Acid reflux is a very common condition presenting to general practice and to surgeons. In this podcast Keaton Jones talks to Shaun Appleton, consultant Upper GI Surgeon about this condition and its management. Definition, prevalence, risk factors, non-surgical treatment, tests, indications for surgery, various surgical procedures and their risks and effectiveness are all covered in this "all you need to know" podcast. Keaton Jones is an Academic Clinical Fellow at the University of Oxford, UK an...
Feb 18, 2015•10 min
There are 2 test I can use to see if this patient has got cancer, which one is best? How do I know? How can I compare them?? These were just some of the thoughts going through the candidates mind as his stared at the paper in the academic viva in national selection! If only they'd listened to Rob Radcliffe, who is on hand to explain how you do just that using receiver operating characteristic curves, a really easy way to compare the performance of tests and probably the most useful to medicine t...
Feb 12, 2015•4 min
"Do it fast, do it slow, talk 'em through it, let ' em go" is the mantra for teaching motor skills. We did it fast in part 1 and now Jon Lund and James Blackwell are going through the examination of the abdomen slowly and talking you through the stages, important points and things to look out for. Some of this video is shot from a "point of view" standpoint so that you can see the examination as if you were doing it and also see clearly how some parts of the examination are performed. Get this r...
Dec 08, 2014•8 min
Whether you are a pre-clinical medical student or an elderly surgeon, you need to know how to examine the abdomen properly. In this video, produced by James Blackwell, Jon Lund takes you through abdominal examination. It is shot in real time so that you can aim to get quick, slick and accurate for undergraduate and postgraduate exams...and real life! Look out for part 2, which takes you through abdominal examination more slowly with explanatory commentary and point of view footage so that you ca...
Dec 08, 2014•7 min
Right - you've got the basics covered in part 1, now we're moving on to how to interpret blood gases and put them in a clinical context. Jamie Blackwell and Tim Watkins take you through how to easily and simply interpret blood gas results whenever you need to using an easy to remember 5 step approach. The 5 step method is then used in a series of actual clinical cases so you can see it in action or try for yourself by pausing the video before the answers. Never fear blood gases again! James Blac...
Dec 03, 2014•9 min
You're called to see a very sick person on the ward in the middle of the night. You send off some investigations and because they are sick you take some arterial blood for blood gas analysis. You ring the boss who asks you what the blood gases indicate. A bead of sweat breaks out on your forehead as you realise that you have no idea what the numbers on the blood gas print out mean. There goes the reference...... But then you realise that you can interpret blood gases after all, because you have ...
Dec 03, 2014•9 min
Do you have a funis? Did you ever have one? Do only boys have one? No clue?? Then listen to this podcast where David Semeraro tells Jon Lund all about acute inflammation using funisitis, meningitis, conjunctivitis, pericarditis, pneumonia and TB as examples, with clinical slides to illustrate the points made. This podcast brings together messages from the other 3 in the series to round off what you need to know about acute inflammation for undergraduate and postgraduate exams, work and life! Dav...
Nov 17, 2014•11 min
In part 3 of this podcast telling you all you need to know about acute inflammation, David Semeraro talks about the vascular and cellular components of acute inflammation, diapedesis, chemical mediators of acute inflammation, cytokines and much more, using clinical pictures and histological slides and conditions such as appendicitis and cellulitis as examples. David Semeraro is a consultant histopathologist at the Royal Derby Hospital, UK.
Nov 17, 2014•14 min
Color, Rubor, Turgor, Dolor and Functio Laesa were not the lesser known reindeer pulling Santa's sled, but are the cardinal clinical signs of acute inflammation. In part 2 of his explanation of acute inflammation, David Semeraro talks to Jon Lund about these terms, explains how neutrophils leave the blood vessels to be involved in the inflammatory process and explains what oedema and exudate are are why they're important. Even wondered about the difference between exudate and transudate? What do...
