Alle afleveringen van Behind The Knife: The Surgery Podcast – pagina 5 van 10

10 Consult Commandments to Dominate the Day

29 mei 2025 · 15 min

Afspelen

Mastering the surgical consult is a true milestone in every young surgeon’s career. But it’s not easy! It is a difficult transition from lowly data gatherer to mighty data synthesizer. It is, in many ways, an art form. Is there anything more beautiful than breaking down a complex, convoluted patient presentation into an immaculate assessment and plan? Something so bullet proof that the attending surgeon has been left speechless. Perhaps not! Join Drs. Joey Lew and Patrick Georgoff as they review 10 CONSULT COMMANDMENTS TO DOMINATE THE DAY: Lees meer

Have a System

Trust No One, Expect Sabotage

Always Ask at Least One Why

Always Look at the Imaging Yourself

Don’t Worry Alone

Don’t Bury the Lead

Never Lie

Include a Real Assessment and Plan in Your Note

Goals of care are important and individual

Over-communicate

Hosts:

Dr. Joey Lew, MD, MFA, PGY2, Duke University (@LewActually)

Dr. Patrick Georgoff, MD, Duke University (@georgoff)

Insensible Losses – Poems by Joey Lew: https://www.amazon.com/Insensible-Losses-Joey-Lew/dp/B0D773LSHL

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

The Silent Partner: Ambient listening AI in Outpatient Clinics, Inpatient Wards, and the Operating Room

26 mei 2025 · 32 min

Afspelen

In this episode, we dive into the rapidly evolving world of ambient listening AI in healthcare. From outpatient clinics to inpatient wards and operating rooms, this technology is reshaping how care is delivered, documented, and experienced. Lees meer

We explore how ambient listening AI is improving clinic flow by streamlining documentation and reducing interruptions, allowing clinicians to stay more present with their patients. The technology is increasingly adaptive to individual provider styles, learning preferences and workflows to deliver more personalized support. Plus, we share practical tips for new users to get the most out of their ambient listening AI systems from day one.

Join us as we hear from experts on the front lines and debate the future of ambient listening AI in medicine—where the walls really do have ears, but for all the right reasons.

Host:
- Nicole Petcka, MD – General Surgery Resident, Emory University, @npetcka2022

Guests:
- Samuel R. Torres Landa Fernández, MD – Minimally Invasive Surgery Fellow, Emory University
- Anastasios Nikolaos (Nick) Panagopoulos, MD – Internal Medicine Resident, Emory University
- Joe Sharma, MD - McGarity Chair in Endocrine Surgery and Professor of Surgery, Vice-chair for Patient Safety, Quality and Innovation, Emory University

Resources:

Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video

Khanna A, Wolf T, Frank I, Krueger A, Shah P, Sharma V, Gettman MT, Boorjian SA, Asselmann D, Tollefson MK. Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video. J Am Coll Surg. 2025 May 1;240(5):739-746. doi: 10.1097/XCS.0000000000001352. Epub 2025 Apr 16. PMID: 39918224.
https://pubmed.ncbi.nlm.nih.gov/39918224/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Journal Review and Clinical Challenges in Surgical Palliative Care: Assessing Decision-Making Capacity

22 mei 2025 · 26 min

Afspelen

Join the University of Washington Surgical Palliative Care Team for their final episode of this series — a dual journal review and clinical challenges discussion on assessing medical decision-making capacity. Using Dr. Paul Applebaum’s foundational framework, the team outlines the four key criteria for evaluating capacity and brings the topic to life through two contrasting standardized patient scenarios. This episode highlights why capacity assessment is not only relevant but essential for surgeons navigating complex, high-stakes decisions. Lees meer

Hosts:
Dr. Katie O’Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA.

Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care at Parkland.

Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington with an interest in surgical oncology.

Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington.

Learning Objectives:
1. Decipher the distinction between the terms “capacity” and “competence”.

2. Describe the four criteria for assessing medical decision-making capacity presented in Dr. Paul Applebaum’s article “Assessment of Patients’ Competence to Consent to Treatment.”

3. Apply the capacity assessment framework to real-world clinical scenarios in surgical practice.

References:
1. Applebaum, PS. Assessment of Patients’ Competence to Consent to Treatment. New England Journal of Medicine 2007; 357(18):1834-1840. https://pubmed.ncbi.nlm.nih.gov/17978292/

2. Special thank you to Mr. Mark Fox for his acting co…

Journal Review in Hernia Surgery: Quality Improvement in Abdominal Wall Reconstruction

19 mei 2025 · 25 min

Afspelen

In their last Behind the Knife episode, the Hernia Content Team from Carolinas Medical Center discusses quality improvement in abdominal wall reconstruction (AWR). The complexity of AWR patients makes this discipline a perfect match for quality improvement efforts. The group review two papers published by their group: one that tracks patient outcomes over time and then another that reviews a specific quality improvement initiative (penicillin allergy protocol). Lees meer

Hosts:
· Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter)
· Dr. Monica Polcz, Assistant Professor, University of South Florida (Tampa, FL)
· Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center (Charlotte, NC), @VedraAugenstein (Twitter)
· Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center (Charlotte, NC), @THeniford (Twitter)

Learning Objectives:
- Define Quality Improvement and its Importance in Surgical Practice
- Identify Key Strategies and Examples of Quality Improvement Initiatives in Abdominal Wall Reconstruction
- Explain the Process of Implementing and Evaluating a Quality Improvement Project
- Recognize the Value of Multidisciplinary Collaboration in Quality Improvement

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Journal Review in Artificial Intelligence: Applications of AI in Surgery

15 mei 2025 · 13 min

Afspelen

Welcome to our new series – the AI Journal Club! In this series, we’ll cover some interesting studies and evidence-based applications of artificial intelligence in surgery in a case-based format. Surely AI can find a DVT by now … or can it? Stay tuned and find out! Lees meer

Hosts:
- Ayman Ali, MD
Ayman Ali is a Behind the Knife fellow and general surgery PGY-3 at Duke Hospital in his academic development time where he focuses on data science, artificial intelligence, and surgery.

- Ruchi Thanawala, MD: @Ruchi_TJ
Ruchi Thanawala is an Assistant Professor of Informatics and Thoracic Surgery at Oregon Health and Science University (OHSU) and founder of Firefly, an AI-driven platform that is built for competency-based medical education. In addition, she directs the Surgical Data and Decision Sciences Lab for the Department of Surgery at OHSU.

- Marisa Sewell, MD: @MarisaSewell
Marisa Sewell is a general surgery PGY-4 at Oregon Health and Science University.

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Clinical Challenges in Emergency General Surgery: The Abdominal Wall – Friend or Foe?

