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Thank you so much for joining us on Cold Steel!
The tremulous surgeon seems like such an oxymoron, an impossible paradox. The reality of course, is that many surgeons have a tremor. Our discussion on this episode with Lilli Cooper on tremors was a wonderful exploration of performance anxiety in surgery. Lilli Cooper is a plastic surgeon in the UK, and produced a segment for the BBC on tremors in surgeons. We caught up with her to talk about what she’s learned about tremors and the insights she has on performance in surgery. You can check out all the work she does on her website https://lillicooper.co.uk/.
Links:
1. https://lillicooper.co.uk/
2. https://www.bbc.co.uk/programmes/m0021j9y
3. A pilot study of performance enhancement coaching for newly appointed urology registrars. https://pubmed.ncbi.nlm.nih.gov/38767172/
4. Enhancing surgical performance by adopting expert musicians' practice and performance strategies. https://www-sciencedirect-com.proxy.queensu.ca/science/article/pii/S0039606017306323
5. Romy Nitsch and Jen Mccall on Imposterism in Surgery. https://open.spotify.com/episode/3UuP5JTGuhP8J2JvycoEFh
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We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
Dr. Morad Hameed is an innovator, leader, and trauma surgeon. He currently is the chief of acute care surgery at Stanford University and held many leadership roles within Canada. We don’t really think we can do justice to this talk. Nominally this talk was about transitions in practice during a surgical career, but really this talk was an ode to joy in surgery and how we can find fulfillment as both surgeons and human beings.
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Bio:
Morad Hameed is a trauma surgeon, intensivist, and public health researcher. He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami. He spent 3 years on the surgical faculty at the University of Calgary, before moving to the University of British Columbia (UBC), where he spent 19 years at the Vancouver General Hospital (VGH), which is the home of province-wide centers of excellence in trauma surgery and critical care.
His clinical interests span innovations in trauma surgery and emergency general surgery (including chest wall trauma, abdominal wall reconstruction, and applications of extracorporeal life support in trauma), process and quality improvement, surgical rescue, value-based healthcare, and surgical systems. He has been a committed surgical educator who served as the director of one of Canada’s most dynamic surgical residency programs, and one of its most accomplished trauma and acute care surgery fellowship programs. He has won divisional, departmental, hospital-wide, and province-wide awards for his teaching. His main research interest is in public health aspects of trauma and emergency surgery, including social determinants of health and disparities in access to high quality emergency surgical care, and his research programs have received support from the Michael Smith Foundation and the Canadian Institutes of Health Research.
Dr. Hameed’s leadership roles have included terms as the Head of the VGH and UBC Divisions of General Surgery and President of the Canadian Association of General Surgeons. His work with these organizations has prioritized creativity, innovation, inclusive networks, and cross-disciplinary partnerships to rethink and redesign systems of surgical care.
He is excited to arrive at Stanford, where he is blessed to begin to work with another exceptionally talented group of trauma and acute care surgeons and intensivists. At Stanford, Dr. Hameed is inspired to help build surgical services that explore the intersections of surgery with data science, organizational theory, public health, global health, and sustainability, and that contribute to the pursuit of universal access to high quality surgical care and the highest standards of human health in California and around the world.Links:
E141 Journal Club with Morad Hameed on Cardiac InjuriesE105 Death, Dying, and MAID in Surgery with Kelly Vogt and Morad HameedE94 Mental Health and Surgery with Rebecca Afford, JJ Sidhu and Morad HameedE28 Equity in Surgery with Julius Ebinu, Shahzeer Karmali, and Morad HameedE14 COVID19 with Neil Parry And Morad HameedE02 Morad Hameed on Process-Mapping in ACS -
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We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
Dr. Morgan Schellenberg is a trauma and acute care surgeon who recently joined us back in Canada as a staff surgeon at St. Michael’s Hospital in Toronto. She lays out some very practical advice about one of the most important decisions we have to make at the end of the very long road of training: how to choose your first job! Dr. Schellenberg also has some really keen insights into working in the US versus Canada.
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Bio:
Dr. Morgan Schellenberg is a trauma and acute care surgeon at St. Michael’s Hospital in Toronto. Previously she did her residency at Queen’s University and fellowship at Keck School of Medicine of USC and subsequently went on to practice in Los Angeles.
