For starters, communicate in the simplest way. Gastric sleeve surgeons in New York may be knowledgeable but you have to understand that you would be dealing with people who have not gone through medical school. The only way that all of you would be in the same page is for you to go down to their level.
Be compassion with every prospect that would come your way. Yes, they may have done something that led them to this kind of situation that but that would never be entirely their fault. Just make them grateful that they have come to you before things have escalated and gone worse.
Be keen with every detail which you shall see in the X rays. Be reminded that you must be fully aware of what you shall be dealing before you will even talk to the person concerned. You have to prepare this individual for the worst especially when the situation has already gone out of hand.
Try to get better with your hands as each day goes by. Practice with some cadavers if you have to. Also, increase your knowledge in the field since there might be a way in which you can fix the problem of your prospect without undergoing any operation. That is how you would be able to minimize the risk.
You should live up to your role as a leader. Take note that your nurses will gain their guts from you. If you will act like you do not know what you are doing, then you will never act like one unit which is vital to the flow of the process. So, stiffen up your spine and show who is in charge.
Organize your office to the best of your abilities. It may be hard with no one there to help you but that is where you will learn. Conduct this for yourself and for the clients who will eventually get another check up from you.
Patience would have to be one of your greatest traits at this point. Keep in mind that a single operation can last for one whole day. So, that only means that you are stuck in the operating room and you cannot just leave the prospect because you are tired or because you are not getting things right.
Overall, you just have to try to do better in Goshen, NY. There are a lot of people who are aspiring to be you. Thus, do everything you can to maintain your position and gain the respect of everyone in the field. That is the kind of life that you deserve after what you have gone through.