12 mei 2025 · 34 min

Afspelen

It is the final episode of our Challenging Cases in Emergency General Surgery series and we’re diving into another dreaded topic: the complex abdominal wall. This structure is a daily partner to the general surgeon—but when things go wrong, it can quickly become our biggest challenge. In this episode, we’ll walk through the emergency presentation of a patient with multiple prior hernia repairs and mesh placements, and how these complicate diagnosis and management. From imaging pearls to OR decision-making and post-op dilemmas, this episode covers it all. We round things off with a fun game (as always!) and some hot takes on abdominal wall strategies in emergency general surgery. Whether you’re an EGS surgeon, trainee, or surgical enthusiast, this episode is packed with practical insights, decision-making frameworks, and real-world nuance. Lees meer

Hosts:
- Dr. Ashlie Nadler
- Dr. Jordan Nantais
- Dr. Graham Skelhorne-Gross

Learning Objectives:
- Identify key factors to assess in patients presenting with complex abdominal wall problems, including detailed surgical history, hernia characteristics, and signs of complications.
- Discuss the role of imaging, particularly CT scans, in evaluating patients with ventral hernias and bowel obstruction, with a focus on identifying transition points and signs of strangulation.
- Outline the surgical approach to incarcerated incisional ventral hernias, including pre-operative considerations, operative techniques, and management of threatened bowel.
- Recognize the importance of patient-specific factors and interdisciplinary collaboration in the management of complex abdominal wall cases, including the role of pre-habilitation and hernia specialists.

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Let's Talk Diverticulitis

8 mei 2025 · 55 min

Afspelen

We got the gang together (minus John, who is on mission). Today, we are talking about diverticulitis with super expert Scott Steele. Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis. We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emergent situations, are also reviewed. DOMINATE THE COLON! Lees meer

Hosts
Scott Steele, MD: @ScottRSteeleMD
Scott is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center. He also received his MBA from Case Western University Weatherhead School of Business and Management.

Patrick Georgoff, MD: @georgoff
Patrick Georgoff is an Acute Care Surgeon at Duke University. He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston. His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery. Patrick is the Associate Program of the General Surgery Residency and associate Trauma Medical Director at Duke.

Kevin Kniery, MD: @Kniery_Bird
Kevin is a vascular surgeon at Brooke Army Medical Center. He completed his undergraduate degree at the United States Military Academy in West Point, medical school at Tulane University, general surgery residency at Madigan Army Medical Center, and vascular fellowship at Cornell and Columbia.

Jason Bingham, MD: @BinghamMd
Jason is a general and bariatric surgeon at Madigan …

Journal Review in Burn Surgery: Global Engagement and Sustainable Participation

5 mei 2025 · 32 min

Afspelen

In our recent episode on global burn surgery with Dr. Barclay Stewart and Dr. Manish Yadav, we discussed several cases at Kirtipur Hospital in Nepal to illustrate the global burden of burns and similarities and differences in treating burns at Harborview Medical Center, a level 1 trauma and ABA verified burn center in Seattle, WA and Kirtipur Hospital (Nepal Cleft and Burn Center) in Kathmandu, Nepal. In this episode Dr. Stewart and Dr. Yadav return for an interview by UW Surgery Resident, Paul Herman, sharing insights on how to get involved in global surgery with an emphasis on sustainable participation. Lees meer

Hosts:
Manish Yadav, Kirtipur Hospital, Nepal
Barclay Stewart, UW/Harborview Medical Center
Paul Herman, UW/Harborview General Surgery Resident, @paul_herm
Tam Pham, UW/Harborview Medical Center (Editor)

Learning Objectives
1. Approaches to global surgery
a. Describe historical perspectives on global health and global surgery reviewing biases global surgery inherits from global health due to the history of colonialism, neo-colonialism and systemic inequalities
b. Review a recently published framework and evaluation metrics for sustainable global surgery partnerships (GSPs) as described by Binda et al., in Annals of Surgery in March 2024.
c. Provide examples of this framework from a successful global surgery partnership
d. Define vertical, horizontal and diagonal global surgery approaches
e. Share tips for initial engagement for individuals interested in getting involved in global surgery

References
1. Gosselin, R., Charles, A., Joshipura, M., Mkandawire, N., Mock, C. N. , et. al. 2015. “Surgery and Trauma Care”. In: Disease Control Priorities (third edition): Volume 1, Essential Surgery, edited by H. Debas, P. Donkor, A. Gawande, D. T. Jamison, M. Kruk, C. N. Mock. Washington, DC: World Bank.

2. Qin R, Alayande B, Okolo I, Khanyola J, Jumbam DT, Koea J, Boatin AA, Lugobe HM, Bump J. Colonisation and its aftermath: reimagining global surgery. BMJ Glob Health. 2…

USA vs. UK: ASGBI Ep. 4 - Conferences

1 mei 2025 · 44 min

Afspelen

Surgical conferences are a forum of the profession–where we all gather to socialize, share clinical experiences, promote academic work, and learn from each other. But what goes into putting these conferences together? In this next installment of the BTK/ASGBI collaborative series, Jon Williams and ASGBI co-hosts Kellie Bateman and Jared Wohlgemut welcome Mr. Dimitrios Damaskos from Edinburgh and Dr. Anne Lidor from the University of Wisconsin to take a look behind the scenes of conference planning. We’ll cover logistics, program selection, how surgical societies strive to support their members and trainees, and much more! Lees meer

Mr Dimitrios Damaskos, initially from Greece, he came to the UK for his fellowship and is a UGI and Emergency General Surgical Consultant with an interest in abdominal wall surgery based in The Royal Infirmary Edinburgh. He is the current Director of Scientific Programme for ASGBI and responsible for organising our main International Congress which this year happens to be in Edinburgh. He has also held numerous other events for surgical societies including the British Hernia Society.

