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Stages of becoming a surgeon
John Boel jboel at jax.com.auTue Mar 8 03:42:14 GMT 2005
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----- Original Message -----
From: "John Holmes" <docjohnholmes at hotmail.com>
To: <trauma-list at trauma.org>
Sent: Tuesday, March 08, 2005 2:21 PM
Subject: Re: Stages of becoming a surgeon
> A well reasoned response - unlike the index post.
>
> John
>
>
> Dr John L Holmes
> Director Emergency Medicine
> Mater Adult Hospital
> Brisbane,
> Australia
>
>
>
> >From: "Gordon S. Doig" <gdoig at med.usyd.edu.au>
> >Reply-To: Trauma & Critical Care mailing list
> <trauma-list at trauma.org>
> >To: Trauma & Critical Care mailing list
> <trauma-list at trauma.org>
> >Subject: Re: Stages of becoming a surgeon
> >Date: Tue, 08 Mar 2005 08:06:21 +1100
> >
> >
> >I agree with Tom. I can't remember the last time I read such an
> >egotistical diatribe totally devoid of humility. I'm glad the old
> >guard is changing. To even aspire to be better than all others in
> >their own chosen fields shows a total disregard for what is probably
> >the most important aspect of patient care today: collaborative
> >team-based care provided by mutually respectful professionals. And
> >yes, I have the evidence to support the benefits of this model of
> >team-based care.
> >
> >Gordon
> >
> >Thomas Anthony Horan wrote:
> >
> >>Dear Ron,
> >>
> >>Only those who agree can comment!?
> >>
> >>Tom
> >>
> >>BTW as a student of english you must know that the use of the word
> >>bullshit may have been rude or vulgar but not profane.
> >>
> >>
> >>
> >>
> >>>----------
> >>>From: Ronald Gross[SMTP:Rgross at harthosp.org]
> >>>Reply To: Trauma & Critical Care mailing list
> >>>Sent: segunda-feira, 7 de março de 2005 12:20
> >>>To: trauma-list at trauma.org
> >>>Subject: RE: Stages of becoming a surgeon
> >>>
> >>>Tom,
> >>>Two questions:
> >>>1. Did you not note Ken's initial guidance with respect to
the
> >>>use of the DELETE key? Just for your information, this is a
key
> >>>on all computer keyboards - and you can even use the icon on
the
> >>>e-mail server tool bar.
> >>>2. Why is it that you seem to be the only individual on this
> >>>list-serve that feels that the only way to express one's self
is
> >>>through the use of profanity. Since you failed to use the
> DELETE
> >>>key, I would refer you back to #1 on Dr. MAttox's list. In
> there
> >>>you will find the word "gentleman". perhaps a visit
> to Webster's
> >>>might help.
> >>>Best wishes,
> >>>Ron
> >>>
> >>>
> >>>
> >>>>>>thoran at sarah.br 3/7/2005 6:31:57 AM >>>
> >>>>>>
> >>>>>>
> >>>Dear Ken,
> >>>
> >>>Your post takes the prize for narcissistic, self
congratulatory
> >>>bullshit. Humanity, humility, honesty and hard work are all
> >>>essential preconditions to excellence. Having these attributes
> has
> >>>nothing to do with wine perfume politics and joining the right
> >>>organizations, both social, political, religious, and
> >>>professional.
> >>>
> >>>Tom
> >>>
> >>>
> >>>>
> >>>>
> >>>>----------
> >>>>From: KMATTOX at aol.com[SMTP:KMATTOX at aol.com] Reply To:
> Trauma &
> >>>>Critical Care mailing list
> >>>>Sent: domingo, 6 de março de 2005 01:21
> >>>>To: trauma-l at lists.aast.org; PHTLS-R at naemt.org Cc:
> >>>> trauma-list at trauma.org; ccm-l at ccm-l.org Subject: Stages
of
> >>>>becoming a surgeon
> >>>>
> >>>>A bunch of you have really bugged me off line to fill in
the
> >>>>blanks of a post I made last week. I indicated that the
> 4th
> >>>>level of becoming a master surgeon was to be a master
> >>>>technician. I will now fill in the blanks. If you
are
> >>>>offended by pure surgical focus, attention to detail,
> personal
> >>>>and professional discipline, zero tolerance, and focus,
then
> >>>>click the DELETE button right now. If you expect to
find
> a
> >>>>pacifist and collaborative compromising and touchy feely
> >>>>progress, then PLEASE click the DELETE button right now.
