Outpatient Surgery Magazine

Are You Ready for Ebola? - November 2014 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 111 of 114

John D. Kelly IV, MD CUTTING REMARKS 1 1 2 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | N O V E M B E R 2 0 1 4 It's a Mad Dash When I Overbook I'll do anything to avoid the 5 o'clock witching hour. S ometimes, for a variety of reasons, I book more cases than I should. When I look at the next day's schedule and see that it has more entries than the Yellow Pages, I hearken the words of TV's Doctor Phil: "What in the world was I thinking?" Instead of choosing the lame route and asking patients to reschedule, I take the high road and begin to strategize for the next day. My goal: to avoid the dreaded 5 o'clock witching hour. I have been warned on several occasions that if my cases extend beyond 5 p.m., all subsequent cases will be sent to a nebulous zone known as the big hospital, with starting times ranging from 5:30 p.m. to next week. Here are 4 things I do when I overbook. Ask for an early start. The first step when I overbook is to ask for an early start. This tactic rarely works. Usually I am met with refusals citing the increased costs of bringing staff in early. On the rare occasion that I do get an early start, my incision time is generally close to my stan- dard time anyway. Smell passive-aggressive behavior, anyone? Sadly, sometimes I sheepishly tell the resident that I will knock off the first couple of cases in order to meet the time deadline. In a matter of mil- liseconds, I have just downgraded my chief resident from nearly fully trained surgeon to innocent bystander. Yes, I do feel like a loser at these times, but I ease the resident's pain with promises of many good cases in the future and many a happy hour after work. 1 STRETCHED THIN Dr. Kelly will do whatever it takes when he over- books his surgical schedule.

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