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We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
Dr. Ashlie Nadler is an Assistant Professor at the University of Toronto and practices at Sunnybrook Hospital. She has unique training in both acute care surgery as well as surgical oncology. In this talk, she examines the adage of being “Available, Affable, and Able” as a mantra for success in a surgical career.
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Bio:
Dr. Ashlie Nadler has been appointed in the Department of Surgery, Division of General Surgery, University of Toronto as an Assistant Professor and Surgeon-Teacher at Sunnybrook Health Sciences Centre. Ashlie completed the medical program and General Surgery Residency Program at the University of Toronto. She then did a surgical oncology fellowship in Philadelphia at the Fox Chase Cancer Center and at the same time did a Master of Public Health, Drexel University, in Philadelphia. Ashlie is Sub-section Lead, Acute Care Surgery, Department of Surgery and Integrated Community Program, Sunnybrook Health Sciences Centre. Her clinical interests are in acute care surgery and emergency surgical oncology. Her research interests are in quality improvement, education, and acute care surgery.
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We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
Dr. Kelly Vogt is an acute care and trauma surgeon at Western University in London, Ontario and is an outstanding surgeon-scientist. Dr. Vogt lays out her advice for starting a career in research as a surgeon, and how to navigate everything from involving trainees to writing your first grant. She’s a longstanding friend of the podcast, and you can check out all the other episodes we’ve done with Dr. Vogt in the shownotes.
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Bio:
Dr. Kelly Vogt joined the Division of General Surgery, Department of Surgery, Western University in September of 2014, and is appointed at London Health Sciences Centre’s Victoria Hospital. Dr. Vogt is a recipient of the Schulich Clinician-Scientist Award. As a Schulich Clinician Scientist, she will have protected time to further her research in clinical epidemiology, specializing in clinical trials, and registry-related research in the field of Acute Care Surgery and Trauma.
After graduating from the University of Waterloo with a BSc in Health Studies, Dr. Vogt received her medical degree and general surgery residency training at Schulich School of Medicine & Dentistry, Western University. Dr. Vogt also received a MSc in Health Research Methodology from McMaster University, a degree she completed during her residency. Upon finishing her residency, Dr. Vogt joined the Division of Acute Care Surgery LA County, University of Southern California Medical Center in Los Angeles where she completed a fellowship program in trauma and surgical critical care, followed by an appointment to the Division as a Clinical Instructor.
Links:
https://soundcloud.com/cjs-podcast/e04-csf-edition-kelly-vogt-on-the-evolution-of-acs-tips-for-a-career-in-academic-surgeryhttps://soundcloud.com/cjs-podcast/e105-death-and-dying-in-surgery-with-kelly-vogt-and-morad-hameedhttps://soundcloud.com/cjs-podcast/surgical-companion-2-rbghttps://soundcloud.com/cjs-podcast/surgical-companion-1-the-aging-surgeon
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We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
Dr. Rob Leeper is an acute care and trauma surgeon at Western University in London, Ontario. Dr. Leeper gives a talk that I wish I had heard when starting out in practice, and gives some profound advice on how to think about a surgical career as well as some really practical advice such as, “Give me Cordis or give me death!”
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Bio:
Dr. Rob Leeper is an Assistant Professor in the Department of Surgery at Western University. He is an acute care and trauma surgeon with an interest in resuscitation, both inside and outside the operating room. He did residency in Western and went on to do a prestigious trauma fellowship at Johns Hopkins University. He is the father of 3 and a former college football player.
Links:
https://soundcloud.com/cjs-podcast/e127-rob-leeper-on-data-driven-competitive-trauma-simulation-and-starting-out-in-practice -
We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career.
I was really honoured to be asked to talk about culture in surgery. It was great to reflect on many of the discussions we’ve had through the years on the podcast and think about what we can continue to improve the culture of surgery.
As always, we’d love to hear your thoughts and feedback, so please email us at [email protected].
