Speaking Up In The Operating Room As The Medical Student

Document Type

Conference Proceeding - Restricted Access

Publication Date



A 50-year-old man experienced delayed emergence following a laparoscopic cholecystectomy. During extubation, the medical student noted inappropriate painful stimuli, one-handed jaw thrust, and unprofessional language, as well as breech of patient privacy. No immediate intervention was undertaken, nor did apparent harm reach the patient. Since students are the tacit lowest member of the medical hierarchy, it can often be difficult to speak up when issues surrounding patient care arise, either due to complex social factors or uncertainty in the validity of their concerns. This case discusses how students can best navigate operating room dynamics to improve patient care quality.


American Society of Anesthesiology, Anesthesiology 2019. Orlando, FL. October 19-23, 2019.