Dr. Lidor serves as the program chair for the Society for American Gastrointestinal and Endoscopic Surgeons (i.e. SAGES), which is a wide-reaching US-based international surgical society that encompasses many facets of general surgery. The SAGES Annual Meeting was just last month, and is a great opportunity for surgeons to convene and share clinical experiences, academic work, and professionally connect. Dr. Lidor completed medical school at the New York Medical College, and then moved on to George Washington University for general surgery residency training. Following residency, she moved to Baltimore to Johns Hopkins where she completed her MIS/Bariatric Surgery fellowship and subsequently stayed on as a faculty surgeon. After years at Hopkins during which she held many education leadership roles both at the medical school and as fellowship director, she moved to …

JUST FOR APPs: Dominate Surgery - Fellowship

30 april 2025 · 29 min

Afspelen

Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for rounds, Behind the Knife has got you covered. Lees meer

Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation Course Link: https://app.behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation

JUST FOR APPs: Dominate Surgery - First Assist

29 april 2025 · 20 min

Afspelen

Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for rounds, Behind the Knife has got you covered. Lees meer

Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation Course Link: https://app.behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation

JUST FOR APPs: Dominate Surgery - Tips and Tricks

28 april 2025 · 30 min

Afspelen

Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for rounds, Behind the Knife has got you covered. Lees meer

Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation Course Link: https://app.behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation

Surgical Endoscopy Series Ep. 2: Endobariatrics

24 april 2025 · 48 min

Afspelen

In this episode, the Surgical Endoscopy team, accompanied by Chief Medical Officer Dr. Brian Dunkin of Boston Scientific, review primary and revisional endoscopic treatment options for bariatric patients. They focus on the emerging data available for procedures such as endoscopic sleeve gastroplasty (ESG) and endoscopic gastrojejunal revision (EGJR) and offer technical tips on how to perform the procedures. In addition, they discuss accessibility challenges for patients and provide insight into the future direction of bariatric endoscopy as a field. Lees meer

Hosts:
· Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter)
· Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter)
· Dr. H. Masson Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL)
· Dr. Michael Ujiki, Professor and Louis Biegler Chair of Surgery, Endeavor Health (Evanston, IL), @UjikiMike
· Dr. Brian Dunkin, Chief Medical Officer at Boston Scientific, @briandunkinmd

Learning Objectives:
- Identify and Describe Common Endobariatric Procedures: Learners will be able to name and briefly describe at least three common endobariatric procedures discussed in the episode, including Endoscopic Sleeve Gastroplasty (ESG), Endoscopic GJ Revisions (Transoral Outlet Reduction - TORR/EGJR), and Intragastric Balloons, along with their historical context and evolution.
- Explain the Mechanism and Benefits of Endoscopic Sleeve Gastroplasty (ESG): Learners will be able to articulate the procedural technique of ESG, including the U-shaped suture pattern, its impact on gastric volume reduction, and the proposed mechanisms of weight loss, such as slowed gastric emptying and hormonal changes, as compared to laparoscopic sleeve gastrectomy.
- Discuss the Role of Technology and Training in Endobariatrics: Learners will be able to explain the significance of endoscopic suturing devices like the Overstitch…

Journal Review in Surgical Education: Away Rotations & Sub-Internships

21 april 2025 · 31 min

Afspelen

Thinking about doing an away rotation? In this episode of Behind the Knife, we break down everything you need to know about away rotations and sub-internships. From how to apply and what to expect to making a great impression and building connections, we’ve got you covered. Plus, we discuss whether you should even do an away rotation at all and how to decide if it's the right move for your application. We’re joined by a fantastic and diverse group of general surgery residents who share their insights, tips, and experiences. Lees meer

Episode Hosts:
–Dr. Josh Roshal, University of Texas Medical Branch, @Joshua_Roshal, jaroshal@utmb.edu
–Dr. Colleen McDermott, University of Utah, @ColleenMcDMD, Colleen.McDermott@hsc.utah.edu
–Dr. Sophia Williams-Perez, Baylor College of Medicine, @SophWPerez, Sophia.Williams-Perez@bcm.edu
–CoSEF: @surgedfellows, cosef.org

Guests:
Dr. Steven Thornton, Duke University Medical Center, @swthorntonjr
swt12@duke.edu
Dr. Nicole Santucci, Washing University in St. Louis, @nicolemsantucci
snicole@wustl.edu
Abbas Karim, MS3, University of Texas Medical Branch, @_AbbasKarim
aakarim@utmb.edu
Reagan Collins, MS4, Texas Tech University Health Sciences Center, @ReaganACollins, reagan.collins@ttuhsc.edu
Dr. Annie Hierl, Indiana University, @annie_hierl
ahierl@iu.edu
Dr. Jorge Zarate Rodriguez, Washington University in St Louis, @jzaraterod, j.zarate@wustl.edu
References:

McDermott CE, Anand A, Brian R, Gan C, L'Huillier JC, Lund S, Sathe T, Silvestri C, Woodward JM. Should I Do a General Surgery Away Rotation?: Perspectives From the Collaboration of Surgical Education Research Fellows (CoSEF). Ann Surg Open. 2024 Dec 3;5(4):e509. doi: 10.1097/AS9.0000000000000509. PMID: 39711667; PMCID: PMC11661735. https://pubmed.ncbi.nlm.nih.gov/39711667/

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Journal Review in Thoracic Surgery: The ESOPEC Trial

17 april 2025 · 25 min

Afspelen

Listen as we discuss the highly-awaited ESOPEC trial, which examines treatment regimens for esophageal and EGJ adenocarcinoma. Wildly impress your thoracic attendings or peers with your nuanced knowledge! FLOT who? You’ll know. Pull out the paper and listen along! Lees meer

Learning Objectives:
-Discuss the patient population in the ESOPEC trial
-Discuss the main differences between the ESOPEC trial and the CROSS trial
-Describe the main drawbacks between FLOT and the CROSS regimen.

Hosts:
Chloe Hanson MD, Brian Louie MD, and Peter White MD

Referenced Material

https://www.nejm.org/doi/full/10.1056/NEJMoa2409408

Hoeppner J, Brunner T, Schmoor C, Bronsert P, Kulemann B, Claus R, Utzolino S, Izbicki JR, Gockel I, Gerdes B, Ghadimi M, Reichert B, Lock JF, Bruns C, Reitsamer E, Schmeding M, Benedix F, Keck T, Folprecht G, Thuss-Patience P, Neumann UP, Pascher A, Imhof D, Daum S, Strieder T, Krautz C, Zimmermann S, Werner J, Mahlberg R, Illerhaus G, Grimminger P, Lordick F. Perioperative Chemotherapy or Preoperative Chemoradiotherapy in Esophageal Cancer. N Engl J Med. 2025 Jan 23;392(4):323-335. doi: 10.1056/NEJMoa2409408. PMID: 39842010.

https://www.nejm.org/doi/full/10.1056/NEJMoa1112088

van Hagen P, Hulshof MC, van Lanschot JJ, Steyerberg EW, van Berge Henegouwen MI, Wijnhoven BP, Richel DJ, Nieuwenhuijzen GA, Hospers GA, Bonenkamp JJ, Cuesta MA, Blaisse RJ, Busch OR, ten Kate FJ, Creemers GJ, Punt CJ, Plukker JT, Verheul HM, Spillenaar Bilgen EJ, van Dekken H, van der Sangen MJ, Rozema T, Biermann K, Beukema JC, Piet AH, van Rij CM, Reinders JG, Tilanus HW, van der Gaast A; CROSS Group. Preoperative chemoradiotherapy for esophageal or junctional cancer. N Engl J Med. 2012 May 31;366(22):2074-84. doi: 10.1056/NEJMoa1112088. PMID: 22646630.

