Physicians in the operating room
Who they are, what they do and which devices they use: a research-based profile for recruiting this target group for MedTech and pharma projects.
Overview
Surgical physicians determine the indication for operations, obtain informed consent and perform the procedures in the operating room. Perioperative treatment covers preparation, positioning techniques, aftercare and the management of complications. In the theatre they work with techniques such as dissection, suturing, open and minimally invasive approaches and use ultrasound and intraoperative radiological control while observing radiation protection. Their procedures include hernia repair, appendectomy, cholecystectomy and fracture care, as well as emergency surgery for severely injured patients. They document findings, hand over patients in a structured way and work interprofessionally with other professional groups.
Profession by country
Fields of use and typical tasks
General and visceral surgery
Evidence from: DE, AT, CH
- Perform hernia repairs, appendectomies and cholecystectomies, open and laparoscopic
- Perform bowel, stomach, liver and pancreatic resections according to training level
- Carry out emergency procedures such as treating bowel perforation or ulcer bleeding
- Perform ultrasound of the abdomen and thyroid as well as duplex ultrasound
- Perform proctoscopies and rectoscopies and interpret X-ray, CT and MRI
- Care for admitted patients up to the operation
Anaesthesiology
Evidence from: DE, AT, CH
- Induce and maintain general anaesthesia, including total intravenous anaesthesia with target-controlled infusion
- Perform emergency anaesthesia with rapid sequence induction in patients at risk of aspiration
- Perform spinal anaesthesia and epidural catheters and apply further regional anaesthesia techniques
- Secure the airway with mask ventilation, intubation and laryngeal mask and apply the difficult airway algorithm
- Place central venous lines under ultrasound guidance
- Carry out pre-anaesthesia visits for outpatients and inpatients
Orthopaedics and trauma surgery
Evidence from: DE, AT, CH
- Implant primary joint replacements and assist with revision surgery
- Treat fractures and osteotomies with osteosynthesis
- Perform therapeutic arthroscopies of the knee, ankle and shoulder
- Perform implant removals and minor procedures, initially under supervision
- Carry out intraoperative radiological checks
- Treat infections of soft tissue, bone and joints surgically
Specializations
Devices and systems they use
- Ultrasound system
- Flexible endoscope
- Anaesthesia machine
- Mobile C-arm
- Endoscopy video system
- Medical training simulator
- Neuromuscular transmission monitor
- Patient monitor
- Point-of-care ultrasound device
- Depth-of-anaesthesia monitor
- Fixed X-ray system
- Syringe pump
- Rigid endoscope
- Anaesthesia information management system
- Blood gas analyser
- Cell salvage system
Who they work with
- Anaesthesiologists
- Operating room nurses
- Staff of the medical device reprocessing unit
- Infection control team
Frequently asked questions
Which devices and procedures do surgeons use in the OR?
The training curriculum lists ultrasound, open and minimally invasive approaches, laser in surgical techniques and intraoperative radiological control.
Who is responsible for anaesthesia?
Anaesthesia is induced by the anaesthesia team before positioning, disinfection and draping follow; one hospital describes this as its workflow.
Does radiation protection matter in the OR?
Yes. Training covers intraoperative radiological control and radiation protection for patients and staff.
How are patients handed over after surgery?
Training lists structured patient handover as well as informed consent and documentation of findings.
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Related target groups
Same work area
Same specialty
Sources
- Logbuch Weiterbildung Facharzt/Fachärztin für Allgemeinchirurgie, Sächsische Landesärztekammer (DE)
- Neurochirurgischer Operationsbereich, Kepler Universitätsklinikum (AT)
- Curriculum Allgemein- und Viszeralchirurgie, Diak Klinikum Schwäbisch Hall, Klinik für Allgemein- und Viszeralchirurgie (DE)
- Allgemein- und Viszeralchirurgie: Schwerpunkte und Leistungen, Kepler Universitätsklinikum (AT)
- Weiterbildungskonzept Viszeralchirurgie, Bürgerspital Solothurn, Solothurner Spitäler AG, Klinik für Allgemein-, Viszeral-, Thorax- und Gefässchirurgie (CH)
- Weiterbildungskonzept Ärztlicher Dienst Anästhesie/OP, Evangelisches Krankenhaus Königin Elisabeth Herzberge, Klinik für Anästhesie (DE)
- Ausbildungscurriculum Anästhesie und Intensivmedizin, GRN-Klinik Sinsheim, Abteilung für Anästhesie und Intensivmedizin (DE)
- Anästhesiologie und Intensivmedizin: Unsere Leistungen, Barmherzige Brüder Krankenhaus St. Veit an der Glan (AT)
- Anästhesiologie und Intensivmedizin: Presseinformation, Klinikum Wels-Grieskirchen (AT)
- Weiterbildungskonzept Anästhesiologie, Zuger Kantonsspital AG, Institut für Anästhesie und Intensivmedizin (CH)
- Weiterbildungskonzept Anästhesiologie, Spital Limmattal, Institut für Anästhesie und Intensivmedizin (CH)
- Weiterbildungscurriculum Klinik für Orthopädie, Unfall-, Hand- und Wiederherstellungschirurgie, Sana Klinikum Lichtenberg, Klinik für Orthopädie, Unfall-, Hand- und Wiederherstellungschirurgie (DE)
- Weiterbildungscurriculum Orthopädie und Unfallchirurgie, Klinikum Stuttgart, Katharinenhospital, Klinik für Unfallchirurgie und Orthopädie (DE)
- Leistungsspektrum Klinik für Unfallchirurgie und Orthopädie, Klinikum Oldenburg (DE)
- Konzept für die Ausbildung zum Facharzt für Orthopädie und Traumatologie, Uniklinikum Salzburg, Universitätsklinik für Orthopädie und Traumatologie (AT)
- Folder Abteilung für Orthopädie und Traumatologie, Krankenhaus der Elisabethinen Klagenfurt, Abteilung für Orthopädie und Traumatologie (AT)
- Weiterbildungskonzept Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Kantonsspital St.Gallen, Klinik für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates (CH)
- Weiterbildungskonzept Klinik für Orthopädie und Traumatologie, Kantonsspital Winterthur, Klinik für Orthopädie und Traumatologie (CH)
- Role of the Physician Anesthesiologist, American Society of Anesthesiologists (ASA) (US)
- The Anesthesia Care Team, American Society of Anesthesiologists (ASA) (US)