Cold Steel: Canadian Journal of Surgery Podcast

E191 - Six Lessons of Leadership: A Conversation with Varun Kapila

Canadian Journal of Surgery — Tue, 14 Apr 2026 04:00:00 -0600

Dr. Varun Kapila is a vascular surgeon in Brampton, Ontario. He is the author of “Six Lessons for Everyday Leadership: From the Operating Room Into Everyday Life, What Surgery Taught Me About Leadership That Can Be Applied by Everyone”. In this episode we delve into Dr. Kapila’s thoughts on leadership and why everyone can be a leader in their own lives.

Links:

E190 - The Anatomy of Expectations Can We Define What A Surgeon's Job Should Look Like

Canadian Journal of Surgery — Tue, 07 Apr 2026 04:00:00 -0600

For a newly graduated surgical resident, one of the most interesting and perplexing question that many folks have to deal with is a surprisingly simple one: what should a full-time surgical job look like? For many of us, we simply looked at what our predecessors job looked like, and modeled our own careers after them. This meant ensuring that our schedules were jam-packed with clinical activities every day, without much consideration for other aspects of our career (such as call and research, for example).

At the beginning of March, the American College of Surgeons released a framework of standards of what they think reasonable expectations are for a surgeon’s job. We have the link to the paper in the shownotes. The ACS is the one of the largest surgical organizations in North America, and this standard framework they have put out is really a statement on what they think is necessary to ensure that surgeons have a sustainable career. They put out standards for call, access to the OR, access to clinic, resource access, inpatient census, clinical support, and even fatigue mitigation.

Dr. Pat Murphy, trauma and acute care surgeon at the Medical College of Wisconsin, was a previous guest on the show to talk about his work trying to define what a full time acute care surgeon should look like. He actually brought this framework to our attention, and we invited him to join us once again on Cold Steel to discuss the implications of such a framework.
We would love to hear your thoughts. Send us an email at podcast.cjs@gmail.com, or find us on X (@colsteelpod, @ameerfarooq & @pbatesmurphy)

Resources from this episode:

Wood, Douglas E MD, FACS, FRCSEd; Wolinsky, Philip R MD, FACS2; Dodgion, Christopher M MD, MSPH, MBA, FACS3; Farmer, Diana Lee MD4; Gantt, Nancy L MD, FACS5; Napolitano, Lena M MD, FACS, MAMSE6; Timmons, Shelly D MD, PhD, FACS. FAANS7; Welsh, David J MD, MBA, FACS8; Winfield, Robert D MD, FACS9; Bura, Connie BA10; Essig, Rachael MD11; Turner, Patricia L MD, MBA, FACS10. Developing Specialty-Specific Workplace Standards for Surgeons: A Framework to Support Sustainable Surgical Careers. Journal of the American College of Surgeons ():10.1097/XCS.0000000000001880, March 03, 2026. | DOI: 10.1097/XCS.0000000000001880
https://www.facs.org/for-medical-professionals/news-publications/news-and-articles/acs-brief/march-3-2026-issue/acs-releases-workplace-standards-framework-to-support-sustainable-surgical-careers/
Pat Murphy on Cold Steel: https://www.canjsurg.ca/content/e184-pat-murphy-workforce-planning-acute-care-surgery
https://calnewport.com/

E189 - The Heart of the Matter: Paul Fedak on the Pursuit of Balance and Excellence

Canadian Journal of Surgery — Tue, 17 Mar 2026 04:00:00 -0600

Paul Fedak is a cardiac surgeon and translational scientist at the University of Calgary. He has written and spoken about what it means to pursue excellence and what it might cost us. Dr. Fedak unexpectedly had to cut short his clinical career as a surgeon due to spinal cord issues. The result has been a powerful exploration about identity, meaning, burnout and the pursuit of excellence. This is a conversation about that pursuit.

Bio: https://profiles.ucalgary.ca/paul-fedak

Links:

E188 - Systematic Review of Why I Changed My Rank List 14 Times The CaRMS Rank List Episode

Canadian Journal of Surgery — Tue, 17 Feb 2026 03:00:00 -0700

It's that time of year again. Can you sense it? The anticipation, the anxiety, the dread, the wracking of heart and head? Yes, it's almost time for final year Canadian medical students across the country to submit their rank lists to CaRMS.

On this episode we explore the history of CaRMS and the underlying matching algorithms.

We then talk about some of our top tips when building your CaRMS rank list.

What do you think? How did you make your rank list? Send us an email at podcast.cjs@gmail.com.

Links:

Young TA. Teaching medical students to lie. The disturbing contradiction: medical ideals and the resident-selection process. CMAJ. 1997 Jan 15;156(2):219-22. PMID: 9012725; PMCID: PMC1226912. https://pmc-ncbi-nlm-nih-gov.proxy.queensu.ca/articles/PMC1226912/
https://pmc-ncbi-nlm-nih-gov.proxy.queensu.ca/articles/PMC1226912/
Roth AE. The origins, history, and design of the resident match. JAMA. 2003 Feb 19;289(7):909-12. doi: 10.1001/jama.289.7.909. PMID: 12588278.
https://impact.stanford.edu/article/how-does-applied-economics-maximize-kidney-transplants
Cal Newport’s books: https://calnewport.com/writing/

Bonus Episode from EBRS Webinar: "Structured Exercise after Adjuvant Chemotherapy for Colon Cancer"

Canadian Journal of Surgery — Wed, 14 Jan 2026 03:00:00 -0700

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed November 2025. This webinar was moderated by Dr. Alison Laws and Dr. Ameer Farooq, and featured panelists Dr. Nicole Culos-Reed, Dr. Christopher Booth and Dr. Bishal Gyawali.

In this EBRS webinar, we discussed Structured Exercise after Adjuvant Chemotherapy for Colon Cancer (Courneya et al., 2025).

Links:

Courneya KS, Vardy JL, O’Callaghan CJ, et al. Structured Exercise after Adjuvant Chemotherapy for Colon Cancer. N Engl J Med. 2025;393(1):13-25. doi:10.1056/NEJMoa2502760

Bonus Episode from EBRS Webinar: "Getting out of the bay faster: Assessing trauma team performance using trauma video review""

Canadian Journal of Surgery — Wed, 14 Jan 2026 03:00:00 -0700

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed July 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. Bourke Tillmann and Dr. Emilie Joos.

In this EBRS webinar, we discussed Getting out of the bay faster: Assessing trauma team performance using trauma video review" (Maiga et al., 2024).

Links:

Maiga AW, Vella MA, Appelbaum RD, et al. Getting out of the bay faster: Assessing trauma team performance using trauma video review. J Trauma Acute Care Surg. 2024;96(1):76-84. doi:10.1097/TA.0000000000004168

Bonus Episode from EBRS Webinar: "The INSEMA Trial: Axillary Surgery in Breast Cancer & The SOUND Randomized Control Trial"

Canadian Journal of Surgery — Wed, 14 Jan 2026 03:00:00 -0700

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed May 2025. This webinar was moderated by Dr. Alison Laws and Dr. Kerollos Wanis, and featured panelists Dr. Stephanie Wong, Dr. Sarah Knowles and Dr. Rebecca Warburton.

In this EBRS webinar, we discussed Axillary Surgery in Breast Cancer--Primary Results of the INSEMA Trial (Reimer et al., 2024) & Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes (Gentilini et al., 2023).

Links:

Gentilini, O. D., Botteri, E., Sangalli, C., Galimberti, V., Porpiglia, M., Agresti, R., Luini, A., Viale, G., Cassano, E., Peradze, N., Toesca, A., Massari, G., Sacchini, V., Munzone, E., Leonardi, M. C., Cattadori, F., Di Micco, R., Esposito, E., Sgarella, A., Cattaneo, S., … SOUND Trial Group (2023). Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA oncology, 9(11), 1557–1564. https://doi.org/10.1001/jamaoncol.2023.3759
Reimer, T., Stachs, A., Veselinovic, K., Kühn, T., Heil, J., Polata, S., Marmé, F., Müller, T., Hildebrandt, G., Krug, D., Ataseven, B., Reitsamer, R., Ruth, S., Denkert, C., Bekes, I., Zahm, D. M., Thill, M., Golatta, M., Holtschmidt, J., Knauer, M., … Gerber, B. (2025). Axillary Surgery in Breast Cancer – Primary Results of the INSEMA Trial. The New England journal of medicine, 392(11), 1051–1064. https://doi.org/10.1056/NEJMoa2412063

Bonus Episode from EBRS Webinar: "Safe Laparoscopic Cholecystectomy: Practices, Preparation, and Prevention"

Canadian Journal of Surgery — Wed, 14 Jan 2026 01:00:00 -0700

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed January 2022, in collaboration with UNITAR. This webinar was moderated by Dr. Chad Ball and Dr. Neel Detta, and featured panelists Dr. Keith Lillemoe, Dr. Majella Doyle and Dr. Jeff Barkun.

In this EBRS webinar, we discussed Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy (Brunt et al., 2020).

Links:

Brunt LM, Deziel DJ, Telem DA, et al. Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy. Ann Surg. 2020;272(1):3-23. doi:10.1097/SLA.0000000000003791

Bonus Episode from EBRS Webinar: "Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones"

Canadian Journal of Surgery — Wed, 14 Jan 2026 01:00:00 -0700

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed February 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. James Byrne, Dr. Kimberly Bertens and Dr. Sean Gregg.

In this EBRS webinar, we discussed Restrictive Strategy vs Usual Care for Cholecystectomy in Patients with Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial (Comes et al., 2024).

Links:

Comes DJ, Wennmacker SZ, Latenstein CSS, et al. Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. JAMA Surg. 2024;159(11):1235-1243. doi:10.1001/jamasurg.2024.3080

E187 - Krista Goulding on Pelvic Sarcomas, 3D Printing, and What Patients Really Want

Canadian Journal of Surgery — Tue, 23 Dec 2025 02:00:00 -0700

The William Ersil Research day invited guest and moderator for 2025 was Dr. Krista Goulding.

Dr. Goulding is an Orthopedic Surgeon at Mayo Clinic Arizona, where she specializes in caring for patients with sarcomas and other cancerous and non-cancerous tumors of the musculoskeletal system.

Dr. Goulding’s expertise is in limb preservation surgery using innovative techniques (synthetic and bone transplants, 3D printed and patient-specific implants, joint replacement). Her goal is to cure cancer while preserving function and quality of life. She is involved in research on a national and international scale, and is currently researching ways to improving surgical, oncologic and health-related quality of life outcomes for patients with malignant bone and soft tissue cancers.

In this “How I Built This” segment of the research day, we explored Dr. Goulding’s career.

Links:

What are the 2-year survivorship outcomes of custom hemipelvis reconstruction after hemipelvectomy and revision arthroplasty? The evolution of a custom ilium "monoflange". https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/36255157/
Košir U, Denis-Larocque G, Tsimicalis A, Freeman C, Turcotte RE, Cury F, Alcindor T, Goulding K. Psychological functioning, coping styles and their relationship to appraisal of physical limitations following invasive surgical procedures for soft-tissue sarcoma: A qualitative study. J Surg Oncol. 2020 Jun;121(8):1266-1275. doi: 10.1002/jso.25915. Epub 2020 Mar 27. PMID: 32221986.

E186 - Adnan Alseidi on Rethinking Surgical Education

Canadian Journal of Surgery — Tue, 18 Nov 2025 04:00:00 -0700

Surgery has never been more complicated. The variety of surgical approaches and the complexity of treatment continue to grow exponentially, yet in many institutions, surgical training has not really changed. Dr. Adnan Alseidi, our guest for this episode, is trying to change that.

Dr. Adnan Alseidi is a liver and pancreas surgeon at UCSF and is the associate dean of assessment, improvement, and accreditation. He recently gave the Langer lecture at the Canadian Surgical Forum in Montreal this year about surgical education and the path from novice to master. This episode was really a moment for us to ask all our burning questions about surgical education. What are the phases of mastery? Should we really be aiming for mastery? And how do we create trust between attending and trainees?

We’d love to hear your thoughts and comments, so email us at podcast.cjs@gmail.com.

Links:

Medical school accreditation is outdated. WSJ. https://www.wsj.com/opinion/medical-school-accreditation-is-outdated-holds-back-innovation-nyu-98fe80bd
https://www.canadiansurgeryforum.com/biographies
An Integrative Model of Organizational Trust. Roger C. Mayer, James H. Davis, F. David Schoorman. The Academy of Management Review, Vol. 20, No. 3 (Jul., 1995), pp. 709-734 (26 pages). https://www.jstor.org/stable/258792
Ericsson. https://share.google/bRhcSSC7sKKp9bX9b
The Five-Stage Model of Adult Skill Acquisition. Dreyfus model. https://share.google/2GSuypiGKExQMeMPX
Wicked problems! Horst W. J. Rittel & Melvin M. Webber . Dilemmas in a general theory of planning
The Book Of Joy: Lasting Happiness In A Changing World. Dalai Lama,Desmond Tutu,Douglas Carlton Abrams

E185 - Teresa Purzner on Developing a Cure for Pediatric Brain Tumors, Entrepreneurship, and Design-Thinking in Healthcare

Canadian Journal of Surgery — Tue, 04 Nov 2025 04:00:00 -0700

Dr. Teresa Purzner MD PhD FRCSC is a clinician scientist neurosurgeon with a special interest in neuroncology and general neurosurgery. She completed her residency training at the University of Toronto, and her PhD training at Stanford University. Her lab, run jointly with her husband Dr. James Purzner, is focused on interdisciplinary approaches to identifying novel drug targets for brain cancer as well as the translation of promising new drug targets into human-ready therapeutics. Her work has led to the identification of a critical new drug target in the brain tumor medulloblastoma – a discovery that she has since translated into a novel drug for both brain cancer and skin cancer, currently being tested in phase 1 and phase 2 clinical trials. This work has resulted in her being named a Stanford Interdisciplinary Graduate fellow, Biox fellow and SPARK fellow, and has earned her both national and international recognition including the Annual Award of the American Academy of Neurological Surgery, the K.G. McKenzie prize for Basic Science Research, AANS Louise Eisenhardt Award and the Neurosurgery Research and Education Fellowship.

She is a mom, an entrepreneur, and design-thinker, having created her own baby food company as well as redesigned the Integrated Brain Tumor Program.

Links:

E184 - Pat Murphy on Workforce Planning in Acute Care Surgery

Canadian Journal of Surgery — Tue, 30 Sep 2025 02:00:00 -0600

Dr. Patrick Murphy is a trauma and acute care surgeon at Medical College of Wisconsin. In this episode we discuss his recent paper, “Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study.” This conversation turned into more than just a discussion around workforce planning, but also around how surgeons are compensated and surgical culture.

Links:

Murphy, Patrick B. MD, MPH, MSc; Coleman, Jamie J. MD; et al; The ACS Staffing Authorship Group. Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study. Journal of Trauma and Acute Care Surgery ():10.1097/TA.0000000000004700, July 4, 2025. | DOI: 10.1097/TA.0000000000004700
Murphy PB, Nahmias J, Bonne S, Coleman J, de Moya M. Defining the acute care surgeon: American Association for the Surgery of Trauma (AAST) panel discussion on full-time employment, compensation and career trajectory. Trauma Surg Acute Care Open. 2024 Sep 30;9(1):e001500. doi: 10.1136/tsaco-2024-001500. PMID: 39363886; PMCID: PMC11448165.
Murphy PB, Coleman J, Karam B, Morris RS, Figueroa J, de Moya M. A national study defining 1.0 full-time employment in trauma and acute care surgery. J Trauma Acute Care Surg. 2022 Apr 1;92(4):648-655. doi: 10.1097/TA.0000000000003504. PMID: 34936589.
Murphy PB, Coleman J, Maring M, Pokrzywa C, Deshpande D, Al Tannir AH, Biesboer EA, Morris RS, Figueroa J, de Moya M. Early career acute care surgeons' priorities and perspectives: A mixed-methods analysis to better understand full-time employment. J Trauma Acute Care Surg. 2023 Dec 1;95(6):935-942. doi: 10.1097/TA.0000000000004037. Epub 2023 Jun 15. PMID: 37418689.
Smith RN, Freedberg M, Bailey J, DeMoya M, Goldberg A, Staudenmayer K. The importance and benefits of defining full-time equivalence in the field of acute care surgery. Trauma Surg Acute Care Open. 2024 Jul 4;9(1):e001307. doi: 10.1136/tsaco-2023-001307. PMID: 38974220; PMCID: PMC11227842.
Robinson C, Lawless R, Zarzaur BL, Timsina L, Feliciano DV, Coleman JJ. Physiologic stress among surgeons who take in-house call. Am J Surg. 2019 Dec;218(6):1181-1184. doi: 10.1016/j.amjsurg.2019.08.023. Epub 2019 Sep 19. PMID: 31570199.
Adi Kumar on Cold Steel: https://open.spotify.com/episode/52Hg2cCLGLZejD0QSfI9le?si=xSHFcSrPRdOOZ_RT_QWsAA

E183 - Brian Cameron on Ripples from Rupununi

Canadian Journal of Surgery — Tue, 12 Aug 2025 02:00:00 -0600

Dr. Brian Cameron is a retired pediatric surgeon who has spent much of his life dedicated to global surgery. In this conversation, we discuss his new book Ripples from the Rupununi: Dr. Aidun’s Healing Journey. We talk about what it takes to write a book and also discuss the book itself.

Let us know in the comments or via email: Have you ever thought about writing a book?

Links:

E78 Brian Cameron On Global Surgery: https://www.youtube.com/watch?v=bdetQSXBRMQ
Ripples from the Rupununi. https://books.friesenpress.com/store/title/119734000491425890/Brian-H.-Cameron-Ripples-from-the-Rupununi
Surgical training in Guyana: the next generation. Cameron BH, Martin C, Rambaran M. Can J Surg. 2015 Feb;58(1):7-9. doi: 10.1503/cjs.010414. PMID: 25621909 Free PMC article.
Evaluating the long-term impact of the Trauma Team Training course in Guyana: an explanatory mixed-methods approach. Pemberton J, Rambaran M, Cameron BH. Am J Surg. 2013 Feb;205(2):119-24. doi: 10.1016/j.amjsurg.2012.08.004. Epub 2012 Dec 13. PMID: 23246285
International surgery: the development of postgraduate surgical training in Guyana. Cameron BH, Rambaran M, Sharma DP, Taylor RH. Can J Surg. 2010 Feb;53(1):11-6. PMID: 20100407 Free PMC article.
Teaching in Fiji: practising medicine, coping with coups. Cameron BH. CMAJ. 1989 Apr 1;140(7):833-5. PMID: 2924235 Free PMC article. No abstract available.

E182 - Michael Leveridge on Creating Mental Models in Your Practice

Canadian Journal of Surgery — Tue, 29 Jul 2025 02:00:00 -0600

Dr. Michael Leveridge is a urologist at Queen’s University. He specializes in urologic oncology and is the editor in chief of the Canadian Urological Association Journal. We spoke to him about his career, his role as editor in chief, and how he creates mental models in his practice. In addition, Dr. Leveridge did a masterclass with us on ureteric injuries. We also watch videos together and get his thoughts on how to avoid these injuries.

Check out the YouTube masterclass here: https://youtu.be/izHOSh38J7U

Links:

https://cuaj.ca/index.php/journal/index
Cancel half of your clinic visits* (a Halloween hot take). https://cuaj.ca/index.php/journal/article/view/8996
Mental models in practice: Calculus and the future self. https://pubmed.ncbi.nlm.nih.gov/35623001/

E181 - Campbell Roxburgh at Queen's University

Canadian Journal of Surgery — Tue, 01 Jul 2025 02:00:00 -0600

Campbell Roxburgh is a consultant colorectal surgeon and Professor of Colorectal Surgical Oncology at University of Glasgow in Scotland. Mr. Roxburgh is a multi-faceted researcher, surgeon and academic. He has a large body of research in systemic inflammation and tumor response, as well as clinical trials. We were lucky enough to have him join us at Queen’s University for a week. In this talk he gave to the general surgery division, he talked about the development of robotic surgery in Scotland. What stood out for us from his talk was the deliberate, systematic approach to introducing a new technology adopted by the NHS, as opposed to the way that technology is often rolled out in North America. We also had a great time asking Campbell questions at the end of his talk, and we particularly liked his response to how to find work-life balance as a surgeon and an academic.

What do you think? How should something like robotics be rolled out in Canada? Email us at podcast.cjs@gmail.com. Feel free to leave us a voicemail, and we might play your response on our next episode.

Campbell Roxburgh on X: @C_Roxburgh

Links:

https://www.gla.ac.uk/schools/cancersciences/staff/campbellroxburgh/
Ingham AR, McSorley ST, McMillan DC, Mansouri D, Chong D, MacKay GJ, Wrobel A, Kong CY, Alani A, Nicholson G, Roxburgh CSD. Does robotic assisted surgery mitigate obesity related systemic inflammatory response and clinical outcomes in left sided colorectal cancer resections? J Robot Surg. 2025 Mar 5;19(1):98. doi: 10.1007/s11701-025-02261-0. PMID: 40042780; PMCID: PMC11882609.
Ingham AR, Kong CY, Wong TN, McSorley ST, McMillan DC, Nicholson GA, Alani A, Mansouri D, Chong D, MacKay GJ, Roxburgh CSD. Robotic-assisted surgery for left-sided colon and rectal resections is associated with reduction in the postoperative surgical stress response and improved short-term outcomes: a cohort study. Surg Endosc. 2024 May;38(5):2577-2592. doi: 10.1007/s00464-024-10749-3. Epub 2024 Mar 18. PMID: 38498212; PMCID: PMC11078791.

E180 - Andrea Merrill on Writing, Creativity, and Pursuing your Passions as a Surgeon

Canadian Journal of Surgery — Tue, 17 Jun 2025 02:00:00 -0600

Andrea Merrill is a surgical oncologist in Charlottesville, Virginia. She is the creator of Scrubbed Out, a website dedicated to highlighting the talents and passions of surgeons and trainees outside of the operating room. As listeners will know, Chad and I have been obsessed with exploring how to be the best surgeons we can be without losing our humanity in the process. Dr. Merrill had some really important insights on how we might walk the line between being completely immersed in surgery, but also staying grounded. We also talked about several of her superb pieces of writing, including “Free Solo” and “Taylor Swift in the Operating Room”. We’d love to hear from you – what hobbies or side hustles do you have? How do you balance them with a life in surgery? Email us at podcast.cjs@gmail.com.