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32557-1/abstract

Al-Batran SE, Homann N, Pauligk C, Goetze TO, Meiler J, Kasper S, Kopp HG, Mayer F, Haag GM, Luley K, Lindig U, Schmiegel W, Pohl M, Stoehlmacher J,…

Journal Review in Surgical Education: Blue Ribbon Committee II

14 april 2025 · 33 min

Afspelen

In 2002 a group of surgeons got together and radically changed surgical training forever. They just got together again...
They call themselves the Blue Ribbon Committee. When they met in 2002 they addressed critical issues such as residency structure, specialization, work-life balance, and simulation-based training. Now, with rapid advancements in medicine and education, BRC II has revisited these topics and introduced new priorities to ensure that surgical education meets the demands of the modern era. Lees meer

In this episode, we are joined by Dr. Steven Stain, co-chair of BRC II and a leader in surgical education. Dr. Stain shares insights into the motivations behind the second committee, its key findings, and how competency-based education, entrustable professional activities (EPAs), and other innovations are shaping the future of surgical training.

Join hosts Pooja Varman MD, Judith French PhD, and Jeremy Lipman MD, MHPE for an engaging discussion on what surgical educators, trainees, and institutions need to know about the new recommendations from BRC II and the future of surgical education.

Learning Objectives
By the end of this episode, listeners will be able to
1. Under the origins and impact of the first Blue Ribbon Committee (BRC I)
2. Explain the factors that led to the formation of the BRC II and its major recommendations
3. Identify challenges and opportunities in modern surgical education
4. Discuss the role of competency-based education and EPAs in training future surgeons
5. Recognize how institutions and educators can adapt to BRC II recommendations

References
1. Recommendations on Surgical Education and Training in the United States: 2024. Ann Surg. 2024;280(4):535. doi:10.1097/SLA.0000000000006360 https://pubmed.ncbi.nlm.nih.gov/38814074/

2. Blue Ribbon Committee II Advises Sweeping Changes in Surgical Education. ACS. Accessed January 12, 2025. https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/bulletin/2024/may-2024-…

Journal Review in Colorectal Surgery: Bowel Endometriosis

10 april 2025 · 48 min

Afspelen

Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon, with guest Dr. Farr Nezhat, as they discuss management, surgical treatment, and outcomes of bowel endometriosis. Come with us as we learn from expert Dr. Nezhat’s experience and discuss the importance of interdisciplinary approach to bowel endometriosis. Lees meer

Hosts:
- Susan Galandiuk, University of Louisville, Louisville, KY, @DCREdInChief
- Vladimir Bolshinsky, Peninsula Health, Victoria, Australia, @bolshinskyv
- Sandy Kavalukas, University of Louisville, Louisville, KY, @sandykava
- Hillary Simon, University of Louisville, Louisville, KY, @HillaryLSimon

Guest Host:
- Farr Nezhat, Nezhat Surgery for Gynecology/Oncology (Cornell/NYU), New York, NY

Producer:
- Manasa Sunkara MS4, University of Louisville, Louisville, Kentucky, @manasasunkara12

Learning objectives:
- Review pathophysiology of endometriosis.
- Understand key goals of bowel endometriosis treatment.
- Discuss interdisciplinary surgical care and outcomes of bowel endometriosis.

References:
1. Tsuei A, Nezhat F, Amirlatifi N, Najmi Z, Nezhat A, Nezhat C. Comprehensive Management of Bowel Endometriosis: Surgical Techniques, Outcomes, and Best Practices. J Clin Med. 2025 Feb 3;14(3):977. doi: 10.3390/jcm14030977 https://pubmed.ncbi.nlm.nih.gov/39941647/
2. Bendifallah S, Puchar A, Vesale E, Moawad G, Daraï E, Roman H. Surgical Outcomes after Colorectal Surgery for Endometriosis: A Systematic Review and Meta-analysis. J Minim Invasive Gynecol. 2021 Mar;28(3):453-466. doi: 10.1016/j.jmig.2020.08.015. https://pubmed.ncbi.nlm.nih.gov/32841755/
3. Erdem S, Imboden S, Papadia A, Lanz S, Mueller MD, Gloor B, Worni M. Functional Outcomes After Rectal Resection for Deep Infiltrating Pelvic Endometriosis: Long-term Results. Dis Colon Rectum. 2018 Jun;61(6):733-742. doi: 10.1097/DCR.0000000000001047. https://pubmed.ncbi.nlm.nih.gov/29664797/
4. Nasseri Y, Ma R, Fani N, La K, Solis-Pazmino P, Xu V, Siedhoff MT, Wright KN, Schneyer R, Hamilton KM, Barnajian M, Meye…

BIG T Trauma Ep. 23: Trauma Pitfalls #4

7 april 2025 · 34 min

Afspelen

BIG T TRAUMA is back with more TRAUMA PITFALLS! Join Drs. Teddy Puzio (University of Texas in Houston), Jason Brill (Tripler Army Medical Center), Patrick Georgoff (Duke University, @georgoff) and special guest Dr. Tyler Simpson (Trauma Fellow at Duke University) for a fast-moving, no-nonsense discussion on the many pitfalls you are bound to encounter in the high-stakes world of trauma surgery. Remember, the eyes do not see what the mind does not know... Lees meer

More from the BIG T series: https://app.behindtheknife.org/podcast-series/big-t-trauma

This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page.

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

BIG T Trauma Ep. 22: Trauma Pitfalls #3

3 april 2025 · 31 min

Afspelen

BIG T TRAUMA is back with more TRAUMA PITFALLS! Join Drs. Teddy Puzio (University of Texas in Houston), Jason Brill (Tripler Army Medical Center), Patrick Georgoff (Duke University, @georgoff) and special guest Dr. Jared Ourieff (Trauma Fellow at University of Texas in Houston) for a fast-moving, no-nonsense discussion on the many pitfalls you are bound to encounter in the high-stakes world of trauma surgery. Remember, the eyes do not see what the mind does not know... Lees meer

More from the BIG T series: https://app.behindtheknife.org/podcast-series/big-t-trauma

This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page.

