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Ищу работу First Surgical Assistant (ABSA)..

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  • Ищу работу First Surgical Assistant (ABSA)..

    Здравствуйте коллеги.
    В мае был в США и сдал экзамен - и вот получен сертификат. В нем написано: "First Surgical Assistant. American Board of Surgical Assistants".

    Мне 35 лет, М.
    Имею 13-ти летний опыт работы в пластической и реконструктивной микрохирургии. Работал в Научном Центре хирургии, Москва.
    Сейчас оперирую:
    - в Интистуте Склифосовского, Москва;
    - в SOS-International Clinic, Москва;
    - в отделении лечения радиационных ожогов, больница №6 Института Биофизики, Моква.
    Стажировался в Германии 2003г., дважды (2004, 2005гг.), по месяцу, циркулировал в West Virginia University, пройдя контроль через HIPPA, присутствовал на десятках операций. Оказалось - все как у всех

    К.м.н., ст.н.сотр., 42 научн. раб.
    Здоров, бодр, активен

    Виза туристическая. Очевидно нужна рабочая?..
    Собственно- ищу работу ассистентом хирурга в госпитале, заинтересованном в хлопотах по получению мной раб.визы.

    Полноценный Куррикулюм готов.

    Весьма признателен за внимание и советы!

    Алексей В.Сачков.

  • #2
    Our hospital has a job (it will be posted on the web soon - www.lhs.net ), if you want to relocate to Cleveland.
    Respectfully,
    Boris

    Tiptoeing through the minefield without a minesweeper...

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    • #3
      Why not take the USMLE?

      Comment


      • #4
        Почему не пошел на USMLE

        Здравствуйте, коллеги.

        Раздумья над этим вопросом делают меня грустным, так как заставляют признать, что не готов я пока к сдаче USMLE. Прочтение информации о проходимых другими докторами путях подготовки и сдачи USMLE заставило меня крайне серьезно отнестись к этому экзамену. Серьезно - в смысле отложить пока что
        Главная проблема - недознание английского. Если я и могу бегло читать и понимать написанное, то вот писать и тем более понимать американскую речь - часто затрудняюсь. Мало практики. Поэтому я решил делать все методом ползучей аннексии - сначала хотя бы оказаться в клинике, которая лечит англоговорящих в Москве - Ок. Посетить США, оказаться там одному и мотнутсья по стране, применяя и углубляя навыки общения - ок. Сдать экзамен - ок. Теперь надо зацепиться поглубже, поработать, освоить язык и тогда - вкрячивать, извините за грубость, несколько тысч нелишних доллеров в экзамены и сопутствующую им атрибутику: книги, поездки и т.п.

        И, кстати, очень и очень многим я обязан нашему сайту. Здесь я нахожу живейшую информацию от весьма и весьма конструктивных и деятельных людей!

        Всем большое спасибо!

        Отдельное спасибо Борису за ценнейшую информацию! Я ее сейчас разрабатываю! Об итогах - доложу!

        Алексей В.Сачков

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        • #5
          Добрый день. Заранее прошу прощения, если это уже обсуждалось.
          Подскажите, как получить лицензию ассистента хирурга? Сколько времени это может занять?
          Заранее благодарю за ответ.

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          • #6
            http://russiandoctors.org/forum/view...ghlight=#14405

            Comment


            • #7
              Hello guys,

              What is the difference between Registered Nurse First Assistant and Redisrered First Surgical Assistant? Do they do the same gob? What are the differencies???

              Thanks for your help.

              Comment


              • #8
                What is the difference between Registered Nurse First Assistant and Redisrered First Surgical Assistant? Do they do the same gob? What are the differencies???
                ****************************
                First surgical assiatant may be
                Physician Assistant,
                Registered Nurse,
                MD without USMLE or Surgical Technologist ( both with ABSA Certificate of Surgical Assistant-Certified as example).



                AMERICAN COLLEGE OF SURGEONS

                The qualifications of the Surgical First Assistant in the operating room, according to the American College of Surgeons is the following: (see excerpt directly from their statements of principles)

                The first assistant to the surgeon during a surgical operation should be a trained individual who is capable of participating in the operation and actively assisting the surgeon as part of a good working team. The first assistant provides aid in exposure, hemostasis, and other technical functions, thereby helping the surgeon carry out a safe operation with optimal results for the patient. This role will vary considerably with the surgical operation, specialty area, and type of hospital.

