Frequently_Asked_Questions_GS.docx

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IHS, Claremore Indian Hospital, General Surgeon Physician
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HHSI2462019Q0091
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Frequently Asked Questions Please note: Performance of endoscopies are preferred but not required.

Q1.How many days of surgery per week?
A1.Typically 1 OR Day and 1 endoscopy day with 3 clinic days
Q2.How many surgeries performed each day?
A2.Depends on case, 2-4 typically, with endoscopies 4-6
Q3.How many clinic days?
A3.3 clinic days. Typical volume is 5-6 new patients between 8 am and noon. Lunch free from noon-1:00 pm. One more new patient at 1:00 pm. Post-ops and follow up patients are seen starting at 1:45 pm and average 5 patients
Q4.How many physicians share call rotation schedule?
A4.4
Q5.Is the call in-house or on pager only?
A5.Pager
Q6.Will the surgeon work with a PA?
A6.No. There are no PA’s or APRN’s in the surgery clinic
Q7.What EMR system is used and is additional orientation required?
A7.RPMS, will be oriented on EHR
Q8.Will they be required to cover ER calls?
A8.On call will include taking calls from ER, ER staffed 24/7 with Fellowship Trained ER Physicians
Q9.What types of cases/surgeries present on an average basis?
A9.Our surgeons primarily perform “bread and butter” general surgery procedures: appendectomy; cholecystectomy; inguinal, femoral, and ventral hernia; breast surgery including cancer and sentinel lymph node biopsy; skin mass/lesion/cancer excision; EGD and colonoscopy including polypectomy, esophageal dilatation, and removal of impacted food boluses; partial colectomy for diverticular disease and malignancy; anorectal surgery for fissure, fistula, abscess, hemorrhoids. We perform a mixture of open and laparoscopic surgery. We do not treat acute upper or lower GI bleeding. We do not perform anti-reflux procedures. We do not routinely treat inflammatory bowel disease. We do not care for trauma patients at our hospital. 24 hour in-house hospitalist coverage is available to assist with care of surgical patients with medical conditions.
Q10.How many cases on average per day?
A10.2-4 cases per OR day depending on time and complexity. 4-6 scope patients per Endoscopy day.
Q11.What is the call rotation?
A11.1 in 4. Call is taken 1 week at a time from noon Friday until noon the following Friday, with 3 weeks off call. During a call week, the on-call surgeon does not have regular clinic hours, allowing that surgeon to respond to call related duties in a more timely fashion. However, the call surgeon still maintains his/her regular OR and Endo days during that week.
Q12.How often are they typically called while on call?
A12.Telephone call frequency varies and can come from the inpatient ward, ER, medical or OB/GYN clinic. However, a surgeon can go for a day or two without receiving any phone calls.
Q13.How often do they get called back into the hospital while on call on average?
A13.We take call for 1 week at a time (Friday noon to the following Friday noon) and typically have to come back to the hospital after hours 2-3 times during an average week. The attending surgeon makes rounds and covers his/her own patients during weekdays 7:30 am to 4:00 pm. The on-call surgeon covers any surgical inpatients after normal work hours and on holidays and weekends during his/her call week. It is expected that all surgeons check out to the on-call surgeon at the end of each workday. The call surgeon is also available to assist other surgeons with more difficult/complex operations.

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