Links:

https://www.scrubbedoutsurgeon.com/
Merrill AL. Free Solo Surgery. Ann Surg. 2022 Aug 1;276(2):e77-e78. doi: 10.1097/SLA.0000000000005499. Epub 2022 Jul 6. PMID: 36036994.
https://kevinmd.com/2024/02/taylor-swift-in-the-operating-room-the-surgeon-who-found-strength-in-song.html
https://kevinmd.com/2015/06/why-are-women-so-underrepresented-in-surgery-leadership.html

E179 - Mohamed Belal on Being Britain's First Paralyzed Surgeon and Designing the ORs of the Future

Canadian Journal of Surgery — Tue, 03 Jun 2025 02:00:00 -0600

Dr. Mohammed Bellal is a consultant urologist based out of Birmingham, UK. He specializes in complex functional reconstructive surgery. He’s also the UK’s first paralyzed surgeon. Dr. Bellal has probably one of the most powerful talks we’ve ever heard called “The Gift of Adversity”. During our conversation with him, we explore the power of fate, and how letting go of the outcomes is such a difficult but powerful life lesson we all need to learn. We also delved deeply into how Dr. Bellal has adapted to his paralysis and has come back to practice as a surgeon, and his insights on how we might design the operating rooms of the future.

Links:

The Gift of Adversity: https://youtu.be/uTPVvPMod2Q?si=VTn616zCI8M7oF71
https://www.bbc.com/news/uk-england-birmingham-63586045

E178 - CMPA x Cold Steel Part 2 - Anatomy of a Lawsuit

Canadian Journal of Surgery — Tue, 20 May 2025 02:00:00 -0600

In this second episode of our mini-series with the Canadian Medical Protective Association (CMPA), Richard Mimeault and Liisa Honey talk about the “Anatomy of a Lawsuit”. They talk about what you can expect if you are served with a College complaint or a lawsuit, what the process looks like, and how you can psychologically survive through it all.

Links:

https://www.cmpa-acpm.ca/en/education-events/elearning/anatomy-of-a-lawsuit

E177 - Stephen Foster on Global Surgery in Angola

Canadian Journal of Surgery — Tue, 06 May 2025 01:00:00 -0600

It’s hard to describe exactly what Dr. Stephen Foster is. Dr. Foster is a general surgeon, urologist, infectious disease doctor, entrepreneur, and missionary who has spent his career working in Angola. We caught up with Dr. Foster to talk about his life working in Angola and really to explore his thoughts on empowering non-MD providers to provide life-saving care. Dr. Foster has a fascinating biography called “The Benefit of Steel: The Life and Times of Steve Foster.” For us, the conversation with Dr. Foster has reminded us of the huge inequities that exist in the world, but also the tremendous effort of folks like Dr. Foster to make the world a better, more humane place.

If you want to get in contact with Dr. Foster to support his foundation, you can find his email in our show notes.

Links:

Stephen Foster Email: stephen@fosterangola.ca

E176 - Journal Club with David Maslove on Cash Incentives for Peer Review

Canadian Journal of Surgery — Tue, 08 Apr 2025 02:00:00 -0600

Clip of Senate hearing with Robert F. Kennedy Jr.

That was a clip from a Senate hearing with Robert F Kennedy Jr, who, as many listeners will know, is the current US Secretary of Health and Human Services. In 2025, many folks around the world have become interested in the way that science currently works, particularly around the process of peer review. Peer review is a process where scientific journals ask experts in the field to evaluate the validity and accuracy of articles that are submitted to the journal. There are many challenges around peer review in the modern era, and one particularly thorny one is finding reviewers who have the time and expertise to provide high-quality reviews.

David Maslove is a Clinician Scientist in the Departments of Medicine and Critical Care Medicine at Queen’s University. He, along with economist Chris Cotton and a team of other researchers, recently published an article in the Journal of Critical Care Medicine entitled “Effect of Monetary Incentives on Peer Review Acceptance and Completion: A Quasi-Randomized Interventional Trial”. Dr. Maslove performed what is, in some ways, a very simple study conceptually – does paying reviewers increase the rate at which reviewers complete their reviews? We delve into this study in depth and hear Dr. Maslove’s thoughts on this really important topic.

What do you think? Do you think peer reviewers should be paid? Send us your thoughts via email at podcast.cjs@gmail.com or on X @coldsteelpod.

Links:

Cotton CS, Alam A, Tosta S, Buchman TG, Maslove DM. Effect of Monetary Incentives on Peer Review Acceptance and Completion: A Quasi-Randomized Interventional Trial. Crit Care Med. 2025 Mar 6. doi: 10.1097/CCM.0000000000006637. Epub ahead of print. PMID: 40047491.
Maslove DM, Tang B, Shankar-Hari M, Lawler PR, Angus DC, Baillie JK, Baron RM, Bauer M, Buchman TG, Calfee CS, Dos Santos CC, Giamarellos-Bourboulis EJ, Gordon AC, Kellum JA, Knight JC, Leligdowicz A, McAuley DF, McLean AS, Menon DK, Meyer NJ, Moldawer LL, Reddy K, Reilly JP, Russell JA, Sevransky JE, Seymour CW, Shapiro NI, Singer M, Summers C, Sweeney TE, Thompson BT, van der Poll T, Venkatesh B, Walley KR, Walsh TS, Ware LB, Wong HR, Zador ZE, Marshall JC. Redefining critical illness. Nat Med. 2022 Jun;28(6):1141-1148. doi: 10.1038/s41591-022-01843-x. Epub 2022 Jun 17. PMID: 35715504.
Maslove DM, Badawi O. The Many Faces of Prediction Modeling in Critical Care. Crit Care Med. 2022 Apr 1;50(4):687-689. doi: 10.1097/CCM.0000000000005409. PMID: 35311775.
https://med.stanford.edu/master-clinical-informatics-management/stanford-clinical-informatics/ms-phd-in-biomedical-informatics.html

E175 - Global Surgery and the Power of Purpose with Mark Shrime

Canadian Journal of Surgery — Tue, 11 Mar 2025 02:00:00 -0600

The only thing that can save us from our irascibly self-centered existence is to make sure that our existence is in the service of others

Mark Shrime, ENT surgeon, global surgery researcher and now career coach is our guest on this episode. The quote I read was from his wonderful book, “Solving for Why: A Surgeon’s Journey to Discover the Transformative Power of Purpose”. It’s important to understand just how much of a fascinating person Mark Shrime is to get a context for this conversation. Dr. Shrime was the International Chief Medical Officer at Mercy Ships, an international NGO that operates hospital ships. Mark is also one of the major figures in the global surgery space, and was part of the 2015 Lancet Commission on Global Surgery. If that were not enough, he is also an American Ninja Warrior! We explored why Mark felt the need to write a book on purpose as well as his insights on global surgery, amongst many other topics. This was such an important conversation not just for surgeons but for anyone trying discover meaning and purpose in their life.

Links:

https://www.markshrime.com/
https://www.hachettebookgroup.com/titles/dr-mark-shrime/solving-for-why/9781538734162/?lens=twelve
https://www.thelancet.com/commissions/global-surgery
Shrime MG, Alkire BC, Grimes C, Chao TE, Poenaru D, Verguet S. Cost-Effectiveness in Global Surgery: Pearls, Pitfalls, and a Checklist. World J Surg. 2017 Jun;41(6):1401-1413. doi: 10.1007/s00268-017-3875-0. PMID: 28105528.
Smith ER, Kapoor P, Concepcion T, Ramirez T, Mohamed M, Dahir S, Cotache-Condor C, Adan Ismail E, Rice HE, Shrime MG. Does reducing out-of-pocket costs for children's surgical care protect families from poverty in Somaliland? A cross-sectional, national, economic evaluation modelling study. BMJ Open. 2023 May 2;13(5):e069572. doi: 10.1136/bmjopen-2022-069572. PMID: 37130683; PMCID: PMC10163539

E174 - Bridging East and West on colorectal cancer, with Tsuyoshi Konishi

Canadian Journal of Surgery — Tue, 25 Feb 2025 02:00:00 -0700

Tsuyoshi Konishi

Dr. Tsuyoshi Konishi is an associate professor of Colon and Rectal Surgery at the University of Texas M.D. Anderson Cancer Center, in Houston, USA. We again got a chance to hear several of his talks at the COLOSOS conference in Toronto in Oct 2024.

Dr. Konishi is really helping to bridge the gap between “Eastern” and “Western” approaches to colorectal cancer. In this episode, Dr. Konishi really broke down the sometimes nebulous concept of complete mesocolic excision in right sided colon cancers. We’d really encourage you to head over to our YouTube channel www.youtube.com/@coldsteelsurgery to check out the accompanying video and slides. One of the really enjoyable parts of this conversation was discussing some of the differences between Japanese and North American training – there’s lots we can learn!

Maybe we should incorporate the Japanese system of having everyone upload their operative video prior to board certification?? What do you think? Send us an email at podcast.cjs@gmail.com.

Check out YouTube version with Dr. Konishi's slides here: https://youtu.be/PGIBtYyBAxU

Bio:

After completion of advanced training in the field of Surgical Oncology and Colorectal Minimally Invasive Surgery at top institutions including the University of Tokyo, Cancer Institute Hospital of the JFCR and Memorial Sloan-Kettering Cancer Center, Dr. Konishi served as an attending colorectal surgeons since 2010, and Head Attending since 2017, at Cancer Institute Hospital of the Japanese Foundation for Cancer Research in Tokyo, Japan. He took a leadership in advancing a minimally invasive surgery program for complex colorectal cancer.

Dr. Konishi’s research interest includes combining multidisciplinary approaches for complex colorectal cancer, including neoadjuvant therapy, extended surgical resection and a minimally invasive surgery. Particularly, he has been taking an international leadership in studying lateral pelvic lymph node dissection for rectal cancer.

Dr. Tsuyoshi Konishi is currently an associate professor of Colon and Rectal Surgery at the University of Texas M.D. Anderson Cancer Center, in Houston, USA.

Links:

Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation--technical notes and outcome. Colorectal Dis. 2009 May;11(4):354-64; discussion 364-5. doi: 10.1111/j.1463-1318.2008.01735.x. Epub 2009 Nov 5. PMID: 19016817.
Konishi T, You YN. Complete Mesocolic Excision and Extent of Lymphadenectomy for the Treatment of Colon Cancer. Surg Oncol Clin N Am. 2022 Apr;31(2):293-306. doi: 10.1016/j.soc.2021.11.009. Epub 2022 Mar 5. PMID: 35351279.
RELARC trial: Lu J, Xing J, Zang L, Zhang C, Xu L, Zhang G, He Z, Sun Y, Feng Y, Du X, Hu S, Chi P, Huang Y, Wang Z, Zhong M, Wu A, Zhu A, Li F, Xu J, Kang L, Suo J, Deng H, Ye Y, Ding K, Xu T, Zhang Y, Zhang Z, Zheng M, Su X, Xiao Y; RELARC study group. Extent of Lymphadenectomy for Surgical Management of Right-Sided Colon Cancer: The Randomized Phase III RELARC Trial. J Clin Oncol. 2024 Nov 20;42(33):3957-3966. doi: 10.1200/JCO.24.00393. Epub 2024 Aug 27. PMID: 39190853.
Motoyama S, Yamamoto H, Miyata H, Yano M, Yasuda T, Ohira M, Kajiyama Y, Toh Y, Watanabe M, Kakeji Y, Seto Y, Doki Y, Matsubara H. Impact of certification status of the institute and surgeon on short-term outcomes after surgery for thoracic esophageal cancer: evaluation using data on 16,752 patients from the National Clinical Database in Japan. Esophagus. 2020 Jan;17(1):41-49. doi: 10.1007/s10388-019-00694-9. Epub 2019 Oct 3. PMID: 31583502; PMCID: PMC6976551.

E173 - The Leading Edge of Colon Cancer Treatments, with Jenny Seligmann

Canadian Journal of Surgery — Tue, 11 Feb 2025 02:00:00 -0700

This week we were joined by Dr. Jenny Seligmann. Dr. Seligmann is a Professor of Gastrointestinal and Translational Oncology and Honorary Consultant in Medical Oncology at the University of Leeds. Dr. Seligmann is one of the authors of the seminal FOxTROT trial, which investigated the use of neoadjuvant chemotherapy in advanced colon cancers. Dr. Seligmann is the lead investigator on the FOxTROT platform, the ARIEL trial, and continues to be on the leading edge of trials for colorectal cancer. In this episode, we explored neoadjuvant chemotherapy for colon cancer specifically. There's lots to take away from this conversation, but one of the things that stood out for us was some of the differences in the structure of the multidisciplinary tumor boards in Dr. Seligmann’s centre versus many centres in Canada. Perhaps in the future, all colorectal cancers will get discussed at tumor boards! What do you think? We’d love to hear your thoughts – email us at podcast.cjs@gmail.com.

Bio:

Dr Jenny Seligmann is Professor of Gastrointestinal and Translational Oncology and Honorary Consultant in Medical Oncology at the University of Leeds, UK. She is the Chief Investigator of the FOxTROT Platform and the ARIEL trial, and has a programme of translational research. She is a member of the ESMO Lower Gastrointestinal Faculty and the UK NCRI Colorectal Cancer Executive Group.

x/twitter: @jenseligmann

Links:

Preoperative Chemotherapy for Operable Colon Cancer: Mature Results of an International Randomized Controlled Trial. https://ascopubs.org/doi/10.1200/JCO.22.00046
Professor Dion Morton: https://www.birmingham.ac.uk/staff/profiles/applied-health/morton-dion
Professor Phil Quirke: https://medicinehealth.leeds.ac.uk/medicine/staff/700/professor-philip-quirke
ARIEL trial: https://fundingawards.nihr.ac.uk/award/NIHR129268
FOCUS4 trial: http://www.focus4trial.org/
FOxTROT platform website: https://ctru.leeds.ac.uk/foxtrot/
COLOSOS trial: https://mycs-cdn.myconferencesuite.com/other/Project/3222/91/c0/PRELIM%20PROGRAM_COLOSOS%20CANADA_DL.pdf

E172 - Joy of Surgery

Canadian Journal of Surgery — Tue, 28 Jan 2025 02:00:00 -0700

This episode is an edited version of a talk I gave to our first years during their Surgical Foundations course. It’s mainly a reminder to myself: this too shall pass.

Links:

Steven Covey 7 Habits of Highly Effective People: https://www.amazon.ca/Habits-Highly-Effective-People-Powerful/dp/0743269519
“Memento Mori”: https://dailystoic.com/memento-mori/
Hans Zimmer soundtracks: https://www.youtube.com/channel/UCJeBQabyLa_FvMxb6G67lkw

E171 - Selwyn Rogers on Violence Prevention & Creating a Trauma Centre in Chicago

Canadian Journal of Surgery — Tue, 14 Jan 2025 02:00:00 -0700

Selwyn O. Rogers Jr., MD, MPH, FACS, is a widely respected surgeon and public health expert. As founding director of the University of Chicago Medicine Trauma Center, Dr. Rogers is building an interdisciplinary team of specialists to treat patients who suffer injury from life-threatening events, such as car crashes, serious falls and gun violence. His team works with leaders in the city's trauma network to expand trauma care on the South Side.

Dr. Rogers has served in leadership capacities at health centers across the country, including most recently as vice president and chief medical officer for the University of Texas Medical Branch at Galveston. Dr. Rogers has also served as the chair of surgery at Temple University School of Medicine and as the division chief of trauma, burns and surgical critical care at Harvard Medical School. While at Brigham and Women's Hospital (BWH), he helped launch the Center for Surgery and Public Health to understand the nature, quality and utilization of surgical care nationally and internationally.
Additionally, as executive vice president for community health engagement, Dr. Rogers works with faculty across the University of Chicago as well as members of the community to develop a multidisciplinary approach to trauma care and health disparities. His work will help enhance the understanding of social factors that affect victims of violence and underserved populations, in addition to identifying approaches necessary to achieve better outcomes for trauma victims.

Dr. Rogers' clinical and research interests focus on understanding the healthcare needs of underserved populations. He has published numerous articles relating to health disparities and the impact of race and ethnicity on surgical outcomes.

Twitter: https://x.com/selwyn_rogers

Links:

Ann Surg. 2024 Jul 1;280(1):29-31. doi: 10.1097/SLA.0000000000006258. Epub 2024 Mar 5.When Equality Is Not Equity: The Ethics of Access to Trauma Care: A Surgical Perspective. Bethany L Strong 1, Franklin Cosey-Gay 2, Kenneth L Wilson 2, Selwyn O Rogers Jr 2
Scarlet S, Rogers SO Jr. What Is the Institutional Duty of Trauma Systems to Respond to Gun Violence? AMA J Ethics. 2018 May 1;20(5):483-491. doi: 10.1001/journalofethics.2018.20.5.msoc2-1805. PMID: 29763395.
Chang DC, Oseni TO, Strong BL, Molina G, Ortega G, Chen H, Rogers SO Jr. The Other Global Pandemic: Scientific Racism and the Normality Bias. Ann Surg. 2021 Dec 1;274(6):e646-e648. doi: 10.1097/SLA.0000000000005168. PMID: 34387208.

E170 - Dr. Thomas Forbes speaks at William Ersil Research Day

Canadian Journal of Surgery — Tue, 31 Dec 2024 02:00:00 -0700

This episode is a recording of the Queen’s Department of Surgery William Ersil Research Day. This year our invited speaker was Dr. Thomas Forbes, chief of surgery at University Health Network in Toronto and Editor-in-Chief of the Journal of Vascular Surgery.
In this “How I Built This” style episode in front of a live audience, we explored Dr. Forbes background, his training, the future of residency/fellowship training, his approach to leadership and how he goes “all in” for both work and his family life.
Thanks again to the Department of Surgery at Queen’s for allowing us to record this and to all those in attendance for being such a wonderful audience.

Bio: Dr. Forbes is Professor of Surgery and Chair of the Division of Vascular Surgery at the University of Toronto, a position he has held since 2014. He obtained his medical degree in 1990 from the University of Toronto and completed his general surgery and vascular surgery training at the University of Western Ontario. He is the co-Program Director of the Advanced Aortic Surgery Fellowship at the University of Toronto, a collaborative fellowship between vascular and cardiac surgery in open and endovascular therapies for thoracoabdominal aortic pathologies. Previously he was Chair/Chief of the Division of Vascular Surgery at the University of Western Ontario (2005-2014) and the inaugural Graduate Program Chair of the Masters of Science in Surgery program. He has published over 200 peer-reviewed papers, editorials and book chapters and given over 100 invited lectures or guest professorships. He is currently an Associate Editor of the Journal of Vascular Surgery and the Canadian Journal of Surgery and a member of several editorial boards. He is the Past-President of the Canadian Society for Vascular Surgery, Section Editor of Rutherford’s Textbook of Vascular Surgery and the Chair of the Vascular Care Working Group of the Cardiac Care Network in Ontario. He is also a former Program Director and vice-Chair of the Vascular Surgery Specialty Committee of the Royal College of Physicians and Surgeons of Canada.
Links:

https://surgery.queensu.ca/research/william-ersil-resident-research-day
Providing high-quality open aortic surgical care in the endovascular era. https://www-sciencedirect-com.proxy.queensu.ca/science/article/pii/S074152142200427X?via%3Dihub
Advanced Aortic fellowship: https://surgery.utoronto.ca/sites/default/files/inline-files/2025%20Fellowship%20in%20Advanced%20Aortic%20Surgery.pdf
https://www.audiblebleeding.com/forbes/

E169 - The Canadian Medical Protective Association & Cold Steel on Medico-legal Risks for the Surgeon (part 1)

Canadian Journal of Surgery — Tue, 17 Dec 2024 01:00:00 -0700

We are delighted to release our new collaborative mini-series on “Medico-legal Risks for
the Surgeon”. The Canadian Medical Protective Association and the Cold Steel podcast
have teamed up to release this mini-series exploring some common legal issues that
might arise for surgeons.

In this first episode, we explore some basic legal issues that surgeons might face. We
explore the peer-review system, documentation, inherent risk, the role of the system in
medico-legal errors, and the impact these issues have on surgeons.
Stay tuned for our other episodes!

Bio:
Dr. Richard Mimeault completed his medical degree at McGill University in 1982. He
went on to do an internship at the Wellesley Hospital in Toronto, followed by a general
surgery residency in Ottawa and then a two-year transplant fellowship at the University
Hospital in London, Ontario. In 1989, he returned to Ottawa where he started a practice
of general and hepatobiliary surgery at the Ottawa Hospital. He was in practice for 27
years during which time he was closely involved with the residency training program
and undergraduate education. He was also peer assessor for the College of Physicians
and Surgeons of Ontario (CPSO) and volunteered in third-world surgery and surgical
education. He joined the CMPA as a physician advisor in 2017.

Links:

Documentation workshop. https://www.cmpa-acpm.ca/en/education-events/teaching-resources/physician-patient/documentation--principles-of-medical-record-keeping
Test result workshop. https://www.cmpa-acpm.ca/en/education-events/workshops/workshop-test-results-follow-up
Haytham Kaafarani on Surgeons as a Second Victim: https://open.spotify.com/episode/6MiYBhgt2k7qDMCxUZt537
https://www.cmpa-acpm.ca/en/research-policy/know-your-risk/what-general-surgeons-need-to-know
Reducing Diagnostic Error with Janice Kwan: https://open.spotify.com/episode/6HJjgK3756tb7NO5fFQUDY

E168 - Caprice Greenberg on Coaching

Canadian Journal of Surgery — Tue, 03 Dec 2024 02:00:00 -0700

Thank you for joining us on Cold Steel!

Dr. Caprice Greenberg is a surgical oncologist at UNC School of Medicine in North Carolina. She is a preeminent health services researcher and also the founder of the Academy for Surgical Coaching. We caught up with her to do a deep dive on surgical coaching and the work that she’s done on a state-wide level to create a coaching program. Dr. Greenberg is an iconoclast and provides some really important insights on the importance on having a vision and pursuing it, no matter how off the beaten path it may be.

