Audio and video podcasts aimed at medical students and doctors in training on a growing range of topics across surgery.
The management of early rectal cancer is becoming increasingly complex.Find out all you need to know about diagnosis, staging, treatment, follow up and prognosis in this podcast. Steve Schlichtemeier is the colorectal robotic surgical fellow at the Royal Derby Hospital, UK and Bill Speake is a consultant colorectal surgeon and recent past ECAG lead for the East Midlands of the UK
In the second podcast on radiotherapy, Sindu Vivekanandan explains to Keaton Jones what is meant by the terms adjuvant and neoadjuvant, what the 3 main ways of delivering radiotherapy are, in which tumour radiotherapy is effective and in which it isn't, and the limiting factors and side effects associated with radiotherapy. Essential listening for anyone who's patients receive radiotherapy as part of their treatment. Keaton Jones is an academic surgeon at the University of Oxford, UK and Sindu V...
Keaton Jones asks Sindu Vivekanandan what is radiotherapy, how it works and why we use it. Dose and fractionation are explained along with the '4Rs' of radiobiology: repair, reassortment, repopulation and reoxygenation. Toxicity is discussed as well as methods for increasing the effect of treatment on target tissues. Essential listening for surgeons and anyone who's patients receives radiotherapy as part of their treatment. Keaton Jones is an academic surgeon at the University of Oxford, UK and ...
Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology. There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy. Invaluable listening for updating kno...
How to recognise and immediately manage complications of sleeve gastrectomy and gastric bypass are discussed in the second part of this podcast. Understand why bariatric patients clinical examination might be unreliable, why vomiting or jaundice are danger symptoms which may need emergency intervention, why NSAIDs and smoking are very dangerous in bypass patients and many more things you're going to find very useful when on call or in an exam! Mapped to the 2016 General Surgery syllabus. Cat Boe...
You're not a bariatric surgeon, but you need to know how the immediate management of complications of bariatric surgery because they might well come in to your hospital, even if its not a bariatric surgical centre. In the first of 2 podcasts, Cat Boereboom talks to Sherif Awad about recognition of complications of gastric band and what to do when you see them. You'll also be able to recognise when a band is in the right place and when it has slipped, what a Huber needle is and what to do with it...
For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective? Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency. David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an N...
A host of practical tips on difficult urethral catheter insertion, changing a suprapubic catheter, managing a 3-way catheter, what to do when you're called about testicular pain, paraphimosis or a nephrostomy. When you have listened to this podcast by Philly Horner and Suzie Hall you will be much more confident about how to manage these common problems yourself and be able to do it safely, knowing when you should ask for help. Essential listening for all foundation doctors, interns, and medical ...
Dr Ruediger Prosst, Director of The Proctological Institute in Stuttgart, Germany, tells Jon Lund about his experience in treating the often challenging problem of high and complex anal fistula using a novel, sphincter sparing clipping device. This podcast links to Tech Coloproctol (2016) 20: 753. doi:10.1007/s10151-016-1537-0
All you need to know about the classification, presentation, diagnosis, investigation and treatment of causes of haematuria: Philly Horner talks to Simon Williams, Consultant Urological Surgeon
"Doctor, Mrs Smith's calcium is 2.9, what do you want me to do?" Cat Boereboom talks to Roger Stanworth about all aspects of the presentation, diagnosis and treatment of both high and low calcium. Once you've listened to this podcast you will know how to manage any calcium disorder. Mapped to the General Surgery 2016 curriculum, this podcast is also very useful listening to those taking MRCS or FRCS, as well as medical school finals. Cat Boereboom is a trainee in General Surgery, and Roger Stanw...
Philly Horner talks to Gill Tierney about the presentation, diagnosis and treatment of small bowel obstruction, a very common condition presenting as an emergency. This podcast contains all you need to know if you're a medical student, foundation doctor (intern), or early years trainee in surgery. Sorry about the sound in places, this was recorded on location without our usual high quality mic. Best on headphones.
All you need to know about how to interpret the results of a meta analysis in 14 minutes and 15 seconds. If you find yourself in an exam and asked to review a meta analysis in an interview or an exam, or even if you're reading one in a journal to inform your clinical practice, this will be the best 1/4 hour you have spent in ages. If you want a more detailed explanation and to properly understand the process, then download our other podcast about meta analysis, which gives the background to all ...
When you are doing surgery you need to know what the instruments are called and what they are used for. In this easy to follow guide, Jon Lund and June Brown take you through the instruments you will find on a basic surgical tray, the most common tray you will use when you are starting surgery. You'll learn the names of the instruments, why there are that shape, what they are used for, and some top tips on how to use them. Essential for medical students, people starting surgical training and stu...
A is the first letter of ABC and is the first thing to get right when managing a trauma patient. It can be very challenging and time is pressured. In this advanced level podcast for anaesthetists and surgeons involved in trauma management, Andrew Deytrikh talks to Craig Morris about how to manage the airway in critically ill and unstable patients, those with unstable cervical spines, patients with severe facial injury, burns and other injuries with airway implications. What to do when standard m...