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Behind the Knife Rural Surgery Series: Ep. 3 - Rural Surgery Practice 2

31 maart 2025 · 52 min

Afspelen

In the third episode of our rural surgery series, Dr. Cody Mullens meets with Dr. Randy Lehman, a rural general surgeon from Rensselaer, Indiana to discuss rural practice, lifestyle, resources, and tips & tricks for general surgery residents interested in pursuing rural practice. Lees meer

The Rural American Surgeon Podcast and Contact: https://www.theruralamericansurgeon.com/

The North American Rural Surgery Society: https://www.northamericanrss.org/

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Behind the Knife Rural Surgery Series: Ep. 2 - Rural Surgery Training

27 maart 2025 · 28 min

Afspelen

In the second episode of our rural surgery series, Dr. Cody Mullens sits down with Dr. Brad Muncy, a 2nd year general surgery resident at Marshall University Rural General Surgery Residency Program and Dr. Jodi Cisco-Goff, an Associate Program Director at Marshall University Rural General Surgery Residency Program to discuss educating and training rural surgeons at Marshall University, the first of its kind training program. Lees meer

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Behind the Knife Rural Surgery Series: Ep. 1 - Rural Surgery Practice 1

24 maart 2025 · 34 min

Afspelen

Introducing a new series on rural surgery - In this episode, BTK fellow Dr. Cody Mullens sits down with Dr. Bret Autrey, a general surgery attending at Ludington Hospital in Ludington, MI. Dr. Autrey is a career rural surgeon who discusses, in detail, rural surgery practice, how it's evolved, and both the upside and challenges of practicing rural general surgery. Lees meer

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Nutrition Tips for Busy Medical Professionals with Julia Zumpano, RD

20 maart 2025 · 36 min

Afspelen

Join BTK hosts Dr. Scott Steele and Dr. John McClellan and our guest Julia Zumpano, RD. She is a registered dietitian at the Cleveland Clinic’s Center for Human Nutrition, and her expert insight helped inform the guidelines for two programs featured in the hospital’s new wellness and diet coaching app, the Cleveland Clinic Diet app. Both programs aim to educate and empower users in making healthier diet and lifestyle choices. Lees meer

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Dr. Christian Jones Memorial Episode with Mock Oral Board Cases

17 maart 2025 · 1 uur 5 min

Afspelen

Dr. Christian Jones was a trauma and acute care surgeon, and an early innovator in surgical education. Dr. Jones generously participated and promoted Behind The Knife in its early years. He passed away in late 2024, and we spend the first 15 minutes of this episode reflecting on the person he was and the impact he made in surgery. Lees meer

Here is a link to his obituary
https://www.peacefulalternatives.com/obituary/christian-jones

Dr. Lisa Kodadek is a trauma and acute care surgeon at Yale. She was a resident under Dr. Jones at Johns Hopkins. She shares her insights and gratitude for being able to train under Dr. Jones.

Following the memorial portion of this interview we listen to mock oral cases that Dr. Jones took Kevin Kniery and Woo Do through when they were general surgery residents in 2017.

If you would like to hear more episodes from Dr. Jones, please search his name in our app as there are multiple others to enjoy.

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

BIG T Trauma Series Ep. 21: All Things TXA

13 maart 2025 · 49 min

Afspelen

Join Patrick Georgoff as he welcomes Dr. Gene Moore and Dr. Ian Roberts, two giants in trauma surgery and epidemiology, to discuss tranexamic acid (TXA) in trauma care. Dr. Moore, a legendary trauma surgeon and researcher, and Dr. Roberts, the architect of the CRASH trials, break down the science, controversies, and practical applications of TXA. They explore who should get TXA, when it should be given, optimal dosing, and its potential risks. With insights from landmark trials like CRASH-2, STAMP, PATCH, and ROC TXA, this episode cuts through the confusion surrounding TXA in trauma and traumatic brain injury. Is early administration the key to saving lives? Should TXA be given intramuscularly prehospital? Tune in as we tackle these critical questions and define the future of TXA in trauma care! Lees meer

This episode of Big T Trauma was sponsored by Teleflex, a global provider of medical devices. Learn more at teleflex.com and at the Teleflex Trauma and Emergency Medicine LinkedIn page.

***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

BIG T Trauma Series: https://app.behindtheknife.org/podcast-series/big-t-trauma

Disability Insurance of Surgeons Part 2 - What is GSI or Guaranteed Standard Issue Insurance? Pearls and Pitfalls to owning a GSI Plan

11 maart 2025 · 40 min

Afspelen

In this second part of a two-part series on disability insurance, Kevin and Larry delve into the specifics of Guaranteed Standard Issue (GSI) disability insurance. They discuss what GSI is, why it's crucial for residents and fellows, and how to avoid common pitfalls that could jeopardize eligibility. Lees meer

Disability Insurance for Surgeons Part 1 - What You Need to Know

10 maart 2025 · 46 min

Afspelen

In this first part of a two-part series, Dr. Kevin Kniery interviews Insurance Agent and Certified Financial Planner professional Larry Keller about the fundamentals of disability insurance for physicians, particularly surgeons. They discuss the importance of individual disability policies, key differences between policies, and how to choose the right agent. Lees meer

***Fellowship Application Form: https://forms.gle/PQgAvGjHrYUqAqTJ9

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Journal Review in Vascular Surgery: Burnout in Vascular Surgery Trainees

6 maart 2025 · 30 min

Afspelen

The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Lees meer

Hosts:
Dr. Bobby Beaulieu is an Assistant Professor of Vascular Surgery at the University of Michigan and the Program Director of the Integrated Vascular Surgery Residency Program as well as the Vascular Surgery Fellowship Program at the University of Michigan.

Dr. Frank Davis is an Assistant Professor of Vascular Surgery at the University of Michigan

Dr. Drew Braet is a PGY-5 Integrated Vascular Surgery Resident at the University of Michigan

Learning Objectives
- Review the definition and prevalence of burnout
- Understand the risk factors, including both modifiable and non-modifiable risk factors, for burnout
- Review the effects of burnout on trainees and attending surgeons

References
1. Hekman KE, Sullivan BP, Bronsert M, Chang KZ, Reed A, Velazquez-Ramirez G, Wohlauer MV; Association of Program Directors in Vascular Surgery Issues Committee. Modifiable risk factors for burnout in vascular surgery trainees. J Vasc Surg. 2021 Jun;73(6):2155-2163.e3. doi: 10.1016/j.jvs.2020.12.064. https://pubmed.ncbi.nlm.nih.gov/33675887/
2. Cui CL, Reilly MA, Pillado EB, Li RD, Eng JS, Grafmuller LE, DiLosa KL, Conway AM, Escobar GA, Shaw PM, Hu YY, Bilimoria KY, Sheahan MG 3rd, Coleman DM. Burnout is not associated with trainee performance on the Vascular Surgery In-Training Exam. J Vasc Surg. 2025 Jan;81(1):243-249.e4. doi: 10.1016/j.jvs.2024.08.057.
https://pubmed.ncbi.nlm.nih.gov/39233022/
3. Chia MC, Hu YY, Li RD, Cheung EO, Eng JS, Zhan T, Sheahan MG 3rd, Bilimoria KY, Coleman DM. Prevalence an…