Bio:

Dr. Greenberg is a world-renowned health services researcher and surgical oncologist, and she most recently served as chair of the Department of Surgery at the Medical College of Georgia at Augusta University.

She also is a leader in the study of care delivery in operating rooms and innovative approaches to collaborative learning and will bring research projects to the School of Medicine related to surgical coaching and methods to improve rural cancer care delivery.

Greenberg earned her MD from the University of Chicago Pritzker School of Medicine and her Masters of Public Health from the Harvard School of Public Health. Her general surgery residency was completed at Brigham and Women’s Hospital in Boston and she completed her surgical oncology fellowship at the Dana – Farber/Partners Cancer Center in Boston.

Links:

https://pubmed.ncbi.nlm.nih.gov/28650360/
https://pubmed.ncbi.nlm.nih.gov/28146224/
https://pubmed.ncbi.nlm.nih.gov/33605579/
Academy for Surgical Coaching. https://surgicalcoaching.org/
Presidential address for AAS https://pubmed.ncbi.nlm.nih.gov/29078918/

E167 - Adom Bondzi Simpson on Diversity in Surgery

Canadian Journal of Surgery — Tue, 19 Nov 2024 02:00:00 -0700

Dr. Adom Bondzi-Simpson is a general surgery resident and PhD student at the University of Toronto. He’s been nationally recognized for his advocacy work and research work on social justice and social determinants of health. He is a winner of the Canadian Medical Association for Young Leaders, the 2023 winner of the Mikhael Award for Medical Education from the Resident Doctors of Canada, among other accolades. In this episode we do a very deep dive on Adom’s upbringing and background, and his thoughts on how we can make the house of surgery a more diverse and welcoming place.

Links:

1. https://temertymedicine.utoronto.ca/news/faces-temerty-medicine-adom-bondzi-simpson

2. “Where is the Black doctor!?” CMAJ piece. https://www.cmaj.ca/content/194/34/E1175

3. https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/37640638/

4. https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/37063147/

5. CMA Award: https://www.cma.ca/get-involved/awards/awards-young-leaders/dr-adom-bondzi-simpson

E166 - Lilli Cooper on Tremors and Performance Anxiety

Canadian Journal of Surgery — Tue, 05 Nov 2024 01:00:00 -0700

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

Bonus Episode from CANUCS Surgical Fellows Course: Morad Hameed on Finding Fulfillment as Surgeons

Canadian Journal of Surgery — Tue, 22 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

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:

Bonus Episode from CANUCS Surgical Fellows Course: Morgan Schellenberg on Choosing Your First Surgical Job

Canadian Journal of Surgery — Fri, 18 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

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.

Bonus Episode from CANUCS Surgical Fellows Course: Ashlie Nadler on being Available, Affable, and Able

Canadian Journal of Surgery — Thu, 17 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

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.

Bonus Episode from CANUCS Surgical Fellows Course: Kelly Vogt on Starting Your Career in Research as a Surgeon

Canadian Journal of Surgery — Wed, 16 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

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:

Bonus Episode from CANUCS Surgical Fellows Course: Rob Leeper on How to Think About Your Surgical Career

Canadian Journal of Surgery — Tue, 15 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

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

Bonus Episode from CANUCS Surgical Fellows Course: Ameer Farooq on Culture in Surgery

Canadian Journal of Surgery — Mon, 14 Oct 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

Links:

Treatment of Ongoing Hemorrhage: The Art and Craft of Stopping Severe Bleeding. https://www.amazon.ca/Treatment-Ongoing-Hemorrhage-Stopping-Bleeding/dp/3319634941
https://canucs.ca/
Rhea Liang and Simon Fleming on Culture Change in Surgery: https://www.canjsurg.ca/cold-steel-episode-81-rhea-liang-and-simon-fleming
Effects of Hierarchy in the OR: https://academic.oup.com/bja/article-abstract/110/3/463/249144
Elaine Bromiley: https://www.youtube.com/watch?v=6qKYRDxwQf8
Haytham Kaafarani : https://open.spotify.com/episode/6MiYBhgt2k7qDMCxUZt537

E165 - Erin King-Mullins on Creativity, Entrepreneurship, and Developing Your Own Practice

Canadian Journal of Surgery — Tue, 01 Oct 2024 01:00:00 -0600

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/B0CF4LKWRC
Corona-Mamas: https://www.godaddy.com/resources/mindset/godaddy-qa-corona-mamas-erin-king-mullins
https://colowellness.com/

E164 - Best of CSF 2023 with Elena Parvez

Canadian Journal of Surgery — Tue, 17 Sep 2024 01:00:00 -0600

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 podcast.cjs@gmail.com.

E163 - Rediscovering a Surgeon's Purpose and Intentionality with Dr. Sharon Stein

Canadian Journal of Surgery — Tue, 03 Sep 2024 01:00:00 -0600

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 slsteincoaching@gmail.com 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/

E162 - Jennifer McCall and Romy Nitsch on Imposter Syndrome

Canadian Journal of Surgery — Tue, 20 Aug 2024 01:00:00 -0600

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.

E161 - Elizabeth Squirrell on Crohns Disease, Part 2

Canadian Journal of Surgery — Tue, 06 Aug 2024 01:15:00 -0600

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/10.1177/17562848231159452
Vedolizumab as Induction and Maintenance Therapy for Crohn's Disease – Sandborn et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa1215739
- They 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#APPNEJMoa1602773SUP
ECCO-ESCP Consensus on Surgery for Crohn’s Disease – Bemelman et al. - https://academic.oup.com/ecco-jcc/article/12/1/1/3813784
Cardiovascular and Cancer Risk with Tofacitinib in Rheumatoid Arthritis – Ytterberg et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa2109927
ACG 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.aspx
Canadian 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

E160 - Elizabeth Squirrell on Crohns Disease, Part 1

Canadian Journal of Surgery — Tue, 06 Aug 2024 01:00:00 -0600

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/

E159 - Creating a Supportive Culture of Leadership with Sharmila Dissanaike

Canadian Journal of Surgery — Tue, 23 Jul 2024 01:00:00 -0600

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.aspx
New Yorker piece about Brittany Bankhead-Kendall, a trauma surgeon recruited & supported by Dr. Dissanaike: https://www.newyorker.com/science/medical-dispatch/a-doctors-dark-year
How to prevent burnout (maybe): https://pubmed.ncbi.nlm.nih.gov/27810134/

E158 - Bellal Joseph on REBOA, brain injuries, frailty in surgery and authenticity

Canadian Journal of Surgery — Tue, 09 Jul 2024 01:00:00 -0600

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/1759365974141321232
https://x.com/TopKniFe_B/status/1752607469552157060
https://x.com/TopKniFe_B/status/1752014880578949430

E157 - Reducing Diagnostic Error with Janice Kwan

Canadian Journal of Surgery — Tue, 25 Jun 2024 01:00:00 -0600

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/kwanjanice

Links:

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

E156 - Working Less, and Living More with Adi Kumar

Canadian Journal of Surgery — Tue, 11 Jun 2024 01:00:00 -0600

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.

Links:

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

E155 - Shiva Jayaraman on Peer-to-Peer Coaching for Bile Duct Injuries

Canadian Journal of Surgery — Tue, 28 May 2024 01:00:00 -0600

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-best
Thinking 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.aspx
TVASurg: www.tvasurg.ca/lapchole

E154 - Bev Blaney on Psychological Challenges for Surgeons

Canadian Journal of Surgery — Mon, 06 May 2024 03:00:00 -0600

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

E153 Marylise Boutros on Low Anterior Resection Syndrome (LARS)

Canadian Journal of Surgery — Tue, 26 Mar 2024 08:23:18 -0600

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.

RE-BROADCAST E27 David Feliciano on Trauma and Culture Building

Canadian Journal of Surgery — Sun, 25 Feb 2024 07:09:46 -0700

This is a re-broadcast to honour the memory of the "Boss" Dr. Feliciano.

Original shownotes:

It’s not an understatement to say that Dr. David Feliciano is a true giant in trauma surgery. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

We discuss with him how he recruited such amazing faculty, developing one’s technical skills, research, and the future of trauma.

1.Trauma textbook: www.amazon.ca/Trauma-Eighth-Erne…oore/dp/1259860671

2.“Everything You Ever Wanted to Know about Trauma” public lecture: www.youtube.com/watch?v=99yddsDe6oU

3.“Leftovers” by Dr. Feliciano has one of the best lines in a paper ever: At this point, the chief surgical resident on the trauma service met with the attending surgeon for violating his own well-known rule—“wounds that don’t heal contain dead tissue, infected tissue, cancer, or a foreign body.” www.ncbi.nlm.nih.gov/pmc/articles/PMC6263419/

4.Pitfalls in the management of peripheral vascular injuries. www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/

RE-BROADCAST E46 Nobel Prize Winners in Surgery with David Feliciano

Canadian Journal of Surgery — Sun, 25 Feb 2024 07:09:38 -0700

We are re-broadcasting this episode in honour of the memory of the late Dr. David Feliciano.

Original shownotes:

In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them.

Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes.

Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

Links:

1. Nobel Prize winners who were trained as surgeons.
Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. journals.sagepub.com/doi/abs/10.117…urnalCode=asua

2. Alexis Carrel (1873-1944): Nobel Laureate, 1912.
Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. jamanetwork.com/journals/jamasurg…ullarticle/508657

3. Joseph E. Murray (1919- ): Nobel Laureate, 1990.
Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. jamanetwork.com/journals/jamasurg…ullarticle/508445

4. Michael Houghton, Winner of 2020 Nobel Prize. www.ualberta.ca/michael-houghton-…l-prize-2020.html

Tribute to the "Boss" David Feliciano

Canadian Journal of Surgery — Sun, 25 Feb 2024 06:38:11 -0700

It is with sadness but also profound gratitude that we commemorate the passing of David V Feliciano on January 4, 2024.

We invited our friend Neil Parry on the podcast to talk about our memories and the legacy of this amazing surgeon, researcher, and mentor.

Links:

1. David V. Feliciano: Contributions to acute care surgery. https://www.canjsurg.ca/content/65/2/E203

2. E27 David Feliciano On Trauma And Culture Building. https://soundcloud.com/cjs-podcast/e27-david-feliciano-on-trauma-and-culture-building

3. E46 Nobel Prize Winners In Surgery With David Feliciano. https://soundcloud.com/cjs-podcast/e46-nobel-prize-winners-in-surgery-with-david-feliciano

4. Feliciano Favorites with Trauma and Acute Care Surgery Open! https://twitter.com/hashtag/FelicianoFavorites?src=hashtag_click'

5. Southeast Surgical Congress tribute: https://www.youtube.com/watch?v=YRaipv7hG9Y

6. E31 Grace Rozycki On Trauma Ultrasound, Gender Equity, And Mentorship. https://soundcloud.com/cjs-podcast/e31-grace-rozycki-on-trauma-ultrasound-gender-equity-and-mentorship/s-cIzPNd8HDtX

Best of CSF 2023 - Karina Spoyalo on Perioperative Warming Techniques

Canadian Journal of Surgery — Mon, 22 Jan 2024 15:38:27 -0700

We still got more in the vault from CSF 2023! In this episode, Dr. Spoyalo talked about her work on perioperative warming at Vancouver General Hospital. Listen to the work she's done to understand what goes on for warming (most patients have 11 blankets!) and the modeling she's done to figure out the most effective techniques for warming.

Another example of the amazing work being done through Dr. Andrea MacNeill's Planetary Health Lab!

Links:

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10718225/

2. UBC Planetary Healthcare Lab: https://www.med.ubc.ca/news/planetary-healthcare-lab/

3. https://soundcloud.com/cjs-podcast/e62-andrea-macneill-on-planetary-health-in-the-operating-room

E152 Justin Dimick "How I Built This" interview at Queen's University William Ersil Research Day

Canadian Journal of Surgery — Thu, 28 Dec 2023 06:40:24 -0700

In this special episode, we had the opportunity to do our first live Cold Steel episode! We were lucky enough to be able to have Dr. Justin Dimick join us at Queen’s University in Kingston, Ontario as part of our William Ersil research day. During this interview we really delved into Dr. Dimick’s life story and his vision for how we can continue to improve the science and craft of surgery.

Links:

1. https://surgery.queensu.ca/research/2022-william-ersil-resident-research-day#:~:text=The%20William%20Ersil%20Resident%20Research,the%20supervision%20of%20Attending%20Staff.

2. How I Built This: https://www.npr.org/series/490248027/how-i-built-this
3. https://www.ourherald.com/articles/randolph-nationals-dimick-is-banker-of-the-year/

4. https://www.ourherald.com/articles/justin-dimick-wins-medical-research-award/

5. Variation in Hospital Mortality Associated with Inpatient Surgery. https://www-nejm-org.proxy.queensu.ca/doi/full/10.1056/nejmsa0903048

6. Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. https://pubmed.ncbi.nlm.nih.gov/19953723/

7. https://www.canjsurg.ca/e60-andrew-ibrahim-on-architecture-visual-abstracts-and-design-in-surgery.

8. Wired article on Andrew Ibrahim. https://www.wired.com/story/lets-save-some-lives-doctors-journey-into-pandemic/

9. Michigan Mentorship Academy. https://www.youtube.com/playlist?list=PLNxqP-XbH8BLhAqx9o_sTLCV2dpGebFM9

10. Chelsea Harris, Justin Dimick, Lesly Dossett. Cultural Complications: A Novel Strategy to Build a More Inclusive Culture. https://pubmed.ncbi.nlm.nih.gov/32740257/

E151 Haytham Kaafarani on Intra-operative Adverse Events and Surgeons as a Second Victim

Canadian Journal of Surgery — Mon, 27 Nov 2023 13:01:37 -0700

Dr. Haytham Kaafarani is a trauma surgeon at Massachusetts General Hospital. We caught up with him after he recently gave a phenomenal talk at the Canadian Surgical Forum in Vancouver earlier this year. Dr. Kaafarani talked about his work in Lebanon after the explosion in 2020, his research on intra operative adverse events, and ultimately on his work as surgeons as second victims. This episode is a clarion call for surgeons everywhere to develop these support systems for each other.

Links:

1. Intraoperative Adverse Events in Abdominal Surgery: What Happens in the Operating Room Does Not Stay in the Operating Room. https://pubmed.ncbi.nlm.nih.gov/27805961/

2. Derivation and validation of a novel severity classification for intraoperative adverse events. https://pubmed.ncbi.nlm.nih.gov/24702887/

3. The Surgeon as the Second Victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) Study. https://pubmed.ncbi.nlm.nih.gov/28093300/

4. Design and Impact of a Novel Surgery-Specific Second Victim Peer Support Program. https://journals.lww.com/journalacs/abstract/2020/06000/design_and_impact_of_a_novel_surgery_specific.16.aspx

Best Of Canadian Surgical Forum 2023: Zuhaib Mir on Delayed vs. Early Appendectomy (DELAY)

Canadian Journal of Surgery — Fri, 03 Nov 2023 10:26:57 -0600

Do you really have to do that appendectomy for acute uncomplicated appendicitis at 2 am??? Now you have level 1 evidence to tell you!

Continuing on with our best of Canadian Surgical Forum 2023 series, we interviewed Dr. Zuhaib Mir (current HPB and transplant fellow at Dalhousie University). He spoke on behalf of his coinvestigators on their amazing work on the role of delayed appendectomy for acute appendicitis.

YouTube version with video review of the paper: https://www.youtube.com/watch?v=rtOX7kKxe7o

Disclaimer: We are not part of the organizing committee of CSF or CAGS. The best way to get all the content is to attend the meeting live in person! See you in Winnipeg in 2024!

1. DELAY trial: https://pubmed.ncbi.nlm.nih.gov/37436871/

2. www.canadiansurgeryforum.com/

Best Of CSF HPB Edition with Katrina Duncan and Richard Gilbert

Canadian Journal of Surgery — Tue, 31 Oct 2023 07:00:14 -0600

This year we've had the pleasure of introducing a new segment where we highlight some of our favourite sessions from our national general surgery conference, the Canadian Surgical Forum (CSF).

In this episode, hepatopancreaticobiliary (HPB) surgeon Dr. Katrina Duncan (@dockcduncan) and HPB fellow Dr. Richard Gilbert (@RichWDGilbert) update us on the best HPB content from this year's conference.

Disclaimer: We are not part of the organizing committee of CSF or CAGS. The best way to get all the content is to attend the meeting live in person! See you in Winnipeg in 2024!

Links:

1. Tweetorial from Dr. Duncan and Dr. Gilbert: https://twitter.com/CHPBAsurg/status/1705620586263666971

2. https://www.canadiansurgeryforum.com/

E150 Hugh MacDonald on Surgeons as Lifelong Learners and Adopting New Techniques

Canadian Journal of Surgery — Thu, 26 Oct 2023 05:07:38 -0600

How do surgeons incorporate new techniques, tools and approaches while in practice? Dr. Hugh MacDonald is a colorectal surgeon at Queen's University. He has been in practice for nearly 30 years and has been at the forefront of adopting new techniques into his practice, including laparoscopy and most recently robotic surgery.

We talk to Hugh about how he approaches innovation and what drives him to constantly look for better ways to take care of patients.

YouTube link: https://youtu.be/FAb2_gsXzAQ

Links:

1. https://pubmed.ncbi.nlm.nih.gov/35212820/

2. IDEAL collaborative: https://www.ideal-collaboration.net/

3. Interview with Sunil Patel: https://soundcloud.com/cjs-podcast/sunil-patel-on-robotic-colorectal-surgery-and-spin-in-surgical-research

4. Interview with Antonio Caycedo-Marulanda: https://soundcloud.com/cjs-podcast/e143-masterclass-with-antonio-caycedo-marulanda-on-transanal-excision-of-rectal-lesions

E149 Amin Madani on AI, Machine Learning, Surgical Data Science, & GoNoGo in Cholecystectomy

Canadian Journal of Surgery — Tue, 10 Oct 2023 06:39:53 -0600

Dr. Amin Madani is the director of the Surgical AI Research Academy (SARA) at the University Health Network (UHN). He is an endocrine and acute care surgeon at UHN and assistant professor of surgery at the University of Toronto. Dr. Madani talked to us and showed us some of the work he is doing on AI in surgery and in particular on computer vision. He really breaks down for us the terms AI, machine learning, and data science, and highlighted some of the promise and challenges for AI in surgery.

Email Dr. Madani: amin.madani@uhn.ca

Watch full unedited interview on YouTube: https://youtu.be/aawdQy90v2Q

Links:

1. https://temertysimcentre.com/surgical-artificial-intelligence-research-academy-sara/

2. Video of Go No Go: https://www.youtube.com/watch?v=MmcW8JK1Qv4

3. Surgical Data Science: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9135051/

4. Artificial Intelligence for Intraoperative Guidance: Using Semantic Segmentation to Identify Surgical Anatomy During Laparoscopic Cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/33196488/

E148 Ron Barbosa on Twitter Threads & Surgical Education

Canadian Journal of Surgery — Mon, 28 Aug 2023 15:24:06 -0600

Podcast transcript: https://www.canjsurg.ca/content/e148-ron-barbosa-twitter-threads-surgical-education

On this episode we were joined by the Twitter (X???) legend Dr. Ron Barbosa. Dr. Barbosa is a trauma surgeon at Legacy Health in Portland, Oregon. He's gained popularity for his fantastic threads on Twitter discussing topics in surgery everyone always wondered about but are too afraid to ask. We also discuss the future of surgery, social media, and surgical education.

Links:

1. Ron Barbosa Twitter: https://twitter.com/rbarbosa91

2. Gold handled needle driver: https://twitter.com/rbarbosa91/status/1535125990766268416?lang=en

3. Traction/Countertraction: https://twitter.com/rbarbosa91/status/1587495330639400960?lang=en

4. French scale: https://twitter.com/rbarbosa91/status/1532622531558903808

E147 Journal Club with Nathan Ginther on Stapled Rectal Prolapse Repair

Canadian Journal of Surgery — Wed, 14 Jun 2023 05:11:24 -0600

Podcast transcript: https://www.canjsurg.ca/content/e147-journal-club-nathan-ginther-stapled-rectal-prolapse-repair

In this episode, we were joined by colorectal surgeon Dr. Nathan Ginther. Dr. Ginther is based out of the University of Saskatchewan, and is the principle author of the CJS article published in January of 2023, entitled, "A comparison of perineal stapled prolapse resection and the Altemeier procedure at 2 Canadian academic hospitals".

https://www.canjsurg.ca/content/66/1/E8

We discuss this paper in detail and rectal prolapse more generally.

Email comments/thoughts to podcast.cjs@gmail.com or tweet @CanJSurg

University of Manitoba General Surgery Residency Program Highlight with Justin Rivard (CaRMS 2023)

Canadian Journal of Surgery — Sat, 13 May 2023 04:39:46 -0600

We caught up with Dr. Justin Rivard, new program director at University of Manitoba general surgery residency program!

Links:

1. https://umanitoba.ca/medicine/department-surgery/general-surgery-residency

2. https://www.instagram.com/uofmgeneralsurgery/?hl=en

E146 Jonathan White On Surgery101, Surgical Education And Sabbaticals

Canadian Journal of Surgery — Thu, 11 May 2023 19:56:26 -0600

Podcast transcript: https://www.canjsurg.ca/content/e146-jonathan-white-surgery101-surgical-education-and-sabbaticals

We were joined on this episode by Dr. Jonathan White. Dr. White is a colorectal surgeon at Royal Alexandra Hospital in Edmonton, Alberta, and is the co-creator of @Surgery101, the wildly successful surgical podcast aimed at medical students. Dr. White talked about his early career, the impetus behind Surgery101, as well as his recent sabbatical in Ireland.

Links:

1. Surgery101: https://surgery101.org/

2. Surgery 101: evaluating the use of podcasting in a general surgery clerkship. https://pubmed.ncbi.nlm.nih.gov/22022905/

3. Paul Duffy on Sabbaticals: https://soundcloud.com/cjs-podcast/e67-paul-duffy-on-sabbaticals

E145 Masterclass With Rob Bechara On Optical Evaluation Of Colonic Polyps

Canadian Journal of Surgery — Tue, 25 Apr 2023 11:01:33 -0600

Podcast transcript: https://www.canjsurg.ca/content/e145-masterclass-rob-bechara-optical-evaluation-colonic-polyps

On this episode we were joined by the master of optical evaluation of polyps, Dr. Rob Bechara. Dr. Bechara is an advanced therapeutic endoscopist at Queen’s University, and he gave us a masterclass on how to look at polyps and assess what kind of polyp it is. This is an essential primer on important macroscopic and microscopic polyp characteristics and really a must-listen for anyone who does endoscopy, surgeon or gastroenterologist.

