Brotherman Posted December 28, 2017 Share Posted December 28, 2017 I started a new job in orthopedic surgery 4 months ago with an orthopedic surgical group. Some of the surgeons allow residents to train under them in the OR and clinic. So far, the residents have been cool and I’ve learned some stuff from them. However, I sometimes get the sense I am jockeying for position as the first assist. Ultimately, my role is to assist the primary surgeon. For instance, during shoulder scopes the resident will stand at the head of patient (lateral positioning), then the surgeon, and then I’m towards the feet of the patient. I noticed I’m pretty useless down there. Last week, I was respectfully assertive and stood at the head so I could actually assist. Total joints are a different story...I’m across from the surgeon and the resident is next to the surgeon by the head. My question is, what should my approach be? Should I appropriately establish myself as first assist? The resident and I will sometimes switch as to who is the main assist. I’ve also found myself be a little more in tune with opportunities to be steps ahead of the primary surgeon ready to be there to assist the next move...but I’m not in the main position and I watch the resident miss an opportunity. I would imagine that as I gain more experience and earn the trust of the surgeons, maybe my role will be more clear? I want to do my job well but not be a d***. Any orthopedic PAs or surgical PAs work with residents in the OR? How do handle things? Link to comment Share on other sites More sharing options...
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