Nov 17, 2014•12 min
Inflammation is at the very heart of many disease processes, from infection and trauma to ageing and cancer. Split across 4 episodes, David Semeraro talks to Jon Lund about acute inflammation, covering definitions, mechanisms and progress with many examples from clinical cases, histopathological and macroscopic inflamed organ specimens. Listening to this series of podcasts will tell you all you need to know about the basics of acute inflammation, a thorough knowledge of which is essential for pr...
Nov 16, 2014•13 min
You're on for surgical acute admissions - you've taken a history, examined the patient and sent off some blood tests, but you still can't figure what is wrong with your patient! What next...? Help is at hand: Lee Creedon returns to continue his series on acute surgical imaging, this time all about ultrasound. When and where to use it are discussed, as well as limitations of the technique in the acute surgical patient. Lee takes you through some common clinical scenarios to illustrate and reinfor...
Oct 10, 2014•11 min
Daniel Couch and Jennifer Murphy tell you all you ever wanted to know about hernias in this audio podcast. They discuss definition, presentation, symptoms and signs and management of hernias of all kinds as well as complications of hernia and operations for hernia. Essential listening for all medical students and core trainees (interns) in surgery. Daniel Couch is a general surgical registrar and Jennifer Murphy a core trainee in surgery in the East Midlands in the UK.
Oct 03, 2014•15 min
How confident are you with confidence intervals? Perhaps not 95%.... In this podcast Rob Radcliffe explains what confidence intervals are, how to interpret them and how they provide a deeper understanding of data and the p value. Essential viewing for any student, trainee or consultant/attending reading a scientific paper and wanting to interpret the data correctly. Rob Radcliffe is a former maths teacher and is now a trainee in Urology in the East Midlands, UK
Sep 23, 2014•10 min
Lymphoma, teratoma, testicular tumours, fibroadenoma, phyllodes tumour, molar pregnancy, choriocarcinoma and metastasis are some of the things discussed in the fourth and final part of the introduction to tumour pathology, with David Semeraro and Jon Lund.
Sep 01, 2014•14 min
Prostate cancer, transitional cell carcinoma, sarcoma, liposarcoma, leiomyosarcoma, haemangiosarcoma and osteosarcoma are more of the tumours discussed by Jon Lund and David Semeraro in the third of four podcasts on the basics of pathology. Pictures of macroscopic and microscopic pathology and radiological imaging link the discussion to everyday clinical practice. David Semeraro is a consultant pathologist and Jon Lund is a surgeon at the Royal Derby Hospital, UK
Aug 24, 2014•10 min
What do the terms benign, malignant, histogenesis, differentiation, stage and grade mean when applied to cancer? Whats the difference between an adenoma and an an adenocarcinoma? What's the adenoma - carcinoma sequence? Without understanding these basics you'll quickly get lost when learning about cancer and treatments for cancer. All is explained in this podcast, in which Jon Lund talks to David Semeraro using examples and pictures of macroscopic and microscopic cancers including adenocarcinoma...
Aug 24, 2014•16 min
What is cancer and why do types of cancer have different names? In this podcast Jon Lund talks to David Semeraro about the origin of types of cancer, the definition of cancer and the definitions of words such as dysplasia, metaplasia, neoplasia and desmoplasia, with examples of each. Essential viewing for any medical student of trainee in surgery of pathology wanting to get to grips with the fundamentals of tumour pathology. David Semeraro is a consultant pathologist at the Royal Derby Hospital,...
Aug 24, 2014•11 min
One of your colleagues has made an incision the wrong way on a limb and the patient complains the scar pulls and is wide. What are you going to do? In the fourth and final instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform a z plasty, probably the simplest but one of the most useful and versatile techniques in plastic surgery, which helps to revise unsightly scars and has many other uses. Th...
Jun 11, 2014•6 min
The wound is the only part of the operation a patient gets to see, so make sure you get the wound closure right! In the third instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform running mattress sutures and subcuticular sutures. Which suture to choose and why is discussed. On a cadaveric specimen Jill shows you how to perform a running mattress suture and subcuticular suture, both of which ne...
