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Behind The Knife: The Surgery Podcast

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500 afleveringen, van nieuw naar oud

  1. Is the Medical Publishing Industry a Scam?

    3 oktober 2024 · 39 min

    Afspelen
    Is the medical publishing industry a scam? As the open access model has grown, pay-to-publish has helped large publishers maintain profit margins similar to that of large tech companies. The problem? They do so by exploiting the blood, sweat, and tears of academics and the institutions that support them. Join Dr. Patrick Georgoff (@georgoff, Duke Surgery), Dr. Ayman Ali (BTK education fellow, Duke Surgery), and special guest Dr. Allan Detsky for an engaging discussion. Lees meer

    Paper discussed: The Changing Medical Publishing Industry: Economics, Expansion, and Equity (https://link.springer.com/article/10.1007/s11606-023-08307-z)

    DR. ALLAN S. DETSKY, MD, PhD, FRCPC, CM is Professor, Institute of Health Policy, Management and Evaluation, and Department of Medicine at the University of Toronto; former Physician-in-Chief, Mount Sinai Hospital(1997-2009); and former Head of the Division of General Internal Medicine at The Toronto Hospital and University of Toronto (1987-1997). Dr. Detsky received his B.S. from Massachusetts Institute of Technology, his M.D. from Harvard Medical School, and his Ph.D. (in Economics) from Massachusetts Institute of Technology in 1978. He has served on the editorial board of the New England Journal of Medicine, and as a member of the Drug Quality and Therapeutics Committee for the Province of Ontario where he spearheaded the effort to formally include cost-effectiveness considerations into the Canadian drug reimbursement process. Dr. Detsky has received 2 Tony nominations as a producer (Jesus Christ Superstar 2012, Come From Away 2017 and an Olivier Award for Best Musical in 2018. In June 2018, he was appointed by the Governor General to the Order of Canada.

    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

  2. USA vs. UK: ASGBI Ep. 1 - Surgical Training

    30 september 2024 · 1 uur 8 min

    Afspelen
    Welcome to the first episode of our new collaborative series with the Association of Surgeons in Great Britain and Ireland! During this series, BTK fellow Jon Williams and ASGBI hosts Kellie Bateman and Jared Wohlgemut compare and contrast the surgeon profession between the United States and the United Kingdom, debating who does what better. In this episode, we take a deep dive into surgical training in the US and the UK, from fostering student interest to trainee operating to specialization and certification. Dr. Jeremy Lipman represents the US while Dr. Jon Lund represents the UK in this thought-provoking conversation. Lees meer

    Dr. Lipman is a colorectal surgeon at the Cleveland Clinic and the director of graduate medical education for all training programs at the Cleveland Clinic. Additionally, he is an Associate Dean for Graduate Medical Education and Professor of Surgery at Case Western Reserve University. After going to Boston College for his bachelor degree, he obtained his medical degree from Drexel University College of Medicine in Philadelphia. Subsequently he completed his general surgery residency training at Case Western and his colorectal surgery fellowship at Cleveland Clinic. After practicing at MetroHealth Medical Center where he served many training and education leadership roles, he returned to Cleveland Clinic as faculty where he remains today.

    Dr. Lund is Professor and Head of the Department of Surgery at University of Nottingham at Derby, and Consultant Colorectal Surgeon at Royal Derby Hospital. He is Chair of the Joint Committee on Surgical Training, and before that was Surgical Director of the Intercollegiate Surgical Curriculum Programme, the online training management system used by all trainees and trainers in Surgery in the UK. He has recently been appointed as Dean of education at the Royal College of Surgeons of Edinburgh.

    So, who trains surgeons better? UK or US? Give the episode a listen and decide for yourself!

    Please visit https://behi…

  3. Journal Review in Surgical Education: Navigating the Surgical Residency Match Process

    26 september 2024 · 31 min

    Afspelen
    In this episode, podcast hosts Dr. Josh Roshal, Dr. Darian Hoagland, and Dr. Maya Hunt dive into two important papers that provide guidance on navigating the hidden curriculum of the surgical residency match process. Joined by fellow CoSEF members Dr. Ariana Naaseh and Dr. John Woodward, the discussion revolves around practical tips for finding your perfect surgical residency and filtering out the noise during the application process. Lees meer

    Journal Club Hosts:
    –Dr. Josh Roshal, University of Texas Medical Branch, @Joshua_Roshal, jaroshal@utmb.edu
    –Dr. Darian Hoagland, Beth Israel Deaconess Medical Center, @DHoaglandMD, dlhoagla@bidmc.harvard.edu
    –Dr. Maya Hunt, Indiana University, @dr_mayathehunt, mayahunt@iu.edu
    –CoSEF: @surgedfellows, cosef.org

    Journal Club Authors:
    -Dr. Ariana Naaseh, Washington University in St. Louis, @ariananaaseh, a.naaseh@wustl.edu
    -Dr. John Woodwad, University at Buffalo, @JohnWoodward76, jmwoodwa@buffalo.edu

    Medical Students:
    -Rachel Kalbfell (MS4), Washington University in St. Louis, @rachelkalbfell, rkalbfell@wustl.edu
    -Keith Makhecha (MS4), Indiana University, kmakhech@iu.edu

    References:
    1. Woodward JM, Lund S, Brian R, Anand A, Moreci R, Navarro SM, Zarate Rodriguez J, Naaseh A, Tate K, Roshal J, Silvestri C, Gan CY, Sathe T, Thornton SW, Cloonan M, Weaver L, Oh MH, Godley F, L’Huillier JC. Find Your Perfect Match for Surgical Residency: Six Steps to Building Your BRANDD from the Collaboration of Surgical Education Fellows. Annals of Surgery. 2024;5(3). doi:10.1097/AS9.0000000000000466.

    2. Naaseh A, Roshal J, Silvestri C, Woodward JM, Thornton SW, L’Huillier JC, Hunt M, Sathe TS, Hoagland DL, Godley F IV, Jindani R, Tieken KR, Rodriguez JGZ, Anand A, Chen JH, Navarro SM, Lund S. Filter Out the Noise: How to Narrow Your Search for the Perfect Match by the Collaboration of Surgical Education Fellows (CoSEF). Journal of Surgical Education. 2024;81(10):1394-1399. doi:10.1016/j.jsurg.2024.07.010
    https://pubmed.ncbi.nlm.nih.gov/39178489/

    Pl…

  4. Medicine Consult Series: Ep. 3 - Acute Kidney Injury

    23 september 2024 · 17 min

    Afspelen
    Low urine output – when is it a cause for alarm? Emma Burke is joined by Dr. Bryan Tucker to discuss quick hits on acute kidney injury as part of the Med/Surg Consult series. Lees meer

    Host:
    - Emma Burke, MD – General Surgery Resident at Baylor College of Medicine, @emmaburke017

    Guest:
    - Bryan Tucker, DO – Nephrologist at Baylor College of Medicine, @bmtucker3

    Learning Objectives:
    - Define acute kidney injury (AKI) using KDIGO guidelines.
    - Develop a framework for initial workup of perioperative AKI.
    - Discuss the importance of in urine output in AKI management.
    - Identify AKI risk factors and preventative measures for high-risk surgical patients.

    References:
    - KDIGO AKI Guidelines: https://kdigo.org/guidelines/acute-kidney-injury/

    Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

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

    DOMINATE THE DAY

  5. Medicine Consult Series: Ep. 2 - Diabetes Management

    19 september 2024 · 16 min

    Afspelen
    Welcome to another episode of our medicine-surgery consult series! If your case was just cancelled because you and your patient did not know to hold their new GLP-1 agonist and you’re wondering what to do in the interim, this may be the perfect time to tune into a quick refresher of diabetes quick-hits as it pertains to surgical teams. Lees meer

    You’ve just finished rolling a patient up to the OR in the middle of the night after a gunshot wound to the chest, and now you need to deal with something even more intimidating – finishing admission orders on your patient with chronic, poorly controlled diabetes on 7 different medications. Join Dr. Katherine Neal and Ayman Ali as they go over some general principles and tips and tricks in this ever-growing and complicated patient cohort!

    Hosts:
    Katherine Neal, MD. Assistant Professor of Medicine, Duke Hospital.
    Ayman Ali, MD. General Surgery PGY-3, Duke University School of Medicine.

    Learning Objectives:

    General principles of in-patient diabetes management

    Review of common medications and their side effects

    Learn some common pitfalls and how to avoid them

    Learn more about our Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship course and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

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

    DOMINATE THE DAY

  6. Medicine Consult Series: Ep. 1 - Postoperative Atrial Fibrillation

    16 september 2024 · 29 min

    Afspelen
    You're the new intern on your first night of night float. First page, right off the bat – AFib with rates into the 150s. What's your next move?! Dr. Nathan Anderson takes the anxiety out of approaching Atrial Fibrillation in the post-operative patient. Join him and Dr. Elizabeth Maginot as they discuss this very common post-operative you're guaranteed to see on the wards. Lees meer

    Hosts:
    - Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska
    - Dr. Elizabeth Maginot, General Surgery Resident and BTK Surgical Education Fellow, University of Nebraska Medical Center, Twitter: @e_magination95

    Learning Objectives:
    - Discuss the underlying pathophysiological mechanisms that contribute to the development of atrial fibrillation in the postoperative setting.
    - Critically approach the different management options for atrial fibrillation in the post-cardiac and non-cardiac surgery settings, including rate versus rhythm control, indications for cardioversion, and the role of anticoagulation.
    - Identify common risk factors for atrial fibrillation in the post-operative setting.
    - Discuss long-term management and follow-up strategies for patients who develop atrial fibrillation after surgery.

