Overview

Warning: your lack of structured operative decision-making is costing you confidence in the operating room. Are you unsure what the next step should be once an incision is made? Do you understand the theory of surgery but hesitate when real intra-operative decisions must be taken? Have you ever wondered what will happen if you choose the wrong approach, delay a decision, or fail to anticipate complications? This book exists because knowing surgical facts is not the same as thinking like a surgeon. Surgery: A Decision-Making Guide for Residents explains how surgical judgment is formed, applied, and refined during real clinical and operative scenarios. Rather than listing procedures or anatomy, this guide focuses on why decisions are made, when alternatives are considered, and how experienced surgeons reason under pressure. Inside, you will find structured case-based discussions covering common general surgery situations, intra-operative decision pathways, risk evaluation, complication anticipation, and post-operative reasoning. Each chapter is written to mirror how decisions unfold in real time, because surgical thinking is rarely linear. This book is written specifically for early general surgery residents, particularly PGY-1 to PGY-3 trainees transitioning from theoretical knowledge to hands-on operative responsibility. It is also suitable for senior medical students preparing for surgical training. The book is organized by clinical scenarios rather than procedures. Each chapter presents a surgical context, outlines key decision points, explores reasoning options, and explains consequences-allowing readers to imagine the situation clearly and understand what happens if decisions change

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