                The American College of Surgeons supports the concept that, ideally, the first assistant to the surgeon at the operating table should be a qualified surgeon or resident in a surgical education program that is approved by the appropriate residency review committee and accredited by the Accreditation Council for Graduate Medical Education. It is a principle of surgical education and care that residents at appropriate levels of training should be provided with opportunities to assist at and participate in operations. Other physicians who are experienced in assisting the responsible surgeon may participate when a trained surgeon or a resident in an accredited program is not available.

                Attainment of this ideal in all hospitals is recognized as being impracticable. In some circumstances it is necessary to utilize appropriately trained nonphysicians to serve as first assistants to qualified surgeons. Surgeon's assistants (SAs), or physician's assistants (PAs) with additional surgical training, may be employed if they meet national standards. These individuals are not authorized to operate independently.

                Certified surgeon's or physician's assistants must make a formal application for appointment to the hospital, which should include:

                An outline of their qualifications and credentials.
                Stipulation of their requests to assist in a surgeon's practice including assisting at the operating table.
                Indication of the surgeon who will be responsible for the SA's or PA's performance.
                The appropriate committee or board of the hospital should review such individuals' qualifications for hospital privileges.

                Registered nurses with additional specialized training may also function as first assistants to the surgeon at the operating table in those situations or hospitals where more completely trained assistants are not available. If a nurse functions in this role, however, the size of the operating room team should not be reduced; the assigned nurse should function solely as the first assistant and not also as the scrub or instrument nurse. Similarly, surgical technologists may function as first assistants in the absence of more qualified individuals.

                In some hospitals in this country, there may be no specifically trained and readily available surgical assistants in the operating room. Traditionally, the first assistant's role in such institutions has been filled by a variety of individuals from diverse backgrounds. It is the surgeon's responsibility to designate an individual who is most appropriate for this purpose in keeping with the bylaws of the medical staff of the hospital.

                Practice privileges of individuals acting as first assistants should be based upon verified credentials, should be reviewed and approved by the hospital credentialing committee, and should be within the defined limits of state law.
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                AMERICAN MEDICAL ASSOCIATION

                H-475.986 Surgical Assistants other than Licensed Physicians. (See their policy directly)
                Our AMA: (1) affirms that only licensed physicians with appropriate education, training, experience and demonstrated current competence should perform surgical procedures;
                (2) recognizes that the responsible surgeon may delegate the performance of part of a given operation to surgical assistants, provided the surgeon is an active participant throughout the essential part of the operation. Given the nature of the surgical assistant’s role and the potential of risk to the public, it is appropriate to ensure that qualified personnel accomplish this function;

                (3) policy related to surgical assistants, consistent with the American College of Surgeons’ Statements on Principles states:(a) The surgical assistant is limited to performing specific functions as defined in the medical staff bylaws, rules and regulations. These generally include the following tasks: aid in maintaining adequate exposure in the operating field, cutting suture materials, clamping and ligating bleeding vessels, and, in selected instances, actually performing designated parts of a procedure. (b) It is the surgeon’s responsibility to designate the individual most appropriate for this purpose within the bylaws of the medical staff. The first assistant to the surgeon during a surgical operation should be a credentialed health care professional, preferably a physician, who is capable of participating in the operation, actively assisting the surgeon. (c) Practice privileges of individuals acting as surgical assistants should be based upon verified credentials and the supervising physician’s capability and competence to supervise such an assistant. Such privileges should be reviewed and approved by the institution’s medical staff credentialing committee and should be within the defined limits of state law. Specifically, surgical assistants must make formal application to the institution’s medical staff to function as a surgical assistant under a surgeon’s supervision. During the credentialing and privileging of surgical assistants, the medical staff will review and make decisions on the individual’s qualifications, experience, credentials, licensure, liability coverage and current competence. (d) If a complex surgical procedure requires that the assistant have the skills of a surgeon, the surgical assistant must be a licensed surgeon fully qualified in the specialty area. If a complication requires the skills of a specialty surgeon, or the surgical first assistant is expected to take over the surgery, the surgical first assistant must be a licensed surgeon fully qualified in the specialty area. (e) Ideally, the first assistant to the surgeon at the operating table should be a qualified surgeon or resident in an education program that is accredited by the Accreditation Council for Graduate Medical Education (ACGME) and/or the American Osteopathic Association (AOA). Other appropriately credentialed physicians who are experienced in assisting the responsible surgeon may participate when a trained surgeon or a resident in an accredited program is not available. The AMA recognizes that attainment of this ideal in all surgical care settings may not be practicable. In some circumstances it is necessary to utilize appropriately trained and credentialed unlicensed physicians and non-physicians to serve as first assistants to qualified surgeons. (BOT Rep. 32, A-99; Reaffirmed: Res. 240, 708, and Reaffirmation A-00)
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