I am general surgical resident in the UK.
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I am a general surgery resident doctor in the UK. I am new to Orris. Explain to me how I can best use you for my day to day work and learning. Are you able to help me prepare for MRCS Part B? If yes, how are you able to help me?
Welcome! Here's a practical rundown of how Orris can support your surgical training and MRCS Part B prep.
What Orris Can Do For You
1. Medical Knowledge - Backed by Textbooks
I have access to a medical library of authoritative textbooks covering surgery, anatomy, physiology, pathology, pharmacology, and more. When you ask a clinical question, I search these textbooks first and give you referenced, citable answers - not just general knowledge.
2. Current Evidence
I can search PubMed for the latest systematic reviews, RCTs, and clinical guidelines. Useful when you want to know the evidence base behind a surgical decision, or when guidelines may have changed.
3. Real-Time Web Search
I can search the web for current NHS guidelines, NICE guidance, RCS publications, and surgical society statements.
4. Medical Images
I can search a medical image library for clinical photos, histology slides, anatomical diagrams, ECGs, radiographs, and operative images - useful for visual learning.
5. Document & File Creation
I can generate Word documents, PDFs, PowerPoint slides, and Excel spreadsheets - useful for creating revision notes, teaching materials, audit summaries, or presentations.
MRCS Part B - Yes, I Can Help
MRCS Part B is an OSCE covering applied surgical science and critical care, anatomy and surgical pathology, and clinical and procedural skills. Here's specifically how I can help:
Anatomy
This is the highest-yield topic in Part B. I can:
- Walk you through surface anatomy, cross-sectional anatomy, and applied anatomy for surgical procedures
- Explain anatomical relations tested at common OSCE stations (inguinal canal, axilla, neck triangles, femoral triangle, etc.)
- Find anatomical diagrams and dissection images
- Quiz you on structures and their relations
Applied Surgical Science
- Physiology questions (shock, fluids, respiratory, renal, metabolic)
- Pathology of common surgical conditions
- Wound healing, haemostasis, and inflammatory response
- Surgical nutrition, sepsis, and critical care principles
Clinical Skills Stations
- Help you structure answers for history taking scenarios
- Talk through examination findings and their significance
- Explain operative steps for commonly tested procedures
Communication Stations
- I can roleplay as a patient or examiner for communication stations
- Help you structure how to break bad news, obtain consent, or explain a diagnosis
Viva-Style Q&A
Ask me any question the way an examiner would phrase it, and I'll give you a structured, concise answer. For example:
"Describe the anatomy of the inguinal canal and its surgical relevance." "What are the complications of a Hartmann's procedure?" "How would you manage a patient in septic shock?"
Practical Day-to-Day Uses
| Scenario | How to use Orris |
|---|---|
| Ward round prep | "Explain the pathophysiology of obstructive jaundice" |
| Pre-theatre | "What are the key steps in a laparoscopic appendicectomy?" |
| Post-take learning | "A patient has RIF pain and raised WCC - how do I work this up?" |
| Audit / QI | "Help me design a data collection proforma for colorectal surgery outcomes" |
| Teaching | "Create a 10-slide PowerPoint on management of acute pancreatitis" |
| M&M prep | "What does the literature say about anastomotic leak rates after anterior resection?" |
| MRCS revision | "Quiz me on the anatomy of the femoral triangle" |
Tips for Getting the Best Out of Orris
- Be specific - "Explain the relations of the common bile duct" works better than "tell me about the biliary system"
- Ask follow-up questions - I keep context across the conversation, so you can drill down
- Request images - Add "show me an image" or "find a diagram" and I'll search the medical image library
- Ask for evidence - Add "what does the evidence say" and I'll search PubMed
- Use me like a senior colleague - Frame questions the way you'd ask a consultant: clinical scenarios, differentials, management plans
What would you like to start with? Anatomy revision, a clinical scenario, or something from the wards today?
Are you also able to help me with my portfolio work? Such as drafting work place assessment forms for ISCP?
Yes, absolutely - portfolio work is one of the most practical ways I can save you time as a busy surgical resident.
ISCP Workplace-Based Assessments - How I Can Help
Here's what I can do across the main WBA types used in surgical training:
DOPS (Direct Observation of Procedural Skills)
You tell me:
- The procedure performed (e.g. insertion of chest drain, wound closure, laparoscopic port insertion)
- Your level of involvement (assisted, performed under supervision, performed independently)
- Any specific learning points or difficulties
I draft:
- A structured trainee self-reflection section
- Suggested assessor comments that are specific, evidence-based, and competency-linked
- Realistic areas for development that don't look generic
CBD (Case-Based Discussion)
You give me:
- A brief clinical summary (e.g. "62M, sigmoid volvulus, taken to theatre for Hartmann's")
- The aspects of care you want to highlight
I draft:
- A case summary narrative
- Discussion of your clinical reasoning and decision-making
- Reflection on what you learned and what you'd do differently
- Links to relevant guidelines or evidence if needed
Mini-CEX (Mini Clinical Evaluation Exercise)
You describe:
- The clinical encounter (e.g. clerking an acute abdomen, consent for appendicectomy)
- What went well and what was challenging
I draft:
- Structured reflection covering history, examination, clinical reasoning, communication
- Assessor-style commentary
A-CEX / Acute Care Assessment
Similar to Mini-CEX but for acute scenarios - I can help structure these around the ABCDE framework and your clinical decision-making.
Supervised Learning Events (SLEs) - General Reflections
For any clinical encounter, I can help you write:
- A reflective account using a recognised model (Gibbs, Driscoll, or ERA cycle)
- Learning objectives for future development
- Mapping to the surgical curricula domains (e.g. clinical judgement, technical skills, professionalism)
Audit & QI Entries
- Help structure your audit cycle write-up for your portfolio
- Draft a quality improvement project narrative
- Suggest how to frame the impact of your work
Teaching & Education Entries
- Help write up a teaching session you delivered
- Structure feedback and reflection
How to Use Me for This
Just paste or describe the case/procedure in plain language - you don't need to fill in a template first. For example:
"I did a CBD on a patient with acute pancreatitis. 45-year-old woman, gallstone pancreatitis, managed conservatively, CT showed no necrosis. I want to highlight my management of fluids and the decision about ERCP timing. Can you help me write the reflection?"
Or:
"Help me write a DOPS reflection for a laparoscopic appendicectomy where I did most of the dissection but my consultant took over for the mesoappendix due to adhesions."
I'll produce a draft you can edit, personalise, and paste into ISCP.
Important Caveat
The assessor sections on ISCP must be completed by your supervising consultant or senior colleague - I can help you draft suggested content or talking points to share with them, but the assessor's sign-off must be genuine. Reflections and trainee sections are yours to write - I just help you write them well and efficiently.
Want to try one now? Give me a case or procedure and I'll draft something for you.
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