Journal Review in Trauma Surgery: Whole Blood Resuscitation in Trauma

3 maart 2025 · 29 min

Afspelen

Do you find yourself saying: “Hey, what’s the big idea with that newfangled whole blood in the refrigerator next to the trauma bay?” Like using whole blood but not sure why? Don’t like using whole blood but not sure why? Join us for a 30 minute power session in whole blood where we try to get you the information you need to know! Lees meer

Hosts:
- Michael Cobler-Lichter, MD, PGY4/R2:
University of Miami/Jackson Memorial Hospital/Ryder Trauma Center
@mdcobler (X/twitter)

- Eva Urrechaga, MD, PGY-8, Vascular Surgery Fellow
University of Pennsylvania
Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center General Surgery Residency
@urrechisme (X/twitter)

- Eugenia Kwon, MD, Trauma/Surgical Critical Care Attending:
Loma Linda University
Recent graduate of University of Miami/Jackson Memorial Hospital/Ryder Trauma Center Trauma/CC Fellowship

- Jonathan Meizoso, MD, MSPH Assistant Professor of Surgery, 6 years in practice
University of Miami/Jackson Memorial Hospital/Ryder Trauma Center
@jpmeizoso (twitter)

Learning Objectives:
- Describe the proposed benefits of whole blood resuscitation in trauma

- Identify current problems with synthesizing the existing literature on whole blood resuscitation in trauma

- Propose needed areas for future research regarding whole blood resuscitation in trauma

Quick Hits:
1. There is significant heterogeneity in study design across whole blood resuscitation studies, complicating comparison

2. There is likely a mortality benefit to whole blood resuscitation in trauma, however this is likely dependent on the specific population

3. Future research directions should focus on prospective randomized work to try and better quantify the exact benefit of whole blood, and determine in which populations this benefit is actually realized

References

1. Hazelton JP, Ssentongo AE, Oh JS, Ssentongo P, Seamon MJ, Byrne JP, Armento IG, Jenkins DH, Braverman MA, Mentzer C, Leonard GC, Perea LL, Docherty CK, Dunn JA, Smoot B, …

How Do You Maintain Relationships as a Surgeon? A BTK Roundtable

27 februari 2025 · 36 min

Afspelen

Join the BTK crew as they discuss how surgeons maintain relationships despite the demanding nature of their profession. The speakers are surgeons at different career stages (residents, fellows, attendings) and they share tips and tricks for maintaining relationships with significant others, children, parents, and friends. Lees meer

***Scroll to the bottom and download our Coloring and Activity book for Kids here: https://app.behindtheknife.org/home

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Journal Review in Bariatric Surgery: Pediatric Bariatric Surgery

24 februari 2025 · 35 min

Afspelen

Join the Behind the Knife Bariatric Surgery Team as they kick off 2025 with a crucial discussion on pediatric and adolescent bariatric surgery. Drs. Matt Martin, Adrian Dan and Katherine Cironi delve into the latest ASMBS guidelines, comparing long-term outcomes of gastric bypass and sleeve gastrectomy in adolescents versus adults. They explore key comorbidities, including type 2 diabetes, hypertension, and orthopedic issues, and emphasize the importance of early intervention. This episode also tackles the complex ethical considerations surrounding surgery in this vulnerable population, including consent, multidisciplinary care, and the evolving role of medical therapies like GLP-1 agonists. Lees meer

Show Hosts:
- Matthew Martin
- Adrian Dan
- Katherine Cironi

Learning Objectives:
· Identify the current ASMBS guidelines for pediatric and adolescent bariatric surgery, including BMI thresholds and associated comorbidities.
· Describe common comorbidities seen in the pediatric population eligible for bariatric surgery, such as type 2 diabetes, hypertension, and orthopedic issues.
· Compare and contrast long-term outcomes of bariatric surgery (gastric bypass and sleeve gastrectomy) in adolescents and adults, including remission rates of comorbidities and reoperation rates.
· Discuss the importance of a multidisciplinary approach, including psychological and ethical considerations, when evaluating adolescent patients for bariatric surgery.
· Explain the ethical framework used in evaluating adolescents for bariatric surgery, including consent/assent, parental involvement, and addressing potential coercion.
· Recognize the evolving role of medical management (e.g., GLP-1 agonists) in conjunction with or as an alternative to bariatric surgery in adolescents.

Article #1: Inge 2019 – Five-year outcomes of gastric bypass in adolescents as compared with adults
https://pubmed.ncbi.nlm.nih.gov/31461610/
- The cumulative effect of sustained severe obesity (BMI >35) from adolescence int…

Generational Dynamics in Surgical Education

20 februari 2025 · 37 min

Afspelen

You're a new attending leading a busy surgical service. You’re tasked with teaching a team that includes every learner from medical students to junior and senior residents—all from different generations. How do you adapt your teaching style to effectively reach everyone? Dr. Abbey Fingeret, Endocrine Surgeon at University of Nebraska and passionate Surgical Educator, joins our host, Dr. Elizabeth Maginot, to explore strategies for engaging learners across generations and creating inclusive, dynamic teaching environments. Lees meer

Hosts:

Dr. Abbey Fingeret, MD, MHPTT, FACS: Associate Professor, University of Nebraska Medical Center Department of Surgery, Division of Surgical Oncology, Twitter: @DrFingeret

Dr. Elizabeth Maginot, MD: General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95

Learning Objectives:
- Understand the defining characteristics of Baby Boomers, Gen X, Millennials, and Gen Z, and how these traits influence their learning and teaching styles in medical education.
- Explore how to adapt teaching strategies for multigenerational learners by understanding and addressing their unique perceptions of education, feedback, and expectations in the clinical setting.
- Discuss methods to build a positive learning environment that fosters collaboration and inclusivity across all levels of trainees.
- Recognize the strengths and challenges different generations bring to medical education and how to leverage these to enhance team learning and patient care."

References
Stillman, D., & Stillman, J. (2017). Gen Z@ work: How the next generation is transforming the workplace. HarperCollins. https://pubmed.ncbi.nlm.nih.gov/?term=Stillman%2C+D.%2C+%26+Stillman%2C+J.+%282017%29.+Gen+Z%40+work%3A+How+the+next+generation+is+transforming+the+workplace.+HarperCollins.

Elmore, T., & McPeak, A. (2019). Generation Z unfiltered: Facing nine hidden challenges of the most anxious population. Poet Gardener Publishin…

Clinical Challenges in Surgical Oncology: Neuroendocrine Tumors of the Small Bowel

17 februari 2025 · 41 min

Afspelen

Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of neuroendocrine tumors of the small bowel. Lees meer

Learning Objectives:
In this episode, we review the basics of neuroendocrine (NE) tumors of the small bowel, including how to evaluate patients with presenting symptoms consistent with NE tumors, initial work-up, staging, and management. We discuss key concepts including DOTATATE scans and medical therapies high yield for direct patient care and board exams.