Links:
Treatment of Ongoing Hemorrhage: The Art and Craft of Stopping Severe Bleeding. https://www.amazon.ca/Treatment-Ongoing-Hemorrhage-Stopping-Bleeding/dp/3319634941https://canucs.ca/Rhea Liang and Simon Fleming on Culture Change in Surgery: https://www.canjsurg.ca/cold-steel-episode-81-rhea-liang-and-simon-flemingEffects of Hierarchy in the OR: https://academic.oup.com/bja/article-abstract/110/3/463/249144Elaine Bromiley: https://www.youtube.com/watch?v=6qKYRDxwQf8Haytham Kaafarani : https://open.spotify.com/episode/6MiYBhgt2k7qDMCxUZt537 -
As a trainee, I rarely thought about the details of setting up your own office, and yet I always felt that there had to be a way of doing it better.
Dr. Erin King-Mullins is a colorectal surgeon in Fayetteville, Georgia. She created the Colorectal Wellness Center. On this episode, we talk to her about why and how she created the Colorectal Wellness Center. Along the way we get her insights on entrepreneurship, creativity, and paving your own way.Links:
Dr. King-Mullin’s children’s book “Mommy! I made a Boo-Boo”: https://www.amazon.ca/Mommy-Made-Boo-Boo-Erin-King-Mullins/dp/B0CF4LKWRCCorona-Mamas: https://www.godaddy.com/resources/mindset/godaddy-qa-corona-mamas-erin-king-mullinshttps://colowellness.com/ -
Dr. Elena Parvez is a surgical oncologist and Assistant Professor in the Department of Surgery. Her clinical expertise and research interests are in breast cancer. She is exploring breast cancer outcomes in refugees to Canada who have breast cancer. She has received funding from Canadian Institutes of Health Research (CIHR) to conduct a trial which identifies a strategy to avoid post-neoadjuvant radiation therapy in patients with locally advanced breast cancer who have a complete response to neoadjuvant chemotherapy.
She presented this work at the “Best of CSF Research 2023” session last year.
Join us at the upcoming CSF in Winnipeg!
https://www.canadiansurgeryforum.com/
Links:
Adjuvant radiation therapy among immigrant and Canadian-born/long-term resident women with breast cancer. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10718225/https://experts.mcmaster.ca/display/parveze https://www.canadiansurgeryforum.com/Well the summer has come and gone and we’re back into the swing of things! We’re really excited that in a couple of weeks, many surgeons from across Canada will be meeting for our largest national conference, the Canadian Surgical Forum. This year it is in the lovely city of Winnipeg. It’s a time to catch up with friends and colleagues across the country, and to hear the amazing work that’s been going on. This is a teaser for the type and calibre of work that goes on at CSF. Dr. Elena Parvez presented this work last year at the best research of CSF 2023 session. Dr. Parvez is an assistant professor of surgery at McMaster University in Hamilton. Her clinical practice is in surgical oncology. In this episode, she presented her work on adjuvant radiation therapy among immigrant and Canadian-born women with breast cancer.
We look forward to meeting many of our listeners at CSF this year and we’ll be recording some interviews live at CSF. We’d love to hear your feedback and suggestion for content for the upcoming year. As always, you can also send your thoughts to [email protected].
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Thank you so much for joining us on the podcast!
In many philosophical and religious traditions, there is an emphasis on how intentionality is one of the fundamental tenets of being able to live a fulfilling life. Marcus Aurelius wrote, “You have power over your mind – not outside events. Realize this and you will find strength.” One surgeon who is trying to restore that intentionality back to the culture of surgery is Dr. Sharon Stein. Dr. Stein is a colorectal surgeon who has been at the pinnacle of academic surgery and has been among many other things the past president of the Association of Women Surgeons, Chair of American College of Surgeons Women in Surgery Committee, and an executive council of the American Society of Colon and Rectal Surgeons. Recently, Dr. Stein started the Intentional Surgeon podcast, dedicated to helping surgeons rediscover their purpose. We had a powerful discusson on a whole myriad of topics, with the throughline of how we can try to restore intentionality and purpose to everything that we do. You can find Dr. Stein on her website www.intentionalsurgeon.com and you can also email her at [email protected] as well as on X at @slssteinmd1.
Links:
Intentional Surgeon podcast: https://www.intentionalsurgeon.com/Gender Inequity in the Clinical Setting. Clin Colon Rectal Surg. 2023 Sep; 36(5): 309–314.Association of Women Surgeons 2020 Presidential Address: Sculpting our Future. https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/33046220/ -
In this episode, we spoke with Drs. Jen McCall and Romy Nitsch about imposterism. Dr. McCall is a minimally invasive gynecology fellow at the University of Ottawa and Dr. Nitsch is a minimally invasive gynecologist at Queen’s University. The two researchers, along with Jessica Pudwell and Jamie Pyper, recently published a study in the Journal of American College of Surgeons on imposter phenomenon in women surgeons. Their study highlights the near universal phenomenon of imposter phenomenon among women surgeons, some of the risk factors associated with imposterism, and perhaps some strategies for how we might mitigate it.