> Now
> >>>>having been warned, you do not need to send a bunch of
> e-mails
> >>>>back about my biased and Provencal attitudes. I
recognize
> >>>>that, but make no excuses. I must train the TOP KNIVES
of
> the
> >>>>future and they must be the best of the best.
> >>>>
> >>>>Consider hitting the DELETE button now.
> >>>>
> >>>>The 5 stages of becoming a Master Surgeon. TO become
that
> Top
> >>>>Knife, the surgeon must:
> >>>>
> >>>>1. Be a gentleman. Understand on which side of a
lady
> to
> >>>>walk, Use terms like yes sir, yes ma am, etc. Know how
to
> >>>>recognize composers of fine and contemporary music.
> Recognize
> >>>>good wine, recognize smells of perfume. He a classical
> >>>>historian. Understand the worlds religions. Read a
novel
> each
> >>>>week. Understand the internet.
> >>>>
> >>>>2. Second the top knife master surgeon must be an
> excellent
> >>>>physician. She or He must know bedside manner, family
> >>>>interaction, and patient psychology. He/she must
> understand
> >>>>pain, futility, and the economics of medicine. Empathy,
> >>>>concern, insight, and the ability to cry with patients
and
> their
> >>>>families while distancing themselves from being too
> involved
> >>>>personally are part of the master surgeon through the
> traits of
> >>>>being just an excellent family physician.
> >>>>
> >>>>3. Third, the surgeon must be a better diagnostician,
> >>>>internist, infectious disease specialist, cardiologist,
> >>>>geneticist, rheumatologists, immunologists, pediatrician,
> >>>>nephrologist, emergency physician,, pulmonologist,
> intensivists,
> >>>>etc. than any of her/his consultants or referring
> physicians.
> >>>>The top > knife surgeon must know more about
cardiology
> drugs
> >>>>than the pharmacologist and cardiologist; know more about
> >>>>antibiotics than the infectious disease specialist, more
> about
> >>>>nutrition than the detain. In short, the top knife
master
> >>>>surgeon must master the most complex of medical knowledge
> base
> >>>>and keep current with all the latest new knowledge.
> He/she
> >>>>must understand evidence based medicine and apply new
> technology
> >>>>and drugs to patients only if they are known to have a
> positive
> >>>>outcome measure.
> >>>>
> >>>>4. Fourth, and ONLY after MASTERING the first three
> levels,
> >>>>should the master top knife surgeon become a technician.
> But
> >>>>technically, this top knife is completely knowledgeable in
> >>>>anatomy, physiology and latest techniques and ALL
> instruments.
> >>>>He/she knows that the clock is the operations enemy, so
is
> >>>>swift, but gentle and accurate. Every nurse and
observer
> >>>>immediately knows that this top knife will do wonders
with
> the
> >>>>toughest of the tough case because of being a master
> surgeon.
> >>>>
> >>>>5. Finally, the top knife master surgeon is a leader, a
> >>>>community, > societal, and conceptual cutting edge
> visionary.
> >>>>He/she belongs to all the right organizations, both
social,
> >>>>political, religious, and professional. This top knife
> goes to
> >>>>the heart of danger to find safety. The word stress is
not
> in
> >>>>his/her vocabulary, as stress is the pabulum of
> productivity.
> >>>>When stress appears, the top knife's pulse actually
becomes
> more
> >>>>calm. The new ideas of his/her community come from
them
> and
> >>>>they are not afraid of conflict.
> >>>>
> >>>>k
> >>>>--
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> >>>>
> >>>>
> >>>>
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> >>>
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> >>
> >>
> >
> >--
> >-------------
> >Evidence-based Decision Making http://www.EvidenceBased.net
> >Patient-based Teaching Cases http://www.AcademicHealthScience.net/ce
> >Outcomes Research http://www.AcademicHealthScience.net/UM
> >RNSH ICU Home Page http://icu-web.org
> >
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