Meta analysis is a very common way of bringing together data to help us decide which treatments might be best. BUT, you have to take care when interpreting them - there's a lot more to it than just looking which side of the line the little black diamond is on! How do you construct a search for a systematic review?Can you trust the result of a meta analysis? How do you know if it has been done well? How to recognise different kinds of bias, how to interpret a forest plot, and funnel plot and a bu...
Knowing how to chose the correct statistical test is essential if you're analysing data, reading a paper or sitting in the academic stations of the FRCS or National Selection. Watch this podcast by statistical guru Brett Doleman and you'll know how to chose the right test or know if the right one has been chosen. Using a step by step, easy to follow decision tree, Brett takes you to the correct test for the type of data you have. Statistical tests demystified forever!
Functional Constipation is a really challenging condition to treat in gastroenterology and surgery. In this podcast Jon Lund asks Robin Spiller about the condition, the underlying physiology, how to differentiate from IBS constipation and the range of treatments for FC. This podcast will tell you all you need to know and more. Robin Spiller is Professor of Gastroenterology at the University of Nottingham, UK, former editor of GUT, author of the Rome III criteria and world leading expert in this ...
See if you can get to the correct answers before James Cassidy does in the third and final part of Naomi Laskar's interactive teaching video on causes of chest pain you might see when covering the wards. Really useful things to know in the middle of the night when there's no-one else around!
Naomi Laskar puts James Cassidy through his paces again in the second case of chest pain you are likely to come across as an F1/intern on a surgical or other ward. See if you can get the right answers before James in this interactive teaching video. All the benefits of small group teaching without the pain!
Naomi Laskar teaches James Cassidy in an interactive video on chest pain on the surgical ward. Using a series of cases common causes of chest pain are discussed and the video will help you to develop a structured approach to reviewing chest pain and understand the basic management of chest pain. Common life threatening and non life threatening causes are covered, with important points in the history, examination, investigation, treatment and prognosis explained, with plenty of acronyms to help y...
Its never too early to think about getting yourself ready for successful application to core surgical training, be you medical student or foundation doctor. In this podcast Ricky Ellis and Susan Hall explain the process and give their tips for success. Good luck!
It is not uncommon to be called to see a patient who has experienced a sudden change in their mental state. The patient is often suffering from one of the forms of delirium, and puts them at increased risk of complication, injury and death. In this podcast Ricky Ellis and Christine Taylor discuss what delirium is, why it is important, how to recognise it, who is at risk, how we can prevent it and how we can treat it
Assessing the capacity of patients is an essential skill for all doctors, not least surgeons, as it is intimately related to taking consent and treating any patient correctly. In one of the most important podcasts from the School of Surgery, Ricky Ellis and Christine Taylor discuss capacity, the Mental Capacity Act, how to assess and enhance capacity and how to care for patients without capacity. The 5 key principles of the Mental Capacity Act are clearly explained as is how to act in the best i...
Every surgeon needs to obtain informed consent before proceeding with any procedure. Ricky Ellis talks to Daniel Couch about consent, how best to take it and the framework around consent. Essential listening for any medical student and surgeon in training. Ricky Ellis and Daniel Couch are both training in Surgery in the East Midlands of the UK at the Royal Derby Hospital
Funnel plots are a central part of how the results of a meta analysis are presented. Learn what they are, what they mean and how to interpret them with Rob Radcliffe.
In the third and final episode of this series, Phil Herrod talks to Mark Sibbering about how to treat breast cancer with surgical and hormonal, chemo and radiotherapies, discussing the indications for each.
In part 2 of our 3 part series on breast cancer Phil Herrod talks to Mark Sibbering about incidence, risk factors, survival, family history and genetics, and classification of breast cancer. Also covered is the presentation of breast cancer and a quick overview of the breast cancer screening programme in the UK. Mapped to undergraduate and postgraduate learning objectives, this podcast will provide all you need to know as a medical student or early years surgical trainee about these aspects of b...
Diseases of the breast are very common and varied, from simple cysts to cancer. All doctors need to know about breast disease and in the first of a series aimed at making you an expert, Phil Herrod asks Miss Carol-Ann Courtney about how to take a history from a patient with a problem in the breast, the gold standard "triple assessment" of breast lumps and gets an overview of benign breast disease. Essential listening for all medical students and junior doctors. Sorry about the sound quality in s...
TO VIEW PLEASE DOWNLOAD Risk factors, history, signs, X-ray appearances and classification of fractured neck of femur are all covered in this video podcast aimed at medical students and interns/foundation/core doctors in training. Next time you see someone on a trolley in the ER with a shortened externally rotated leg you'll know exactly what to do. Naomi Laskar and Pete Legg are trainees in Surgery in the East Midlands, UK
