Behind the Knife is the world’s #1 surgery podcast. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!
Behind the Knife is more than a podcast. Visit http://www.behindtheknife.org to learn more.
Join the University of Washington Surgical Palliative Care Team for their final episode of this series — a dual journal review and clinical challenges discussion on assessing medical decision-making capacity. Using Dr. Paul Applebaum’s foundational framework, the team outlines the four key criteria for evaluating capacity and brings the topic to life through two contrasting standardized patient scenarios. This episode highlights why capacity assessment is not only relevant but essential for surg...
In their last Behind the Knife episode, the Hernia Content Team from Carolinas Medical Center discusses quality improvement in abdominal wall reconstruction (AWR). The complexity of AWR patients makes this discipline a perfect match for quality improvement efforts. The group review two papers published by their group: one that tracks patient outcomes over time and then another that reviews a specific quality improvement initiative (penicillin allergy protocol). Hosts: · Dr. Sullivan “Sully” Ayus...
Welcome to our new series – the AI Journal Club! In this series, we’ll cover some interesting studies and evidence-based applications of artificial intelligence in surgery in a case-based format. Surely AI can find a DVT by now … or can it? Stay tuned and find out! Hosts: - Ayman Ali, MD Ayman Ali is a Behind the Knife fellow and general surgery PGY-3 at Duke Hospital in his academic development time where he focuses on data science, artificial intelligence, and surgery. - Ruchi Thanawala, MD: @...
It is the final episode of our Challenging Cases in Emergency General Surgery series and we’re diving into another dreaded topic: the complex abdominal wall. This structure is a daily partner to the general surgeon—but when things go wrong, it can quickly become our biggest challenge. In this episode, we’ll walk through the emergency presentation of a patient with multiple prior hernia repairs and mesh placements, and how these complicate diagnosis and management. From imaging pearls to OR decis...
We got the gang together (minus John, who is on mission). Today, we are talking about diverticulitis with super expert Scott Steele. Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis. We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emerg...
In our recent episode on global burn surgery with Dr. Barclay Stewart and Dr. Manish Yadav, we discussed several cases at Kirtipur Hospital in Nepal to illustrate the global burden of burns and similarities and differences in treating burns at Harborview Medical Center, a level 1 trauma and ABA verified burn center in Seattle, WA and Kirtipur Hospital (Nepal Cleft and Burn Center) in Kathmandu, Nepal. In this episode Dr. Stewart and Dr. Yadav return for an interview by UW Surgery Resident, Paul ...
Surgical conferences are a forum of the profession–where we all gather to socialize, share clinical experiences, promote academic work, and learn from each other. But what goes into putting these conferences together? In this next installment of the BTK/ASGBI collaborative series, Jon Williams and ASGBI co-hosts Kellie Bateman and Jared Wohlgemut welcome Mr. Dimitrios Damaskos from Edinburgh and Dr. Anne Lidor from the University of Wisconsin to take a look behind the scenes of conference planni...
Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for round...
Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for round...
Hey APPs - Are you ready to DOMINATE surgery? Well let's go! Perform at the highest level on day one of your rotation using our easy to navigate text, tables, flashcards, podcasts, and videos. Go beyond rote memorization and learn what really matters. We are talking practical, high-yield, and engaging content all available at your fingertips. Get the information you need to know FAST. Whether it's learning how to two-hand tie, work up a patient with a colon mass, or organizing yourself for round...
In this episode, the Surgical Endoscopy team, accompanied by Chief Medical Officer Dr. Brian Dunkin of Boston Scientific, review primary and revisional endoscopic treatment options for bariatric patients. They focus on the emerging data available for procedures such as endoscopic sleeve gastroplasty (ESG) and endoscopic gastrojejunal revision (EGJR) and offer technical tips on how to perform the procedures. In addition, they discuss accessibility challenges for patients and provide insight into ...
Thinking about doing an away rotation? In this episode of Behind the Knife, we break down everything you need to know about away rotations and sub-internships. From how to apply and what to expect to making a great impression and building connections, we’ve got you covered. Plus, we discuss whether you should even do an away rotation at all and how to decide if it's the right move for your application. We’re joined by a fantastic and diverse group of general surgery residents who share their ins...
Listen as we discuss the highly-awaited ESOPEC trial, which examines treatment regimens for esophageal and EGJ adenocarcinoma. Wildly impress your thoracic attendings or peers with your nuanced knowledge! FLOT who? You’ll know. Pull out the paper and listen along! Learning Objectives: -Discuss the patient population in the ESOPEC trial -Discuss the main differences between the ESOPEC trial and the CROSS trial -Describe the main drawbacks between FLOT and the CROSS regimen. Hosts: Chloe Hanson MD...
In 2002 a group of surgeons got together and radically changed surgical training forever. They just got together again... They call themselves the Blue Ribbon Committee. When they met in 2002 they addressed critical issues such as residency structure, specialization, work-life balance, and simulation-based training. Now, with rapid advancements in medicine and education, BRC II has revisited these topics and introduced new priorities to ensure that surgical education meets the demands of the mod...
This episode reviews the management and surgical treatment of bowel endometriosis, featuring Dr. Farr Nezhat. The discussion covers surgical techniques like shave excision, disc resection, and segmental resection, weighing the importance of multidisciplinary care and long-term functional outcomes. Key topics include pre-operative assessment, intraoperative decision-making, and minimizing complications to preserve fertility and quality of life.
The hosts discuss common trauma pitfalls, emphasizing the importance of recognizing subtle signs of underlying issues. Topics include altered mental status due to opioid intoxication, the dangers of prolonged surgery leading to trauma-induced coagulopathy, the necessity of damage control surgery, the decision to perform fecal diversion, and recognizing hemorrhagic shock from external bleeding. The episode also covers early VATS for retained hemothorax.