    References:
    1. Bhave PD, Goldman LE, Vittinghoff E, Maselli J, Auerbach A. Incidence, predictors, and outcomes associated with postoperative atrial fibrillation after major noncardiac surgery. AmericanHeart Journal. 2012;164(6):918-924. doi:10.1016/j.ahj.2012.09.004
    https://pubmed.ncbi.nlm.nih.gov/23194493/
    2. Gialdini G, Nearing K, Bhave PD, et al.. Perioperative Atrial Fibrillation and the Long-term Risk ofIschemic Stroke. JAMA. 2014;312(6):616. doi:10.1001/jama.2014.9143
    https://pubmed.ncbi.nlm.nih.gov/25117130/
    3. Snow V, Weiss KB, LeFevre M, McNamara R, Bass E, Green LA, Michl K, Owens DK, Susman J, Allen DI, Mottur-Pilson C; AAFP Panel on Atrial Fibrillation; ACP Panel on Atrial Fibrillation.Management of newly detected atrial fibrillation: a clin…

  7. Clinical Challenges in Hernia Surgery: Parastomal Hernias

    12 september 2024 · 37 min

    Afspelen
    Parastomal hernias are some of the toughest cases in abdominal wall reconstruction. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases. Lees meer

    Hosts:
    - Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1
    - Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD
    - Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020
    - Sara Maskal, MD, Cleveland Clinic

    Learning Objectives:
    - Review anatomy of parastomal abdominal wall hernias
    - Review perioperative pitfalls and tips for staying out of trouble
    - Review common surgical approaches to repair

    References:
    - Maskal SM, Ellis RC, Miller BT. Parastomal hernia repair, trying to optimize the impossible reconstruction. Hernia. 2024 Apr 28:1-6. https://pubmed.ncbi.nlm.nih.gov/38678529/
    - 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/

    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

  8. Clinical Challenges in Burn Surgery: Burn Resuscitation - Titrating and Troubleshooting - Part 2 of 2

    9 september 2024 · 27 min

    Afspelen
    A patient with a large TBSA burn injury is transferred to a regional burn center. You are faced with some difficult clinical decisions as the resuscitation proves to be challenging. Join Drs. Tam Pham, Rob Cartotto, Julie Rizzo, Alex Morzycki and Jamie Oh as they discuss the clinical challenges in titrating and troubleshooting during acute burn resuscitation. Lees meer

    Hosts:
    · Dr. Tam Pham: UW Medicine Regional Burn Center
    · Dr. Robert Cartotto: University of Toronto, Ross Tilley Burn Centre
    · Dr. Julie Rizzo: Brooke Army Medical Center
    · Dr. Alex Morzycki: UW Medicine Regional Burn Center
    · Dr. Jamie Oh: UW Medicine Regional Burn Center

    Learning Objectives:
    · Understand the role of colloids as complement/rescue to standard crystalloid fluid titration.
    · Identify the fluid threshold associated with development of abdominal compartment syndrome
    · Understand the role of continuous renal replacement therapy for patients with acute kidney injury during the resuscitation phase.
    · List specific patient populations who may experience a more difficult resuscitation.

    References:

    1. Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients. J Trauma 2000
    https://pubmed.ncbi.nlm.nih.gov/11003313/
    2. Cartotto R, Johnson LS, Savetamal A, et al. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. J Burn Care Res 2023
    https://pubmed.ncbi.nlm.nih.gov/38051821/
    3. Greenhalgh DG, Cartotto R, Taylor SL, et al. Burn Resuscitation practices in North America: results of the Acute Burn ResUscitation Prospective Trial (ABRUPT). Ann Surg 2023
    https://pubmed.ncbi.nlm.nih.gov/34417368/
    4. Cartotto R, Callum J. A review of the use of human albumin in burn patients. J Burn Care Res 2012
    https://pubmed.ncbi.nlm.nih.gov/23143614/
    5. Cruz MV, Carney BC, Luker JN, et al. Plasma ameliorates endothelial dysfunction in burn injury. J Surg Res 2019
    https://pubmed.ncbi.nlm.nih.gov/30502286/
    6. Falhstrom K, Boyle C, Mak…

  9. Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship - Sample Episodes: Thyroid and Melanoma

    5 september 2024 · 27 min

    Afspelen
    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

    Today's episode includes 2 sample episodes from this course. Learn more and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

    More Behind the Knife Student Resources: https://app.behindtheknife.org/students

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

    DOMINATE THE DAY

  10. Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship - Sample Episodes: Small Bowel Obstruction and Appendicitis

    2 september 2024 · 44 min

    Afspelen
    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

    Today's episode includes 2 sample episodes from this course. Learn more and preview a full chapter here: https://app.behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship

    More Behind the Knife Student Resources: https://app.behindtheknife.org/students

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

    DOMINATE THE DAY

  11. Association of Out Surgeons & Allies (AOSA) - Episode 5: After Gender Affirming Surgery, What You Need to Know

    29 augustus 2024 · 50 min

    Afspelen
    Join for the fifth episode in the Association of Out Surgeons and Allies (AOSA) series for a comprehensive discussion of what the general surgeon needs to know prior to operating on a patient who has previously undergone gender affirming surgery. Lees meer

    Host:
    Dan Scheese, MD
    Andrew Schlussel, DO, Colorectal and General Surgeon, Charlie Norwood VA Medical Center

    Guests:
    Dr. Megan Lane (She/her)
    megalane@med.umich.edu
    Dr. Lane is a plastic surgery resident at the University of Michigan who is planning on going into Gender Affirming Surgery and general reconstruction. She completed a research fellowship in the National Clinician Scholars Program and focused primarily on patient-reported outcomes in gender affirming surgery.

    Dr. Amy Suwanabol
    pasuwan@med.umich.edu
    Dr. Suwanabol is a colorectal surgeon at the University of Michigan and the Ann Arbor VA. She assists the gender affirming surgeons at the University of Michigan in performing robotic-assisted vaginoplasty. Her research focuses on optimizing quality of life among surgical patients and their families, surgeon well-being, and cancer survivorship.

    Dr. Monica Llado-Farrulla
    lladorfar@ohsu.edu
    Dr. Llado-Farrulla was born and raised in Puerto-Rico, completed general surgery residency followed by plastic surgery residency at Tulane and Penn, respectively. She pursued a year of training in advanced gender surgery and is now currently at OHSU. Her practice largely focuses on facial feminization, chest affirming surgeries, phalloplasty, autologous breast reconstruction, and limb salvage.

    Learn more and get involved with AOSA: https://www.outsurgeons.org

    Twitter/X: @OutSurgeons

    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

  12. Journal Review in Surgical Palliative Care: 2023 Pediatric & Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline

    26 augustus 2024 · 35 min

    Afspelen
    Have you ever been confused about the concept of brain death, or struggled to explain brain death to a patient’s family or your fellow clinicians? Join the Behind the Knife Surgical Palliative Care team and our special guest, neurologist & neurointensivist Dr. Sarah Wahlster, as we explore the 2023 Pediatric & Adult Brain Death/Death by Neurologic Criteria Consensus Practice Guideline and what this updated guideline means for our practice in surgical palliative care! Lees meer

    Hosts:
    Dr. Katie O’Connell (@katmo15) is an Associate Professor of Surgery at the University of Washington in the division of Trauma, Burn, and Critical Care Surgery. 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 in Seattle, WA.

    Dr. Virginia Wang is a PGY-3 General Surgery resident at the University of Washington.

    Guest:
    Dr. Sarah Wahlster (@SWahlster) is an Associate Professor of Neurology at the University of Washington. She is a neurologist, neurointensivist, and Program Director of the Neurocritical Care Fellowship at Harborview Medical Center in Seattle, WA.

    Learning Objectives:
    · Understand the concept of assent and how it can be helpful in communicating with families of patients who have sustained brain death
    · Explain the main steps required for diagnosis of brain death (prerequisites, clinical exam, apnea testing, ancillary testing)
    · Understand key differences between the 2023 guideline and previous (2010 & 2011) guidelines
    · Be able to name the 3 accepted modalities of ancillary testing for brain death
    · Know basic communication best practices with families of patients who have sustained brain death from the surgical palliative care perspective (consistency of language & messaging; avoidance of phrases such as “life-sustaining treatment”, “comfort-focused measures”)

    References:

    1. Greer, D. M., Kirschen, M. P., Lewis, A., Gronseth, G. S., Rae-Grant, A., A…

  13. BTK General Surgery Oral Board Review – Sample Episode 7 - Enteric Feeding Tube Troubles

    22 augustus 2024 · 30 min

    Afspelen
    Our oral board review course includes 100 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as general surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test. Lees meer

    All of our premium courses are available via our website and apps (iOS and Android). Users can take notes, pin chapters and download content for offline viewing.