Jennifer McCall X/Twitter: https://x.com/jenn__mccall
Romy Nitsch X/Twitter: https://x.com/romynitsch
Links:
Dr. McCall and Nitsch’s article in JACS: Impostor Phenomenon and Impact on Women Surgeons: A Canadian Cross-Sectional Survey. https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/38712839/Mann A, Shah AN, Thibodeau PS, et al. Online well-being group coaching program for women physician trainees: a randomized clinical trial. JAMA Netw Open 2023;6:e2335541 –e2335541. -
On this episode, Dr. Elizabeth Squirrell joined us to talk about Crohns disease. Dr. Squirrell is a staff gastroenterologist at Queen’s University and has a special expertise in inflammatory bowel disease. In this two part series, we first talk about the diagnosis of crohns disease and the different patterns of its presentation. In part 2, we talk about the changing landscape of medical therapy for Crohns disease and how Dr. Squirrell approaches the treatment of Crohns. Make sure to check out the links below for all the papers that are discussed in both part 1 and part 2 of this series.
Links:
Is there an optimal sequence of biologic therapies for inflammatory bowel disease? – Brian Bressler: https://journals.sagepub.com/doi/10.1177/17562848231159452Vedolizumab as Induction and Maintenance Therapy for Crohn's Disease – Sandborn et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa1215739They measured Clinical remission at week 6 and did have a significant result in one of their groups (p=0.02) but had a remission rate of 14.5% in the double-blind group and 17.7% in the open label group. Contrasted to the ustekinumab study (below) where they measured at 8 weeks and record 40.2% remission in biologic naïve patients and 20.9% remission in prior TNF exposed patients (the vedo study was a mix of bio exposed and bio naïve so would expect somewhere between). Ustekinumab as Induction and Maintenance Therapy for Crohn’s Disease – Feagan et al. - https://nejm.org/doi/full/10.1056/NEJMoa1602773#APPNEJMoa1602773SUPECCO-ESCP Consensus on Surgery for Crohn’s Disease – Bemelman et al. - https://academic.oup.com/ecco-jcc/article/12/1/1/3813784Cardiovascular and Cancer Risk with Tofacitinib in Rheumatoid Arthritis – Ytterberg et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa2109927ACG Clinical Guideline: Management of Crohn's Disease in Adults – Lichtenstein et al. - https://journals-lww-com.proxy.queensu.ca/ajg/Fulltext/2018/04000/ACG_Clinical_Guideline__Management_of_Crohn_s.10.aspxCanadian Association of Gastroenterology Clinical Practice Guideline for the Management of Luminal Crohn’s Disease – Panaccione et al. - https://www.cag-acg.org/images/publications/CAG-CPG-Luminal-Crohns-Disease-JCAG-July2019.pdf -
On this episode, Dr. Elizabeth Squirrell joined us to talk about Crohns disease. Dr. Squirrell is a staff gastroenterologist at Queen’s University and has a special expertise in inflammatory bowel disease. In this two part series, we first talk about the diagnosis of crohns disease and the different patterns of its presentation. In part 2, we talk about the changing landscape of medical therapy for Crohns disease and how Dr. Squirrell approaches the treatment of Crohns. Make sure to check out the links below for all the papers that are discussed in both part 1 and part 2 of this series.
Links:
EXPERIENCES WITH PREFRONTAL LOBOTOMY FOR INTRACTABLE ULCERATIVE COLITIS. https://jamanetwork.com/journals/jama/article-abstract/304807 ACG Clinical Guideline: Management of Crohn's Disease in Adults. https://journals-lww-com.proxy.queensu.ca/ajg/Fulltext/2018/04000/ACG_Clinical_Guideline__Management_of_Crohn_s.10.aspx The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1856208/ -
Dr. Sharmila Dissanaike is a trauma and acute care surgeon and is the chair of surgery at Texas Tech University. She holds multiple national leadership roles, including as President-Elect of the American Burn Association, Vice-President of the Southwest Surgical Congress, and Governor of the American College of Surgeons. We really delved into her thoughts on her philosophy on leadership. How do you create a supportive culture? How do you make the hard decisions and have the hard conversations? Most importantly, how do we stay true to ourselves and our own values?
