Portable Surgical Mentor A Handbook of Protocol for Interns and Resi

Y2K may have been overrated in terms of its immediate disruptive impact on medical and surgical practice, but it also may have coincidentally marked an era of unprece­ dented change, especially in the domain of surgical spe­ cialty education. Whether one

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Portable Surgical Mentor A Handbook of Protocol for Interns and Residents in Surgery

Larry D. Florman, M.D. Foreword by Hiram C. Polk, Jr., M.D.

~ Springer

Larry D. Florman, M. D. Assistant Professor, Division of Plastic Surgery Department of Surgery, School of Medicine University of Louisville, Health Sciences Center 700 Children's Foundation Building 601 South Floyd Street Louisville, KY 40202 [email protected]

Library of Congress Control Number: 2005926815 ISBN-I0: 0-387-26139-7 ISBN-13: 978-0387-26139-3 Printed on acid-free paper. © 2006 Springer Science+Business Media, Inc. All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, Inc., 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now know or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if the are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed in the United States of America. 987654321 springeronline.com

(SP/EB)

To Sadie, Phyllis, Tammy, Jeffrey, and Sandy, my mentors for eternity

The Author Larry D. Florman, M.D., was born and reared in

Pittsburgh, Pennsylvania. He attended undergraduate school at The Youngstown University in Ohio and medical school at the University of Louvain in Belgium. Dr. Florman completed his rotating internship at the Queen Elizabeth Hospital in Montreal; general surgery residency at the Beth Israel Medical Center in New York City; and residency in otolaryngology at the Manhattan Eye, Ear, and Throat Hospital in New York City. This was followed by a residency in plastic and reconstructive surgery at the University of Louisville in Kentucky. He is a board certified Plasti c and Reconstructive Surgeon , as well as Otolaryngology-Head and Neck Surgeon . In 2002, after 28 years of private practice and teaching as a clinical instructor, Dr. Florman ended his private practice in the traditional sense and assumed the title of Assistant Professor of Surgery at the University of Louisville School of Medicine, where he has been training young surgeons to be plastic surgeons . He now limits his private practice to aesthetic surgery of the nose.

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Acknowledgments To acknowledge a few would be a disservice to all those who gave themselves so willingly and enthusiastically toward the completion of this book. But, I must do this disservice in order to emphasize the wonderful contributions of the following people: Hiram C. Polk, [r. , M.D., for his constant concern, encouragement , and flawless expertise. Ms. Carlene 1. Petty, a wonderful artist, for her superb caricatures. Ms. Margaret A. Abby and Ms. Shirley Cook, for the