    Learn more about the General Surgery Oral Board Review Course at https://app.behindtheknife.org/premium

    **Institutional Discounts Available - Please email hello@behindtheknife.org to learn more.**

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

  14. Humanitarian Extraordinaire: An Interview with Dr. Ammar Darwish

    19 augustus 2024 · 54 min

    Afspelen
    Need a dose of inspiration? You found it here. This interview with Dr. Ammar Darwish will have you in awe. Dr. Darwish is a general and trauma surgery at Manchester University NHS Foundation Trust and Medical Director at The David Nott Foundation (https://davidnottfoundation.com/). Dr. Darwish volunteers for intensely dangerous but highly impactful surgical humanitarian missions in conflict zones around the world. In fact, he has been deployed to over 50 global humanitarian missions in the last 15 years. He is passionate about helping victims of conflict and natural disaster by better equipping and training doctors who care for them. Lees meer

    Want to learn more about the Nott Foundation? Good! You should. Check out their website for more: https://davidnottfoundation.com/

    Interview with Dr. David Knott: https://app.behindtheknife.org/podcast/war-doctor-david-nott-on-surgery-in-war-zones

    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

  15. Clinical Challenges in Emergency General Surgery: Management of Duodenal Emergencies

    15 augustus 2024 · 33 min

    Afspelen
    Join our Emergency General Surgery team as we talk about the dreaded difficult duodenum. We discuss two cases on a common disease that has now become a rarity in surgical management. We cover principles of combined assessment and resuscitation, diagnosis and helpful adjuncts, and multidisciplinary and surgical management. Lees meer

    Hosts: Drs. Ashlie Nadler, Jordan Nantais and Graham Skelhorne-Gross

    We have come a long way from managing duodenal emergencies with vagotomies since the widespread use of proton pump inhibitors. But surgeons and trainees still need to gain competence in managing duodenal emergencies, despite the dearth of operative interventions often encountered. We discuss the two most common presentations related to duodenal ulcers - bleeding and perforation. We focus on resuscitation, damage-control surgery, and the role of non-surgical management options.

    Learning Objectives:
    - Learn to investigate and resuscitate patients with upper gastrointestinal bleeding
    - Develop an approach to the management of upper gastrointestinal bleeding
    - Understand the risks and benefits of various surgical techniques for dealing with perforated duodenal ulcers

    References:

    Tarasconi, A., Coccolini, F., Biffl, W.L. et al. Perforated and bleeding peptic ulcer: WSES guidelines. World J Emerg Surg 15, 3 (2020). https://doi.org/10.1186/s13017-019-0283-9

    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

  16. Journal Review in Colorectal Surgery: Management of Splenic Flexure Cancer

    12 augustus 2024 · 36 min

    Afspelen
    Join Drs. Galandiuk, Bolshinsky, Kavalukas, and Simon as they discuss the controversial management of colon cancer of the splenic flexure. What procedure do you perform? Does it matter? Tune in to hear the discussion! Lees meer

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

    Producer:
    - Manasa Sunkara MS3, University of Louisville, Louisville, Kentucky, @manasasunkara12

    Learning objectives:
    - Review surgical procedure options for splenic flexure cancer.
    - Understand the importance of confirming the location of the tumor with imaging and/or endoscopically, perioperatively.
    - Discuss surgical principles of operating in the left upper quadrant.

    References:
    de’Angelis, et al. Extended right colectomy, left colectomy, or segmental left colectomy for splenic flexure carcinomas: a European multicenter propensity score matching analysis. Surg Endosc. 2021 (35) :661–672.
    https://pubmed.ncbi.nlm.nih.gov/32072288/

    Degiuli M, et al. Segmental Colonic Resection Is a Safe and Effective Treatment Option for Colon Cancer of the Splenic Flexure: A Nationwide Retrospective Study of the Italian Society of Surgical Oncology-Colorectal Cancer Network Collaborative Group. Dis Colon Rectum. 2020 Oct;63(10):1372-1382.
    https://pubmed.ncbi.nlm.nih.gov/32969880/

    Manceau G, et al. What Is the Optimal Elective Colectomy for Splenic Flexure Cancer: End of the Debate? A Multicenter Study From the GRECCAR Group With a Propensity Score Analysis. Dis Colon Rectum. 2022 Jan 1;65(1):55-65.
    https://pubmed.ncbi.nlm.nih.gov/34882628/

    Okazaki T, et al. Two Types of Variational Arteries' Courses From the Superior Mesenteric Artery to Supply the Splenic Flexure: Gross Anatomical Study. Dis Colon Rectum. 2024 Jan 1;67(1):120-128.
    …

  17. BTK Colorectal Surgery Oral Board Review- Sample Episode 3 - Ulcerative Colitis Surgery

    8 augustus 2024 · 35 min

    Afspelen
    Our Colorectal Surgery Oral Board Audio Review includes 51 high-yield scenarios designed for Colorectal Surgeons by Colorectal Surgeons. Lees meer

    Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as colorectal surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.

    Learn more about the full set of 51 scenarios here: https://behindtheknife.teachable.com/p/btk-colorectal-surgery-oral-board-review-course

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

  18. BTK Surgical Oncology Oral Board Review - Sample Episode 3: Adrenal Mass

    5 augustus 2024 · 28 min

    Afspelen
    Our Surgical Oncology Oral Board Audio Review includes 46 high-yield scenarios that cover all of the SCORE CGSO topics designed for Surgical Oncology Surgeons by Surgical Oncology Surgeons. Lees meer

    Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as surgical oncology surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.

    Learn more about the course and see all the episode topics here: https://app.behindtheknife.org/premium/surgical-oncology-oral-board-audio-review

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

  19. BTK Vascular Surgery Oral Board Review – Sample Episode 3 - Asymptomatic Carotid Stenosis

    1 augustus 2024 · 18 min

    Afspelen
    Our Vascular Surgery Oral Board Audio Review includes 72 high-yield scenarios that cover the majority of the VSCORE topics designed for Vascular Surgeons by Vascular Surgeons. Lees meer

    Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as vascular surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.

    Learn more about the full set of 72 scenarios here: https://app.behindtheknife.org/course-details/vascular-surgery-oral-board-audio-review

    Our Vascular Surgery Oral Board Book is available on Amazon here: https://www.amazon.com/dp/B0CZ8ZBF83

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

  20. Journal Review in Endocrine Surgery: Thyroid and Parathyroid Disorders in Pregnancy

    29 juli 2024 · 28 min

    Afspelen
    Pregnancy leads to many physiologic changes, and thyroid and parathyroid disorders alter that physiology even more leading to complex laboratory interpretation and decision-making impacting both mother and fetus. In this episode, join endocrine surgeons Drs. Barb Miller, John Phay, Priya Dedhia, and Surgical Oncology Fellow Dr. Vennila Padmanaban from The Ohio State University. Hear about normal and abnormal thyroid and parathyroid physiology and treatment of patients with thyroid cancer. The group discusses several articles focusing on current guidelines from the American Thyroid Association as well as other key studies. Lees meer

    Hosts: Barbra S. Miller, MD (Moderator), Clinical Professor of Surgery, John Phay, MD, Clinical Professor of Surgery, Priya H. Dedhia, MD, PhD, Assistant Professor of Surgery, Vennila Padmanaban, MD, Surgical Oncology Fellow, Division of Surgical Oncology, Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio.

    Twitter handles:
    Barbra Miller - @OSUEndosurgBSM
    John Phay – @JohnPhayMD
    Priya Dedhia – @priyaknows
    Vennila Padmanaban - @vennilapadmanMD

    Learning objectives:
    1) Understand normal changes in thyroid and parathyroid physiology during pregnancy
    2) Describe the impact of thyroid and parathyroid dysregulation on maternal and fetal health
    3) Compare and contrast management of thyroid and parathyroid disorders during pregnancy vs. non-pregnancy
    4) Recognize the importance of multidisciplinary care of patients with thyroid and parathyroid disorders

    References:
    1. Alexander EK, Pearce EN, Brent GA, Brown RS, Chen H, Dosiou C, Grobman WA, Laurberg P, Lazarus JH, Mandel SJ, Peeters RP, Sullivan S. 2017 Guidelines of the American Thyroid Association for the Diagnosis and Management of Thyroid Disease During Pregnancy and the Postpartum. Thyroid. 2017 Mar;27(3):315-389. doi: 10.1089/thy.2016.0457. Erratum in: Thyroid. 2017 Sep;27(9):1212. doi: 10.1089/thy.2016.0457.correx. PMID: 28056690
    https://pubmed.ncbi.nlm.nih.g…

  21. Journal Review in Thoracic Surgery: Health Consequences of Thymectomy in Adults

    25 juli 2024 · 26 min

    Afspelen
    Does the adult thymus have a purpose and function? Are there any long-term health effects of thymectomy? Tune in to another Swedish Thoracic surgery journal review where we discuss the recent paper out of the NEJM which reports on the health consequences of thymus removal in adults. This paper has been widely picked up by the media and our patients frequently bring it into the office. Listen as we discuss the study population, methods, and potential applications of this paper. Lees meer

    Learning Objectives:

    - Review the purpose and function of the thymus.
    - Discuss the population, methods, and results of this trial.
    - Discuss the application of this paper and how it may or may not impact clinical practice for thoracic surgeons.

