Just got a good laugh out of the seperation
Guidelines on the Practice of Orthopedic Surgery
-When faced with a big problem, the orthopedic surgeon should use a big hammer.
-The orthopedic surgeon should always wear a surgical hood in the operating theatre so as to reduce the risk of his head being transilluminated by the bright lights above.
-The orthopedic surgeon should always wash his hands before operating, as strict sterility is vital to modern orthopedic practice. Exactly how long the orthopod should scrub for is a common cause of consternation. These guidelines provide the following incontrovertible rules for orthopods to adhere to:
A medical student should wash their hands 30 seconds longer than the orthopedic intern when scrubbing.
Similarly the intern should scrub for 30 seconds longer that the resident, who in turn should scrub for 30 seconds longer than the registrar or fellow.
The orthopedic consultant, having washed his hands many times during his career, need only scrub his hands for a few seconds.
The exact amount of time depends of course on the rate of scrubbing, an orthopod who scrubs twice as fast as his colleague need only scrub for half the time.
-The orthopedic surgeon must be careful when scheduling post-operative follow up care. Nothing ruins a good result like follow up.
Guidelines on the Non-operative aspects of Orthopedics
-If in doubt… well you’re not really an orthopedic surgeon then are you?
-Save time by remembering the orthopedic auscultation point — heart sounds, breath sounds, bowel sounds and knee crepitus can all be adequately auscultated by placement of the stethoscope bell on the xiphisternum. However, such patient contact is best left to junior staff.
-The orthopedic surgeon must protect his hands at all times. For instance, if rushing to catch an elevator the orthopedic surgeon should jam his head between the closing doors and never attempt to hold the doors open with his hands.
-The orthopedic surgeon should know only one antibiotic, otherwise he risks being called a carpenter by colleagues from other specialties. Carpenters usually know at least two or three different antibiotics.
-Orthopedic surgeons should acquire expertise in research methodologies. The best way to develop competency in the conduct of a double-blind randomised controlled trial is for an orthopedic surgeon to read an ECG with a colleague.
Guidelines on Careers and Finances for Orthopedic Surgeons
-If a candidate is considering a career as an orthopedic surgeon and has half a mind for the job, he may be over-qualified.
-A candidates is deemed to have the capacity to practice orthopedic surgery if it takes him only 2 years to complete a jigsaw puzzle labeled ‘3-5 years’.
-All orthopedic surgeons should have a savings scheme. One of the simplest way to adhere to such a scheme is the textbook method. The orthopedic surgeon should ask one of his colleagues from the Society for the Prevention of Surgery to hide his money between the pages of a textbook or medical journal. That way the there is little chance of the orthopedic surgeon ever finding and spending it.
Guidelines on the Teaching of Orthopedic Surgery
-Orthopedic surgeons should emphasize the paramount importance of physiology to their juniors. For instance, the primary function of heart — namely, to pump antibiotics to the hip replacement — must never be forgotten.
Guidelines for other specialties dealing with an orthopedic surgeon
-Remember that the orthopod is the ‘rhinoceros of medicine’ — think-skinned, small brained and charges a lot for almost nothing.
I suggest that you copy these guidelines and slowly read them out loud to your favourite orthopedic surgeon at the first available opportunity.
