In this BTK episode, the Hernia Content Team from Carolinas Medical Center discusses the evolution of training in hernia surgery. The team reviews residency and fellowship training requirements for hernia surgery and compares the training paradigm in the United States with other examples from around the world. As the field of hernia surgery continues to mature, so will training the next generation of hernia specialists. Hosts: - Dr. Sullivan “Sully” Ayuso, Minimally Invasive Surgery, Endeavor He...
Nov 18, 2024•29 min•Transcript available on Metacast The pancreatic anastomosis is often regarded as the “Achilles Heel” of the Whipple operation, as technical failure and leakage is a significant source of perioperative morbidity and mortality. In this episode from the HPB team at Behind the Knife listen in as we discuss the standard techniques for the anastomosis, alternative techniques for the pancreatic anastomosis in patients with aberrant anatomy and/or physiology, key factors to consider when selecting the ideal approach/technique for the a...
Nov 14, 2024•21 min•Transcript available on Metacast We’re excited to bring you the second episode in our BTK/ASGBI collaborative series, where we compare and contrast various aspects of surgery in the US and the UK, debating who does it better. In today’s episode, BTK fellow Jon Williams and ASGBI hosts Kellie Bateman and Jared Wohlgemut welcome the Christian Macutkiewicz from the UK and Scott Steele to discuss surgeon careers--from getting your first faculty job to broadening your impact to compensation structures. Dr. Macutkiewicz is the Presid...
Nov 11, 2024•50 min•Transcript available on Metacast The dreaded esophageal injury. Do you still have nightmares about mock oral board scenarios torturing you with the ins and outs of how to manage traumatic esophageal injury? Think you remember all the nuances? Whether you do or you don’t, this episode should serve as a good refresher for all levels while offering some pearls for management of this tricky scenario. Hosts: - Michael Cobler-Lichter, MD, PGY4/R2: University of Miami/Jackson Memorial Hospital/Ryder Trauma Center @mdcobler (X/twitter)...
Nov 07, 2024•27 min•Transcript available on Metacast You have a patient with another episode of acute uncomplicated diverticulitis. This is the third episode. Do they need antibiotics? Is surgery the next step? What is their risk of recurrence with or without surgery? Tune in to find out! Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Jason Hall MD, MPH as they discuss high yield papers discussing diverticulitis. Learning Objectives: 1. Describe the impact on quality of life for patients who undergo surgery or non-ope...
Nov 04, 2024•32 min•Transcript available on Metacast We are seeing a 42F in the emergency room who underwent a laparoscopic sleeve gastrectomy 11 days ago. The operation was uneventful, and she had a negative airleak test. She had an uneventful postoperative course and was discharged on POD 1. Her medical history is significant for hypertension and hyperlipidemia, and he has no other surgical history. She has been able to keep up with her clear liquid diet. She complains that this morning she experienced abdominal and palpitations. You note her vi...
Oct 31, 2024•34 min•Transcript available on Metacast In this episode, we have a discussion about the intersection of health design/architecture and surgery with Dr. Andrew Ibrahim, a trained architect and practicing general surgeon and health services researcher. We discuss how hospitals, ICUs, operating rooms, and trauma bays are designed and the evidence behind them. Host: Cody Mullens, general surgery resident at the University of Michigan, current Behind the Knife Surgery Education Fellow. (@Cody_Mullens) Guest: Dr. Andrew Ibrahim. Associate P...
Oct 28, 2024•30 min•Transcript available on Metacast In this episode, Dr. Scott Butsch from the Cleveland Clinic’s Bariatric and Metabolic Institute discusses the evolving landscape of obesity medicine. He covers the history of obesity treatments, from behavioral interventions to groundbreaking medical therapies like GLP-1 receptor agonists and their future potential. The conversation also explores the challenges of bias, accessibility, and the integration of medications with surgical options for effective, long-term obesity management. Please vis...
