English Presentation for new surgeons

Guidelines for new Surgeons

Ear-Nose-Throat Department F

Information on the hospital and the department

Odense University Hospital (OUH) is the largest regional company and it is one of the biggest workplaces in Denmark with about 7.000 employees and an annual budget more than 3 billions dkk. (400 mio. €).

OUH is the biggest hospital unit in Denmark with both local functions and co-operation with other regions. The hospital has about 1.200 beds and it covers al medical specialities. OUH primary gets patients from the Funen region with hardly half a million inhabitants, but it also admits patients from all Denmark (5.5 mio. ihabitants) but especially from the Southern Jutland with about 1.3 mio. inhabitants in all.

DEPARTMENT F
The ENT Department F has 25 beds distributed at a department of 20 adult beds at the 9th floor and 5 beds placed at the surgical department of children at the groundfloor. Patients with odontological diseases are hospitalized at the department F but they are treated by the dentists, who join surgery unit with department F

The admission area of the ENT department of Svendborg Hospital includes about 1/3 of the inhabitants of the county.

Especially the regional function includes diagnostic and surgical treatment of malign tumores in the head and throat regions.

Annually department F has about 2.300 hospitalizations and about 11.000 out patient treatments. Benign pharynx- and larynxdiseases are 30%, cancer diseases about 30% while ear, nose, and sinus diseases each includes about 10%. Other diseases 20%.

2.100 surgeries in GA are done, 40% of these are acute or subacute. About 20% of the surgeries are done as outpatient procedures.

STAFF AND ECONOMY
The department is prescribed with 8 consultants, 3 staff doctors, 1 1^st assistant surgeon and 8 assistant surgeons. About 48 nursing staff and 10 secretaries are employed. All in all 80 jobs adheres to the budget of the department. Besides a staff of anaesthetic personel, cleaners and serviceassistants are firmly attached. Alltogether about 95 employees. Salaries to the employees of the department are about 30 mio. dkk. a year. Totally the state is paying about 85 mio. dkk. a year running the department. (About 1800 dkk. per outpatient treatment and about 30.000 dkk. per surgery).

2 doctors are on duty 24 hours a day running the department’s emergency service.

INTRODUCTION
Meeting point: the desk in the out patient department (Øre-næse-hals ambulatoriet), ground floor, in the central complex at 7.45 a.m.

The day begins at 8.00 a.m. with the radiology conference (1^st floor, room 6, in the central complex).

Wardrobe is placed at F’s surgical department (ground floor in the central complex). 

On your first day one of the surgeons will show you the activity areas of the department (out patient department, surgical department, bed department, admission department and casuallity department) and you will be introduced to the staff. During the introduction you will be informed about the functions of the department, especially things which influence to your work during the 24 hour duty.

New surgeons will receive material concerning phonelist, rooms, plans and so on.

New employee should as soon as possibly be aquainted with the medical instruction of the department F, and also be informed of the latest version of the speciality’s official textbook: “Ear-, Nose-, Mouth and Throat Diseases. The medical instruction can be found at www.entouh.dk.

LITTERATURE AND IT
The department has an efficient up to date special library and a lent out possibility.

There are good possibilities of information retrieval at the Videncenter, OUH. Further information at the hospitals homepage www.ouh.dk.

CONTACT PERSON SYSTEM
Each patient will be given a contact doctor and a contact nurse, who are going to follow the patient during all his/her progress through the Department F just from the first examination to eventually postoperatively examinations as out patient treatments. The contact person system will use the number and the staff persons who meet the patient.

The contact doctor examinates the patient and decides on surgery. Operates on the patient. Goes the rounds postoperatively and sees the patient at outpatient controls postoperatively.

If the contact doctor is a consultant or a staff doctor there will often be an assistant surgeon, too, who is (associated) contact doctor.

During the hospitalization the patient is given a contact nurse as well.

Doctors wishes for being  involved in special types of patients or operations are best to be fulfilled by writing a note at the hospitalization paper, which forms the starting point  for booking the examination and operation. All hospitalization papers (the waiting list of the department) is to be found at the secretariat in the out patient department.

CONFERENCES AND MEETINGS
The department arranges lectures or clinical conferences, usually on Wednesday morning from 8.00 to 9.00, where relevant subjects concerning the work of the department are discussed.

Twice a week a conference is held at the Department of Oncology and once a week a “lung conference” is held at the Department of Radiology at the ground floor. Monthly a pathologist conference and  a conference with the Department of Audiology is held (look at the weekly schedule).

About once quarterly a litterature meeting is held under private circumstances for alle the doctors of the department.

About twice a year a common meeting is held for all otologists of Funen County.

It is expected, that all the younger doctors of the department is taking part in these activities.

COURSES
After application the course committee decides whether the department are going to pay your course expenses or not. You can get an application form at the main secretariat. Leave with wages is always to be clarified in good time with the doctor who plans the schedule.

CO-OPERATION INTERNALLY AND EXTERNALLY
It is important that the doctor shows a good will and actively works towards a good co-operation both internally in the group of doctors and towards the other group of staff and co-operating departments.

During outward organized contacts and by extern conferences all the doctors of the department loyally have to represent the department’s point of view.

ATTITUDE AND ETHICS
It is important that the doctor dedicates him-/herself understanding of the ethical aspects of the individual and that he/she develops into a suitable and ethical proper attitude to the patients and their treatments. The doctor’s attitude towards both the patients and the nursing staff has to be marked by a will of co-operation and understanding.

The doctor has to be informed of the ethical and moral aspects of the medical calling including the ethical rules for doctors and the Helsinki-declaration. From the guidance of the department the doctor must try to give such a careful and good patient information as possibly concerning planned examinations, its consequences, proposed treatment and its eventually riscs and prognosis.

Often it is necessary to ask older colleagues for advice and guidance, especially concerning relatives  and patients with cancer and other serious diseases.  

Further information:
www.regionsyddanmark.dk
www.ouh.dk/afdelingf 

E-mail: ouh.afdelingf@ouh.fyns-amt.dk
Phone: +45 6541 1649
Fax: +45 6619 2615