Jun 06, 2014•5 min
In the second instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform simple suturing. Which suture to choose and why is discussed. On a cadaveric specimen Jill shows you how to perform a simple interrupted suture and an interrupted mattress suture, the most common methods of sutured skin closure and essential knowledge for any medical student or surgeon in training. Made by plastic surgeons, the...
May 30, 2014•7 min
In probably the most important series of 4 podcasts for any budding surgeon to watch, Ben Baker and Jill Arrowsmith take you though how to suture, from handling instruments, through simple interrupted and mattress sutures, running sutures and finally, how to perform a z-plasty. Performed on a cadaveric specimen, these video podcasts are high fidelity and essential viewing for all medical students wanting to follow a career in surgery. They will also be useful to all foundation doctors (interns) ...
May 18, 2014•7 min
After blood tests, X- rays are the most commonly requested investigation in a patient presenting as a surgical emergency. In this video podcast, Lee Creedon takes you through the indications for requesting x-rays in the acutely ill surgical patient and uses examples to illustrate common pathologies. Essential viewing for medical students and foundation doctors (interns), learning objectives are mapped to undergraduate and ISCP curricula. Once you've watched this, have a look at our other radiolo...
May 17, 2014•4 min
National selection into higher specialist training in general and vascular surgery in the UK has just ended for 2014. This video is the pre-interview briefing for applicants, and might be useful to you if you will be applying in the UK to either of these specialities in future years.
May 15, 2014•9 min
So, you're a medical student who has just started a vascular surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means? Help is at hand: Keaton Jones explains the basics of all the common vascular operations, from anatomy, though indication to the operations themselves in this video podcast. This is essential viewing for all medical students on a surgical placement and fo...
May 11, 2014•16 min
The interview was going well until at the academic station the interviewer asked: "Can you tell me what you understand by the power of a trial and what was the sensitivity of the test used in this study?" A bead of sweat appeared on the forehead of the applicant. If only she'd listened to Rob Radcliffe explaining binary tests, sensitivity, specificity, positive predictive value, negative predictive value and power she wouldn't have to come back next year and try again! These terms are in regular...
May 02, 2014•18 min
This podcast contains all you need to know about the medical management of severe ulcerative colitis, from definitions, treatments, toxic megacolon, when to call the surgeon and many other things you will find useful to know whether a medical student, trainee in medicine or trainee in surgery. It is longer than many other podcasts from School of Surgery, but well worth the time, so make yourself a cup of tea and settle down to listen to Jon Lund talk to Bod Goddard about severe ulcerative coliti...
May 01, 2014•19 min
"Why would you do a t-test on these data and what is it?" asked the interviewer in a national selection interview. "Errrrrrr...." replied the trainee surgeon who was beginning to think they wished they had watched the video podcast on hypothesis testing using this test. Oh well - he thought, I can always try again next year.... In the third podcast on hypothesis testing, Rob Radcliffe tells you all about t-test, what t is, how you use the t-test and what it actually means. This podcast is the cl...
Apr 21, 2014•17 min
School of Surgery is 1 year old today. We would like you to get involved through our Facebook page (www.facebook.com/surgeryschool) and tell us what's good and what could be better, whether you want more interaction through Twitter or Todaysmeet.com, what you want us to produce podcasts about and any other suggestions to help us get even better in our second year. Happy Birthday School of Surgery!
Apr 15, 2014•3 min
"Doctor - is it normal for that wound to be red and pus leaking from it? What shall I do?" It is inevitable that you will see post operative wound infections whether you work as a doctor or other healthcare professional, in primary care or in secondary hospital care. This podcast by Jennifer Murphy and Daniel Couch takes you through the definition, diagnosis, classification and treatment of post operative wound infections, starting from those occurring at the skin edge and working deeper, includ...
Mar 27, 2014•17 min
So, you're a medical student who has just started a surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means? Help is at hand: Keaton Jones explains the basics of all the common colorectal operations, from anatomy, though indication to the operations themselves in this video podcast. This is essential viewing for all medical students on a surgical placement and for any s...
Mar 22, 2014•12 min