Oct 24, 2024•53 min•Transcript available on Metacast In this, the fourth of 4 in our “What’s Your Worth” series, Matt and Mark discuss various compensation models including salary and hybrid models (e.g., productivity, quality-based, incentive-based) and fee-for-service. In addition, other variables that can be included in your contract when comparing jobs are covered (time away, professional fees, benefits, vacation). Finally, our guests cover aspects to think about when the job is not working out and you may need to leave an organization. Matthe...
Oct 21, 2024•32 min•Transcript available on Metacast Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un form...
Oct 18, 2024•31 min•Transcript available on Metacast In the third episode in our 4 part “What’s Your Worth” series, Lauren covers the hospital-side of finances, going through the world of financial literacy. In this episode, basic definitions and importance of income statements, metrics of financial performance, and others including revenue and expenses are reviewed. She also provides an inside view as to considerations that hospitals have to take into account for the overall financial portfolio and how that may play into determining salaries, wag...
Oct 17, 2024•33 min•Transcript available on Metacast Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un form...
Oct 16, 2024•28 min•Transcript available on Metacast Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un form...
Oct 15, 2024•25 min•Transcript available on Metacast This second episode of our 4 part "What’s Your Worth” series picks up what Dr. Maykel left off. Strategies regarding contracts and what can be negotiated into your contract are reviewed. In addition, gender-equity differences are discussed, as well as strategies to approach your contract negotiations depending on the stage in your career. Justin A. Maykel, MD - Chief, Division of Colorectal Surgery, UMASS Medical Center, Worcester, MA. https://www.ummhealth.org/about-us/our-caregivers/caregiver-...
Oct 14, 2024•32 min•Transcript available on Metacast Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un form...
Oct 11, 2024•33 min•Transcript available on Metacast Our first episode in our 4 part "What’s Your Worth” series introduces some of the basics of identifying all that factors that go into determining your worth as a surgeon. Topics vary from your “value" (ie., contribution margin, profit margin), revenue structure, hospital costs, and value based case. Further, Dr. Maykel covers how physician salaries are determined, average salaries across a spectrum of disciplines, and resources to find out more. Justin A. Maykel, MD - Chief, Division of Colorect...
Oct 10, 2024•34 min•Transcript available on Metacast In this episode, we review key components of the landmark MAGIC and FLOT-4 trials that investigated perioperative chemotherapy in the treatment of locally advanced gastric cancer. We discuss limitations of both trials and the evolving clinical landscape of gastric cancer treatment. Hosts : - Timothy Vreeland, MD, FACS (@vreelant) is an Associate Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist/HPB surgeon at Brooke Army Medical Center. - Da...
Oct 07, 2024•28 min•Transcript available on Metacast 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. Paper discussed: The Chang...
Oct 03, 2024•39 min•Transcript available on Metacast 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...
Sep 30, 2024•1 hr 8 min•Transcript available on Metacast 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. Journal Club Hosts: –Dr. Josh Roshal, University of Texas Med...
Sep 26, 2024•31 min•Transcript available on Metacast 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. 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. - Di...
Sep 23, 2024•17 min•Transcript available on Metacast 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. 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 mo...
Sep 19, 2024•16 min•Transcript available on Metacast 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. Hosts : - Dr. Nathan Anderson, Internal Medicine Associate Professor and Hospitalist, University of Nebraska - Dr. Elizabeth ...
Sep 16, 2024•29 min•Transcript available on Metacast 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. 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 ...
Sep 12, 2024•37 min•Transcript available on Metacast 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. Hosts: · Dr. Tam Pham: UW Medicine Regional Burn Center · Dr. Robert Cartotto: University of Toronto, Ross Tilley Burn Centre · Dr. Julie ...
Sep 09, 2024•27 min•Transcript available on Metacast 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 t...
Sep 05, 2024•27 min•Transcript available on Metacast 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 t...
Sep 02, 2024•44 min•Transcript available on Metacast 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. 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...
Aug 29, 2024•50 min•Transcript available on Metacast 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! Hosts: Dr. Katie O’C...
Aug 26, 2024•35 min•Transcript available on Metacast 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 c...
Aug 22, 2024•30 min•Transcript available on Metacast 