    Hosts:

    Chloe E. Hanson, MD, PGY-3
    Kelly Daus MD, PGY-4
    Peter White, MD, Thoracic Surgery Attending
    Brian Louie, MD, Thoracic Surgery Attending

    Reference Material:

    Kooshesh KA, Foy BH, Sykes DB, Gustafsson K, Scadden DT. Health Consequences of Thymus Removal in Adults. N Engl J Med. 2023;389(5):406-417.

    https://pubmed.ncbi.nlm.nih.gov/37530823/

    Lin TM, Chang YS, Hou TY, et al. Risk of incident autoimmune diseases in patients with thymectomy. Ann Clin Transl Neurol. 2020;7(7):1072-1082.

    https://pubmed.ncbi.nlm.nih.gov/32478484/

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  22. Big T Trauma Series Ep. 19 - Multimodal Pain Control

    22 juli 2024 · 29 min

    Afspelen
    Did you know that 13% of trauma patients who go home with an opioid prescription will develop opioid dependence? Multimodal pain regimens not only reduce opioid consumption, but also improve pain control. On this episode of the BIG T TRAUMA series, we explore a multimodal approach to pain management...and tackle some surgical dogma along the way. Lees meer

    Hosts:

    Patrick Georgoff, MD, Trauma Surgeon, Duke University, @georgoff

    Teddy Puzio, MD, Trauma Surgeon, University of Texas Houston

    Gabby Hatton, MD, Trauma Surgery fellow, University of Texas Houston

    References:
    1. Rate and Risk Factors Associated With Prolonged Opioid Use After Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open 2020: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2767637
    2. Traumatic injuries and persistent opioid use in the USA: findings from a nationally representative survey. Injury Prevention 2017: https://pubmed.ncbi.nlm.nih.gov/27597400/
    3. Ketamine For Acute Pain After Trauma (KAPT): A Pragmatic, Randomized Clinical Trial. J Trauma 2024:
    https://pubmed.ncbi.nlm.nih.gov/38689402/
    4. EAST PMG: Efficacy and safety of non-steroidal anti-inflammatory drugs (NSAIDs) for the treatment of acute pain after orthopedic trauma (2023): https://www.east.org/education-resources/practice-management-guidelines/details/efficacy-and-safety-of-nonsteroidal-antiinflammatory-drugs-nsaids-for-the-treatment-of-acute-pain-af
    5. Systematic Review and Meta-Analysis of the Association Between Non-Steroidal Anti-Inflammatory Drugs and Operative Bleeding in the Perioperative Period. JACS 2021:
    https://pubmed.ncbi.nlm.nih.gov/33515678/
    6. Is the use of nonsteroidal anti-inflammatories after bowel anastomosis in trauma safe? J Trauma 2023:
    https://pubmed.ncbi.nlm.nih.gov/36728125/
    7. University of Texas at Houston Multimodal Pain Guideline: https://med.uth.edu/surgery/acute-trauma-pain-multimodal-therapy/
    8. ACS TRAUMA QUALITY PROGRAMS BEST PRACTICES GUIDELINES FOR ACUTE PAIN MANAGEMENT IN TRAUMA …

  23. Journal Review in Vascular Surgery: Updates on Size Threshold for Repair of Abdominal Aortic Aneurysms

    18 juli 2024 · 27 min

    Afspelen
    A 70 year old healthy female is referred to you with a 5.7 cm abdominal aortic aneurysm. As an astute clinician you are aware that current guidelines support surgical repair for her AAA. What if there was new data to suggest this patient may not benefit from repair? What would be the optimal size threshold that she would benefit from AAA repair? Tune into this episode of Behind the Knife, where the vascular surgery subspecialty team discusses a paper that challenges current size threshold guidelines for AAA repair. 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 current size threshold guidelines for surgical repair of abdominal aortic aneurysms

    - Understand the limitations of the aforementioned guidelines

    - Understand the methodology, findings, limitations, and clinical applications of the manuscript “Size thresholds for repair of abdominal aortic aneurysms warrant reconsideration.”

    References
    1. Columbo JA, Scali ST, Jacobs BN, et al. Size thresholds for repair of abdominal aortic aneurysms warrant reconsideration. Journal of Vascular Surgery. 2024;79(5):1069-1078.e8. doi:10.1016/j.jvs.2024.01.017
    https://pubmed.ncbi.nlm.nih.gov/38262565/

    2. Chaikof EL, Dalman RL, Eskandari MK, et al. The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm. Journal of Vascular Surgery. 2018;67(1):2-77.e2. doi:10.1016/j.jvs.2017.10.044
    https://pubmed.ncbi.nlm.nih.gov/29268916/

    3. Wanhainen A, Van Herzeele I, Bastos Goncalves F, et al. Editor’s Choice -- European Society for Vascular Surgery (ESV…

  24. Lung in a Box: The Present and Future of Lung Preservation for Transplant

    15 juli 2024 · 46 min

    Afspelen
    Take a listen into the wild and fascinating world of lung transplantation! One of the biggest challenges for any transplant is organ preservation to provide the best possible recovery and outcome for recipients. That’s especially important for lung transplant, which remains one of the most complex and challenging areas in the field of transplantation. This episode takes a deep dive into the lung transplant landscape and discusses new technologies and innovations that are revolutionizing the field. Jon Williams is joined by Dr. Elliot Wakeam, MD, a thoracic surgeon and lung transplant expert from University of Toronto to discuss the advent of ex-vivo lung perfusion (EVLP) systems and how that and other preservation techniques may impact the future of lung transplantation. Also, Dr. Wakeam provides unique perspectives as faculty from one of the best lung transplant programs in the world. Lees meer

    If you have any questions or comments, or find the episode interesting and want to learn more, feel free to reach out to us at hello@behindtheknife.org. Dominate the Day!

    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

  25. Clinical Challenges in Surgical Education: Precision Surgical Education

    11 juli 2024 · 31 min

    Afspelen
    As we move towards a model of Competency-Based Surgical Education, individualization of training may be needed. How can we get the right education to the right trainee at the right time? How can we link education to actual patient outcomes? Precision education aims to do just that, while leveraging technology, data, and analytics to decrease burden on assessors. While this approach offers a lot of promise to advance surgical education, it can be difficult to conceptualize how this would be implemented in practice. We’re joined by an expert in the field of precision medical education, Dr. Jesse Burk-Rafel, to break down what precision education is and how it might integrate into our current system of surgical education Lees meer

    Join hosts Nicole Brooks MD, Judith French PhD, and Jeremy Lipman MD, MHPE for this exciting conversation with Jesse Burk-Rafel MD.

    Learning Objectives

    1. Listeners will define precision education.
    2. Listeners will describe examples of how precision medical or surgical education is being used currently.
    3. Listeners will explain barriers that must be addressed with the implementation of precision surgical education, including bias and issues with data sharing.
    4. Listeners will consider how precision surgical education will evolve, including possible use within their own institution to completement competency-based surgical education.

    References

    Desai SV, Burk-Rafel J, Lomis KD, et al. Precision Education: The Future of Lifelong Learning in Medicine. Academic Medicine. 2024;99(4).

    https://pubmed.ncbi.nlm.nih.gov/38277444/

    Richardson J, Santen SA, Mejicano GC, et al. Learner Assessment and Program Evaluation: Supporting Precision Education. Academic Medicine. 2024;99(4).

    https://pubmed.ncbi.nlm.nih.gov/38166211/

    Perrone KH, Abdelaal AE, Pugh CM, Okamura AM. Haptics: The Science of Touch As a Foundational Pathway to Precision Education and Assessment. Academic Medicine. 2024;99(4).

    https://pubmed.ncbi.nlm.nih.gov/38109654/

    Sukhera J. Precisi…

  26. Journal Review in Hernia Surgery: What Defines a Hernia Center?

    8 juli 2024 · 31 min

    Afspelen
    In this Journal Review episode, the Hernia Content Team from Carolinas Medical Center reviews the definition and meaning of a hernia center. In a subspecialty field that is in its relative infancy, the specialization of care at hernia centers is a relatively new concept. The team reviews two relevant publications on hernia centers that help to provide guidance on this topic for the hernia community. Lees meer

    Hosts:
    - Dr. Sullivan “Sully” Ayuso, Chief Resident, Carolinas Medical Center (Charlotte, NC), @SAyusoMD (Twitter)
    - Dr. Todd Heniford, Chief of GI & MIS, Carolinas Medical Center (Charlotte, NC), @THeniford (Twitter)
    - Dr. Vedra Augenstein, Professor of Surgery, Carolinas Medical Center (Charlotte, NC), @VedraAugenstein (Twitter)
    - Dr. Monica Polcz, Attending Surgeon, Baptist Health (Miami, FL), No Twitter handle
    - Dr. Brittany Mead, GI & MIS Fellow, Carolinas Medical Center (Charlotte, NC), No Twitter handle