Also don’t miss his really unique experience training in Japan and what we might learn about our own training models in the process.

You can watch the full video at our YouTube channel @coldsteelsurgery.

Link to YouTube video: https://youtu.be/XmAI-OyCCd0

Rob Bechara on Twitter: www.twitter.com/robertbechara

Rob's YouTube channel: www.youtube.com/@RBEndoscopy

Links:

1. Dr. Haruhiro Inoue - https://endoscopyonair.com/members/haruhiro-inoue/

2. Clinical Importance of Magnification in the Assessment of Colorectal Lesions. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8489521/

E144 Geeta Lal on Ergonomics in Surgery

Canadian Journal of Surgery — Fri, 31 Mar 2023 10:16:58 -0600

All of us at some point in our career experience physical pain while operating. We were lucky to be joined by Dr. Geeta Lal (@geetalalmd on twitter) on the show today to talk about the concept of surgical ergonomics. Make sure you check out the YouTube version of this episode, for a special segment where Dr. Lal looks at some actual footage of us operating and makes some recommendations on what we might do differently. This is such an important conversation on how we can take care of ourselves so we can better care for our patients.

Links:

1) https://surgicalergonomics.com/

2) The Society of Surgical Ergonomics has a variety of information and education materials (including articles): https://www.societyofsurgicalergonomics.org/

3) https://www.facs.org/for-medical-professionals/education/programs/surgical-ergonomics/recommendations/

4) Susan Hallbeck OR stretch videos: https://www.mayo.edu/research/labs/human-factors-engineering/or-stretch/or-stretch-videos

Bio:

Dr. Geeta Lal is a board-certified General Surgeon (both USA and Canada) with advanced Fellowship training in Endocrine Surgical Oncology. She is also a tenured Associate Professor of Surgery with a cross-appointment in Pediatrics at a major academic medical center. Dr. Lal has spent the last 17 years practicing Endocrine surgery and has extensive experience in thyroid and parathyroid surgery, including re-operative surgery and pediatric thyroid cancer. She is also involved in teaching surgical residents and medical students, both in the operating room and clinics.

Dr. Lal has served in many different roles throughout her career, including being the Co-Leader of her cancer center’s Endocrine Multidisciplinary Oncology Group and heading an NIH-funded basic science laboratory focused on the role of the Extracellular Matrix 1 (ECM1) gene for many years. She has since transitioned from the lab into an administrative role as the Associate Chief Quality Officer for the Adult Inpatient Services at her hospital. Dr. Lal continues to perform both clinical and quality and safety research and has presented and published her work extensively.

UBC General Surgery Residency Highlight with Tracy Scott (Rebroadcast for CaRMS 2023)

Canadian Journal of Surgery — Tue, 07 Mar 2023 19:49:44 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

This is a rebroadcast of our conversation with Dr. Tracy Scott, co-program director of the UBC general surgery residency program!

Links:

1. https://twitter.com/ubcgensurg?lang=en

2. https://surgery.med.ubc.ca/divisions/general-surgery/

3. https://gsresidency.surgery.med.ubc.ca/

Calgary General Surgery Residency Highlight with Ryan Rochon (Rebroadcast for CaRMS 2023)

Canadian Journal of Surgery — Tue, 07 Mar 2023 19:25:14 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

This is a rebroadcast of our conversation with Dr. Ryan Rochon, program director for the Calgary general surgery residency program!

Links:

1. https://twitter.com/calgarygensurg

2. https://www.instagram.com/calgarygensurg/?hl=en

3. https://cumming.ucalgary.ca/departments/surgery/sections/general-surgery

Western General Surgery Residency Highlight with Michael Ott (Rebroadcast for CaRMS 2023)

Canadian Journal of Surgery — Tue, 07 Mar 2023 19:04:46 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

This is a rebroadcast from last year's conversation with former program director Dr. Mike Ott!

Please check out new program director Dr. Julie Ann Van Koughnett's twitter handle: https://twitter.com/javankoughnett

Links:

1. https://twitter.com/western_gensurg

2. https://www.schulich.uwo.ca/generalsurgery/

McGill General Surgery Residency Highlight with Sender Liberman (Rebroadcast 2023)

Canadian Journal of Surgery — Sun, 05 Mar 2023 20:11:44 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

This is a rebroadcast of our conversation with Dr. Sender Liberman about the McGill general surgery residency program!

Links:

1. https://www.mcgill.ca/generalsurgery/current-residents

2. https://twitter.com/McGillGenSurg

Dalhousie General Surgery Residency Highlight with Lucy Helyer (Rebroadcast CaRMS 2023)

Canadian Journal of Surgery — Sun, 05 Mar 2023 19:38:59 -0700

This is a rebroadcast of last year's conversation with Dr. Lucy Helyer on the Dalhousie general surgery residency program!

Links:

1. https://medicine.dal.ca/departments/department-sites/surgery/divisions/general-surgery.html

2. https://www.instagram.com/dalhousiegensurg/?hl=en

McMaster University General Surgery Residency Highlights CaRMS 2023 with Ilun Yang

Canadian Journal of Surgery — Sun, 05 Mar 2023 15:45:19 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

We had the pleasure of speaking to Dr. Ilun Yang, new program director of the general surgery residency program at McMaster University!

Links:

1. https://twitter.com/mcmastersurgery

2. https://surgery.mcmaster.ca/divisions/general-surgery

3. https://www.instagram.com/macgensurg/?hl=en

Memorial University of Newfoundland (MUN) Gen Surg Highlights CaRMS 2023 with Alex Mathieson

Canadian Journal of Surgery — Sun, 05 Mar 2023 15:38:18 -0700

We had the pleasure of catching up with Dr. Alex Mathieson for the 2nd year in a row to talk about the MUN general surgery residency program!

YouTube: https://youtu.be/8Xn8KnamcQ0

Links:

1. https://www.mun.ca/medicine/surgery/

2. https://www.instagram.com/mungensx/?hl=enen

University of Alberta General Surgery CaRMS 2023 Residency Program Highlight with Mike McCall

Canadian Journal of Surgery — Fri, 03 Mar 2023 04:52:53 -0700

We had the pleasure of speaking to new program director Dr. Michael McCall about the U of A general surgery residency program!

YouTube version: https://youtu.be/iD40jZgXcvs

Links:

1. Slides: https://docs.google.com/presentation/...

2. Program Website: https://www.ualberta.ca/surgery/divis...

3. Instagram: https://www.instagram.com/uofagensurg/

Queen's General Surgery Residency Highlights CaRMS 2023 with Sarah Jones

Canadian Journal of Surgery — Fri, 03 Mar 2023 04:02:07 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

We had the pleasure of speaking with program director and pediatric surgeon Dr. Sarah Jones about the Queen's University General Surgery Program!

YouTube: https://youtu.be/RdoEpu_wGjM

Links:

1. Queen's General Surgery Department: https://surgery.queensu.ca/postgraduate/general-surgery

2. Twitter: https://twitter.com/QueensGenSurg

3. Queen's Colorectal Surgery: https://twitter.com/QueensCRS

Carms General Advice 2023

Canadian Journal of Surgery — Tue, 28 Feb 2023 15:08:04 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

It’s that time of year again, when we have the pleasure of interviewing and selecting our future colleagues. We are, of course, talking about the CaRMS interview process. Most of our listeners will know that CaRMS stands for Canadian Resident Matching Service. Interviews are well underway for final year medical students across the country.

Like last year, we felt it would be helpful for prospective applicants to hear from various general surgery programs across the country about what their residency training programmes have to offer. We have a few new programs and a few repeats from our episode from last year. This year we’ve broken it up into separate individual episodes from each program, and you can also find the video version on YouTube channel.

Of note, we do not have any affiliation with CaRMS. Please check the CaRMS website for the full list of general surgery residency training programs.

Last year, Dr. Ball and I talked a bit about our thoughts surrounding interviews and some general advice to applicants. Stay tuned for a re-broadcast of that conversation. If you have questions or comments, we’d love to hear from you, so email us at podcast.cjs@gmail.com or tweet at us @CanJSurg.

E143 Masterclass with Antonio Caycedo-Marulanda on Transanal Excision of Rectal Lesions

Canadian Journal of Surgery — Wed, 08 Feb 2023 10:08:46 -0700

To obtain the transcript, please contact podcast.cjs@gmail.com.

Of note, we do not have any affiliation with CaRMS. Please check the CaRMS website for the full list of general surgery residency training programs.

E142 Masterclass with Dennis Kim (Trauma ICU Rounds) on Fascial Dehiscence

Canadian Journal of Surgery — Mon, 30 Jan 2023 05:10:53 -0700

Podcast transcript: https://www.canjsurg.ca/content/e142-masterclass-dennis-kim-trauma-icu-rounds-fascial-dehiscence

This week, we were joined by trauma surgeon and podcaster Dr. Dennis Kim. Dr. Kim, among many other things, hosts the very successful and highly educational Trauma ICU Rounds podcast. We in Canada are lucky enough to have him back on Canadian soil, and so on this episode talked to him about his experience moving back to Canada and collaborating to develop a trauma system in Victoria, BC. We then delved into a masterclass on fascial dehiscences, ranging from closure techniques to prevent dehiscences in the first place to strategies for dealing with them when they happen.

Links:

1. https://www.traumaicurounds.ca/

2. STITCH trial: https://pubmed.ncbi.nlm.nih.gov/26188742/

3. Wittmann Patch: https://medizzy.com/feed/46410

4. ABRA Closure Device: https://www.cjmedical.com/products/specialties/dynamic-tissue-systems/abra-abdominal-wall-closure

Bio (from https://medicalstaff.islandhealth.ca/news-events/dr-dennis-kim):

Originally from Toronto, Dr. Kim completed medical school at McMaster University followed by General Surgery residency and a Critical Care Medicine fellowship at the University of Ottawa. He subsequently underwent a 2-year fellowship in Trauma & Surgical Critical Care at UC San Diego. Dr. Kim is quadruple board certified in Canada and the US. Dennis has been an attending surgeon in the Division of Trauma/Acute Care Surgery/Surgical Critical Care at Harbor-UCLA Medical Center in South Los Angeles since 2012, where he served as the Medical Director of the Trauma SICU and Chair of the Hospital Critical Care Committee. An avid educator and recipient of several teaching awards, Dr. Kim is an Associate Professor of Clinical Surgery and the former Co-Chair of the College of Applied Anatomy at the David Geffen School of Medicine at UCLA.

Dr. Kim is actively involved in and holds numerous leadership roles in several key national trauma organizations including EAST, AAST, and the American College of Surgeons Committee on Trauma. He has published over 140 peer-reviewed publications, 25 book chapters, and several Practice Management Guidelines focused on the optimal care of critically injured and ill patients. Dr. Kim hosts the very popular Trauma ICU Rounds Podcast and is active across several social media platforms.

Dr. Kim joins us with his wife, Alexis, their four children, and dog. Traveling, cooking, and spending time in the outdoors are but a few of the activities that help bring balance and joy to the de Rosenroll-Kim family.

Dr. Kim brings with him a wealth of experience regarding trauma program development, performance improvement, and patient safety initiatives.

E141 Journal Club with Morad Hameed on Cardiac Injuries

Canadian Journal of Surgery — Tue, 03 Jan 2023 10:40:21 -0700

Podcast transcript: https://www.canjsurg.ca/content/e141-journal-club-morad-hameed-cardiac-injuries

In this “journal club” edition of the podcast, we are joined by the thoughtful trauma guru Dr. Hameed to talk about his paper in the Canadian Journal of Surgery (CJS). This paper, authored by Drs. Ball, Lee, Kaminsky and Hameed gets at the “heart” of both the decision-making and technical aspects of treating penetrating cardiac injuries.

YouTube version: https://youtu.be/_g6Nu66Q3AM

YouTube channel: https://www.youtube.com/@coldsteelsurgery

Links:

1. Technical considerations in the management of penetrating cardiac injury: https://www.canjsurg.ca/content/65/5/E580
2. Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial. https://pubmed.ncbi.nlm.nih.gov/23604058/
3. A caveat to the Performance of Pericardial Ultrasound in Patients with penetrating Cardiac Wounds. https://pubmed.ncbi.nlm.nih.gov/19901678/

Morad Hameed Bio:

Dr. Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Assistant Professor of Surgery at the University of British Columbia (UBC).
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 Vancouver.
He is the Head of the UBC and VGH Division of General Surgery and is a Service Chief for Acute Care Surgery at VGH. He also chairs the Research Committee of the Trauma Association of Canada, and is the immediate past chair of the Canadian Association of General Surgeons Committee on Acute Care Surgery.
His research focuses on systems of trauma care and acute care surgery. Dr. Hameed’s research teams have received grants from the Canadian Institutes for Health Research, the Michael Smith Foundation for Health Research, and other funding agencies for their work on disparities in injury risk and access to trauma systems in Canada.
The development of promising partnerships with trauma investigators at the University of Cape Town has recently extended this work to South Africa.

E140 Mark Soliman on SurgeON, Developing a New Social Media App, and Entrepreneurship for Surgeons

Canadian Journal of Surgery — Thu, 22 Dec 2022 10:47:33 -0700

Podcast transcript: https://www.canjsurg.ca/content/e141-journal-club-morad-hameed-cardiac-injuries

YouTube version: https://youtu.be/_g6Nu66Q3AM

YouTube channel: https://www.youtube.com/@coldsteelsurgery

Links:

Morad Hameed Bio:

E139 Neil Smart on Parastomal Hernias

Canadian Journal of Surgery — Wed, 26 Oct 2022 12:39:06 -0600

Podcast transcript: https://www.canjsurg.ca/content/e141-journal-club-morad-hameed-cardiac-injuries

YouTube version: https://youtu.be/_g6Nu66Q3AM

YouTube channel: https://www.youtube.com/@coldsteelsurgery

Links:

Morad Hameed Bio:

E138 Heather Patterson on her new book Shadows and Light, documenting COVID-19 and burnout

Canadian Journal of Surgery — Wed, 05 Oct 2022 13:52:12 -0600

Podcast transcript: https://www.canjsurg.ca/content/e138-heather-patterson-her-new-book-shadows-and-light-documenting-covid-19-and-burnout

Sometimes it’s hard to process what we’ve all been through collectively over the last 2 years since the start of COVID-19. Canada's health care system is facing tremendous strain, and it’s likely fair to say that many health care workers are facing burnout.

Our guest for this week’s episode had an inspiring response to her own feelings of burnout and frustration. Dr. Heather Patterson is an adult and pediatric emergency physician in Calgary. She just released her book, Shadows and Light, a book of photographs that document the experience of dealing with the COVID-19 pandemic. We caught up with her to ask her about her motivation for the book and what’s she’s learned along the way.

Check out some pictures from her book at the links below!

Buy Dr. Patterson's book here: https://gooselane.com/products/shadows-and-light

1. Dr. Patterson's website: https://www.heatherpattersonphotography.com/

2. Dr. Patterson's instagram: https://www.instagram.com/heather.l.patterson/?hl=en

3. Pictures of Sam and Jim: https://drive.google.com/drive/folders/1LhFPORGlkhUdqjgExu8XrP4NxETG08V6?usp=sharing

Bio: (from https://www.heatherpattersonphotography.com/about)

I am an emergency physician, photographer and mom of 2 who specializes in lifestyle and medical photography. My images capture the raw emotions and realities of daily life and celebrate the unique personalities and stories of our lives.

My current project shares the authentic story of patient experiences and the healthcare team collaboration in Calgary, Alberta during the COVID-19 pandemic. I hope that this celebration of our shared humanity generates empathy and inspires others to see what we can accomplish when we work together.

E137 Elijah Dixon on Mindfulness, Meditation and Being Past President of CAGS and AHPBA

Canadian Journal of Surgery — Thu, 22 Sep 2022 14:48:32 -0600

Podcast transcript: https://www.canjsurg.ca/content/e137-elijah-dixon-mindfulness-meditation-and-being-past-president-cags-and-ahpba

This week we caught up with Dr. Elijah Dixon, a liver and pancreas surgeon at the University of Calgary, to talk about mindfulness and meditation. Dr. Dixon really opened our eyes to how those practices might help us both inside and outside the operating room. We also asked Dr. Dixon about what it was like to be the president of the Americas Hepato-Pancreato-Biliary Association as well as the Canadian Association of General Surgeons.

Links:

1. Eckhart Tolle: https://eckharttolle.com/

2. Waking Up app: https://www.wakingup.com/

3. One Blade of Grass: Finding the Old Road of the Heart, a Zen Memoir by Henry Shukman. https://www.amazon.ca/One-Blade-Grass-Finding-Memoir/dp/1640092625

4. Jillian Horton interview: https://soundcloud.com/cjs-podcast/e83-jillian-horton-on-writing-burnout-and-the-quest-for-a-better-culture-in-medicine

5. Stroke of Insight TED talk: https://www.ted.com/talks/jill_bolte_taylor_my_stroke_of_insight?language=en

Bio (taken from https://cumming.ucalgary.ca/sites/default/files/teams/236/april-2016-newsletter.pdf):

Dr. Dixon is a Professor of Surgery, Oncology and Community Health
Sciences with the University of Calgary. He is a practicing General Surgeon at Foothills Hospital with a focus in Hepatobiliary/Pancreatic Surgery. Dr. Dixon completed his Undergrad in General Science and Medical School at the University of Manitoba, and then Surgical Residency at the University of Calgary. From there he went to the University of Toronto and did a Fellowship in Hepatobiliary/Pancreatic Surgery and GI Transplantation at the Toronto General Hospital. He then proceeded to the Harvard School ofPublic Health and did a Masters in Epidemiology.

Dr. Dixon’s research interests include the development of quality indicators of care for patients undergoing hepatic resection for metastatic colorectal cancer. He conducts clinical research, particularly in the area of hepato-pancreatico-biliary surgery.

E136 Corrie White on Medical Office Assistants, Setting up an Office, EMRs and Billing!

Canadian Journal of Surgery — Tue, 06 Sep 2022 06:52:26 -0600

Podcast transcript: https://www.canjsurg.ca/content/e136-corrie-white-medical-office-assistants-setting-office-emrs-and-billing

This week on the podcast we invited Corrie White, an absolutely fabulous and experienced Medical Office Assistant, to talk about what it takes to set up a well-functioning office. Corrie breaks down how to find a good assistant and what goes into setting up an efficient system. We’d love to hear from listeners: What do you wish you had known when you were first setting up your practice? Email us a podcast.cjs@gmail.com or tweet at us @CanJSurg.

We’d like to make a plug for the upcoming Canadian Surgical Forum or CSF. This year the conference is happening in Toronto from September 15th to the 17th. There is a fantastic program this year, so be sure to register and attend. At the very least, follow the session highlights on Twitter with the hashtag #CSF2022.

Links:

1. Canadian Surgery Forum: https://www.canadiansurgeryforum.com/

2. https://www.lx.com/social-justice/a-gynecologist-asked-women-how-to-design-his-new-office-the-answers-are-so-on-point/45960/#:~:text=Ryan%20Stewart%2C%20has%20gone%20viral,in%20Indianapolis%20in%20early%202022.&text=I%20have%20the%20opportunity%20to%20design%20my%20office%20from%20scratch.

3. Corrie's farm and campground! Washtockfamilyfarm.ca

Bio:

Corrie White has been a Medical Office Assistant (MOA) for over 12 years, with experience in helping physicians start and develop their practice. She can be reached at: Corriewhite99@gmail.com. She can also be found on Instagram at corriewhite99.

E135 How to Publish Papers with Wendy Carroll

Canadian Journal of Surgery — Sat, 27 Aug 2022 21:38:00 -0600

Podcast transcript: https://www.canjsurg.ca/content/e135-how-publish-papers-wendy-carroll

This week we got to peek behind the curtains of academic publishing with Wendy Carroll. Wendy is the Managing Editor of the Canadian Medical Association Journal Group. Wendy had some amazing insights into what goes on during the submission process, as well as the overall landscape for journals in 2022. Perhaps our favourite part of our conversation with Wendy was her tips about what makes for good writing!

Links:

1. Eight Step editing: https://www.editors.ca/eight-step-editing-jim-taylor-0

2. Predatory publishing solicitation: a review of a single surgeon's inbox and implications for information technology resources at an organizational level. https://pubmed.ncbi.nlm.nih.gov/34105930/

E134 Masterclass with Charles Vollmer on Cystic Neoplasms of the Pancreas (Part 2)

Canadian Journal of Surgery — Thu, 18 Aug 2022 14:34:18 -0600

Podcast transcript: https://www.canjsurg.ca/content/e134-masterclass-charles-vollmer-cystic-neoplasms-pancreas-part-2

Dr. Charles Vollmer is the Chief of GI surgery at the University of Pennsylvania and is a passionate pancreatic surgeon. This is the second part of our masterclass series with Dr. Vollmer on cystic lesions of the pancreas. In part II, Dr. Vollmer dives deep specifically on IPMNs, giving us an in-depth discussion of types of IPMNs, the various guidelines for IPMN management, as well as an overview of operative principles for resecting IPMNs.

E133 Masterclass with Charles Vollmer on Types and Workup of Cystic Neoplasms of the Pancreas

Canadian Journal of Surgery — Thu, 18 Aug 2022 14:34:07 -0600

Podcast transcript: https://www.canjsurg.ca/content/e133-masterclass-charles-vollmer-types-and-workup-cystic-neoplasms-pancreas

Dr. Charles Vollmer is the Chief of GI Surgery and Director of Pancreatic Surgery at the University of Pennsylvania. He is a repeat guest of the show. We were lucky enough to have him do another masterclass for Cold Steel, this time on cystic neoplasms of the pancreas. In part 1 of this masterclass, Dr. Vollmer gives us an overview of cystic lesions of the pancreas, as well as their diagnosis and management. Make sure to check out part 2 as well, where Dr. Vollmer specifically focuses on IPMNs.