Hosts:
Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center

Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist/HPB surgeon at Kaiser LAMC in Los Angeles.

Connor Chick, MD (@connor_chick) is a 2nd Year Surgical Oncology fellow at Ohio State University.

Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a 1st Year Surgical Oncology fellow at MD Anderson.

Beth (Elizabeth) Barbera, MD (@elizcarpenter16) is a PGY-6 General Surgery resident at Brooke Army Medical Center

Links to Paper Referenced in this Episode:
Strosberg J, El-Haddad G, Wolin E, Hendifar A, Yao J, Chasen B, Mittra E, Kunz PL, Kulke MH, Jacene H, Bushnell D, O'Dorisio TM, Baum RP, Kulkarni HR, Caplin M, Lebtahi R, Hobday T, Delpassand E, Van Cutsem E, Benson A, Srirajaskanthan R, Pavel M, Mora J, Berlin J, Grande E, Reed N, Seregni E, Öberg K, Lopera Sierra M, Santoro P, Thevenet T, Erion JL, Ruszniewski P, Kwekkeboom D, Krenning E; NETTER-1 Trial Investigators. Phase 3 Trial of 177Lu-Dotatate for Midgut Neuroendocrine Tumors. N Engl J Med. 2017 Jan 12;376(2):125-135. doi: 10.1056/NEJMoa1607427. PMID: 28076709; PMCID: PMC5895095.
https://pubmed.ncbi.nlm.nih.gov/28076709/

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknif…

A Digital Education Manifesto: How You Can Make Great Content

13 februari 2025 · 20 min

Afspelen

Join Patrick Georgoff to learn more about how YOU can make amazing digital education content. At Behind the Knife we are often asked how to create digital education content. Thanks to the democratization of technology and rise of the creator economy, all of the tools are at your fingertips. Would you like to enhance your next lecture, grant application, manuscript submission, or patient educational material? You can, even if you are part luddite! You don't need a publisher, advanced computer skills, or tons of money. Don't believe us? Listen to this short podcast for tipsand tricks on how you can make great content. Lees meer

Patrick Georgoff (@georgoff) is an Acute Care Surgeon at Duke University. He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston. His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery. Patrick is deeply involved in surgical education and the is the Associate Program of the General Surgery Residency at Duke and Co-Director of Behind the Knife. He is passionate about trauma system performance and holds the position of associate Trauma Medical Director at Duke.

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Journal Review in Hernia Surgery: Sugarbaker versus Keyhole for Retromuscular Parastomal Hernia Repair

10 februari 2025 · 36 min

Afspelen

Join Drs. Michael Rosen, Clayton Petro, and Sara Maskal as they review their recently published randomized controlled trial comparing open retromuscular Sugarbaker and Keyhole approaches to parastomal hernia repair Lees meer

Hosts:
- Sara Maskal, MD, Cleveland Clinic
- Clayton Petro, MD, Cleveland Clinic
- Michael Rosen, MD, Cleveland Clinic

Learning Objectives:
- Understand the trial design
- Review trial outcomes
- Understand how to apply the outcomes to patients with parastomal hernias

References:
- Maskal SM, Ellis RC, Fafaj A, et al. Open Retromuscular Sugarbaker vs Keyhole Mesh Placement for Parastomal Hernia Repair: A Randomized Clinical Trial. JAMA Surg. Published online June 12, 2024. doi:10.1001/jamasurg.2024.1686 https://pubmed.ncbi.nlm.nih.gov/38865142/
- Maskal SM, Thomas JD, Miller BT, Fafaj A, Zolin SJ, Montelione K, Ellis RC, Prabhu AS, Krpata DM, Beffa LR, Costanzo A. Open retromuscular keyhole compared with Sugarbaker mesh for parastomal hernia repair: Early results of a randomized clinical trial. Surgery. 2024 Mar 1;175(3):813-21. https://pubmed.ncbi.nlm.nih.gov/37770344/
- Moreno-Matias J, Serra-Aracil X, Darnell-Martin A, Bombardo-Junca J, Mora-Lopez L, Alcantara-Moral M, Rebasa P, Ayguavives-Garnica I, Navarro-Soto S. The prevalence of parastomal hernia after formation of an end colostomy. A new clinico-radiological classification. Colorectal Dis. 2009 Feb;11(2):173-7. doi: 10.1111/j.1463-1318.2008.01564.x. Epub 2008 May 3. PMID: 18462232. https://pubmed.ncbi.nlm.nih.gov/18462232/

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Clinical Challenges in Colorectal Surgery: Parastomal Hernias

6 februari 2025 · 34 min

Afspelen

You are planning to perform an APR on a patient with rectal cancer. How will you create your permanent stoma? Is there a role for prophylactic mesh? Post operatively at one year surveillance they have developed a parastomal hernia, when do you fix it and how? Join Drs. Abelson, Marcello and Aulet and special guest Dr. Paul Sturrock as they discuss key management considerations. Lees meer

Learning Objectives:
1. Describe the different types of parastomal hernia repairs
2. List indications for repair of parastomal hernias
3. Discuss the approach to managing parastomal hernias

Articles:

Steele S, et al. The ASCRS Textbook of Colon and Rectal Surgery, fourth ed. 2022. https://link.springer.com/book/10.1007/978-3-030-66049-9

J C Goligher, Extraperitoneal colostomy or ileostomy, British Journal of Surgery, Volume 46, Issue 196, September 1958, Pages 97–103, https://doi.org/10.1002/bjs.18004619602

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

BIG T Trauma Series Ep. 20: Defining the Value of an Acute Care Surgeon

3 februari 2025 · 48 min

Afspelen

In this episode, Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill are joined by special guest Dr. Pat Murphy, who helps us delve into the evolving field of acute care surgery (ACS), exploring its history, challenges, and the nuances of defining full-time employment in this demanding specialty. The discussion highlights the origins of ACS as a response to unmet emergency surgical needs and its three foundational pillars: trauma surgery, emergency general surgery, and surgical critical care, with additional roles like surgical rescue evolving over time. Dr. Murphy share insights into the workload, including night shifts, call schedules, and the toll on surgeons' health, emphasizing the importance of fair compensation, equitable shift distribution, and transparency in job expectations. The episode underscores the value ACS surgeons bring to hospitals, likening them to essential infrastructure like firefighters, with their impact often unrecognized in traditional productivity metrics like RVUs. Lees meer

Dr. Murphy would like to thank the many collaborators who made this volume of work possible including the many acute care surgeons who have taken the time to participate in the research and their dedication to patient care and surgeon wellbeing

Learning Objectives:

1) Define and understand the evolution of acute care surgery as a surgical subspecialty, including its historical development, key components (trauma, surgical critical care, emergency general surgery, surgical rescue), and its unique role within the surgical landscape.

