Dr. Richard Bosshardt

So if you do outpatient surgery, you do the operation, the patient goes home that day or after an overnight stay. Most complications don't arise immediately. Bleeding occurs in the first day or two after. Infections, three, four days. Pulmonary problems. In my particular profession, if I do a flap reconstruction, I may not know if that flap's going to live or die for five, six, seven days or more.

So if you do outpatient surgery, you do the operation, the patient goes home that day or after an overnight stay. Most complications don't arise immediately. Bleeding occurs in the first day or two after. Infections, three, four days. Pulmonary problems. In my particular profession, if I do a flap reconstruction, I may not know if that flap's going to live or die for five, six, seven days or more.

So when you do have complications, they occur after the patient's out of the system, so to speak, out of the hospital system. So there's no required reporting. It's all self-reporting. You know, you get a letter, you know, periodically from the hospital saying, hey, can you please tell us how all of your patients did? Do you have any complications? They did great. And it's human nature. Of course.

So when you do have complications, they occur after the patient's out of the system, so to speak, out of the hospital system. So there's no required reporting. It's all self-reporting. You know, you get a letter, you know, periodically from the hospital saying, hey, can you please tell us how all of your patients did? Do you have any complications? They did great. And it's human nature. Of course.

So when you do have complications, they occur after the patient's out of the system, so to speak, out of the hospital system. So there's no required reporting. It's all self-reporting. You know, you get a letter, you know, periodically from the hospital saying, hey, can you please tell us how all of your patients did? Do you have any complications? They did great. And it's human nature. Of course.

If a patient gets an infection, you treat them with antibiotics, you know, do you report that as a complication? And the patient ultimately did okay. You could argue, no, you might not report that, and you could rationalize that it's okay. So that's one of the issues. The other issue, and I got this directly from one of the examiners.

If a patient gets an infection, you treat them with antibiotics, you know, do you report that as a complication? And the patient ultimately did okay. You could argue, no, you might not report that, and you could rationalize that it's okay. So that's one of the issues. The other issue, and I got this directly from one of the examiners.

If a patient gets an infection, you treat them with antibiotics, you know, do you report that as a complication? And the patient ultimately did okay. You could argue, no, you might not report that, and you could rationalize that it's okay. So that's one of the issues. The other issue, and I got this directly from one of the examiners.

I know someone who has been examining surgeons for 15 years for their boards. So when you go to take your board examinations, he's one of the people that sits in the room and asks you questions and whatnot. And what he's noticed is that a lot of these residents are coming in and he's looking at their cases and he's thinking, oh my gosh, they're taking way too long to do these operations.

I know someone who has been examining surgeons for 15 years for their boards. So when you go to take your board examinations, he's one of the people that sits in the room and asks you questions and whatnot. And what he's noticed is that a lot of these residents are coming in and he's looking at their cases and he's thinking, oh my gosh, they're taking way too long to do these operations.

I know someone who has been examining surgeons for 15 years for their boards. So when you go to take your board examinations, he's one of the people that sits in the room and asks you questions and whatnot. And what he's noticed is that a lot of these residents are coming in and he's looking at their cases and he's thinking, oh my gosh, they're taking way too long to do these operations.

Now, one thing that's interesting is when you go for your boards, the cases that they look at are not cases you did in training. These are cases you've done since you've been out. You know, when you finish your residency, you're allowed to go out and practice. I could practice. I practiced for two years before I became board certified because it took two years to get my board certification.

Now, one thing that's interesting is when you go for your boards, the cases that they look at are not cases you did in training. These are cases you've done since you've been out. You know, when you finish your residency, you're allowed to go out and practice. I could practice. I practiced for two years before I became board certified because it took two years to get my board certification.

Now, one thing that's interesting is when you go for your boards, the cases that they look at are not cases you did in training. These are cases you've done since you've been out. You know, when you finish your residency, you're allowed to go out and practice. I could practice. I practiced for two years before I became board certified because it took two years to get my board certification.

So of course I have to be able to practice. And I'm regarded at that point as a board eligible surgeon. And I'm entitled to full privileges and all those things. So when I go to take my board examination, I present them, you know, in my case, I present them with a log of everything I had done for the past year. And they select cases to examine you on and so forth.

So of course I have to be able to practice. And I'm regarded at that point as a board eligible surgeon. And I'm entitled to full privileges and all those things. So when I go to take my board examination, I present them, you know, in my case, I present them with a log of everything I had done for the past year. And they select cases to examine you on and so forth.

So of course I have to be able to practice. And I'm regarded at that point as a board eligible surgeon. And I'm entitled to full privileges and all those things. So when I go to take my board examination, I present them, you know, in my case, I present them with a log of everything I had done for the past year. And they select cases to examine you on and so forth.

It's an interesting experience to do that. So these are the cases that these examiners are looking at. And he's saying, they're taking way too long. Here's an operation that should normally take three to four hours. It's taking seven to eight hours for this person to complete this operation. And I've seen this locally.

It's an interesting experience to do that. So these are the cases that these examiners are looking at. And he's saying, they're taking way too long. Here's an operation that should normally take three to four hours. It's taking seven to eight hours for this person to complete this operation. And I've seen this locally.

It's an interesting experience to do that. So these are the cases that these examiners are looking at. And he's saying, they're taking way too long. Here's an operation that should normally take three to four hours. It's taking seven to eight hours for this person to complete this operation. And I've seen this locally.