X/Twitter: https://x.com/DissanaikeMD
Links:
Burnout, shiftwork and suicide: 2022 Scott B. Frame Memorial Lecture. https://journals-lww-com.proxy.queensu.ca/jtrauma/fulltext/2022/07000/burnout,_shiftwork_and_suicide__2022_scott_b_.21.aspxNew Yorker piece about Brittany Bankhead-Kendall, a trauma surgeon recruited & supported by Dr. Dissanaike: https://www.newyorker.com/science/medical-dispatch/a-doctors-dark-yearHow to prevent burnout (maybe): https://pubmed.ncbi.nlm.nih.gov/27810134/ -
Dr. Bellal Joseph is a trauma surgeon and the chief of the division of trauma, surgical critical care, burns, and acute care surgery at the University of Arizona in Tucson. While it was impossible to delve into the breadth and depth of his research interests, we did explore some of our favorites with Dr. Joseph, including his ongoing investigation into new technologies like REBOA, traumatic brain injuries, and frailty in surgery. What shines through in this conversation is Dr. Joseph’s incredible authenticity, energy and passion for injured and disadvantaged patients, as well as his vision for how physicians can embrace their own brand.
X/Twitter: https://x.com/TopKniFe_B
1. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma: https://pubmed.ncbi.nlm.nih.gov/30892574/
2. Conflicts of interest and REBOA: https://pubmed.ncbi.nlm.nih.gov/37316993/
3. Brain Injury Guidelines? https://pubmed.ncbi.nlm.nih.gov/35343931/
4. Trauma Specific Frailty Index (TSFI)? https://journals.lww.com/jtrauma/abstract/2023/01000/prospective_validation_and_application_of_the.6.aspx
5. Evaluation of Frailty Assessment Compliance in Acute Care Surgery: Changing Trends, Lessons Learned. https://pubmed.ncbi.nlm.nih.gov/34710704/
Some of our favourite tweets:https://x.com/TopKniFe_B/status/1759365974141321232https://x.com/TopKniFe_B/status/1752607469552157060https://x.com/TopKniFe_B/status/1752014880578949430 -
Janice Kwan is an internist at Mount Sinai Hospital in Toronto. Her research interests focus on health care quality and diagnostic error. She collaborated with folks from the Canadian Medical Protective Association (CMPA) to investigate diagnostic errors in surgery. Her paper, published in the Canadian Journal of Surgery, highlight the significant consequences of diagnostic errors in surgery. We also talked about de-biasing techniques and other strategies for reducing diagnostic error in surgery.
Janice Kwan Twitter: https://twitter.com/kwanjaniceLinks:
Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. https://www.canjsurg.ca/content/67/1/E58 Diagnostic Process: https://www.improvediagnosis.org/processes/the-diagnostic-process/ Improving Diagnosis in Healthcare: https://nap.nationalacademies.org/resource/21794/interactive/ I-PASS tool: https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html Society to Improve Diagnosis in Medicine (SIDM) Fellowship in Diagnostic Excellence. https://www.improvediagnosis.org/sidmfellowship/#:~:text=The%20Society%20to%20Improve%20Diagnosis,error%20community%2C%20and%20help%20you -
Most of us come out of training and have no idea on how to balance a busy clinical practice, academic interests, and most importantly, our home and personal lives. Mr. Adi Kumar is trying to change that. Mr. Kumar is a consultant neurosurgeon in the UK and has written a book called Work Less, Live More: The Doctor’s Guide for Time Freedom. We caught up with him to talk about his unconventional academic interests and his thoughts on how we as physicians can lead more fulfilling lives.
Work Less, Live More e-book: https://adi-kumar.ghost.io/worklesslivemore/https://adi-kumar.ghost.io/Doctors and Writers: https://doctorsandwriters.com/X/Twitter: https://twitter.com/adi_kumar1#038 Why being a surgeon is a Loser's Game. https://adi-kumar.ghost.io/038-why-being-a-surgeon-is-a-losers-game/ The Neurosurgeons YouTube channel. https://www.youtube.com/c/TheNeurosurgeons
Links: -
Shiva Jayaraman is a minimally invasive and hepatobiliary surgeon at St. Joseph’s Hospital. He’s been traveling around the world talking about his innovative peer-to-peer coaching program for bile duct injuries. Not only is this such an important clinical topic that virtually every general surgeon in the world has to deal with, but his group’s approach to coaching is something that we should be trying to replicate on a national and international level.