    References:
    -Shulkin et al, Characterizing Hernia Centers in the United States: What Defines a Hernia Center?, Hernia, 2022
    https://pubmed.ncbi.nlm.nih.gov/33871743/

    -Köckerling et al, Accreditation and Certification Requirements for Hernia Centers and Surgeons: the ACCESS Project, Hernia, 2019
    https://pubmed.ncbi.nlm.nih.gov/33871743/

    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

  27. Journal Review in Trauma Surgery: VTE Prophylaxis

    1 juli 2024 · 45 min

    Afspelen
    VTE prophylaxis is more than just some squeezy leg socks and a one-size fits all dose of enoxaparin! Ever wonder how VTE prophylaxis is similar to constipation? Have you or a loved one been hurt by a hospital administrator telling you that VTE is a never event? Come with us, and our special guest Dr. Bryan Cotton, on this journey to the frontier of research attempting to debunk this myth and improve patient care by reducing VTE rates in trauma patients. 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

    - Brandon Parker, DO, Assistant Professor of Surgery, 5 years in practice
    University of Miami/Jackson Memorial Hospital/Ryder Trauma Center
    @BrandonParkerDO (X/twitter)

    - Bryan Cotton, MD, MPH, FACS, Professor of Surgery, 20 years in practice
    University of Texas Health Science Center at Houston/Red Duke Trauma Institute at Memorial Herman Hospital
    @bryanacotton1 (X/twitter)

    Learning Objectives:

    - Describe the rationale for the addition of aspirin to chemoprophylactic regimens for VTE

    - Identify appropriate screening systems for trauma patients at high risk for VTE

    - Describe the rationale for monitoring anti factor Xa levels in the trauma population receiving VTE chemoprophylaxis

    - List the major conclusions of the two studies discussed regarding the addition of aspirin to VTE chemoprophylaxis regimens in trauma patients, and the change in antithrombin activity levels over time in relation to enoxaparin responsiveness in polytrauma patients

    Quick Hits:

    1. On adjusted analysis, …

  28. Resident Involvement in Lawsuits

    27 juni 2024 · 43 min

    Afspelen
    Most surgeons know about malpractice lawsuits, but did you know that residents and even medical students can be involved in them? Join us for a discussion of what happens when patients sue their treatment teams -- and what happens when those teams involve trainees. Lees meer

    Host: Nina Clark, MD, MS

    Guests:
    Cindy Hamra, JD, MA is an associate dean in the GME Office at the University of Washington School of Medicine, where she leads the operational, administrative and finance functions. UW School of Medicine is sponsors clinical training for over 1600 medical and dental residents in fellows in over 200 programs. UW Medicine, through the School of Medicine, is the largest sponsor of GME programs in the five-state WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho).

    Lisa Hammel, JD is the senior director of clinical risk management for UW medicine. Prior to that, she spent over 20 years as a defense attorney primarily working in medical malpractice and professional liability defense.

    References:
    American College of Surgeons: https://www.facs.org/for-medical-professionals/news-publications/journals/rise/articles/litigation-overview/

    AMA: https://www.ama-assn.org/medical-residents/residency-life/resident-medical-liability-lawsuits-why-and-how-often-they-happen

    JAMA Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833625/ & https://jamanetwork.com/journals/jamasurgery/article-abstract/2670456

    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

  29. Appendiceal Masses

    24 juni 2024 · 30 min

    Afspelen
    Join Drs. Scott Steele and Dan Scheese as they engage in an in-depth conversation with Dr. Michael Valente about the intricate world of appendiceal masses, including carcinoid, adenocarcinoma, and mucinous neoplasms. Despite the complexity of the subject, this episode skillfully deconstructs the topic through the analysis of three distinct cases, illuminating the latest terminology, diagnostic approaches, and management strategies. Lees meer

    Hosts:
    Scott Steele, MD (@ScottRSteeleMD)
    Dan Scheese, MD (@DanScheese13)

    Guest:
    Michael Valente, MD (@DrMikeValente) is an Associate Professor of Surgery at the Cleveland Clinic and Program Director of the colon and rectal residency program. Dr. Valente's specialty and research interests include cancer of the appendix, peritoneum, colon, rectum and anus, cytoreductive surgery/HIPEC, complex re-operative surgery, inflammatory bowel disease, advanced endoscopic techniques, laparoscopic and minimally invasive colorectal surgery, and surgical education. Dr. Valente has published numerous peer-reviewed journal articles and book chapters and has presented his research interests both nationally and internationally.

    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

  30. Surgical M&M: Can We Do Better?

    20 juni 2024 · 44 min

    Afspelen
    M&M - we all do it, but what is its purpose? Join Jason and Nina as they talk to two experts about why we present at all, and what we can do to better reach the educational and quality improvement goals of morbidity and mortality conference. Lees meer

    Hosts: Jason Bingham, Nina Clark

    Panelists

    Keith Lillemoe, MD

    Chief of Surgery, Massachusetts General Hospital

    Professor of Surgery at the Harvard Medical School

    Luise Pernar, MD, MHPE

    Bariatric Surgeon

    Associate Professor of Surgery, Boston University Chobanian and Avedisian School of Medicine

    References
    https://jamanetwork.com/journals/jamasurgery/article-abstract/2810740
    https://pubmed.ncbi.nlm.nih.gov/26649585/

    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

  31. Dominate the Match - Episode 7: Applying to Residency as an International Medical Graduate - Part 2 of 2

    17 juni 2024 · 35 min

    Afspelen
    It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. This year, we have been focusing on the special challenges International Medical Graduates face when applying to US surgical residency positions. In our previous episode, we discussed how residents can make their applications stand out to program directors. Today, we will explore the unique challenges, experiences, and the future of IMGs with special guest Dr. Hasan Alam. Lees meer

    Guests:
    Hasan Alam, MD- Chair of the Department of Surgery and Professor of Surgery (Trauma and Critical Care) and Cell and Developmental Biology- Northwestern University

    Previous DOMINATE the Match Episodes:
    Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations)
    https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/

    Episode 3- “The Interview”
    https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/

    Episode 4- “Rank and Match”
    https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/

    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

  32. Dominate the Match - Episode 6: Applying to Residency as an International Medical Graduate - Part 1 of 2

    13 juni 2024 · 31 min

    Afspelen
    It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. In this episode, we will focus on the special challenges International Medical Graduates face when applying to US surgical residency positions and discuss tips and tricks for making IMG residency applicants standout to program directors in the US. Lees meer

    Guests:
    David Hughes, MD- Clinical Associate Professor of Endocrine Surgery and General Surgery Residency Program Director- University of Michigan
    Krishnan Raghavendran, MBBS- Professor of Acute Care Surgery and Critical Care- University of Michigan

    Link to video:
    You can watch Dr. Hughes’s full presentation here: https://youtu.be/iQ0CzH7xHwE

    Previous DOMINATE the Match Episodes:

    Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations)
    https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/

    Episode 3- “The Interview”
    https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/

    Episode 4- “Rank and Match”
    https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/

    Residency Program Lists:
    - FREIDA Residency and Fellowship Database: https://freida.ama-assn.org/
    - Doximity: https://www.doximity.com/residency/?utm_campaign=marketing_resnav_competitor_broad_20210520&utm_source=google&utm_medium=cpc&gclid=CjwKCAjwt52mBhB5EiwA05YKo1J47BLAtTPtsJBmVvXGP2pDXLLqgDIwM0pgkSYjoBhFUOO1ktXDYRoC2bkQAvD_BwE

    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

  33. Journal Review in Minimally Invasive Surgery: Robotic Cholecystectomy and Bile Duct Injury

    10 juni 2024 · 32 min

    Afspelen
    Laparoscopic cholecystectomy was introduced approximately 30 years ago and quickly became the gold standard due to multiple benefits over open cholecystectomy. It ushered in the laparoscopic revolution but also increased the number of bile duct injuries. Through the dedicated efforts of many the rate of bile duct injury has been reduced, now mirroring open cholecystectomy. The robotic surgery revolution is well underway and unsurprisingly this technology has been applied to cholecystectomy. Given the devastating nature of bile duct injury and the history of increased injury with the last major shift in operative approach, we examine the current literature on the comparative safety of robotic-assisted cholecystectomy vs. laparoscopic cholecystectomy. Lees meer

    1. Andrew Wright, UW Medical Center – Montlake and Northwest, @andrewswright
    2. Nick Cetrulo, UW Medical Center - Northwest, @Trules25
    3. Nicole White, UW Medical Center - Northwest
    4. Paul Herman, UW General Surgery Resident PGY-3, @paul_herm
    5. Ben Vierra, UW General Surgery Resident PGY-2 @benvierra95

    Learning objectives:

    1. Examine the history of the laparoscopic cholecystectomy and review the efforts to reduce bile duct injury (SAGES Safe Cholecystectomy Task Force and Multi-Society Practice Guideline)
    2. Review literature on causes and prevention of bile duct injury
    3. Review a recent article on robotic cholecystectomy vs laparoscopic cholecystectomy outcomes
    4. Describe precautions that might mitigate expected increase in bile duct injury as a new approach is applied

    References
    1. https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/
    2. https://www.sages.org/safe-cholecystectomy-program/
    3. MacFadyen BV Jr, Vecchio R, Ricardo AE, Mathis CR. Bile duct injury after laparoscopic cholecystectomy. The United States experience. Surg Endosc. 1998 Apr;12(4):315-21. doi: 10.1007/s004649900661. PMID: 9543520. https://pubmed.ncbi.nlm.nih.gov/9543520/
    4. Keus F, de Jong JA, …

  34. Association of Out Surgeons & Allies (AOSA) - Episode 4: Gender Affirming Care and Gender Affirming Surgery

    6 juni 2024 · 44 min

    Afspelen
    Join for the forth episode in the Association of Out Surgeons & Allies (AOSA) series for a discussion on gender affirming care and gender affirming surgery. Lees meer

    Host:
    Dan Scheese, MD
    Andrew Schlussel, DO, Colorectal and General Surgeon, Charlie Norwood VA Medical Center

    Guests:
    1. Dr. Megan Lane (She/her)
    megalane@med.umich.edu
    Dr. Lane is a Plastic Surgery resident at the University of Michigan who is planning on going into Gender Affirming Surgery and general reconstruction, she completed a research fellowship in the National Clinician Scholars Program and focused primarily on patient-reported outcomes in gender affirming surgery.

