Plastics

Residents:
Senior Resident:
Junior Resident: Jonathan Freedman PGY 3 - 516 398 8513 - 5447
Intern:

PA - Kendra Keene 316 250 5999
RN - Nicole Fitzgerald 720 683 1770

Attendings:
Meryl Livermore: 415 676 1675
Stephanie Malliaris: 617 970 7590
Corrine Wong: 972 322 2078

This is a relatively relaxed rotation. We want the interns to be engaged and see each type of surgery we perform including hand surgery. This is a center of excellence for trangender surgery and female to male and male to female top surgery is common. Please be respectful and use appropriate pronouns (he/his, she/her, they, etc.). There will be multiple opportunities to practice suturing each week.

There is a crosscover intern at night. Sign-out is 5pm and then 6am the next day. Please ensure that the overnight intern has the on call Plastic Surgery Resident's phone number.

The weekend is split between Urology and Plastics, so as the intern you will cover both of these services. Please let the weekend intern know who is on call and give them the appropriate phone numbers.

- The fellow on service at DG will round with the team (Kendra and intern and sometimes R2) on the plastic surgery service. The fellow will communicate with the primary attending regarding patient care. On Mondays when the fellows are in conference, Kendra will run the team rounding responsibility

On the weekend if there is a primary plastics patient, this person will be rounded on by the intern covering plastics, who will then communicate with the fellow on call, who will round in reasonably time (usually after CHC and The U)

Plastic surgery clinic is Thursday and is fellow run.

When on plastics, check the board for attending cases. For Hand cases with Malliaris and Livermore, please communicate with the Hand Fellow and Ortho hand resident to make sure that Malliaris and Livermore are covered appropriately.

IF the fellow is assigned to OMFS or ORtho, that clinic and those cases are the priority. If there is no other cases for OMFS or Ortho, please check with the plastics team to see if they need help with the cases/clinic. For the ORTHO month, Livermore is the boss, and you should focus on Hand, ie go to hand clinic and do hand cases with Livermore, Malliarus, and Ipatchki and Benegas if needed. Again when doing hand, please be equitable with our Hand fellows and Ortho residents!,

Note for consents.

There are many bony fixation tissue cases. Consents for these should always include “non-union, malunion and hardware failure” as well as the normal soft tissue scar, infection, pain, bleeding, damage to nearby nerves, arteries, veins and tendons, and need for additional procedures.

Risks include, but are not limited to, infection, scarring, pain, damage to surrounding structures, incomplete resolution of symptoms, need for further procedures, malunion, nonunion and hardware failure.

For Dr. Wong's breast cases, please print out a frontal view of the patient pre-operative photo. Black and white is fine.

- The plastics intern takes first call during the day for any plastics consults and occasional face call, but will notify the fellow ASAP. - When called for a consult (ER or inpatient), the intern is responsible for 1) seeing the consult as soon as possible, and 2) presenting the patient to the fellow/attending on-call who may ultimately assume care of that patient.

Please keep in close contact with attendings and Kendra, as cases will get added on.

Pressure ulcers come in waves at DH. PMR wants to see patient before surgery at a pre-operative appointment. Physical therapy, occupational therapy and PMR should be consulted on day 1 regardless of activity restrictions.

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