Surgical Education by Behind The Knife

Episode 586 •

Jan 16

You are faced with a patient complaining of pelvic fullness. On DRE, you feel a submucosal bulge without palpating a tumour in the lumen. A CT scan confirms a pelvic mass. The biopsy reveals a spindle cell type gastrointestinal stromal tumour (GIST) positive for CD117. 
Join Dr. Carole Richard, Dr. François Dagbert and Dr. Maher Al Khaldi in their conversation about the diagnosis and management of rectal GIST. 
Learning objectives 
–       To explain the origin of rectal GISTs
–       To recognize the prognostic factors associated with rectal GISTs
–       To understand the management of rectal GISTs in the era of Imatinib 
–       To list the surgical approaches for rectal GIST resection

*Ad referenced in episode: A team at the Brooke Army Medical Center is working to better define proficiency-based metrics for competency in commonly performed robotic general surgery procedures. If you are a general surgery resident or practicing surgeon who performs robotic assisted cholecystectomies or inguinal hernia repairs,  reach out to the PI, Robert Laverty, MD, at rblaverty@gmail.com for more information on how you could be compensated $500 per video submitted of each (up to $1000 per surgeon).

**Specialty team application link – https://forms.gle/DwrRcMYDaP3a3LaQA Please email hello@behindtheknife.org with any questions.

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

If you liked this episode, check out other colorectal episodes here: https://behindtheknife.org/podcast-category/colorectal/

Episode 545 •

The cardiac OR can be a daunting place for any medical student or resident who finds themself on a cardiac surgery rotation. Have no fear, this Cardiac Surgery Crash Course is a short series focused on high-yield topics to help introduce students and residents to cardiac surgery prior to or during a cardiac surgery rotation.  We will cover several of the most frequently performed operations, post-operative management, common consults, and other topics to help you ace your cardiac rotation.  In this episode join Dr. Nick Teman and our education fellow Dr. Jessica Millar as they introduce you to the cardiac OR. 
If you have any suggestions or requests for this series, please feel free to reach out to us by email: 
Jessica Millar: 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, check out our collection of episodes here: https://behindtheknife.org/listen/all-series/

Episode 539 •

On this episode of the BIG T Trauma series Drs. Patrick Georgoff, Teddy Puzio, and Jason Brill discuss hemodynamically unstable pelvic fractures.  These patients are sick!!  Really sick.  Join us for a practical discussion about the best way to manage gnarly pelvic fractures.  From binders to angioembolization to pelvic packing to REBOA, we cover it all.

Papers:

  1. Burlew et al, Preperitoneal pelvic packing reduces mortality in patients with life-threatening hemorrhage due to unstable pelvic fractures. J Trauma 2017: https://pubmed.ncbi.nlm.nih.gov/27893645/
  2. McDonogh et al, Preperitoneal packing versus angioembolization for the initial management of hemodynamically unstable pelvic fracture: A systematic review and meta-analysis. J Trauma 2022: https://pubmed.ncbi.nlm.nih.gov/34991126/
  3. Li et al, Role of pelvic packing in the first attention given to hemodynamically unstable pelvic fracture patients: a meta-analysis, J ournal of Orthopaedics and Traumatology 2022: https://pubmed.ncbi.nlm.nih.gov/35799073/
Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

If you liked this episode, check out the rest of the BIG T trauma series here: https://behindtheknife.org/podcast-series/big-t-trauma/

Episode 537 •

Join our surgical education fellow, Dr. Dan Scheese as he kicks off a brand new BTK series titled “Innovations in Surgery.” This series will take a deeper look into past, present, and future innovations that have, or will, revolutionize the field of surgery. In this inaugural episode, Dr. Scheese and Dr. Patrick Georgoff sit down with a leader in the surgical artificial intelligence field, Dr. Daniel Hashimoto. They cover what surgical artificial intelligence is, go over some common terminology used in AI, talk about current applications of AI in the OR, and finally discuss the future of AI in surgery.

Artificial Intelligence in Surgery: Promises and Perils” – https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5995666/

Video – Application of AI in the OR – https://youtu.be/kabcjtdI308

Daniel Hashimoto is assistant professor of surgery at the Hospital of the University of Pennsylvania and director of the Penn Computer Assisted Surgery and Outcomes (PCASO) Laboratory. He received his MD and MS in translational research from the University of Pennsylvania and completed his general surgery training at Massachusetts General Hospital and Harvard Medical School, where he was also associate director of research of the Surgical AI & Innovation Laboratory. He is vice-chair and co-founder of the Global Surgical AI Collaborative, a nonprofit that oversees and manages a global data-sharing and analytics platform for surgical data. His work focuses on the use of computer vision for the delivery of intraoperative decision support and assessment of surgical performance. He is editor of the textbook Artificial Intelligence in Surgery: Understanding the Role of AI in Surgical Practice, which provides a nontechnical foundation on key concepts in artificial intelligence as it applies to surgical care.

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

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

Episode 507 •

Dr. Jill Streams, Trauma Surgeon at Vanderbilt, takes us through the ins and outs of understanding your first contract and how and when to negotiate. 
In this episode we cover
-When/how to apply for your first job
-Break down each part of a contract
-Why you should negotiate
-What and how to negotiate
-Salary expectations
-Contract landmines and more!
You can connect with Dr. Streams on Twitter @JCRStreams
Read more at WCI https://www.whitecoatinvestor.com/things-to-ask-for-in-a-physician-contract/

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

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Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE. Boards. Wards. Operating Room. Day. ABSITE.

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Behind the Knife, including ABSITE
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Essential listening for residents
I can’t say enough good things about this podcast. Amazing content, engaging discussion and an essential resource for surgery residents anywhere.
KNHarrell
Great podcast
Gold Standard for surgical podcasts. Great podcast for surgical residents and fellows. Great topics. Great content. Great discussions. Highly recommend.
BigRizzle809
Incredible, entertaining and empowering!
This is a must listen to show if you’re thinking about becoming a surgeon, going into medicine in some capacity or just want to learn more about what the world of surgery looks like – from actual surgeons! All of the hosts do an incredible job bringing on guests in the field who cover a wide variety of topics that apply across the entire medical landscape – all while keeping the focus of sugery as the backdrop. Highly recommend listening and subscribing!
JoshCrist
Amazing surgical resource
Annual ABSITE review is incredibly helpful, and such a nice break from staring at a computer screen! I listen on my way to/from work every day, making my commute a more efficient use of time. The topics outside of ABITE are also great tools for learning more about current issues in surgery as well as a career development and hot topics at annual meetings. This is an invaluable resource – I would highly recomment to every surgical resident, fellow, and faculty invested in surgical education!
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MS4
Amazing podcasts, great ABSITE series, fascinating interviews with leaders in the field! Wish I had discovered years ago!
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