The hosts discuss common trauma pitfalls, offering insights and advice for surgeons. They cover scenarios such as intubating patients in hemorrhagic shock, using long-acting paralytics in TBI, managing trauma transfers, deciding on limb salvage versus amputation, and remembering to close traumatic hernias. The episode aims to improve trauma care by highlighting potential errors and promoting proactive decision-making.
In the third episode of our rural surgery series, Dr. Cody Mullens meets with Dr. Randy Lehman, a rural general surgeon from Rensselaer, Indiana to discuss rural practice, lifestyle, resources, and tips & tricks for general surgery residents interested in pursuing rural practice. The Rural American Surgeon Podcast and Contact: https://www.theruralamericansurgeon.com/ The North American Rural Surgery Society: https://www.northamericanrss.org/ ***Fellowship Application Link: https://forms.gle/...
In the second episode of our rural surgery series, Dr. Cody Mullens sits down with Dr. Brad Muncy, a 2nd year general surgery resident at Marshall University Rural General Surgery Residency Program and Dr. Jodi Cisco-Goff, an Associate Program Director at Marshall University Rural General Surgery Residency Program to discuss educating and training rural surgeons at Marshall University, the first of its kind training program. ***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9 Ple...
Introducing a new series on rural surgery - In this episode, BTK fellow Dr. Cody Mullens sits down with Dr. Bret Autrey, a general surgery attending at Ludington Hospital in Ludington, MI. Dr. Autrey is a career rural surgeon who discusses, in detail, rural surgery practice, how it's evolved, and both the upside and challenges of practicing rural general surgery. ***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9 Please visit https://behindtheknife.org to access other high-yield...
Join BTK hosts Dr. Scott Steele and Dr. John McClellan and our guest Julia Zumpano, RD. She is a registered dietitian at the Cleveland Clinic’s Center for Human Nutrition, and her expert insight helped inform the guidelines for two programs featured in the hospital’s new wellness and diet coaching app, the Cleveland Clinic Diet app. Both programs aim to educate and empower users in making healthier diet and lifestyle choices. ***Fellowship Application Link: https://forms.gle/PQgAvGjHrYUqAqTJ9 Pl...
Dr. Christian Jones was a trauma and acute care surgeon, and an early innovator in surgical education. Dr. Jones generously participated and promoted Behind The Knife in its early years. He passed away in late 2024, and we spend the first 15 minutes of this episode reflecting on the person he was and the impact he made in surgery. Here is a link to his obituary https://www.peacefulalternatives.com/obituary/christian-jones Dr. Lisa Kodadek is a trauma and acute care surgeon at Yale. She was a res...
This episode features trauma surgery experts discussing the use of tranexamic acid (TXA) in trauma care, covering its mechanisms, controversies, and practical applications. They delve into key trials like CRASH-2, STAMP, PATCH, and ROC TXA, offering insights on patient selection, dosing, and timing of TXA administration. The discussion clarifies the benefits and potential risks of TXA in trauma and traumatic brain injury, emphasizing early administration.
In this second part of a two-part series on disability insurance, Kevin and Larry delve into the specifics of Guaranteed Standard Issue (GSI) disability insurance. They discuss what GSI is, why it's crucial for residents and fellows, and how to avoid common pitfalls that could jeopardize eligibility.
In this first part of a two-part series, Dr. Kevin Kniery interviews Insurance Agent and Certified Financial Planner professional Larry Keller about the fundamentals of disability insurance for physicians, particularly surgeons. They discuss the importance of individual disability policies, key differences between policies, and how to choose the right agent. ***Fellowship Application Form: https://forms.gle/PQgAvGjHrYUqAqTJ9 Please visit https://behindtheknife.org to access other high-yield surg...
The Vascular Surgery Subspecialty Team dives into the pressing issue of burnout among vascular surgery trainees. Unveiling surprising statistics and expert insights, they explore the alarming prevalence of burnout, its causes like work-home conflict and physical discomfort, and the protective role of mentorship and a supportive learning environment. With research-backed discussions, they navigate strategies to combat burnout and enhance the well-being of medical professionals. Hosts: Dr. Bobby B...
Do you find yourself saying: “Hey, what’s the big idea with that newfangled whole blood in the refrigerator next to the trauma bay?” Like using whole blood but not sure why? Don’t like using whole blood but not sure why? Join us for a 30 minute power session in whole blood where we try to get you the information you need to know! Hosts: - Michael Cobler-Lichter, MD, PGY4/R2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (X/twitter) - Eva Urrechaga, MD, PGY-8, Vascul...
Join the BTK crew as they discuss how surgeons maintain relationships despite the demanding nature of their profession. The speakers are surgeons at different career stages (residents, fellows, attendings) and they share tips and tricks for maintaining relationships with significant others, children, parents, and friends. ***Scroll to the bottom and download our Coloring and Activity book for Kids here: https://app.behindtheknife.org/home ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.c...
Join the Behind the Knife Bariatric Surgery Team as they kick off 2025 with a crucial discussion on pediatric and adolescent bariatric surgery. Drs. Matt Martin, Adrian Dan and Katherine Cironi delve into the latest ASMBS guidelines, comparing long-term outcomes of gastric bypass and sleeve gastrectomy in adolescents versus adults. They explore key comorbidities, including type 2 diabetes, hypertension, and orthopedic issues, and emphasize the importance of early intervention. This episode also ...
This episode explores the impact of generational differences on surgical education, offering strategies for effectively teaching learners from Baby Boomers to Gen Z. It covers defining characteristics of each generation, adapting teaching styles, and fostering inclusive learning environments. The discussion highlights the unique strengths and challenges each generation brings to medical education, emphasizing the importance of meeting learners where they are to enhance team learning and patient care.
