10 Consult Commandments to Dominate the Day

Behind The Knife: The Surgery Podcast

Science, Health & Fitness, Medicine, Education

4.8 • 1.4K Ratings

🗓️ 29 May 2025

⏱️ 15 minutes

🔗️ Recording | iTunes | RSS

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Summary

Mastering the surgical consult is a true milestone in every young surgeon’s career. But it’s not easy! It is a difficult transition from lowly data gatherer to mighty data synthesizer. It is, in many ways, an art form. Is there anything more beautiful than breaking down a complex, convoluted patient presentation into an immaculate assessment and plan? Something so bullet proof that the attending surgeon has been left speechless. Perhaps not! Join Drs. Joey Lew and Patrick Georgoff as they review 10 CONSULT COMMANDMENTS TO DOMINATE THE DAY:

Have a System
Trust No One, Expect Sabotage
Always Ask at Least One Why
Always Look at the Imaging Yourself
Don’t Worry Alone
Don’t Bury the Lead
Never Lie
Include a Real Assessment and Plan in Your Note
Goals of care are important and individual
Over-communicate

Hosts:

Dr. Joey Lew, MD, MFA, PGY2, Duke University (@LewActually)
Dr. Patrick Georgoff, MD, Duke University (@georgoff)

Insensible Losses – Poems by Joey Lew: https://www.amazon.com/Insensible-Losses-Joey-Lew/dp/B0D773LSHL

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Transcript

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0:00.0	Behind the Night, the Surgery podcast, relevant Patrick Georgoff. I want you to imagine this. It's 2 a.m.
0:28.5	And you're rushing a hypotensive trauma patient to the operating room for exploration. Maybe you need to go into the neck, the chest, or the abdomen. Are you prepared for what you might find?
0:38.7	Trauma educational resources are extremely limited. That's why we created the trauma surgery
0:42.7	video atlas. 24 challenging scenarios with high-yield text, beautiful illustrations, and
0:48.2	stunning professional grade video that walks you through the approach and management of devastating
0:52.9	injuries in a step-by-step fashion.
0:55.5	Check out the link in the show notes for more.
0:57.5	There are group discounts available as well.
0:59.8	Now, enjoy the episode and dominate the day.
1:03.9	Welcome back to Behind the Knife.
1:05.6	This is Patrick Georgeoff, acute care surgeon at Duke University.
1:08.9	Let's talk a bit about the surgical consult, shall we?
1:13.1	Mastering the surgical consult is definitely a milestone in every young surgeon's career, but it's not
1:18.6	easy. It is a difficult transition from the lowly data gatherer to the mighty data synthesizer,
1:25.0	and it is in many ways an art form. Is there anything more beautiful
1:28.6	than breaking down a complex, convoluted patient presentation into an immaculate assessment and
1:33.4	plan? Something so bulletproof that the attending surgeon has been left speechless. No further
1:38.9	questioning, no clarification of the patient's medical history, and no hemming or whaling about
1:43.1	what to do. And I'll tell you
1:44.6	something as an attending who staffs countless consults, a flawless presentation with a strong
1:49.8	assessment and plan nearly brings a tear to my eye. And that is why today's episode is such an
1:55.5	important one. And I'm joined by Dr. Joey Lev, a second year general surgery resident Duke,
	...

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