Links:

1. https://soundcloud.com/cjs-podcast/e33-chuck-vollmer-on-peer-review-and-productivity

2. https://soundcloud.com/cjs-podcast/e82-charles-vollmer-on-pancreatic-fistulas

Bio:

Dr. Charles Vollmer is the Chief of GI Surgery and Director of Pancreatic Surgery at the University of Pennsylvania where he holds the rank of Professor of Surgery. Dr. Vollmer began his career at the Beth Israel Deaconess Medical Center in Boston where he served as an Assistant Professor of Surgery at Harvard Medical School before moving to Penn in 2011. He specializes in Pancreaticobiliary and other complex gastrointestinal surgery with a clinical research focus in outcomes assessment of high-acuity surgery. He has authored over 100 manuscripts and numerous book chapters. He is active in multiple national and international surgical societies where he has served in various leadership positions, including being a past President of the AHPBA. He is the current Scientific Program Chair for the IHPBA, and sits on their Executive Committee and Council. He is currently a reviewer for over 20 medical specialty journals and is on the Editorial Boards of Annals of Surgery, Surgery, HPB, JOGS, and the Journal of Surgical Oncology.

E132 Donna Kimmaliardjuk on Breaking Down Barriers and Caring for Indigenous Patients

Canadian Journal of Surgery — Thu, 11 Aug 2022 09:34:16 -0600

Podcast transcript: https://www.canjsurg.ca/content/e132-donna-kimmaliardjuk-breaking-down-barriers-and-caring-indigenous-patients

On this episode, we had the privilege of speaking with Dr. Donna Kimmaliardjuk (@DKimmaliardjuk on Twitter). Dr. Kimmaliardjuk is the first Inuk cardiac surgeon in Canada and has won numerous awards for her trailblazing work. We were lucky enough to catch up with her to ask her about her career and get her thoughts on how we can both make surgery a more inclusive profession and how we can better serve our Indigenous patients.

Links:
Twitter: https://twitter.com/DKimmaliardjuk?s=20&t=DnmhGW0RRouo2ojP9oPEDQ

1. I had to open his chest to save his life. That’s the day I felt, this is badass. https://www.thestar.com/news/canada/2020/03/08/i-had-to-open-his-chest-to-save-his-life-thats-the-day-i-felt-this-is-badass.html

2. Postoperative outcomes for Nunavut Inuit at a Canadian quaternary care centre: a retrospective cohort study. https://www.cmajopen.ca/content/10/2/E304

3. Canada's first Inuk heart surgeon returns from U.S. to take job in St. John's. https://www.cbc.ca/news/canada/newfoundland-labrador/donna-may-kimmaliardjuk-cardiac-surgeon-1.6166828

4. Canada’s first Inuk cardiac surgeon gets to the heart of the matter. https://www.theglobeandmail.com/business/adv/article-canadas-first-inuk-cardiac-surgeon-gets-to-the-heart-of-the-matter/

5. If Joyce Echaquan were white, she would still be alive, Quebec coroner says. https://www.cbc.ca/news/canada/montreal/echaquan-coroner-report-health-care-system-racism-1.6199964

Bio:

Dr. Donna May Kimmaliardjuk is Canada's first Inuk cardiac surgeon. She attended medical school at the University of Calgary and then was matched to the University of Ottawa for her cardiac surgery residency. She went on to train at the prestigious Cleveland Clinic for her fellowship. She has won numerous awards, including the 2018 Indspire award. She is currently a staff cardiac surgeon at Eastern Health in St. John's, Newfoundland.

E131 Jeff Way on Spirituality in Surgery, Managing a Busy Practice and Advocacy

Canadian Journal of Surgery — Tue, 02 Aug 2022 09:49:19 -0600

Podcast transcript: https://www.canjsurg.ca/content/e131-jeff-way-spirituality-surgery-managing-busy-practice-and-advocacy

We touched some “taboo” subjects today on the podcast – money and religion! Dr. Jeff Way is a trauma and general surgeon in Calgary. Today we asked Dr. Way about his interest in spirituality and how that has affected his career, inside and outside the operating room. We got his thoughts on managing a busy practice as well as his work on a provincial and national level with the government on healthcare and billing.

Links:

1. Establishment and cost analysis of an office surgical suite. https://www.nlc-bnc.ca/eppp-archive/100/201/300/cdn_medical_association/cjs/vol-39/issue-5/0379.htm

E130 Homer Tien on Ornge, Emergency Transport, COVID19 Vaccine Distribution & Leadership

Canadian Journal of Surgery — Thu, 21 Jul 2022 17:16:23 -0600

Podcast transcript: https://www.canjsurg.ca/content/e130-homer-tien-ornge-emergency-transport-covid19-vaccine-distribution-leadership

Dr. Homer Tien is a trauma surgeon at Sunnybrook Hospital in Toronto. We were so excited to have him on the show because of the incredible work that he has done in multiple leadership roles, more recently as the president and CEO of ornge, Ontario’s air ambulance and transport service. Largely because of the amazing work he had done with ornge, Dr. Tien was also made in charge of the COVID19 vaccine distribution task force back in April 2021. This was a conversation about trauma care, paramedic services, and air ambulances, but even more importantly, we got to hear Dr. Tien’s insights on leadership.

Links:

1. Preventable Deaths From Hemorrhage at a Level I Canadian
Trauma Center. https://www.researchgate.net/profile/Fernando-Spencer-Netto/publication/6585292_Preventable_Death_From_Hemorrhage_at_a_Level_I_Canadian_Trauma_Center/links/5a1d4cd50f7e9b2a5317123c/Preventable-Death-From-Hemorrhage-at-a-Level-I-Canadian-Trauma-Center.pdf

2. Ornge. https://www.ornge.ca/home

3. Amid third wave, U of T’s Homer Tien takes over province’s COVID-19 vaccine task force: CBC. https://www.utoronto.ca/news/amid-third-wave-u-t-s-homer-tien-takes-over-province-s-covid-19-vaccine-task-force-cbc

4. Clinical handover from emergency medical services to the trauma team: A gap analysis. https://pubmed.ncbi.nlm.nih.gov/33084560/

5. Operation Remote Immunity 3.0 wraps up after coordinating nearly 200 vaccine clinics in 29 remote and isolated communities. https://www.canada.ca/en/indigenous-services-canada/news/2022/02/operation-remote-immunity-30-wraps-up-after-coordinating-nearly-200-vaccine-clinics-in-29-remote-and-isolated-communities.html

Bio:

Tien earned a bachelor's degree in biochemistry from Queen's University in 1989.In 1992, he graduated with a Doctor of Medicine from McMaster University. He then pursued residency training in family medicine before obtaining his Independent Practice Certificate in 1993. His training was sponsored by the Canadian Forces. After training, he was then posted with the Field Ambulance at CFB Petawawa, and served as the unit medical officer for the 1st Battalion of the Royal Canadian Regiment. While at RCR, he deployed to Croatia on Operation Harmony. He then deployed to Bosnia with IFOR on Operation Alliance. He then served with Canadian special forces at Dwyer Hill Training Centre as their first unit medical officer. He has also deployed to the Golan Heights, and has worked with Veterans Affairs in the recovery of RCAF airmen missing from World War II, in the Burma recovery mission.

He later underwent four years of further residency training in general surgery via the Canadian Forces and the University of Toronto from 1998 to 2002.

As a Canadian Forces surgeon, he also deployed to the NATO-led multinational stabilization force in Bosnia in 2003, to Kabul with ISAF in 2004, and multiple times to the Role 3 Multinational Medical Unit in Kandahar.

In 2007, he earned a Master of Science in clinical epidemiology from the University of Toronto.

He is currently the president and CEO of Ornge, an air ambulance non-profit based on Ontario. He also holds the rank of colonel in the Canadian Forces Health Services, associate professorship at the University of Toronto,and was the former director of Trauma Services at Sunnybrook's Tory Regional Trauma Centre. He is the first to hold the Canadian Forces Major Sir Frederick Banting Term Chair in Military Trauma Research.

In April 2021, Tien was appointed to head Ontario's COVID-19 Vaccine Distribution Task Force for Phase 2 of the rollout

E129 Paul McBeth on Engineering and Surgery

Canadian Journal of Surgery — Mon, 18 Jul 2022 09:00:38 -0600

Podcast transcript: https://www.canjsurg.ca/content/e129-paul-mcbeth-engineering-and-surgery

This week we heard from Dr. Paul McBeth, intensivist and trauma surgeon at the University of Calgary. Dr. McBeth combines his unique engineering background with surgery, and shared his insights on how we all might use an engineering mindset to discover new ways of looking at old problems.

Links:

1. Robotics in neurosurgery. https://pubmed.ncbi.nlm.nih.gov/15476655/

2. Cost-effective remote iPhone-teathered telementored trauma telesonography. https://pubmed.ncbi.nlm.nih.gov/21150536/

Bio:

Dr. Paul McBeth is a Clinical Associate Professor in the Departments of Surgery and Critical Care Medicine at the University of Calgary. He began his career as an engineer with post graduate training in surgical robotics and human performance evaluation. He participated in the design and development of Project neuroArm: an image-guided neurosurgical robot system. During his medical training he continued to develop his research interests in robotics and remote ultrasound. Dr. McBeth completed post graduate training in General Surgery at the University of Calgary with sub-specialty training in Critical Care Medicine at the University of British Columbia and Trauma Surgery at the Elvis Presley Memorial Trauma Centre in Memphis, Tennessee. Dr. McBeth also holds an Adjunct position at the Schulich School of Engineering, University of Calgary where he is involved the a number of technology development projects. He has over 75 peer-reviewed publications and is currently leading a research program supporting intelligent systems monitoring for pre-hospital transport of critically ill patients.

E128 Helen Pham on Australian surgical training programs and advice for starting residency

Canadian Journal of Surgery — Thu, 07 Jul 2022 10:11:46 -0600

Podcast transcript: https://www.canjsurg.ca/content/e128-helen-pham-australian-surgical-training-programs-and-advice-starting-residency

A big welcome to all the new resident starting this week on their journeys to become physicians and surgeons. To help you on the journey, we caught up with Dr. Helen Pham. Dr. Pham is a clinical associate lecturer at the University of Sydney and is the current HPB fellow at the University of Calgary. Dr. Pham shared with us some of the differences in training paradigms for surgical programs between Canada and Australia, and also gave us her invaluable advice for new trainees. We would love to hear your tips – what do you wish you knew when you were starting out as a PGY1? Email us at podcast.cjs@gmail.com or tweet at us @CanJSurg.

Links:

1. Dr. Pham's notes, textbook recommendations: https://drive.google.com/drive/folders/1x-QJxNi6T-p5EgNy4ChwImmn2KtzlSAN?usp=sharing

2. QxMD: https://read.qxmd.com/

3. 100 years of surgical education: the past, present, and future. https://bulletin.facs.org/2013/07/100-years-of-surgical-education/

4. Five things they don’t teach you in medical school. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5042714/

Bio:

Dr. Helen Pham is an HPB fellow at the University of Calgary. She was previously the Clinical Superintendent of Surgery at Westmead Hospital. She has a number of publications in liver and pancreatic surgery.

E127 Rob Leeper on Competitive Motivation in Trauma Simulation and Starting out in Practice

Canadian Journal of Surgery — Thu, 23 Jun 2022 18:40:27 -0600

Podcast transcript: https://www.canjsurg.ca/content/e127-rob-leeper-competitive-motivation-trauma-simulation-and-starting-out-practice

Dr. Rob Leeper is a trauma surgeon at Western University in London, Ontario. We spoke with Dr. Leeper about his work on trauma simulation and particularly on his work on data drive competitive motivation strategies. Finally, Dr. Leeper shared with us the tips that he wished he had when started out in practice.

Links:

1. Data Driven Competitive Motivation Strategies in a Longitudinal Simulation Curriculum for Trauma Team Training. https://pubmed.ncbi.nlm.nih.gov/30833203/

2. Multidisciplinary Difficult Airway Course: An Essential Educational Component of a Hospital-Wide Difficult Airway Response Program. https://pubmed.ncbi.nlm.nih.gov/29628333/

3. The role of trauma team leaders in missed injuries: does specialty matter? https://pubmed.ncbi.nlm.nih.gov/24089109/

Bio:

E126 Lauren Kirwan on OR Nursing

Canadian Journal of Surgery — Wed, 15 Jun 2022 05:46:51 -0600

Lauren Kirwan is the nurse clinician for general surgery at the Foothills Medical Centre. She is currently finishing up her nurse practitioner degree.

We wanted to ask Lauren her thoughts about what it means to be an OR nurse and what she wishes surgeons would do to make the OR environment better. We also hear about the impact of COVID19 on our nursing colleagues. We’d love to hear from our nurse listeners – what are some things that make your day or make you mad in the operating room? Email us at podcast.cjs@gmail.com with your thoughts and comments.

Links:

1. Melinda Davis on the Anesthetist - Surgeon relationship: https://soundcloud.com/cjs-podcast/e40-melinda-davis-on-career-counseling-and-the-anesthetist-surgeon-relationship

2. Atul Gawande paper on Safe Surgery Checklist implementation in South Carolina. Perception of Safety of Surgical Practice Among Operating Room Personnel From Survey Data Is Associated With All-cause 30-day Postoperative Death Rate in South Carolina. https://journals.lww.com/annalsofsurgery/Abstract/2017/10000/Perception_of_Safety_of_Surgical_Practice_Among.14.aspx

E125 Minister John Haggie on Physician Leadership and Being Minister of Health during COVID19

Canadian Journal of Surgery — Wed, 08 Jun 2022 16:54:02 -0600

We had the unique opportunity on this episode to speak with the Honourable Minister John Haggie. Dr. Haggie is a general surgeon who spent his career in Newfoundland and Labrador, and went on to become a Member of the House of Assembly in 2015. He was appointed to be the Minister of Health at that time and has continued to serve in that porfolio ever since. We spoke to him about his fascinating life story, his thoughts on leadership and the role of physicians in politics, and about his favourite book Shogun!

Bio (fromhttps://www.gov.nl.ca/hcs/department/minister/):

The Honourable John Haggie
Minister of Health and Community Services

Born in England, the Honourable John Haggie completed his medical studies at Victoria University in Manchester. He held several positions as physician, surgeon, tutor and registrar in the North West region of England and after a two-year fellowship, he received a doctorate in cancer research.

Since moving to Canada in the early nineties, Minister Haggie has had a long and distinguished career in medicine in Newfoundland and Labrador. He practiced initially as a general surgeon in St. Anthony with the Grenfell Region Health Services. In 1997, he was appointed attending surgeon of general and vascular surgery at James Paton Memorial Hospital in Gander. In 2008, he was appointed Chief of Staff at James Paton Memorial Hospital.

Dr. Haggie served as President of the Newfoundland and Labrador Medical Association and the Canadian Medical Association.

In Newfoundland and Labrador’s 2015 general election, he was elected MHA for the District of Gander and appointed to Cabinet to serve as the Minister of Health and Community Services, and continues to serve in that portfolio.

Dr. Haggie resides in Gander with his wife Jeanette and two Westies, Chloe and Gracie.

E124 Paul Engels on Trauma Training in Canada

Canadian Journal of Surgery — Mon, 06 Jun 2022 13:00:04 -0600

This week on the podcast we spoke with Dr. Paul Engels, a trauma surgeon from McMaster University in Hamilton, Ontario. We got into some pretty detailed discussions around trauma training specifically, but more broadly about how we define what a resident should be able to perform at the end of training.

Links:

1. The current state of resident trauma training: Are we losing a generation? https://pubmed.ncbi.nlm.nih.gov/29806811/

2. Canadian Collaborative on Urgent Care Surgery (CANUCS): https://canucs.ca/

3. Cause for concern: Resident experience in operative trauma during general surgery residency at a Canadian centre. https://journalhosting.ucalgary.ca/index.php/cmej/article/view/69323/54233

4. Toward an all-inclusive trauma system in Central South Ontario: development of the Trauma-System Performance Improvement and Knowledge Exchange (T-SPIKE) project. https://pubmed.ncbi.nlm.nih.gov/33720676/

5. ASSET course: https://www.facs.org/quality-programs/trauma/education/asset/

6. Treatment of Ongoing Hemorrhage: The Art and Craft of Stopping Severe Bleeding. https://www.amazon.ca/Treatment-Ongoing-Hemorrhage-Stopping-Bleeding/dp/3319634941.

7. Simulated Trauma and Resuscitation Team Training (S.T.A.R.T.T) course: https://caep.ca/cpd-courses/simulated-trauma-and-resuscitation-team-training-s-t-a-r-t-t/

8. Definitive Surgical Trauma Care (DSTC™) Courses. https://iatsic.org/DSTC/

9. Advanced Trauma Operative Management (ATOM) course. https://atomcourse.com/#:~:text=The%20Advanced%20Trauma%20Operative%20Management,post%2Dcourse%20exams%20and%20evaluations.

10. BEST - Basic Endovascular Skills for Trauma. https://medschool.ucsd.edu/som/surgery/divisions/trauma-burn/training/courses/Pages/REBOA-Course.aspx.

Bio:

Paul Engels is a Trauma/General Surgeon and Intensivist at McMaster University in Hamilton, Ontario. He completed his residency in General Surgery and fellowship in Critical Care at the University of Alberta. He completed a fellowship in Trauma & Acute Care Surgery at Sunnybrook Health Sciences Centre in Toronto. He is a Fellow of the Royal College of Surgeons of Canada and the American College of Surgeons, as well as a member of the Eastern Association for the Surgery of Trauma and the American Association for the Surgery of Trauma.

E123 Janice Pasieka on Shinrin-yoku, yoga, and other strategies to fight stress from COVID19

Canadian Journal of Surgery — Thu, 26 May 2022 07:44:45 -0600

This week we were joined by Dr. Pasieka once again to talk about strategies to find stress and burnout as surgeons, especially in the context of COVID19. Check out her paper below!

Links:

1. Shinrin-yoku, yoga and other strategies in the fight against COVID-19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8405594/

Bio:

Dr. Janice L Pasieka graduated from the University of Western Medical School and did her General Surgery Training at the University of Calgary. She then did two and a half years of Endocrine Surgical Training. The first year was spent in Dr David Hanley’s lab at the University of Calgary, then a year at the University of Michigan, under the mentorship of Dr. Norman Thompson followed by time at the Karolinska Institute in Stockholm, Sweden. She then returned to Calgary and has devoted her clinical practice solely to endocrine surgical diseases.

At the Tom Baker Clinic Center, Dr Pasieka was the driving force behind the development of a multidisciplinary clinic for Neuroendocrine Tumors as well as the Multidisciplinary Hereditary Endocrine Clinic. She is responsible for the development of the only Canadian AAES accredited fellowship program in Endocrine Surgery.
Dr Pasieka has been Secretary-Treasurer of the American Association of Endocrine Surgeons (AAES) and in 2010 she became the first Canadian and second woman to become President. She has served on the Council of the International Association of Endocrine Surgeons (IAES), and in 2016 became the Secretary-Treasurer - a position she holds at the present time. Dr Pasieka was the Canadian James IV Traveling Surgical Fellow 2006 and recently was appointed to the James VI Board of Directors. In 2007, the Women’s Executive Network named her as one of Canada’s 100 Most Powerful Women.
Dr Pasieka recently completed her six year term as a Governor of the American College of Surgeons. Her areas of interests (besides running, mountain biking, cycling and hiking & snowshoeing with her dog Kocher) evolve around neuroendocrine tumors, adrenal disease, thyroid cancer and the study of surgical outcomes in patients with hyperparathyroidism. To date she has over 140 peer-review publications, has edited 3 Endocrine Surgical textbooks and written over 24 book chapters.

E122 Bill Wall on Liver Transplantation in Canada

Canadian Journal of Surgery — Sun, 15 May 2022 11:56:56 -0600

Dr. Bill Wall is one of the pioneers of liver transplantation, especially in Canada. We spoke to him on this episode about his training, the early days of transplantation and about his new children's book!

Links:

1. Member of the Order of Canada: https://www.gg.ca/en/honours/recipients/146-9121

Bio (from https://www.gg.ca/en/honours/recipients/146-9121)

William Wall is a dedicated and compassionate physician whose surgical and clinical proficiency have benefited many Canadians with end-stage organ disease. Professor of surgery at the University of Western Ontario, he established Canada's first liver transplant program at the London Health Sciences Centre, where he is director of the Multi-Organ Transplant Program. In this role, he has promoted excellence in research and patient care, as well as public awareness and support for organ donation. Widely respected by his peers, he served as president of the International Liver Transplantation Society.

E121 Peter Brennan on Human Factors, Hierarchy in the OR, and Gray's Surgical Anatomy

Canadian Journal of Surgery — Sun, 08 May 2022 09:11:27 -0600

This week we had the pleasure of interviewing Dr. Peter Brennan (https://twitter.com/BrennanSurgeon?s=20&t=VZQWDi0op02x9_8qdn3Avg). Dr. Brennan is an oral maxillofacial surgeon in Portsmouth, England. A tremendously accomplished academic, Dr. Brennan has a keen interest in human factors in surgery. In addition, he is the co-editor of the Gray’s Surgical Anatomy.

Links:

1. Dr. Brennan’s PhD on human factors: https://researchportal.port.ac.uk/portal/files/18357979/Peter_A_Brennan_PhD_thesis.pdf
2. We need to reduce hierarchy and empower junior doctors to speak up (BMJ): https://blogs.bmj.com/bmj/2019/05/03/improving-patient-safety-we-need-to-reduce-hierarchy-and-empower-junior-doctors-to-speak-up/
3. MDT meetings: https://onlinelibrary.wiley.com/doi/full/10.1111/jop.12853
4. Gray’s Surgical Anatomy: https://www.elsevier.com/books/grays-surgical-anatomy/brennan/978-0-7020-7386-1

Bio (from https://solentmaxillofacialclinic.com/professor-peter-brennan/)

Peter has been a consultant Oral and Maxillofacial Surgeon at Portsmouth Hospitals NHS Trust since 2002. He is also honorary Professor of Surgery and Head of the Academic Department of Surgery, at the University of Portsmouth. He qualified with honours in both medicine (1994) and dentistry (1987) gaining distinctions and winning many prizes in subjects including anatomy, pharmacology, anaesthetics, surgery, obstetrics and gynaecology and ophthalmology.