    2. Dr. Scott Chaiet (he/him/his/himself)
    chaiet@surgery.wisc.edu
    Dr. Chaiet is double board certified by the American Board of Otolaryngology and the American Board of Facial Plastic & Reconstructive Surgery and is currently at the University of Wisconsin. His areas of expertise include rhinoplasty and facial gender surgery. He also practices reconstructive surgery including facial paralysis reanimation. His gender affirming practice includes all areas of the face and Adam’s apple except for hair.

    3. Dr. Amy Suwanabol
    pasuwan@med.umich.edu
    Amy Suwanabol is a colorectal surgeon at the University of Michigan and the Ann Arbor VA. She assists the gender affirming surgeons at the University of Michigan in performing robotic assisted vaginoplasty. Her research focuses on optimizing quality of life among surgical patients and their families, surgeon well being, and cancer survivorship.

    4. Dr. Monica Llado-Farrulla
    lladofar@ohsu.edu
    Dr. Llado-Farulla was born and raised in Puerto Rico, completed a residency in general surgery and then plastic surgery at Tulane and Penn, respectively. She pursued a year of training in advanced gender surgery and is now currently at OHSU, her practice largely focuses on facial feminization, chest affirming surgeries, phalloplasty, autologous breast reconstruction, and limb salvage.

    5. Dr. Michele “Mike” Fascel…

  35. So, You Want to be a Cardiac Surgeon?: Training Paradigms

    3 juni 2024 · 35 min

    Afspelen
    Interested in cardiac surgery? The training paradigm for cardiac surgery has changed significantly over the past decade and we know may students often struggle when deciding what pathway is best for them. For this episode, we assembled a robust team of attendings, fellows, and residents to discuss their journey as well as some of the research that has been conducted about these different pathways to help guide students navigating this decision. Lees meer

    Hosts:
    - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15

    Guests:
    - Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman

    - Jolian Dahl, MD, MSc- Integrated Thoracic Surgery Resident (PGY-6), University of Virginia, @JolianDahl

    - Lyndsey Wessels, MD- Traditional Thoracic Surgery Resident (CT-1), University of Virginia, @LyndseyWessels

    Articles Referenced:

    - Pathways to Certification: https://www.abts.org/ABTS/CertificationWebPages/Pathways%20to%20Certification.aspx

    - Narahari AK, Patel PD, Chandrabhatla AS, Wolverton J, Lantieri MA, Sarkar A, Mehaffey JH, Wagner CM, Ailawadi G, Pagani FD, Likosky DS. A Nationwide Evaluation of Cardiothoracic Resident Research Productivity. Ann Thorac Surg. 2024 Feb;117(2):449-455. doi: 10.1016/j.athoracsur.2023.08.011. Epub 2023 Aug 26. PMID: 37640148; PMCID: PMC10842395
    https://pubmed.ncbi.nlm.nih.gov/37640148/

    - Bougioukas L, Heiser A, Berg A, Polomsky M, Rokkas C, Hirashima F. Integrated cardiothoracic surgery match: Trends among applicants compared with other surgical subspecialties. J Thorac Cardiovasc Surg. 2023 Sep;166(3):904-914. doi: 10.1016/j.jtcvs.2021.11.112. Epub 2022 Mar 22. PMID: 35461707.
    https://pubmed.ncbi.nlm.nih.gov/35461707/

    For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu

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

    If you liked this episode, ch…

  36. Journal Review in Bariatric Surgery: Are Less Anastomoses Better?

    30 mei 2024 · 32 min

    Afspelen
    Bariatric surgery is an evolving field with new procedures, or variations of old ones, being developed to meet the needs of patients with obesity. The single anastomosis duodenoileal bypass (SADI) and one anastomosis gastric bypass (OAGB) are two such procedures which have recently entered the mainstream conversation. In this episode we will give a brief overview of the SADI and OAGB, go over some short and long term studies evaluating safety and efficacy, and discuss current sentiments about these options and how they may fit into bariatric practice. Lees meer

    Show Hosts:
    Matthew Martin, MD
    Adrian Dan, MD
    Crystal Johnson-Mann, MD
    Paul Wisniowski, MD

    Article #1: Chao 2024 - Outcomes of SADI and OAGB Compared to RYGB from the Metabolic and Bariatric Surgery Quality Improvement Program: The North American Experience

    Roux-en-Y gastric bypass (RYGB) and duodenal switch are well described procedure for weight loss; however, associated postoperative complications have led to the development of simpler techniques

    Single anastomosis duodenoileal bypass (SADI) - modification of the duodenal switch where by a loop of ileum of the bilopancreatic limb approximately 200-300cm from the ileal cecal valve is anastomosed to the distal duodenal cuff of a tubularized stomach

    One anastomosis gastric bypass (OAGB) – modification of the RYGB where a loop of jejunum of the bilopancreatic limb approximately 150-200cm from the ligament of treitz is anastomosed to the distal end of a gastric pouch.

    There is increasing interest in these procedures given the perceived reduced risk reduction associated with one fewer anastomosis

    Currently, there is insufficient data on the safety of these procedures compared to the established RYGB.

    The article utilizes the MBSAQIP database to evaluate each procedure against the RYGB

    Matched groups: SADI vs RYGB and OAGB vs RYGB

    Matched against age, sex, BMI, operative time, and ASA classification

    30-day outcomes included complications and health care utiliza…

  37. Are we failing our patients? Ventral hernia recurrence with Drs. Todd Heniford and Michael Rosen

    27 mei 2024 · 1 uur 10 min

    Afspelen
    Join Drs. Jason Bingham (@BinghamMd) and Patrick Georgoff (@georgoff) for a thought-provoking discussion with titans of hernia surgery Drs. Todd Heniford (@THeniford) and Michael Rosen (@MikeRosenMD). You don't want to miss this one! This episode goes deep, touching on some of the most vexing questions in the world of abdominal wall reconstruction. Lees meer

    Highlights:

    Hernia is chronic disease process. Surgeons should act like it and patients need to understand this.

    Follow-up data is hard to come by and therefore limited. Studies must be interpreted with this in mind.

    Hernia surgery is sexy, which is both exciting and concerning.

    "Technology is not useful until it is boring." New techniques and devices can hurt patients.

    Complicated hernias should be sent to hernia centers. Otherwise, general surgeons are more than capable of doing the repair.

    Link to paper: https://jamanetwork.com/journals/jamasurgery/fullarticle/2816986

    Link to ACHQC: https://achqc.org/

    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

  38. Clinical Challenges in Surgical Oncology: Gastric Cancer

    23 mei 2024 · 30 min

    Afspelen
    Join the Behind the Knife Surgical Oncology Team as we discuss the presentation, work-up, and management of gastric cancer. Lees meer

    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
    - Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University.
    - Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center
    - Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center

    Learning Objectives:
    In this episode, we review the basics of gastric cancer, including presentation, work-up, staging, and treatment modalities as well as high yield topics including the Siewert classification system. We also briefly discuss trials establishing peri-operative chemotherapy regimens for gastric cancer and the controversy of D1 vs. D2 lymphadenectomy.

