There are a few milestones in a surgery case. First, the patient rolls back to the OR. This signifies that case is a "go." Then the time out. This is when all involved agree upon what patient, what surgery, and what site is about to be performed. Next comes the first incision. The case has officially begun. The final milestone is closing, this means the case is over.
This week, I made the first incision. I started a case. I asked the nurse for the scalpel, announced "incision" to the room, sliced, and drew blood. Then, I closed the case. I sutured the skin shut and dressed the wound. I was the last person to have my hands inside this patient.
How much I participated in between... Well, that's beside the point.
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