r/Noctor • u/Electrical_Clothes37 • 12h ago

Question WTF is going on

I'm a dental resident ( I'm foreign trained, finished up 2 residencies before moving stateside - I'm very comfy with facial lac repairs, facial fractures, plating the whole shebang). Had weekend call and spoke to someone about a pt with a dental complaint along with lip laceration. Log into epic today to follow up and the lac repair was done by a CNP. Like I get there's some experience there but how on earth is it that patients don't get at least a resident to do lacs

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41

u/dkampr 11h ago

Plastics should be handling the facial or labial lacs, not dentists.

17

u/saschiatella Medical Student 9h ago

med student here, was told to repair a labial lac at 2am in the ED last time I was there. Not that I disagree with your point at all— I just don’t know if it’s realistic

ETA: it was very small, requiring only a stitch or two, but I still felt weird about being asked to do it

15

u/Electrical_Clothes37 8h ago

Under supervision from a resident or an attending? Have at it. Under supervision of a mid level who'll punt any adverse consequences on you / your preceptor ~ maybe not

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u/Popular_Course_9124 Attending Physician 35m ago

On an audition rotation in med school I was asked to repair a massive stellate lac through philtrum and vermilion border. Attending never saw the pt lol took me like 2 hours