Last year, the Royal College of Physicians and Surgeons of Glasgow elected Peter as an Honorary Fellow, the first Maxillofacial Surgeon to receive this accolade.

Peter’s main clinical interests are head and neck malignancy, reconstructive free flap surgery and neck lumps. He is a research supervisor, an examiner for higher research degrees and has published over 500 papers to date covering many aspects of oral and maxillofacial surgery including cancer. Peter’s research has been awarded both National and International research prizes, and he has lectured extensively in the UK and abroad.

Peter has edited a number of books including the definitive 2 volume reference textbook of the speciality, Maxillofacial Surgery, which is used worldwide. He is the lead editor of the forthcoming Gray’s Surgical Anatomy, sister publication to the famous Gray’s Anatomy.

SAGES Stories Episode 2

Canadian Journal of Surgery — Thu, 05 May 2022 17:44:34 -0600

Welcome to all our Cold Steel listeners! We are excited to be collaborating with the Society of American Gastrointestinal and Endoscopic Surgeons or SAGES. SAGES produces an excellent podcast called the SAGES stories podcast, where they highlight some of the amazing work SAGES members have been doing.

In this episode, SAGES stories hosts Shirin Towfigh and Kevin El Hayek interview one of our favourite former guests Dr. Liane Feldman, the outgoing presidents of SAGES.

Links:

1. SAGES Stories: https://www.sages.org/category/sages-stories/

2. Cold Steel interview https://soundcloud.com/cjs-podcast/e89-liane-feldman-on-sages-presidency-future-of-mis-and-fuse-program?in_system_playlist=artist-stations%3A636175068

E120 Officer of the Order of Canada Jonathan Meakins on Art and Surgery

Canadian Journal of Surgery — Fri, 22 Apr 2022 17:40:48 -0600

Dr. Jonathan Meakins is former Chair of the Department of Surgery at McGill and is an Officer of the Order of Canada for his outstanding work in immunobiology, laparoscopic surgery, and transplantation. Among his many interests is his love of art, and at the age of 73 Dr. Meakins has gone back to school to obtain his Masters in Fine Arts.

Check out the links to see some of the fascinating work Dr. Meakins has done to demonstrate how the critical viewing of art can perhaps make us better clinicians.

Links:

1. Wide-ranging textbook of surgical research. https://www.thelancet.com/journals/lancet/article/PIIS0140673610614717/fulltext?rss=yes

2. Surgical Infection in Art. https://jamanetwork.com/journals/jamasurgery/article-abstract/596694

3. Reflective of the physician’s eye. https://www.cmaj.ca/content/cmaj/183/10/1176.full.pdf

4. Renowned surgeon Jonathan Meakins goes for master’s in art history. http://www.theseniortimes.com/renowned-surgeon-jonathan-meakins-goes-for-masters-in-art-history/

5. Art at the McGill University Health Centre. https://www.cmaj.ca/content/190/49/E1457

Bio (from https://muhc.ca/news-and-patient-stories/news/dr-jonathan-l-meakins-inducted-canadian-medical-hall-fame#:~:text=For%20his%20contributions%2C%20he%20was,of%20the%20McGill%20University%2C%20Dr.):

Dr. Jonathan L. Meakins is an expert in immunobiology and surgical infections. Former Chair of the Department of Surgery at McGill University (1989-1993, 1998-2002) and former Surgeon-in-Chief of the Royal Victoria Hospital (1988-1998), he has safely and effectively advanced surgical technologies and demonstrated a relationship between compromised immune responses and poor surgical outcomes, leading to significant improvements in clinical assessments and nutritional supports for surgical patients.

Over the course of his career, he has published over 225 articles and edited or co-edited 6 books. He was co-editor of the Canadian Journal of Surgery for 10 years. For his contributions, he was named an Officer of the Order of Canada, as a leader in the development of laparoscopic surgery and transplantation surgery in 2000.

Third generation of his family to work in the field of medicine for the Faculty of Medicine of the McGill University, Dr. Meakins now oversees the Jonathan Campbell Meakins and Family Memorial Scholarship program, originally established by his father, Dr. Jonathan Fayette Meakins. This is a scholarship that recognizes excellence in medical education.

An art-loving doctor, Dr. Meakins has worked for many years to develop the arts within the MUHC. He plays an active role in the MUHC's Arts and Heritage Centre as Director, helping to bring the arts into clinical settings. He believes that art within the institution helps to humanize the sometimes sterile hospital environment and can have an impact on patients and their families.

E119 Patricia Sylla on taTME, surgical innovation, and SAGES presidency

Canadian Journal of Surgery — Wed, 13 Apr 2022 07:28:14 -0600

Dr. Pat Sylla (https://twitter.com/patsyllamd?s=20&t=_w5QG96wjQE-0ttVJJaUmw) is a minimally invasive and colorectal surgeon at Mount Sinai Hospital in New York. She is a world famous innovator and was the first surgeon in the world to perform a transanal total mesorectal excision for rectal cancer. We caught up with her in-person (!) at the recent Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) annual meeting. Shout out to SAGES for putting on a great conference!

Links:

1. Pat Sylla talk on Truths, Half-Truths, Fake News about taTME https://www.youtube.com/watch?v=ahWOaKa5WeQ

2. Sylla P, Rattner DW, Delgado S et al. NOTES transanal rectal cancer resection using transanal endoscopic microsurgery and laparoscopic assistance. Surg Endosc 2010;24:1205–10. https://pubmed.ncbi.nlm.nih.gov/20186432/

3. Urethral Injury and Other Urologic Injuries During Transanal Total Mesorectal Excision: An International Collaborative Study. https://pubmed.ncbi.nlm.nih.gov/31567502/

4. Consensus on structured training curriculum for transanal total mesorectal excision (TaTME). https://pubmed.ncbi.nlm.nih.gov/28462478/

5. SAGES 2022 Presidential Address with Dr. Liane Feldman: https://vimeo.com/showcase/9362041/video/689727749

6. SAGES 2022 Gerald Mark Lecture by KMarie King: https://vimeo.com/showcase/9362041/video/689071108

7. SAGES 2022 General Session on Worldwide Variation in TME. Dr. Sylla is one of the panelists: https://vimeo.com/showcase/9362041/video/689468095

Bio (from https://www.mountsinai.org/profiles/patricia-sylla)

Dr. Sylla has been a leader in developing minimally invasive approaches to the surgical treatment of colon and rectal cancer. She joins Mount Sinai from Massachusetts General Hospital, where she practiced for seven years within the Division of General and Gastrointestinal Surgery and was an Assistant Professor of Surgery at Harvard Medical School. While there, Dr. Sylla developed a research and clinical program using Natural Orifice Translumenal Endoscopic Surgery (NOTES). NOTES represents an innovative approach to transanal surgery, which may allow for faster recovery and fewer operative complications. In 2009, Dr. Sylla performed the first-ever rectal cancer surgery on a human using this approach. She has since extended this in a pilot study and is helping train surgeons in this technique. Dr. Sylla’s clinical interests include laparoscopic and robotic surgery for colon and rectal cancer, diverticulitis, rectal prolapse, ulcerative colitis and Crohn’s disease, transanal endoscopic microsurgery (TEM), and treatment of benign anorectal disorders.
Dr. Sylla received a Bachelor of Science degree Cum Laude in Biology from Georgetown University. She earned a Doctor of Medicine from Weill Cornell Medical College. Dr. Sylla completed residency training in Surgery at Columbia University Medical Center. Subsequently, she completed two fellowship training programs; Colon & Rectal Surgery at The Mount Sinai Hospital and Minimally Invasive Surgery at Massachusetts General Hospital.

Furthermore, Dr. Sylla has is highly trained and experienced in treating rectal prolapse and performing transanal endoscopic surgery.

E118 Eric Pauli On Surgical Endoscopy And Endoscopic Management Of Leaks & Fistulas

Canadian Journal of Surgery — Thu, 31 Mar 2022 13:21:15 -0600

Dr. Eric Pauli is a surgical endoscopist at Penn State. He has a very varied and novel practice, including abdominal wall reconstruction, endoscopy and general surgery. We had a great talk with him about surgical endoscopy and his work on endoscopic management of anastomotic leaks.

This is also our very first video version of the podcast! Check it out on the CJS YouTube page: https://www.youtube.com/watch?v=SoA36iqiB-4

Links:

1. Endoscopic Management of Postoperative Complications. https://www.sciencedirect.com/science/article/pii/S0039610920301031?via%3Dihub

2. Endoscopic management of colovesical and colovaginal fistulas with over-the-scope clips: A single-institution case series.https://pubmed.ncbi.nlm.nih.gov/34762356/

3. A Handy Tool to Teach Segmental Liver Anatomy to Surgical Trainees. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4061562/

Bio:

E117 Mock Orals by Elizabeth Clement at Alberta Association of General Surgeons (AAGS) Meeting

Canadian Journal of Surgery — Mon, 14 Mar 2022 07:14:08 -0600

Dr. Elizabeth Clement (https://twitter.com/LizClementMD?s=20&t=l43U6ZXhsJgw39faiXIpQQ), colorectal surgery fellow at St. Paul's Hospital in Vancouver, put together a fantastic set of mock oral exams. These were delivered at the Alberta Association of General Surgeons (AAGS) annual meeting in Banff in November 2021. We were grateful to be able to use some of the recordings to share with you some more mock orals.

Thanks again to the brave residents who allowed us to use their recordings!

Links:

1. AAGS website: https://www.aags.ca/

2. Tony Maclean's tips on examsmanship: https://soundcloud.com/cjs-podcast/e10-tony-maclean-on-examsmanship

E116 Bill Kent on Minimally Invasive Techniques in Cardiac Surgery

Canadian Journal of Surgery — Thu, 03 Mar 2022 08:49:18 -0700

This week we were joined by Dr. Bill Kent, a cardiac surgeon at the University of Calgary, to talk about minimally invasive techniques in cardiac surgery. We were curious to learn from him where MIS techniques fit in an era of rapid evolution in cardiac surgery and particularly with the advent of new catheter based techniques. Dr. Kent had a number of important insights into the introduction of new technologies in surgery and the challenges associated with trying something new.

Links:

1. Minimally invasive cardiac surgery and the importance of qualitative patient-centered metrics to guide innovations. https://www.sciencedirect.com/science/article/pii/S0022522319304507?via%3Dihub

Bio:

Dr. William Kent is a cardiac surgeon whose practice focuses on valve surgery and mechanical circulatory support. A Fellow of the Royal College of Surgeons of Canada and a member of the International Society for Minimally Invasive Cardiothoracic Surgery, the Society of Thoracic Surgeons, the Canadian Society of Cardiac Surgeons and the American College of Surgeons, Dr. Kent is particularly interested in minimally invasive mitral valve repair and aortic valve surgery, including aortic valve and root repair as well as the Ross procedure.

Dr. Kent completed his undergraduate BA and MSc degrees in Neuroscience at Western University before obtaining his MD and FRCSC in General Surgery at Queen’s University. He began his Cardiac Surgery training at the University of Alberta and then continued his residency training at the University of Calgary. Dr. Kent then completed a Fellowship in complex valve surgery, transplant and mechanical circulatory support at Northwestern University in Chicago, before joining the Libin Cardiovascular Institute in 2013.

His current position is Clinical Assistant Professor in the Section of Cardiac Surgery. He leads the Minimally Invasive Valve Surgery Program and is Surgical Director of the Mechanical Circulatory Support Program.

E115 Wesley Francis, Don Major, and Greg Padmore on the Carribean Surgical Program

Canadian Journal of Surgery — Sun, 27 Feb 2022 07:45:34 -0700

In this episode, we chatted with Drs. Wesley Francis, Don Major, and Greg Padmore. These fantastic surgeons came from the Carribean to train in North America, and we were curious to explore what their experience was like and how they used their training to improve surgical care when they returned home.

Links:

1. https://www.ahpba.org/

2. Cancer Surgery Centre Bahamas - https://cancersurgerybahamas.com/

3. https://www.barbadosadvocate.com/news/qeh-surgeon-breakthrough-cancer-operation

Bios:

Dr. Wesley Francis is a graduate of the University of the West Indies (Mona). He did his surgical residency at Wayne State University (Detroit, MI) and completed a Surgical Oncology Fellowship at Tom Baker Cancer Center in Calgary Alberta. He is currently a Consultant Surgical Oncologist at the Princess Margaret Hospital in Nassau Bahamas where he also serves as the Director of Operating Room. He also serves as the Director of the Bahamas National Cancer Registry.

Dr. Don Major is a graduate of University of the West Indies (St Augustine). He did his surgical residency at UWI Bahamas where he became the first Bahamian to complete the UWI Bahamas surgical residency program. He completed his surgical oncology and hepatobiliary (HPB) fellowship at the Tom Baker Cancer Center in Calgary Alberta. He is currently a Consultant Surgical Oncologist and Hepatobiliary surgeon at the Princess Margaret Hospital.

Dr. Greg Padmore, a 2011 MBBS graduate who completed his pre-clinical years at The UWI Mona Campus and his clinical years at the Cave Hill Campus in Barbados. He is finishing up a two-year Fellowship at the University of Calgary, Canada, where he is undergoing subspecialty training in Hepato-pancreato-biliary Surgery to be followed by Surgical Oncology.
He was the 2012 Intern of the Year in Barbados.

E114 Tarek Razek on Global Surgery

Canadian Journal of Surgery — Sat, 19 Feb 2022 02:39:52 -0700

We were delighted this week to have Dr. Tarek Razek (https://twitter.com/Trazek) on the podcast with us. Dr. Razek is a trauma surgeon at McGill University and really a major figure in global surgery in Canada, and he pondered with us the questions with us of how we can best make an impact in global surgery without repeating the colonialism of the past. His approach is beautifully summarized in his piece published in the Lancet in 2015, where he wrote, “However, now that increasing attention is being paid to surgery in public health, we must also capitalise on this opportunity to move beyond descriptive studies.” Please enjoy our conversation with Dr. Razek.

Links:

1. Tarek Razek on ICRC deployment: http://www.cnis.ca/img/Press_Clipping_-_2009_Jan_-_Outpost_-_Dr._Tarek_Razek.pdf

2. Global access to surgical care: moving forward. https://www.thelancet.com/journals/langlo/article/PIIS2214-109X(15)00004-2/references

3. Association Between Real-time Electronic Injury Surveillance Applications and Clinical Documentation and Data Acquisition in a South African Trauma Center. https://jamanetwork.com/journals/jamasurgery/fullarticle/2674877

Bio(from: https://www.mcgill.ca/generalsurgery/tarek-razek#:~:text=Biography%3A,University%20of%20Pennsylvania%20in%20Philadelphia)
Dr. Tarek Razek is trauma/general surgeon and intensivist who is the current Director of the Adult Trauma Program at the McGill University Health Centre (MUHC). He completed his surgical training at McGill University and his trauma surgery/ICU fellowship at the University of Pennsylvania in Philadelphia.

He is a co-director of the Centre for Global Surgery at the MUHC. He actively participates in surgical and trauma development programs in Tanzania, Rwanda, Mozambique, Ethiopia, Malawi, Ukraine, Haiti, Chile, Uruguay, Nepal and Mexico.

E113 Su-Yin MacDonell on Noise in the Operating Room

Canadian Journal of Surgery — Thu, 10 Feb 2022 22:39:22 -0700

Dr. Su-Yin MacDonell (https://twitter.com/MacdonellSu?s=20&t=x_rOcGb83XcxYyWjb0ow2g) is an anesthetist specializing in periop medicine at St. Paul’s Hospital in Vancouver. She is particularly interested in the concept of noise in the OR, and how that can affect decision-making and focus in the OR. We were privileged to hear about her research around noise in the OR, and her thoughts around how we can improve the OR environment and communication across the drapes.

Links:

1. Noise in the operating room during induction of anesthesia: impact of a quality improvement initiative. https://pubmed.ncbi.nlm.nih.gov/35014000/

2. Effect of noise on auditory processing in the operating room. https://pubmed.ncbi.nlm.nih.gov/24246628/

Bio (from http://periopcongress.org/wp content/uploads/2019/10/MacDonell.pdf)

Su-Yin started her career as a professional ballet dancer before completing her BSN at UVIC (2005). After two years as a medical-surgical Registered Nurse, she obtained her MD at UBC(2011). Her Residency in Anesthesiology at UBC (2017) was lengthened slightly by having two daughters. Following residency, Su-Yin had additional training in Perioperative Vascular Medicine in Hamilton, Ontario and Point of Care Ultrasound (POCUS) certification through CHEST. Su-Yin completed her masters in Perioperative Medicine, through the
University College of London.

As a staff Anesthesiologist at St. Paul’s Hospital (Vancouver), she is part of the ERAS working group, Perioperative Anesthesia group and is the Perioperative Medicine Fellowship Director (Anesthesia).

Outside of medicine, Su-Yin continues to dance, reluctantly cleans up after husband and two young children, and tries to read before falling asleep with the light on.

E112 Masterclass with Colin Schieman on Paraesophageal Hernias

Canadian Journal of Surgery — Tue, 01 Feb 2022 22:19:00 -0700

This week we were joined again by Dr. Colin Schieman for a masterclass on paraesophageal hernias! Dr. Schieman is a previous guest on the podcast and is a thoracic surgeon in Calgary. In this episode we discuss types of paraesophageal hernia, the management of gastric volvulus, as well as operative approaches to repair.

Links:

1. Colin Schieman on Direct Entry Training: https://soundcloud.com/cjs-podcast/e76-colin-schieman-on-direct-entry-training-and-intra-operative-teaching

2. Colin Schieman on Lung Nodules: https://soundcloud.com/cjs-podcast/e77-masterclass-with-colin-schieman-on-lung-nodules-and-lung-cancer-screening

3. Paraesophageal hernia: clinical presentation, evaluation, and management controversies. https://pubmed.ncbi.nlm.nih.gov/20112630/

Bio:

Dr. Colin Schieman is a Clinical Associate Professor at the University of Calgary in the section of thoracic surgery. He did medical school, residency, and thoracic surgery fellowship at the University of Calgary. He then went on to do additional thoracic surgery training at Mayo Clinic, and subsequently practiced at St. Joseph's Hospital in Hamilton, Ontario. He came back to the University of Calgary as Assistant Professor in 2016, and is now the Program Director for the Thoracic Surgery Fellowship program.

E111 Sam Minor on Trauma Simulation and Practicing in Halifax

Canadian Journal of Surgery — Tue, 25 Jan 2022 14:00:24 -0700

In this episode we had a great conversation with Dr. Sam Minor. Dr. Minor is a general surgeon in Halifax, Nova Scotia at Dalhousie. Dr. Minor has helped develop in situ trauma simulations that help not just residents but also staff surgeons prepare for major traumatic injuries. Dr. Minor also tells us about what it’s like to practice in Halifax and about some of his other research interests.

1. Prospective study of single-stage repair of contaminated hernias with the novel use of calcium sulphate antibiotic beads in conjunction with biologic porcine submucosa tissue graft. https://pubmed.ncbi.nlm.nih.gov/33180691/

2. Minor S, Schroder C, Heland D. Utilizing the Intensive Care Unit to Teach End-of-Life Skills to Rotating Junior Residents. American Journal of Surgery Am J Surg 2008 Sep 11

Bio (https://medicine.dal.ca/departments/department-sites/critical-care/our-people/faculty/samuel-minor.html):

Dr. Minor has developed various programs at the Dalhousie Surgical Skills Center including percutaneous tracheostomy insertion, critical care skills (difficult airway management, percutaneous chest tube insertion, US guided interventions), open abdomen management and abdominal wall reconstruction. He also teaches crisis resource management at the Atlantic Canada Simulation Center which focuses on ACLS and ATLS utilizing the SimMan 3G.

Research activities are in the areas of medical education, open abdomen management and post tracheostomy care.

E110 Chris Hicks and Andrew Petrosoniak on Human-Centred Design in the Emergency Department

Canadian Journal of Surgery — Tue, 18 Jan 2022 13:00:08 -0700

We’ve all experienced the frustration of working in clinical environments that just don’t seem to be set up intuitively. But what if there were ways to improve the design of the places and processes where clinicians practice? In this episode, we spoke with Dr. Andrew Petrosoniak and Dr. Chris Hicks, both ER docs at St. Mike’s Hospital in downtown Toronto. They have done extensive work on human-centred design, particularly in the emergency department, and have done amazing work redesigning the St. Mike’s trauma bay and many other areas in the ED. Check out links in the shownotes to see pictures of their newly redesigned trauma bay, and also check out their website advancedperformance.ca.

Links:

1. Breaking the Shackles of Poor Design: https://emcrit.org/emcrit/breaking-the-shackles-of-bad-clinical-design/

2. Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review. https://pubmed.ncbi.nlm.nih.gov/33097610/

3. Design Thinking-Informed Simulation: An Innovative Framework to Test, Evaluate, and Modify New Clinical Infrastructure. https://pubmed.ncbi.nlm.nih.gov/32039946/

4. The Human Factor: Optimizing Trauma Team Performance in Dynamic Clinical Environments. https://pubmed.ncbi.nlm.nih.gov/29132571/

E109 CaRMS General Surgery Residency Program Highlights!

Canadian Journal of Surgery — Fri, 07 Jan 2022 16:24:17 -0700

We are delighted to bring you our CaRMS 2022 general surgery residency highlights! We invited all the English-speaking general surgery programs across the country on to the podcast to talk about what makes their program unique. We were able to get most of the programs across country. Our hope is that this episode will be helpful for prospective applicants to learn a bit about the programs as we head into the interview cycle.

We have no affiliation with CaRMS.