2) Analyze the concept of "full-time equivalent" (FTE) for acute care surgeons, considering factors such as call schedules, shift length, service demands, and the impact of varying case volumes and intensities on workload.

3) Discuss the challenges of defining and measuring the value of acute care surgeons, considering factors beyond traditional productivity metrics (e.g., RVUs) such as the impact of surgical rescue, patient safety, and the val…

Surgical Endoscopy Series Ep. 1: An Introduction to Surgical Endoscopy

30 januari 2025 · 41 min

Afspelen

In their BTK debut, the Surgical Endoscopy team from Endeavor Health (formerly Northshore University Health System) discusses why it is important for surgeons to acquire basic and advanced endoscopic skills. There are an increasing number of ways to endoscopically intervene and solve problems that were traditionally relegated to open and minimally invasive surgery. The Surg Endo team presents a number of case-based scenarios that are going to set the stage for future discussions about the role of therapeutic endoscopy in surgical practice. Lees meer

Hosts:
- Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor Health (Evanston, IL), @SAyusoMD (Twitter)
- Dr. Trevor Crafts, Minimally Invasive Surgeon, Rocky Mountain VA Medical Center (Denver, CO), @CraftsTrevor (Twitter)
- Dr. H. Masson Hedberg, Minimally Invasive Surgeon, Endeavor Health (Evanston, IL)
- Dr. Michael Ujiki, Professor and Louis Biegler Chair of Surgery, Endeavor Health (Evanston, IL), @UjikiMike

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

Artificial Intelligence for the Clinician Ep. 1: AI Primer

27 januari 2025 · 1 uur 3 min

Afspelen

In this episode, Behind the Knife fellow Ayman Ali, and Dr. Patrick Georgoff introduce a new series on Behind the Knife – Artificial Intelligence for the Clinician. Over the course of a few episodes, we aim to go over all things AI, with a particular focus on how you can use AI today to enhance your quality of life as a clinician, with just enough detail to understand key concepts. Lees meer

This first episode features guest Dr. Monica Agrawal, an expert in artificial intelligence and a pioneer in large language models. She recently joined Duke after completing a PhD in Computer Science at MIT in the clinical machine learning group and is a co-founder of Layer Health, a healthcare AI company. With her expertise, we’ll define some key terms and give a brief introduction to what artificial intelligence is and is not, as well as some examples and use cases.

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen

USA vs. UK: ASGBI Ep. 3 - Who Does Research Better?

23 januari 2025 · 37 min

Afspelen

Research is so critical to the field of surgery worldwide. But how does the world of academic surgery compare in the UK? Join BTK fellow Jon Williams and ASGBI partner Jared Wohlgemut for another installment of our BTK/ASGBI collaborative series where we take a deep dive investigating the many facets of surgical research–everything from getting started, funding, collaboration, mentorship, and sage advice from two incredibly successful academic surgeons. Professor Susan Moug represents the UK while Dr. Lesly Dossett represents the US in this excellent episode for any trainee or surgeon who is academically-inclined. After listening, you get to decide–who does it better?? UK or US? Lees meer

Professor Moug is an Honorary Professor at the University of Glasgow, Scotland. She is a Consultant Colorectal and Robotic surgeon at Golden Jubilee National University Hospital in Clydebank, and at the Royal Alexandra Hospital in Paisley, Scotland. She is also the Director of Research for the Association of Surgeons of Great Britain and Ireland since 2021, and the Surgical Specialty Lead for Colorectal Research at the Royal College of Surgeons of England. She has been awarded a Senior Fellowship from the Chief Scientist Office of the Scottish Government, and was the chief investigator for the Emergency Laparotomy in Frailty multicentre study, and the No-Laps follow-on study. Essentially, she is one of the leading researchers in emergency surgery in the UK, having been awarded over 1 million in grant funding for this under-researched and underfunded area.

Dr. Dossett is an associate professor and surgical oncologist at the University of Michigan. After completing her undergraduate degree at Western Kentucky University, She completed both medical school and her general surgery residency at Vanderbilt University in Nashville, TN, during which she obtained an Agency for Healthcare Research and Quality training grant as well as a Masters in Public Health during research time. Following reside…

Clinical Challenges in Surgical Palliative Care: Goals-of-Care Conversations

20 januari 2025 · 34 min

Afspelen

Join University of Washington’s surgical palliative care team for another engaging role play episode, where we tackle the challenging goals-of-care conversation. Using the VitalTalk REMAP framework, we explore effective communication strategies, highlight common pitfalls, and simulate two real-world scenarios: an on-call surgeon discussing goals of care with a complex patient facing an emergent surgical issue, and a team member facilitating a family meeting about goals of care in the surgical ICU. Lees meer

Hosts:
Dr. Katie O’Connell (@katmo15) is an associate professor of surgery at the University of Washington. She is a trauma surgeon, palliative care physician, director of surgical palliative care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA.

Dr. Ali Haruta is an assistant professor of surgery at the University of Washington. She is a trauma and emergency general surgeon and palliative care physician. Ali recently completed fellowships in palliative care at the University of Washington and Trauma and Critical Care fellowship at Parkland.

Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY6 general surgery resident at the University of Washington, with an interest in surgical oncology.

Dr. Virginia Wang is a PGY3 general surgery resident at the University of Washington.

Learning Objectives:
• Identify questions that elicit patients’ goals and values, particularly during emotionally charged conversations.
• Name the three categories of patient values in the values triad.
• Describe the importance of aligning with patients’ and families’ values and demonstrate techniques to achieve alignment.
• Develop a treatment plan that reflects patients’ stated values.

References:
“REMAP.” VitalTalk. Accessed December 2nd. https://www.vitaltalk.org/guides/transitionsgoals-of-care/

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Behind the Knife ABSITE 2025 - Quick Hits 4

19 januari 2025 · 29 min

Afspelen

Behind the Knife ABSITE 2025 – Up-to-date and high yield learning to help you DOMINATE the exam. Lees meer

***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing

Don’t forget to check out our ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet

Be sure to check out our brand new free study aid, which includes all 32 review episodes, brief written summaries, high yield images, and flash cards. Simply create an account on our iOS or Android app or on our website and you will find the entire course in your Library.

Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049

Google Play App Store: https://play.google.com/store/apps/details?id=com.btk.app

Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2025 ABSITE podcast series. Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife. Learn more at https://www.medtronic.com/en-us/index.html

If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.

Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

Behind the Knife ABSITE 2025 - Quick Hits 3

18 januari 2025 · 17 min