    Links to Papers Referenced in this Episode

    Perioperative Chemotherapy versus Surgery Alone for Resectable Gastroesophageal Cancer.
    NEJM 2006 Jul;355(1):11-20.
    https://www.nejm.org/doi/full/10.1056/NEJMoa055531

    Perioperative chemotherapy with fluorouracil plus leucovorin, oxaliplatin, and docetaxel versus fluorouracil or capecitabine plus cisplatin and epirubicin for locally advanced, resectable gastric or gastro-oesphageal junction adenocarcinoma (FLOT4): a randomized, phase2/3 trial
    Lancet 2019 May;393(10184):1948-1957.
    https://pubmed.ncbi.nlm.nih.gov/30982686/

    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

  39. Clinical Challenges in Colorectal Surgery: J Pouch Creation and Management of Postoperative Pouch Complications

    20 mei 2024 · 35 min

    Afspelen
    Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Philip Fleshner as they discuss the management of small bowel strictures in Crohn’s disease. Lees meer

    Learning Objectives
    1. Discuss the role for J-pouch in a patient with inflammatory bowel disease
    2. Identify the key steps in creation of the J-pouch and technical considerations.
    3. Describe post operative complications and management in patients with a J-pouch

    Video Link: https://www.youtube.com/watch?v=_PMFaQHah5A

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

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  40. Journal Review in Hernia Surgery: Quantitative Tension on the Abdominal Wall in Posterior Components Separation With Transversus Abdominis Release

    16 mei 2024 · 22 min

    Afspelen
    How is each release of the TAR contributing to the final tension on the anterior and posterior fascia? Join Drs. Michael Rosen, Benjamin T. Miller, Sara Maskal, and Ryan C. Ellis as they discuss their group’s recent cohort study of tensiometry in 100 TARs. Lees meer

    Hosts:
    - Michael Rosen, Cleveland Clinic
    - Benjamin T. Miller, Cleveland Clinic
    - Sara Maskal, Cleveland Clinic
    - Ryan C. Ellis, Cleveland Clinic, @ryanellismd

    Learning objectives:
    - Review the steps of a TAR
    - Understand the changes in tension on the anterior and posterior fascia with each step of the TAR
    - Think about the application this data has to similar operations

    References:

    Miller BT, Ellis RC, Petro CC, Krpata DM, Prabhu AS, Beffa LRA, Huang LC, Tu C, Rosen MJ. Quantitative Tension on the Abdominal Wall in Posterior Components Separation With Transversus Abdominis Release. JAMA Surg. 2023 Dec 1;158(12):1321-1326. doi: 10.1001/jamasurg.2023.4847. PMID: 37792324; PMCID: PMC10551814. https://pubmed.ncbi.nlm.nih.gov/37792324/

    Miller BT, Ellis RC, Walsh RM, Joyce D, Simon R, Almassi N, Lee B, DeBernardo R, Steele S, Haywood S, Beffa L, Tu C, Rosen MJ. Physiologic tension of the abdominal wall. Surg Endosc. 2023 Dec;37(12):9347-9350. doi: 10.1007/s00464-023-10346-w. Epub 2023 Aug 28. PMID: 37640951. https://pubmed.ncbi.nlm.nih.gov/37640951/

    Ramirez OM, Ruas E, Dellon AL. "Components separation" method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990 Sep;86(3):519-26. doi: 10.1097/00006534-199009000-00023. PMID: 2143588. https://pubmed.ncbi.nlm.nih.gov/2143588/

    Hope WW, Williams ZF, Rawles JW 3rd, Hooks WB 3rd, Clancy TV, Eckhauser FE. Rationale and Technique for Measuring Abdominal Wall Tension in Hernia Repair. Am Surg. 2018 Sep 1;84(9):1446-1449. PMID: 30268173. https://pubmed.ncbi.nlm.nih.gov/30268173/

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

    If you liked this episode, check out …

  41. HuMaNiSm + Surgery # 1

    13 mei 2024 · 23 min

    Afspelen
    Welcome to Humanism in Surgery, a new series where we take a deep dive into the extremes of humanity within the field of surgery. As surgeons, there are times when we feel deeply human and times when we feel we have lost our humanity. These experiences impact us immensely and shape our careers in important ways. It's time these stories are told! For those of you who are fans of NPR, think of this as Story Core for surgery. Lees meer

    Today, Dr. Patrick Georgoff is joined by Dr. Tamara Fitzgerald, Associate Professor of Pediatric Surgery at Duke University, and Dr. Ted Pappas, Professor of Surgery and Master Surgeon at Duke 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

  42. Clinical Challenges in Burn Surgery: Burn Resuscitation - Getting Things Started - Part 1 of 2

    9 mei 2024 · 29 min

    Afspelen
    A patient with a large TBSA burn injury presents to a local emergency department and you are the only surgeon on duty that evening. With snow covered roads and poor visibility, the patient requires initial stabilization prior to transfer to the regional burn center. You are faced with some difficult clinical decisions as you begin their resuscitation. Join Drs. Tam Pham, Rob Cartotto, Julie Rizzo, Alex Morzycki and Jamie Oh as they discuss the clinical challenges in initiating burn resuscitation, pitfalls in long-distance transport, and more. Lees meer

    Hosts:
    · Dr. Tam Pham: UW Medicine Regional Burn Center

    · Dr. Robert Cartotto: University of Toronto, Ross Tilley Burn Centre

    · Dr. Julie Rizzo: Brooke Army Medical Center

    · Dr. Alex Morzycki: UW Medicine Regional Burn Center

    · Dr. Jamie Oh: UW Medicine Regional Burn Center

    Learning Objectives:
    · Describe initial fluid strategies, including the recommendations of the Advanced Burn Life Support (ABLS) course, traditional resuscitation formulas, and the Rule of 10.

    · Describe logistical and medical challenges of long-distance transport to a regional burn center.

    · Understand recent advances learned from recent conflicts in military burn casualty care.

    · List options for intravenous access.

    · Understand endpoints of resuscitation, including adjuncts which may help guide fluid titration.

    1. Cartotto R, Johnson LS, Savetamal A, et al. American Burn Association Clinical Practice Guidelines on Burn Shock Resuscitation. J Burn Care Res 2023

    https://pubmed.ncbi.nlm.nih.gov/38051821/

    2. Renz EM, Cancio LC, Barillo DJ, et al. Long-Range Transport of War-Related Burn Casualties. J Trauma 2008 https://pubmed.ncbi.nlm.nih.gov/18376156/

    3. Adibfar A, Camacho F, Rogers AD, Cartotto R. The Use of Vasopressors During Acute Burn Resuscitation. Burns 2021 https://pubmed.ncbi.nlm.nih.gov/33293152/

    4. Chung KK, Wolf SE, Cancio LC, et al. Resuscitaiton of Severely Burned Military Casualties: Fluid Begets More Fluid. J Trauma 2009 http…

  43. Clinical Challenges in Surgical Palliative Care: Communication Skills for Difficult Conversations

    6 mei 2024 · 36 min

    Afspelen
    Your patient was in a terrible car crash and is currently intubated with multiple traumatic injuries that will need surgery. Family has just arrived and all they’ve heard is that he has a broken leg. How do you share this serious news with family? What do you do when they become angry, cry or bombard you with questions that you don’t have answers to? Join the surgical palliative care team from the University of Washington as we role play a difficult conversation with a standardized patient. We will identify common challenges that arise and discuss key skills to navigate these situations. Lees meer

    Hosts:

    Dr. Katie O’Connell (@katmo15) is an assistant 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 a PGY7 current palliative care fellow at the University of Washington, formerly a UW general surgery resident and Parkland trauma/critical care fellow.

    Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 general surgery resident and current surgical oncology research fellow at the University of Washington.

    Dr. Virginia Wang is a PGY2 general surgery resident at the University of Washington.

    Learning Objectives:

    · Identify common pitfalls encountered during difficult conversations
    · Learn how to synthesize complex medical information and construct a succinct headline statement to deliver a digestible take-home message
    · Develop skills to respond to emotional cues using empathetic statements

    References:

    · “Responding to Emotion.” Vitaltalk. Accessed March 4, 2024. https://www.vitaltalk.org/guides/responding-to-emotion-respecting/
    · “Serious News.” Vitaltalk. Accessed March 4, 2024. https://www.vitaltalk.org/guides/serious-news/

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

    If you liked this epis…

  44. Journal Review in Hepatobiliary Surgery: ctDNA & Colorectal Liver Metastasis

    2 mei 2024 · 35 min

    Afspelen
    Circulating tumor DNA, more commonly referred to as ctDNA, has emerged as an attractive and potentially highly sensitive biomarker for patients with colorectal cancer. But what exactly is ctDNA, does it have any prognostic value for patients with colorectal liver metastasis, and how can it be incorporated into the management of said patients? In this episode from the HPB team at Behind the Knife, listen in on the discussion about ctDNA and its role in the perioperative management of colorectal liver metastasis. Lees meer

    Hosts
    Anish J. Jain MD (@anishjayjain) is a T32 Research Fellow at the University of Texas MD Anderson Cancer Center within the Department of Surgical Oncology.

    Timothy E. Newhook MD, FACS (@timnewhook19) is an Assistant Professor within the Department of Surgical Oncology. He is also the associate program director of the HPB fellowship at the University of Texas MD Anderson Cancer Center.

    Jean-Nicolas Vauthey MD, FACS (@VautheyMD) is Professor of Surgery and Chief of the HPB Section, as well as the Dallas/Fort Worth Living Legend Chair of Cancer Research in the Department of Surgical Oncology at The University of Texas MD Anderson Cancer Center

    Learning Objectives:
    -Develop an understanding of what circulating tumor DNA (ctDNA) is.
    -Develop an understanding of what makes ctDNA unique from other “tumor markers” like CEA.
    -Develop an understanding of the prognostic value of ctDNA for colorectal liver metastasis (CRLM).
    -Develop an understanding of the current role of ctDNA in the perioperative treatment of patients with CRLM.
    -Develop an understanding of how ctDNA can be incorporated into future treatment algorithms for patients undergoing hepatic resection for CRLM.