Links:

1. Canadian Resident Matching Service (CaRMS) residency program descriptions: https://www.carms.ca/match/r-1-main-residency-match/program-descriptions/

2. Memorial University of Newfoundland (St. John's) website: https://www.med.mun.ca/getdoc/d2d3e138-196f-4741-95f6-bac3516d85a2/GSResidencyProgram.aspx

Interview with Dr. Mathieson starts at 6:30

3. Dalhousie University (Dalhousie): https://medicine.dal.ca/departments/department-sites/surgery/divisions/general-surgery/education/residency.html

Interview with Dr. Helyer starts at 16:30

4. University of Toronto: https://surgery.utoronto.ca/residency-division-general-surgery

5. University of Ottawa: https://www.uottawagensurg.com/

6. Western (London): https://www.schulich.uwo.ca/generalsurgery/education/postgraduate/index.html

Interview with Dr. Ott starts 40:30

7. McMaster University (Hamilton): https://surgery.mcmaster.ca/divisions/general-surgery/education/postgraduate-training-programs

Interview with Dr. Marcaccio starts at 1 hr 1 min

8. Queen's University (Kingston): https://surgery.queensu.ca/postgraduate/general-surgery

9. Northern Ontario School of Medicine (NOSM): https://www.nosm.ca/generalsurgery/program-overview-highlights/

10. McGill: https://www.mcgill.ca/generalsurgery/education/residency

Interview with Dr. Liberman starts at 25 min mark

11. Max Rady College of Medicine (Winnipeg): https://umanitoba.ca/medicine/department-surgery/general-surgery-residency

Interview with Dr. McKay starts at 1 hr 12 min

12. University of Saskatchewan: https://medicine.usask.ca/department/clinical/surgery-divisions/general-surgery-pages/residency-program.php

13. University of Calgary: https://cumming.ucalgary.ca/departments/surgery/sections/general-surgery/education

Interview with Dr. Rochon starts at 1 hr 22 min

14. University of Alberta: https://www.ualberta.ca/surgery/divisions/general-surgery/index.html

Interview with Dr. Mapiour starts at 1 hr 31 min

15. University of British Columbia: https://www.ualberta.ca/surgery/divisions/general-surgery/index.html

Interview with Dr. Scott starts at 1 hr 42 min

16. Great thread with tips for virtual interviews: https://twitter.com/BobbyYanagawa/status/1468017910165782531

E108 Black Surgeons in Canada with Don Nakayama, Cathy Slaney, Shannon Prince & Vivian McAlister

Canadian Journal of Surgery — Sun, 02 Jan 2022 12:02:43 -0700

Happy new year to all our listeners! We hope you all have a fulfilling and healthy 2022!

We are very excited this week to bring you this episode on Black Surgeons in North America. This initiative lead by Dr. Don Nakayama is an amazing collection of the contributions of black surgeons across North America. We were lucky to sit down with Dr. Vivian McAllister, a longtime friend of the podcast and one of the authors of the chapter on black surgeons in Canada, to tell us about the contributions of black Canadian surgeons. We were also lucky enough to be joined by Dr. Nakayama, as well as Dr. Cathy Slaney, a sociologist who’s work has focused on her great-grandfather Dr. Anderson Abbott, one of the surgeons profiled in the book. Last but not least, we were joined by Shannon Prince, the curator of the Buxton National Historic Site and Museum. This episode was a fascinating foray into the untold stories of the contributions of black surgeons in our country.

We were also really inspired by our guests thoughts about how we can perhaps learn from this history to help us heal the ongoing racial wounds that exist within our culture and society. As always, we would love to hear your thoughts by email at podcast.cjs@gmail.com or on twitter @CanJSurg.

Links:

1. Black Surgeons and Surgery in America - available from the ACS website. https://www.facs.org/publications/black-surgeons-and-surgery-in-america

2. Family Secrets by Cathy Slaney. https://www.dundurn.com/books_/t22117/a9781896219820-family-secrets

3. Buxton National Historic Site and Museum: http://www.buxtonmuseum.com/

Bios:

Shannon Prince: http://www.buxtonmuseum.com/about/ShannonPrince_bio.pdf

Catherine Slaney: https://www.thestar.com/news/gta/2011/02/23/woman_finds_out_famous_relative_was_black.html?rf

Vivian McAlister: https://www.cma.ca/dr-vivian-mcalister

Don Nakayama: https://www.med.unc.edu/surgery/dr-don-nakayama-joins-pediatric-surgery/

E107 Masterclass with Francis Sutherland on Common Bile Duct Injuries and Cognitive Biases

Canadian Journal of Surgery — Tue, 21 Dec 2021 15:33:38 -0700

This week we had a masterclass on common bile duct injuries by Dr. Francis Sutherland. Dr. Sutherland is a hepatobiliary surgeon at the University of Calgary. Dr. Sutherland talks about not just how CBD injuries happen, but why they happen, and the cognitive biases that lead up to them. Please check out the show notes for videos and papers that supplement our discussion.

Links:

1. The importance of cognitive map placement in bile duct injuries. https://pubmed.ncbi.nlm.nih.gov/29173261/

2. Is an optical illusion the cause of classical bile duct injuries? https://pubmed.ncbi.nlm.nih.gov/33411998/

3. Video from Dr. Shiva Jayaraman of a CBD injury which illustrates the cognitive mapping errors: https://www.youtube.com/watch?v=I0AtJqCj2dI

4. Claude Couinaud: a passion for the liver. https://pubmed.ncbi.nlm.nih.gov/12413326/

5. Rouvière's sulcus: a useful landmark in laparoscopic cholecystectomy. by Thomas Hugh. https://pubmed.ncbi.nlm.nih.gov/9313706/

6. Thinking, Fast and Slow by Daniel Kahnemann. https://www.goodreads.com/book/show/11468377-thinking-fast-and-slow

7. Memories of colonoscopy: a randomized trial. https://pubmed.ncbi.nlm.nih.gov/12855328/

8. Causes and Prevention of Laparoscopic Bile Duct Injuries
Analysis of 252 Cases From a Human Factors and Cognitive Psychology Perspective. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1514483/

9. Subtotal Cholecystectomy-"Fenestrating" vs "Reconstituting" Subtypes and the Prevention of Bile Duct Injury: Definition of the Optimal Procedure in Difficult Operative Conditions. https://pubmed.ncbi.nlm.nih.gov/26521077/

10. Trauma ICU Rounds podcast on "Managing the Difficult Cholecystectomy" with a good discussion on subtotal cholecystectomy. https://www.traumaicurounds.ca/episodes/episode-42-management-of-the-difficult-gallbladder-gen2n

Bio (from https://charbonneau.ucalgary.ca/our-members/associate-members/francis-sutherland):

Dr. Sutherland graduated from the University of Calgary Medical School and did his General Surgery Residency in Calgary. Upon completion he then went to the University of Western Ontario and completed a Fellowship in Transplantation under the mentoring of Dr. Bill Wall. Upon returning to Calgary he initially was involved in the Organ Transplant Program. He then focused his surgical career on Hepatobiliary Surgery by taking a one year sabbatical to work under Professor Bernard Launois at the University of Rennes in France. Dr. Sutherland has been a Faculty Member since 1990 and is currently at the Foothills Hospital. His clinical practice evolves around General Surgery with a strong focus and interest in hepatobiliary and pancreatic surgery. He is an integral member of the Hepatobiliary Multidisciplinary Clinic at the Tom Baker Cancer Centre. His research interests have evolved around studying the hepatobiliary anatomy and has made innovative observations in this area. He has also studied the ways to minimize blood loss during major hepatic resections and has an interesting in pancreatic cysts.

E106 John Kortbeek On Gun Control

Canadian Journal of Surgery — Wed, 15 Dec 2021 22:40:34 -0700

This week on the podcast we talked about a topic that we have heard about all too frequently on the news lately: gun violence. We were joined by Dr. John Kortbeek, a trauma and critical care surgeon at the University of Calgary. We asked Dr. Kortbeek about the topic of gun control in general and specifically on gun control policies in Canada.

1. Canadian Doctors for Protection from Guns. https://www.doctorsforprotectionfromguns.ca/

2. Najma Ahmed - Award from CMA for gun control work. https://www.cma.ca/cma-sir-charles-tupper-award-political-advocacy-2020-recipient

3. Planet Money episode on "smart guns""https://www.npr.org/sections/money/2016/04/08/473581490/episode-694-the-gun-that-wouldnt-shoot

E105 Death, Dying, and MAID in Surgery with Kelly Vogt and Morad Hameed

Canadian Journal of Surgery — Tue, 07 Dec 2021 13:00:02 -0700

Welcome back to another episode of our “Companion” series on the important topic of death and dying in surgery. Dr. Kelly Vogt lead our discussion, and we were lucky enough to also be joined again by Dr. Morad Hameed. We focused on the topic of Medical Assistance in Dying (MAID), but branched out to explore how we can better prepare surgeons and patients for discussions around end of life care. We’d love to hear your thoughts – how does MAID get operationalized in your hospital, and how does that interact with the surgical service? Email us at podcast.cjs@gmail.com or tweet at us @CanJSurg.

Links:

1. The impact of country and culture on end-of-life care for injured patients: results from an international survey. https://pubmed.ncbi.nlm.nih.gov/21045742/

2. BC Cancer website on MAID. http://www.bccancer.bc.ca/health-info/coping-with-cancer/medical-assistance-in-dying

E104 John Neary on Royal College Exams in 2020, Cancellation of MCQE Part II, and Exams in Med Ed

Canadian Journal of Surgery — Wed, 01 Dec 2021 16:16:53 -0700

This week on the podcast we spoke with Dr. John Neary, an internist at McMaster University. Dr. Neary was instrumental in submitting a motion in 2020 that asked that Royal College Exam waive the requirements to write the royal college exam for trainees graduating in 2020, given the challenges that COVID19 were presenting for the administration of the exam. We also talked about the decision of the Medical Council of Canada to eliminate the MCQE Part II. Beyond these two very controversial topics, we had a much deeper conversation with Dr. Neary about the nature of examinations in medical education, and what the ideal exam would look like. We’d love to hear your thoughts – did studying for your royal college exam make you a better physician? Email at podcast.cjs@gmail.com or tweet at us @CanJSurg.

Links:

1. Petition: https://docs.google.com/forms/d/e/1FAIpQLSfC63jV31Ptd5iMuktc98Av9G_a5vmtHDTEuvWEEGO8C8s71g/viewform

2. Cancellation of MCQEII by MCC: https://www.thestar.com/news/canada/2021/01/04/amid-an-uproar-over-cancelled-tests-some-say-the-body-that-oversees-medical-exams-for-resident-doctors-seeking-licences-is-obsolete.html

Bio:

John Neary is a general internist at St. Joseph’s Healthcare Hamilton and an Assistant Professor of Medicine at McMaster University. He did his undergraduate degree in mathematics! He has worked as a consultant in internal medicine at SHN since finishing his residency at McMaster in 2010.

E103 Teodor Grantcharov on the OR Blackbox

Canadian Journal of Surgery — Thu, 25 Nov 2021 13:51:46 -0700

Dr. Teodor Grantcharov (https://twitter.com/TGrantcharovMD?s=20) is a bariatric surgeon at St. Michael’s Hospital in Toronto. Dr. Grantcharov is world renowned for his work on the OR blackbox, a platform that allows for immense data capture (video, audio, physiologic) as well as advanced analytics. We asked Dr. Grantcharov about what it took to develop the OR blackbox, not just technologically, but culturally and institutionally. You can find out more about the OR blackbox at surgicalsafety.com.

Links:

1. Quantifying recall bias in surgical safety: a need for a modern approach to morbidity and mortality reviews. https://pubmed.ncbi.nlm.nih.gov/30693745/

2. Twitter discussion on best methods for recording open cases: https://twitter.com/ameerfarooq/status/1335675502313447426

3. OR Black Box: https://www.surgicalsafety.com/

4. Gordon, L, Reed, C, Sorensen, JL, Schulthess, P, Strandbygaard, J, Mcloone, M et al.. Perceptions of safety culture and recording in the operating room: understanding barriers to video data capture. Surg Endosc. 2021; :. doi: 10.1007/s00464-021-08695-5. PubMed PMID:34608519 .

5. Nensi, A, Palter, V, Reed, C, Schulthess, P, Mcloone, M, Grantcharov, T et al.. Utilizing the Operating Room Black Box to Characterize Intraoperative Delays, Distractions, and Threats in the Gynecology Operating Room: A Pilot Study. Cureus. 2021;13 (7):e16218. doi: 10.7759/cureus.16218. PubMed PMID:34367818 PubMed Central PMC8341265.

6. Levin, M, McKechnie, T, Kruse, CC, Aldrich, K, Grantcharov, TP, Langerman, A et al.. Surgical data recording in the operating room: a systematic review of modalities and metrics. Br J Surg. 2021;108 (6):613-621. doi: 10.1093/bjs/znab016. PubMed PMID:34157080 .

7. Gallant, JN, Brelsford, K, Sharma, S, Grantcharov, T, Langerman, A. Patient Perceptions of Audio and Video Recording in the Operating Room. Ann Surg. 2021; :. doi: 10.1097/SLA.0000000000004759. PubMed PMID:33630449 .

Bio (http://stmichaelshospitalresearch.ca/researchers/teodor-grantcharov/):

Dr. Teodor Grantcharov completed his surgical training at the University of Copenhagen, and a doctoral degree in Medical Sciences at the University of Aarhus in Denmark.

Dr. Grantcharov is a Professor of Surgery at the University of Toronto. He holds the Keenan Chair in Surgery at St. Michael’s Hospital in Toronto.

Dr. Grantcharov is the inaugural Director of the International Centre for Surgical Safety – a multidisciplinary group of visionary scientists with expertise in design, human factors, computer- and data science, and healthcare research. He previously held Canada Research Chair in Simulation and Surgical Safety and was awarded the Queen Elizabeth II diamond jubilee medal for his contributions to clinical research and patient safety in Canada. Dr. Grantcharov was awarded the honorary fellowship of the Imperial College in London, the honorary medal of the Bulgarian and Danish surgical societies and multiple national and international awards for his contributions to surgical education and surgical safety.

Dr. Grantcharov’s clinical interest is the area of minimally invasive surgery, while his academic focus is in the field of surgical innovation and patient safety. He has become internationally recognized as a leader in this area with his work on curriculum design, assessment of competence and impact of surgical performance on clinical outcomes. Dr. Grantcharov developed the Surgical Black Box, which aims to transform the safety culture in medicine and introduce modern safety management systems in the high-risk operating room environment.

Dr. Grantcharov has more than 200 peer-reviewed publications and more than 200 invited presentations in Europe, South- and North America. He sits on numerous committees with Surgical Professional Societies in North America and Europe.

He sits on the Editorial Boards of the British Journal of Surgery and Surgical Endoscopy.

E102 Sunil Patel on Robotic Colorectal Surgery and Spin in Surgical Research

Canadian Journal of Surgery — Thu, 18 Nov 2021 23:13:43 -0700

This week we were joined by Dr. Sunil Patel (https://twitter.com/epipatelmd?s=20). Dr. Patel is a colorectal surgeon in Kingston, Ontario. The group in Kinston is one of the few general surgery groups in Canada that has really utilized robotics in their practice, and we wanted to understand both why and how they introduced robotics into their group. Dr. Patel has also done fascinating research into the topic of spin in surgical research, and he walks us through the concept of spin and how the astute reader can avoid being fooled by it.

Links:

1. The use of "spin" in laparoscopic lower GI surgical trials with nonsignificant results: an assessment of reporting and interpretation of the primary outcomes. https://pubmed.ncbi.nlm.nih.gov/24201393/

2. Spin Is Common in Studies Assessing Robotic Colorectal Surgery: An Assessment of Reporting and Interpretation of Study Results. https://pubmed.ncbi.nlm.nih.gov/26252850/

3. An Assessment of the Industry-Faculty Surgeon Relationship Within Colon and Rectum Surgical Training Programs. https://pubmed.ncbi.nlm.nih.gov/26966083/

4. Spin in articles about minimally invasive transanal total mesorectal excision: an assessment of the current literature. https://pubmed.ncbi.nlm.nih.gov/30341922/

5. Reviewing the Reviewers: Potential Financial Conflicts of Interest in Editorial Boards of Surgery Journals. https://pubmed.ncbi.nlm.nih.gov/34091509/

Bio (https://surgery.queensu.ca/administration/attending-staff/sunil-patel):

Dr. Sunil Patel is a fellowship trained colorectal surgeon at Kingston Health Sciences Centre. He has specialized training in minimally invasive surgery, including robotic surgery, laparoscopic surgery and transanal total mesorectal excision (Ta-TME). Dr. Patel and his partners are the only group offering high volume Robotic Colorectal Surgery in the Province.

Dr. Patel specializes in treating Rectal Cancer, Colon Cancer, Inflammatory Bowel Disease and Diverticular Disease. Dr. Patel and his partners are the only high volume rectal cancer surgeons in Southeast Ontario.

Dr. Patel completed his general surgery in London, Ontario. He completed his colorectal surgery fellowship in New York City at Memorial Sloan Kettering Cancer Center and New York Presbyterian Hospital. Memorial Sloan Kettering Cancer Center is considered one of the top Cancer hospitals in the world. He has also completed a Masters of Epidemiology at the London School of Hygiene and Tropical Medicine in London, UK.

Dr. Patel’s research interests include barriers to treatment in colorectal cancer and inflammatory bowel disease patients, the use of smart phone technology in delivering clinical care and evidence based health care.

Dr. Patel is also a member of the Cancer Care and Epidemiology at the Cancer Research Institute and the Regional Colorectal Cancer Screening and GI Endoscopy Lead (LHIN).

E101 Masterclass with Helen Macrae on Approach to Acute Colitis, Total Colectomy and Pouches

Canadian Journal of Surgery — Tue, 09 Nov 2021 18:55:25 -0700

This week we were lucky enough to have a masterclass with Dr. Helen Macrae, a colorectal surgeon at Mount Sinai in Toronto. We talked about her career in surgical education. We then leveraged Dr. Macrae's considerable expertise and got her approach to the acute colitic, laparoscopic total colectomy, and pelvic pouch reconstruction.

Links:

1. Teaching Surgical Skills — Changes in the Wind. https://www.nejm.org/doi/pdf/10.1056/nejmra054785

2. E24 Richard Reznick On Competency - Based Medical Education. https://soundcloud.com/cjs-podcast/e24-richard-reznick-on-competency-based-medical-education/s-eAqN5PDEoyG

3. Treatment of hospitalized adult patients with severe ulcerative colitis: Toronto consensus statements. https://pubmed.ncbi.nlm.nih.gov/22108451/

Bio (https://surgery.utoronto.ca/content/helen-macrae)

Dr. MacRae received a B.Sc. and M.D. from the University of Alberta. She did her General Surgery training in Alberta, as well. Following this, she spent two years in the Colorectal Surgery Program at the University of Toronto, before joining the faculty in January 1997. Most recently, she completed a mini-sabbatical in laproscopic surgery at the Wellesley Hospital.

Dr. MacRae's clinical interests are in the areas of inflammatory bowel disease, and laproscopic colon surgery. Her research interests are in the field of surgical education. She is Director for the Colorectal Surgery Residency Program.

E100 The Advice Episode

Canadian Journal of Surgery — Thu, 04 Nov 2021 15:42:26 -0600

This is a special episode for us! We celebrate our 100th episode by presenting a mix of some of our favourite "advices" from our guests. We have to thank all of our many guests who have shared their time, expertise, and passion with us.

We look forward to bringing you many more episodes!

As always, would love to hear your thoughts and feedback at podcast.cjs@gmail.com or @canjsurg on twitter.

E99 Neel Datta on Surgical Workforce Planning

Canadian Journal of Surgery — Wed, 27 Oct 2021 06:55:53 -0600

We were lucky to have Dr. Neel Datta on the podcast this week! Dr. Datta is a colorectal surgeon in Calgary. He did a Masters of Health Economics at the London School of Economics, and has used that expertise to model some of the issues around surgical workforce planning in Canada. We really dug into some of the issues around unemployment and underemployment of surgeons in Canada, and perhaps some solutions to that very real problem.

Links:

1. The current state of resident trauma training: Are we losing a generation? https://www.canjsurg.ca/content/61/3/153.long

2. Ahmer Karimuddin On The "Struggling" Trainee, CaRMS, & Resident Selection. https://soundcloud.com/cjs-podcast/e64-ahmer-karimuddin-on-the-struggling-trainee-carms-resident-selection

3. Shane DiNapoli On Physician Finances, Professional Corporations, And Financial Planning. https://soundcloud.com/cjs-podcast/e63-shane-dinapoli-on-physician-finances-professional-corporations-and-financial-planning

4. Hepato-pancreato-biliary surgery workforce in Canada. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4447518/

5. A novel approach for the accurate prediction of thoracic surgery workforce requirements in Canada. https://pubmed.ncbi.nlm.nih.gov/24787697/

6. Calcutta Cricket Club! https://www.calcuttacricketclub.com/

E98 Martin Schreiber on Trauma Research and Resuscitation

Canadian Journal of Surgery — Tue, 19 Oct 2021 13:00:00 -0600

Dr. Martin Schreiber is a trauma and critical care surgeon at Oregon Health & Science University in Portland. He has had a major impact on our understanding of resuscitation in trauma, among many other topics. We talked to Dr. Schreiber about his experience with the military, his advocacy around trauma research, and trauma resuscitation.

Links:

1. Trauma Center Association of America calls for NIH Trauma Institute. https://www.traumacenters.org/news/557958/TCAA-Chair-Calls-for-Creation-of-Trauma-Institute-in-the-NIH-.htm

2. Effect of Out-of-Hospital Tranexamic Acid vs Placebo on 6-Month Functional Neurologic Outcomes in Patients With Moderate or Severe Traumatic Brain Injury. https://pubmed.ncbi.nlm.nih.gov/32897344

3. Tranexamic acid in trauma. How should we use it? https://journals.lww.com/jtrauma/Citation/2013/06000/Tranexamic_acid_in_trauma__How_should_we_use_it_.30.aspx

Bio (from https://www.ohsu.edu/people/martin-a-schreiber-md-facs-fccm)

Dr. Schreiber’s special areas of interest are trauma surgery and surgical critical care. He received his medical degree in 1988 from Case Western Reserve University in Cleveland, OH. Dr. Schreiber completed his internship at Madigan Army Medical Center in Fort Lewis, WA., and his residency training at the University of Washington in Seattle. His trauma and critical care fellowship was completed at the University of Washington.

E97 Masterclass with Daryl Gray on Neuroendocrine Tumors (NETs)

Canadian Journal of Surgery — Thu, 14 Oct 2021 03:16:03 -0600

On this episode we had a masterclass on gastrointestinal neuroendorine tumors by endocrine and trauma surgeon Dr. Daryl Gray. Dr. Gray is an associate professor Western in London, Ontario, and is possibly one of the most interesting people in the world. We explore his life, his experience being the father of a teen TV star, and of course his passion, neuroendocrine tumors.

