with learners. Taking notes as you watch can help reinforce the steps, just as if you were scrubbed in.
Virtual and augmented reality systems are another emerging option. With VR, you can navigate 3D anatomical models and even practice workflows for complex surgeries. Some programs even incorporate haptic feedback to mimic tissue resistance. While not a complete replacement for real patients, these tools can expand your learning in a risk-free environment.
Schedule Focused Practice Sessions
Rather than hoping for opportunities that may not come, take the initiative to schedule dedicated skills sessions with your attending. Block out time on the OR schedule specifically for you to practice, whether it’s a simple appendectomy or a laparoscopic procedure, you feel you need more reps with.
Communicate your goals up front so the attending understands this is an opportunity for you, not just another case to rush through. And be sure to prepare thoroughly to make the most of the scheduled time. Focused practice with guidance is better than no experience at all.
Find Ways to Observe More Cases
When you can’t scrub in yourself, observe as many additional procedures as possible from the viewing gallery. Surgical conferences are another great way to learn as multiple attendings discuss cases, complications, and best practices.
For rare cases or procedures you may never get to see otherwise, consider broadening your learning to other specialties or hospitals. Explain your situation to the attending and politely ask if you can observe. Most will be happy to share their knowledge.
Learn from Fellow Residents
Your co-residents have a wealth of knowledge and experiences to share too. Start a journal club where you take turns presenting on recent cases from your rotations. Quiz each other on anatomical variations or technical tips. Hold mock teaching sessions to prepare for conferences.
You never know what subtle knowledge could make a difference down the road. Learning is a collaborative process, so leverage the expertise of your entire residency class.
Focus on Post-Op and Clinic Experience
While in the OR may be ideal, hands-on learning doesn’t end after surgery. Offer to assist in post-operative rounds and follow patients through their recoveries. This allows you to observe outcomes and catch any complications.
Similarly, clinic rotations are another chance for experience. Examine patients, suggest treatment plans to your attending, and practice basic procedures in the clinic setting. Every patient interaction contributes to your surgical formation.
Conclusion
With some creativity and initiative, residents don’t have to feel limited by constraints on OR time. Pursuing alternative learning avenues and taking advantage of all educational opportunities can help you gain confidence and feel fully prepared for independent practice. The operating room may not be the only path to surgical mastery.
