R1 Reflections: Dr. Cam Elgie

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Casting: the junior Ortho Pod

Ajay Shah

18 episodes

2 days ago

Casting is the Orthopaedic Surgery podcast for senior medical students and junior residents. Hosted by Ajay Shah (PGY-1, University of Toronto), featuring conversations with residents and faculty on a wide range of topics, including an evidence-based approach to common Orthopaedic Surgery injuries, medical education and innovation, and tips and tricks for survival and improvement during the trenches of a surgical residency.

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R1 Reflections: Dr. Cam Elgie

Casting: the junior Ortho Pod

21 minutes 23 seconds

4 years ago

R1 Reflections: Dr. Cam Elgie

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.

Timestamps:

0:00 to 3:00 - Unique highlights of NOSM (small program, excellent nature, early responsibility)

3:00 to 5:15 - Learning how to be a doctor (being responsible for patient safety, taking ownership of patients)

5:15 to 6:15 - Ward management (Pain, Medications, Disposition, Followup)

6:15 to 8:00 - Daily responsibilities (Rounding, Prioritizing, Organizing Dispo/FU, Preventing Complications), Keep the service moving

8:00 to 8:30 - Preoperative optimization (ABx, pRBCs, NPO, Meds), Follow patients postop

8:30 to 9:30 - Clinic (Injections, Autonomy, Documentation)

9:30 to 10:30 - Pre-OR Checklists (NPO, Meds, ABx, ACO, Cardiac risk, pRBC), Growth from Assisting to Ownership

10:30 to 12:15 - OR Mentality (Planning, Equipment, Table, Positioning, Tourniquet, Meds, TXA, Ancef, Allergies, Incision, Approach), Specifics (Incision, Retraction, Layers), Postop (Splint, Followup, Recovery)

12:15 to 14:25 - Time Management (Juggling pages, consults, cases, imaging on OR days), Teeing things up (Prioritize, Call Ahead)

14:25 to 15:00 - Having the confidence to attempt procedures, reductions, injections (Safely!)

15:00 to 16:30 - The difference between a poor resident and a great resident, treating patients like humans

16:30 to 17:45 - OR Advice: Mindful watching (Position, Body, Needle, Bite Size), Volume & Repetition

17:45 to 20:00 - Overcoming setbacks: feeling amateurish, difficulty seeing planes, having to "know everything", being handed the knife

20:00 to 21:15 - Cam's Golden Rule for Staying Well On Call!