    Papers Referenced (in the order they were mentioned in the episode):

    1) Newhook TE, Overman MJ, Chun YS, et al. Prospective Study of Perioperative Circulating Tumor DNA Dynamics in Patients Undergoing Hepatectomy for Colorectal Liver Metastases. Ann Surg. 2023;277(5):813-820.
    https://pubmed…

  45. Is "Pump and Dump" Outdated? An Update on Lactating Patients

    29 april 2024 · 25 min

    Afspelen
    Taking a lactating patient the OR? Prescribing antibiotics? What about a CT scan with IV contrast? Pump and dump, right? WRONG. It's time to get educated! Today, we review the finer points of caring for our lactating patients. Lees meer

    In this episode Dr. Patrick Georgoff is joined by Dr. Austin Eckhoff, general surgery resident at Duke University, Dr. Annie Dotson, family medicine and breastfeeding medicine physician at Duke University, and Dr. Katrina Mitchell, breast surgeon at Ridley Tree Cancer Center in Santa Barbara, CA.

    Resources:
    https://www.bfmed.org/
    https://www.e-lactancia.org/
    https://physicianguidetobreastfeeding.org/

    - -

    TRASH THE PUMP & DUMP: https://physicianguidetobreastfeeding.org/trash-the-pump-and-dump/trash-pump-dump/

    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

  46. Scoring Changes to the ABSITE: The Trainee Perspective on Impact and Ramifications

    25 april 2024 · 44 min

    Afspelen
    The American Board of Surgery In-Training Examination will officially be switching from reporting percentile scores by year level to percent of questions correct. What does this change mean for residents? Podcast hosts Dr. Ananya Anand, Dr. Joe L’Huillier, and Dr. Rebecca Moreci are joined by three fellow CoSEF members for this discussion: Dr. Gus Godley, Dr. Colleen McDermott, and Dr. Josh Roshal. Lees meer

    Hosts:

    –Dr. Ananya Anand, Stanford University, @AnanyaAnandMD, ananya_anand@stanford.edu

    –Dr. Joseph L’Huillier, University at Buffalo, @JoeLHuillier101, josephlh@buffalo.edu

    –Dr. Rebecca Moreci, Louisiana State University, @md_moreci, morecir@med.umich.edu

    –COSEF: @surgedfellows

    Special guests:

    -Dr. Gus Godley, University of Chicago, frederick.godley@uchicagomedicine.org, @GusGodley

    -Dr. Colleen McDermott, University of Utah, colleen.mcdermott@hsc.utah.edu

    -Dr. Josh Roshal, Brigham and Women’s Hospital, jaroshal@utmb.edu, @Joshua_Roshal

    Learning Objectives:

    Listeners will:
    – Understand the changes to the ABSITE score reporting by the American Board of Surgery

    – Describe both positive impacts and limitations of this change from the resident perspective

    – List possible ideas for further refinements to standardized exams in medicine

    References:
    -Yeo HL, Dolan PT, Mao J, Sosa JA. Association of Demographic and Program Factors With American Board of Surgery Qualifying and Certifying Examinations Pass Rates. JAMA Surg. Jan 1 2020;155(1):22-30. doi:10.1001/jamasurg.2019.4081 https://pubmed.ncbi.nlm.nih.gov/31617872/

    -Sathe TS, Wang JJ, Yap A, Zhao NW, O’Sullivan P, Alseidi A. Proposed Reforms to the American Board of Surgery In-Training Examination (ABSITE). https://www.ideasurg.pub/proposed-absite-reforms/

    -Miller AT, Swain GW, Midmar M, Divino CM. How Important Are American Board of Surgery In-Training Examination Scores When Applying for Fellowships? J Surg Educ. 2010;67(3):149-151. doi:10.1016/j.jsurg.2010.02.007
    https://pubmed.ncbi.nlm.nih.gov/20630424/

    -…

  47. ABSITE Updates and the Future of Boards with Dr. Jo Buyske

    22 april 2024 · 37 min

    Afspelen
    The ABSITE score report is changing… what does it mean? CEO of the American Board of Surgery Dr. Jo Buyske discusses ABSITE and MUCH more. Lees meer

    Hosts: Dr. Scott Steele, Dr. Nina Clark, Dr. Jessica Millar
    Guest: Dr. Jo Buyske, President/CEO of the American Board of Surgery

    Resources:
    Announcement - ABSITE Percentiles:
    https://www.absurgery.org/wp-content/uploads/2024/02/ABSITE-Percentiles.pdf

    ABSITE Data Tools:
    https://sandbox.absurgery.org/default.jsp?publicdata

    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

  48. Clinical Challenges in Thoracic Surgery: Malignant Pleural Mesothelioma

    18 april 2024 · 38 min

    Afspelen
    In this episode our team dives into the diagnosis, workup and management of malignant pleural mesothelioma. Listen as we debate the pros and cons of surgical management of this disease with extrapleural pneumonectomy versus pleural decortication and discuss the nuances of choosing the right approach for the right patient. Lees meer

    Learning Objectives
    - Describe the workup and staging of a patient with malignant pleural mesothelioma
    - List the subtypes of malignant pleural mesothelioma, characteristics of resectable disease, and patient factors which impact surgical candidacy
    - Describe the approach to an extrapleural pneumonectomy and pleural decortication
    - Analyze which surgical approach is best for various subsets of patients
    - Describe the adjuvant treatment for malignant pleural mesothelioma

    Hosts
    Kelly Daus MD, Adam Bograd MD, Peter White MD, Brian Louie MD

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

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

  49. Journal Review in Emergency General Surgery: Appendicitis

    15 april 2024 · 22 min

    Afspelen
    Can appendicitis wait until the morning? Join Drs. Ashlie Nadler, Jordan Nantais, Graham Skelhorne-Gross, and Marika Sevigny from our Emergency General Surgery Team as they discuss the role of deferring appendectomies from overnight to the next morning. Lees meer

    Paper 1: Patel SV, Zhang L, Mir ZM, Lemke M, Leeper WR, Allen LJ, Walser E, Vogt K. Delayed Versus Early Laparoscopic Appendectomy for Adult Patients With Acute Appendicitis: A Randomized Controlled Trial. Ann Surg. 2024 Jan 1;279(1):88-93.
    https://pubmed.ncbi.nlm.nih.gov/37436871/

    -Non-inferiority randomized controlled trial comparing delayed appendectomy group with surgery taking place after 0600 the morning following a decision to operate versus the immediate appendectomy group with surgery taking place between 8pm and 4am and within 6 hours of a decision to operate

    -A priori non-inferiority margin of 15% for 30-day complications

    -Intention-to-treat analysis with risk difference -12% in favor of the delayed group (p < 0.001)

    -Superiority as on per protocol analysis

    -Underpowered at 91% due to early closure of study due to loss of reliable day time emergency triage operating time

    Paper 2: Jalava K, Sallinen V, Lampela H, Malmi H, Steinholt I, Augestad KM, Leppäniemi A, Mentula P. Role of preoperative in-hospital delay on appendiceal perforation while awaiting appendicectomy (PERFECT): a Nordic, pragmatic, open-label, multicentre, non-inferiority, randomised controlled trial. Lancet. 2023 Oct 28;402(10412):1552-1561.
    https://pubmed.ncbi.nlm.nih.gov/37717589/

    -Non-inferiority randomized controlled trial comparing appendectomy within 8 hours versus 24 hours

    -No difference in rate of perforation on intention-to-treat or per protocol analyses

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

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

  50. Cardiac Cowboys: The Heroic Invention of Heart Surgery

    11 april 2024 · 25 min

    Afspelen
    Before 1952, open heart surgery was considered science fiction. The heart was off limits to surgeons despite more than half a million Americans dying annually from heart disease. Doing nothing was the strategy. However, the status quo would soon change thanks to a few brave and imaginative surgeons who dared to break the most rigid of medical taboos: Do not touch the human heart. We sat down with Dr. Gerald Imber, author of the new book “Cardiac Cowboys: The Heroic Invention of Heart Surgery” to discuss how five men raced to invent an entirely new field of surgery. Lees meer

    Guests:
    Jessica Millar, MD- General Surgery Resident- University of Michigan; Education Fellow- Behind the Knife
    Nick Teman, MD- Associate Professor of Cardiac Surgery and Critical Care- University of Virginia
    Gerald Imber- Assistant Clinical Professor of Plastic surgery at the Weill-Cornell Medical Center, Attending Surgeon at New York-Presbyterian Hospital, and Director of a private clinic in New York City, NY; Author of “Wendell Black, MD”, “Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted”, and “Cardiac Cowboys: The Heroic Invention of Heart Surgery”.

    Want to hear more from Dr. Imber- be sure to check out his podcast series, Cardiac Cowboys, based on Dr. Imber’s book. You can listen to an introduction of the Cardiac Cowboys series here: https://shorturl.at/rKLM8

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

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