Make sure to check out part 2 of our interview with him, a masterclass on subtotal cholecystectomy: https://youtu.be/9ptTuPCJ8WA
Twitter: @cutitoutPODCAS1
Shiva's YouTube: https://www.youtube.com/channel/UCKUnmUDH1z3c9VMR1iv6tpg
Links:
Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury. https://pubmed.ncbi.nlm.nih.gov/34111530/Shiva’s Approach to Tough Gallbags: https://www.youtube.com/watch?v=oX35O61qga0 The inferior boundary of dissection as a novel landmark for safe laparoscopic cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/33648820/The Academy of Surgical Coaching. https://surgicalcoaching.org/Personal Best by Atul Gawande. https://www.newyorker.com/magazine/2011/10/03/personal-bestThinking your way through a difficult subtotal cholecystectomy. https://journals-lww-com.proxy.queensu.ca/journalacs/fulltext/2022/12000/thinking_your_way_through_a_difficult_laparoscopic.23.aspxTVASurg: www.tvasurg.ca/lapchole -
On this episode, we had the opportunity to speak with Beverly Blaney. Bev is a psychotherapist who has extensive experience doing therapy with physicians in particular, as well as conducting workshops on mindfulness for Queen’s School of Medicine. We asked her about her perspective on the psychological challenges surgeons experience during their training, and her thoughts on what we could do to make ourselves more resilient.
Links
1. Atomic habits by James Clear
2. Essentialism: The Disciplined Pursuit of Less – Greg McKeown
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We sat down with arguably the world expert on low anterior resection syndrome. Dr. Marylise Boutros (https://twitter.com/BoutrosMarylise) is an academic colorectal surgeon at Cleveland Clinic Florida.. Dr. Boutros talks about her pioneering research to understand and treat the challenging functional issues that patients must content with.
We also talk about her move to Cleveland Clinic and her advice for an academic surgical career.
Links:
Low Anterior Resection Syndrome: Predisposing Factors and Treatment. https://pubmed.ncbi.nlm.nih.gov/34863592/Low Anterior Resection Syndrome in a Reference North American Sample: Prevalence and Associated Factors. https://pubmed.ncbi.nlm.nih.gov/37466264/ Financial and occupational impact of low anterior resection syndrome in rectal cancer survivors. https://pubmed.ncbi.nlm.nih.gov/33724620/ Assessing the readability, quality and accuracy of online health information for patients with low anterior resection syndrome following surgery for rectal cancer. https://pubmed.ncbi.nlm.nih.gov/30609222/ Comparison of the Colonic J-Pouch Versus Side-To-End Anastomosis Following Low Anterior Resection: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/37507144/
Bio (from Cleveland Clinic website)Marylise Boutros is a Staff Colorectal Surgeon at the Cleveland Clinic Florida and the Regional Digestive Disease InstituteDirector of Research. Previously, Dr. Boutros was a Colorectal Surgeon at the Jewish General Hospital, Professor of Surgery at McGill University, and Colorectal Surgery Program Director. Having completed General Surgery residency at McGill University and Colorectal Surgery residency at Cleveland Clinic Florida, her clinical interests are advanced minimally invasive approaches to benign and malignant colorectal and anorectal diseases. She treats colon and rectal cancer, inflammatory bowel disease, diverticular disease, fecal incontinence and all anorectal disorders.
Dr Boutros is a federally funded researcher who currently leads an internationally renowned research program focused on assessing innovations to improve recovery and functional outcomes after colorectal surgery using multicentre prospective trials, patient-centred interventions and patient-reported outcome measures. Within her research program, Dr Boutros has mentored over forty trainees and graduate students. Dr Boutros also has leadership roles in multiple international societies including Society of American Gastrointestinal and Endoscopic Surgeons, American Society of Colon and Rectal Surgeons, Canadian Society of Colon and Rectal Surgeons and the Canadian Association of General.
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