Links:

1. The surgeons: https://www.amazon.com/The-Surgeons/dp/B01J2P4QEE

2. Max & shred: https://www.imdb.com/title/tt3946016/

3. ROSCOE magazine: https://cags-accg.ca/about/cags-magazine-roscoe/read-the-digital-issue-of-roscoe/

4. Roscoe R. Graham: An enduring legacy in the 21st century. https://pubmed.ncbi.nlm.nih.gov/27806000/

E96 JC Alverdy on Gut Microbiome and Solipsism

Canadian Journal of Surgery — Tue, 05 Oct 2021 13:00:00 -0600

Dr. John C Alverdy (https://twitter.com/JCAlverdy?s=20) is a minimally invasive surgeon at the University of Chicago. He is an iconoclastic scientist whose research focuses on gut microbiome and its impact on surgical site infections. His lab is continuously NIH funded, with publications in Nature and many other high impact journals. More importantly, however, Dr. Alverdy is willing to challenge commonly accepted ideas, like the very basic tenet that we really know why anastomoses leak. He gave a fantastic talk this year at the American Society of Colon and Rectal Surgeons, and we’d highly encourage you all to listen to that well.

Links:

1. ASCRS distinguished lectureships. https://fascrs.org/my-ascrs/meetings-events/2021-annual-scientific-meeting/distinguished-lectureships

2. The gut microbiota and gastrointestinal surgery. https://pubmed.ncbi.nlm.nih.gov/27729657/

3. Re-examining causes of surgical site infections following elective surgery in the era of asepsis. https://pubmed.ncbi.nlm.nih.gov/32006469/

4. Serial Endoscopic Surveillance & Direct Topical Antibiotics to Define the Role of Microbes in Anastomotic Healing (SES-DTA). https://clinicaltrials.gov/ct2/show/NCT02682485

5. Alverdy lab website: https://wiki.uchicago.edu/display/surgery/Alverdy+Lab+Wiki

Bio (from University of Chicago surgery website):

John C. Alverdy, MD, performs a wide variety of complex minimally invasive and open gastrointestinal surgical procedures with decades of experience in the field. Dr. Alverdy is nationally recognized for introducing several new operations into the field, including minimally invasive pancreatic surgery, bariatric surgery, and surgery for disorders of the foregut including the esophagus and stomach.

Dr. Alverdy has also run a continuously funded NIH-funded laboratory that studies the molecular interactions of bacteria and the intestinal mucosa in order to understand how life-threatening infections arise after trauma and major surgery and during critical illness. He has developed several anti-infective polymer-based compounds that can attenuate the virulence of several multi-drug resistant pathogens that cause life threatening infections in surgical patients and works with the IME to synthesize, refine, and scale the compounds for pre-clinical testing.

E95 Masterclass with Michael Rosen on Abdominal Wall Reconstruction

Canadian Journal of Surgery — Wed, 29 Sep 2021 06:28:02 -0600

A big welcome to all the surgical "roofers" joining us on the show! We had the inimitable Dr. Michael Rosen (https://twitter.com/MikeRosenMD?s=20) on this episode. Dr. Rosen is a world renowned expert in abdominal wall reconstruction at the Cleveland Clinic, and on this episode he gave us a masterclass on all things hernia.

Links:

1. Atlas of Abdominal Wall Reconstruction: https://www.elsevier.ca/ca/product.jsp?isbn=9780323374590

2. Clinical trial on role of robotics in hernia repair: https://clinicaltrials.gov/ct2/show/NCT02816658

3. American Hernia Society Quality Collaborative: https://www.prweb.com/releases/2016/08/prweb13620209.htm

4. David Krpata's Groin pain clinic: https://www.generalsurgerynews.com/In-the-News/Article/08-19/Experts-Describe-Unique-Approaches-to-Groin-Pain-After-Hernia-Repair/55620?sub=836D4EB2B96F992350511873881EC4EFFD0886FFAF298E476CEDDB4816C90B2

Bio:

Dr. Michael J. Rosen is an abdominal wall reconstructive and general surgeon in Cleveland, Ohio and is affiliated with multiple hospitals in the area, including Louis Stokes Cleveland Veterans Affairs Medical Center and Cleveland Clinic. He received his medical degree from University of Southern California and has been in practice for more than 20 years. He is an expert in abdominal wall reconstruction and Director of the Hernia Center at the Digestive Diseases Institute at Cleveland Clinic.

E94 Mental Health and Surgery with Rebecca Afford, JJ Sidhu and Morad Hameed

Canadian Journal of Surgery — Tue, 21 Sep 2021 13:00:06 -0600

With all the attention to inequities in the surgical community and beyond, sometimes the invisible disparities goes unnoticed. Mental health and its impact on surgical outcomes has been relatively poorly studied, and so on today’s episode we invited the authors of a new narrative review on the topic to talk about what they found. The title of the paper is “Improving Surgical Quality for patients with Mental Health Illness: A Narrative review” and was published this August. Dr. Rebecca Afford, Dr. JJ Sidhu, and Dr. Morad Hameed joined us to talk about mental health and its impact on surgical outcomes. We would love to hear your thoughts – what does your institution to manage surgical patients with mental health conditions? Email us at podcast.cjs@gmail.com or on twitter @CanJSurg.

Links:

1. Improving Surgical Quality for Patients with Mental Health Illnesses: A Narrative Review. https://journals.lww.com/annalsofsurgery/Abstract/9000/Improving_Surgical_Quality_for_Patients_with.93312.aspx

Bios:

Rebecca Afford is a second year general surgery resident at the University of British Columbia.

Jesse Sidhu is a psychiatrist at the Vancouver General Hospital and is the Deputy Medical Director for Vancouver Mental Health and Substance Use, Acute, Tertiary, & Urgent Services.

Morad Hameed is the and intensivist at the Vancouver General Hospital (VGH) and an Assistant Professor of Surgery at the University of British Columbia (UBC). He is the Head of the UBC and VGH Division of General Surgery and is a Service Chief for Acute Care Surgery at VGH.

E93 Husein Moloo on Quality Improvement, Shared Practice Models, and Philosophy

Canadian Journal of Surgery — Wed, 15 Sep 2021 16:09:17 -0600

If you were to wander into one of the operating rooms at the Ottawa Civic Hospital and hear a discussion about colorectal surgery, Plato, and Drake simultaneously, you could be pretty sure that you were in the OR of Dr. Husein Moloo (https://twitter.com/HMoloo?s=20). Dr. Moloo is a dually trained minimally invasive and colorectal surgeon in Ottawa. We had the pleasure of speaking with the Renaissance man Dr. Moloo about the impressive quality improvement initiatives he has led in Ottawa, as well as his thoughts on the unique shared practice model in the Ottawa colorectal group. True to the advice he shares at the end of the podcast, Dr. Moloo was recently named the maiden director of Planetary Health at the University of Ottawa. To paraphrase the Canadian philosopher Drake, “If you ain’t been a part of it at least you got to witness.”

Links:

1. "Range" by David Epstein: https://davidepstein.com/the-range/

2. Enabling front line–driven perioperative quality improvement through organizational infrastructure built around the Comprehensive Unit Based Safety Program. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5125925/

3. Creating a Culture of Quality. HBR. https://hbr.org/2014/04/creating-a-culture-of-quality

4. IHI Open School: http://www.ihi.org/education/IHIOpenSchool/Pages/default.aspx

5. Kotter's 8 step process for change: https://www.kotterinc.com/8-steps-process-for-leading-change/

6. Implementation of a systematic tobacco treatment protocol in a surgical outpatient setting: a feasibility study.http://canjsurg.ca/64-1-e51/

7. Group practice impacts on patients, physicians and healthcare systems: a scoping review.https://bmjopen.bmj.com/content/11/1/e041579.abstract

8. Retired Surgeons’ Reflections on Their Careers. https://jamanetwork.com/journals/jamasurgery/fullarticle/2758649

9. Plato's Allegory of the Cave: https://faculty.washington.edu/smcohen/320/cave.htm#:~:text=In%20the%20allegory%2C%20Plato%20likens,along%20which%20puppeteers%20can%20walk.

E92 Wayne Rosen on EBM and Intercessory Prayer, Objectivity in Science, and COVID19 Ethical Dilemmas

Canadian Journal of Surgery — Tue, 07 Sep 2021 13:00:17 -0600

Is intercessory prayer more or less effective than lasix? These seemingly random questions are the “rabbit holes” that keep Dr. Wayne Rosen up at night. Dr. Rosen is a colorectal surgeon at the Peter Lougheed Centre in Calgary, Alberta. Dr. Rosen has long delighted the calgary surgical community with his entertaining and thoughtful critiques of a whole host of philosophical and bioethical concepts, ranging from evidence based medicine to how we might ration surgical resources in a pandemic like COVID. We recorded this conversation back in May 2021. We would love to hear your thoughts on any of the topics we discussed on this week’s episode on twitter @canjsurg or by email at podcast.cjs@gmail.com.

Links:

1. Dr. Rosen's website: http://www.limitsofebm.org/

2. Cochrane review on intercessory prayer: https://www.cochrane.org/CD000368/SCHIZ_intercessory-prayer-for-the-alleviation-of-ill-health#:~:text=Intercessory%20prayer%20is%20one%20of,in%20some%20kind%20of%20need.

3. Doing Right by Hebert and Rosen: https://www.amazon.ca/Doing-Right-Practical-Trainees-Physicians/dp/0199031339

Bio (from colondoc.ca):

Dr. Wayne Rosen did his undergraduate degree in the arts at Queens' University in Kingston, Ontario. After this he studied in Europe for two years and returned to Canada to study medicine. Dr. Rosen graduated in 1991 from Queens University Medical School in Kingston, Ontario, and completed his General Surgery training at the University of Calgary in 1997. He subsequently worked in overseas for three months and practiced briefly in Calgary, and then at the North York General Hospital in Toronto for almost two years. Starting in 2000, Dr. Rosen completed a fellowship in Colorectal Surgery at the University of Texas in Houston, under the mentorship of Dr. H. Randolph Bailey. Following this, he joined the faculty of the Department of Surgery at the University of Calgary at the Peter Lougheed Hospital in 2001. For 10 years he shared a clinical practice with Dr. Doug Johnson until moving out on his own in the summer of 2011. His clinical practice is now situated at the Peter Lougheed Centre and is primarily in the area of colon and rectal surgery.

Dr. Rosen is a Fellow of the Royal College of physicians and Surgeons of Canada (FRCS). He is also board certified in both general and colorectal surgery in the United States. He is also a Fellow of the American Society of Colon and Rectal Surgery.

In addition to his clinical practice, Dr. Rosen is active as a teacher and instructor with both residents and medical students at the University of Calgary. He is the Chair of the Medical Skills Course at the University of Calgary Medical School and he co-chairs the undergraduate medical students bioethics course with Dr. Ian Mitchell. He regularly lectures and gives seminars on topics related to colon and rectal surgery, as well as bioethics. He has an active interest in biomedical ethics, with a particular interest in areas related to informed consent, resource allocation, medicine and law, and ethical issues in research. Most recently he is interested in the challenges and limits of Evidence-Based Medicine. He has a Masters in Medical Science (MSc Bioethics). Dr. Rosen is a clinical assistant professor in the department of surgery at the University of Calgary.

E91 Rick Buckley on How to Age and Retire Gracefully in Surgery

Canadian Journal of Surgery — Tue, 31 Aug 2021 13:00:05 -0600

On this episode we were joined by Dr. Richard Buckley. Dr. Buckley is an orthopedic surgeon at the Foothills Medical Centre in Calgary. Dr. Buckley has had an amazingly productive career, with more than 30 years of clinical practice and hundreds of publications. Most importantly, however, Dr. Buckley has really pushed surgeons in Calgary and across Canada to think beyond received wisdoms and critically examine how we treat patients and how we organize our systems. We get a taste of his unique insights on topics from resident call, to his orthopedic textbook and finally, his thoughts on how to age and retire gracefully from a life in surgery.

Links:

1. Surgical Exposures in Orthopedics. https://www.amazon.ca/Surgical-Exposures-Orthopaedics-Anatomic-Approach/dp/0781776236

2. Canadian Orthopedic Trauma Society. http://cots.medicine.dal.ca/

3. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. https://pubmed.ncbi.nlm.nih.gov/17200303/

4. Surgical Companion: The Aging Surgeon episode: http://canjsurg.ca/e47-surgical-companion-1-the-aging-surgeon/

5. Relation between surgeon age and postoperative outcomes: a population-based cohort study. https://www.cmaj.ca/content/192/15/E385

Bio (taken from: https://whenithurtstomove.org/wp-content/uploads/Rick-Buckley-EN.pdf)

Dr. Richard Buckley has been on the active medical staff in Calgary since 1990. He is a Professor in the Department of Surgery, in the Division of Orthopaedic Trauma. His active clinical practice is that of orthopaedic trauma and he is extremely active in teaching undergraduate, and post graduate medicine. He has been involved in the Orthopaedic Trauma Fellowship in Calgary, with nearly 50 International Fellows under his tutelage. He is also active in the research front.

Dr. Buckley is an extremely active member of the Association for Study of Internal Fixation (ASIF)(AO). There he has held numerous course Chairman and Board responsibilities, including the International Education Board, International Research Board and has been a member of the Board of Trustees for International AO. He has been a member of the Orthopaedic Trauma Association since 1990 and has held positions on the Membership Committee and Nominating Committee for this

International leading Association.

Dr. Buckley has also been extremely active in the Canadian Orthopaedic Association (COA) and has been a member of the Membership Committee and Chair of the Membership Committee, COA Advisor to the Canadian Society of Orthopaedic Technologists and Chairman and Founder of the Canadian Orthopaedic Resident Forum (a resident review course).

Dr. Buckley’s present research focus is almost exclusively related to trauma and he is an active member within the Canadian Orthopaedic Trauma Society. He has published over 80 papers and is an Editor of 4 major International, Internationally translated orthopaedic textbooks.

E90 Masterclass with Mark Hamilton on Hydrocephalus and Traumatic Brain Injury

Canadian Journal of Surgery — Tue, 24 Aug 2021 07:00:35 -0600

This week we had the pleasure of speaking with Dr. Mark Hamilton on the podcast. Dr. Hamilton is a neurosurgeon at the Foothills Medical Centre in Calgary. Dr. Hamilton helped us walk through a number of neurosurgical issues that are pertinent to general surgeons, such as hydrocephalus, the role of craniectomy in traumatic brain injuries, and DVT prophylaxis in patients with traumatic brain injuries.

As always, send your comments and feedback to podcast.cjs@gmail.com.

Links:

1. Treatment of hydrocephalus. https://pubmed.ncbi.nlm.nih.gov/19410156/

2. RESCUE - ICP trial in NEJM. https://www.nejm.org/doi/full/10.1056/nejmoa1605215

3. ICP monitoring in TBI. https://www.nejm.org/doi/full/10.1056/nejmoa1207363

4. Reducing the risks of proximal and distal shunt failure in adult hydrocephalus (the shout-Qi initiative). https://fluidsbarrierscns.biomedcentral.com/articles/10.1186/s12987-019-0156-3

Bio (https://hbi.ucalgary.ca/profiles/dr-mark-hamilton):

Dr. Hamilton graduated from McGill University Medical School in 1983. He did his Neurosurgery Residency at the University of Calgary and received his FRCSC in 1991. He did Fellowship training in cerebrovascular, skull base and Pediatric Neurosurgery at the Barrow Neurological Institute in Phoenix, Arizona and joined the University of Calgary Department of Clinical Neurosciences in 1994 where he is currently a Professor of Neurosurgery with additional appointments in the Department of Surgery and the Department of Pediatrics. He was the Chief of the Division of Pediatric Neurosurgery from 2002-2011 and is the current Director of the Adult Hydrocephalus Program.

Dr. Hamilton established the University of Calgary Adult Hydrocephalus Program and started the University of Calgary Adult Hydrocephalus Clinic in 2008. Dr. Hamilton is the chair of the international Adult Hydrocephalus Clinical Research Network (AHCRN) which has eight clinical sites in three countries, President of the Hydrocephalus Society (International Society for Hydrocephalus and Cerebrospinal Fluid Disorders (ISHCSF)) and a member of the Board of Directors of the Hydrocephalus Association (HA) and the Medical Advisory Board (MAB) of HA and a member of the Board of Directors of Hydrocephalus Canada.. He was recently the Congress President for “Hydrocephalus 2015” the 7th annual meeting of the ISHCSF. Dr. Hamilton is a member of the Editorial Boards of The Journal of Neurosurgery, The Canadian Journal of Neurological Sciences, Fluids and Barriers of the CNS, and PLOS One. His main clinical and research interests are the diagnosis and management of hydrocephalus in adults.

E89 Liane Feldman on SAGES presidency, future of MIS, and FUSE program

Canadian Journal of Surgery — Tue, 17 Aug 2021 13:00:04 -0600

We were lucky enough in June to interview a true Canadian icon, Dr. Liane Feldman (https://twitter.com/lianefeldman?s=20)! Dr. Feldman is the Chief of the Division of General Surgery at McGill University and the newest president of the Society of American Gastrointestinal and Endoscopic Surgeons or SAGES. We really wanted to try to understand – what does it mean to be a minimally invasive surgeon? Where does Dr. Feldman see SAGES going in the future? And finally, we discuss the work Dr. Feldman did to help create the Fundamental Use of Surgical Energy or FUSE program. The FUSE program is now a core part of North American surgery programs and helps residents to understand the actual mechanics of surgical energy devices – in other words, what exactly is the difference between blue and yellow on the bovie??? For all this and more, stay with us.

Links:

1. SAGES: https://www.sages.org/

2. SAGES twitter (bot!): https://twitter.com/SAGES_Updates?s=20

3. James IV Traveling Fellowship report: https://jamesivassociationsurgeons.com/report_liane_feldman_md.php

4. FUSE program: https://www.fuseprogram.org/

E88 Walt Biffl on Clinical Guidelines, Blunt Cerebrovascular Injury (BCVI) and Pancreatic Injuries

Canadian Journal of Surgery — Tue, 10 Aug 2021 13:00:05 -0600

This week we were joined by THE Dr. Walt Biffl, of the Biffl score for blunt cerebrovascular injury. We picked Dr. Biffl’s brain on what goes into generating good clinical guidelines. We then delve into his work on blunt cerebrovascular disease, and finally, on pancreatic trauma. As always, sends your questions, thoughts, and comments to podcast.cjs@gmail.com.

Links:

1. A tribute to Ernest E. “Gene” Moore. https://wjes.biomedcentral.com/articles/10.1186/s13017-018-0206-1

2. Duodeno-pancreatic and extrahepatic biliary tree trauma: WSES-AAST guidelines. https://wjes.biomedcentral.com/articles/10.1186/s13017-019-0278-6

3. WTA guidelines. https://www.westerntrauma.org/western-trauma-association-algorithms/

4. Evidence-based medicine in trauma/acute care surgery- what does that look like? https://pubmed.ncbi.nlm.nih.gov/30274801/

5. Biffl scale on Radiopaedia. https://radiopaedia.org/articles/biffl-scale-for-blunt-cerebrovascular-injury

E87 Chip Doig on the Ethics of Donation after Cardiac Death, Conflicts in the ICU, and Staying Fresh

Canadian Journal of Surgery — Tue, 03 Aug 2021 13:00:04 -0600

Dr. Christopher "Chip" Doig is an intensivist at the Foothills Medical Centre in Calgary, Alberta, Canada. We focused on a number of ethical issues in the ICU, from donation after cardiac death to the idea of “futility”, and how to discuss that with patients and their families. Finally, we try to understand how Dr. Doig remains so fresh after all these years as an intensivist.

Links:

1. Resumption of Cardiac Activity after Withdrawal of Life-Sustaining Measures. https://www.nejm.org/doi/full/10.1056/NEJMoa2022713

2. Ethics roundtable debate: Patients and surrogates want 'everything done' – what does 'everything' mean? https://ccforum.biomedcentral.com/articles/10.1186/cc5016

3. The name of the dog. https://www.nejm.org/doi/full/10.1056/nejmp1806388

Biography (from U of C website)
Dr Christopher Doig (better known as Chip) graduated from the University of Saskatchewan (MD with distinction), trained in Vancouver and Calgary with specialization in Internal Medicine and Critical Care Medicine. He has additional training in clinical epidemiology and health care ethics. Dr. Doig is a tenured Professor in the Departments of Critical Care Medicine, Medicine and Community Health Sciences in the Cumming School of Medicine, University of Calgary. He is a past Department Head for Community Health Sciences, and immediate past head for the Department of Critical Care Medicine, He has held other leadership roles including as a President and on the Board of the Alberta Medical Association (AMA), the board of the Canadian Medical Association (CMA), and STARS (Shock, Trauma and Rescue Society).

Dr. Doig has been recognized with a number of local, provincial, national, and international awards. These include: the McLeod Distinguished Achievement Award for Faculty from the University of Calgary, AHS President’s Excellence Award in Quality Improvement for the provincial ICU delirium initiative (co-lead), AMA Medal for Distinguished Service (contributions to developing critical care in Alberta), CMA Dr. William Marsden Award in Medical Ethics, the E. Garner King Award from the Canadian Critical Care Society, The Royal Life Saving Society Bronze Benefactor Medal (for work with STARS), and the Global Sepsis Award (Alberta Sepsis Network) from the Global Sepsis Alliance.

Dr. Doig’s publications include in leading medical journals including Nature Medicine, New England Journal of Medicine, JAMA, Canadian Medical Association Journal, Academic Medicine and leading critical care journals including the American Journal of Critical Care Medicine, Critical Care Medicine, Intensive Care Medicine, and the Journal of Critical Care. Dr. Doig’s publications cover a breadth of translational medicine, clinical trials, outcomes-based research involving large cohorts and complex datasets, medical ethics, and medical education.

Dr. Doig’s experience provides a unique perspective on acute care delivery involving critically ill patients, quality improvement and patient safety, public engagement, and engagement with government on health policy issues. Dr. Doig is currently developing methods to evaluate physician performance Dr. Doig’s ongoing education includes enrolment in a Master’s in Health Economics (London School of Economics) and a Master’s of Public Policy (Harris School of Public Policy, University of Chicago).

Chip is most proud to be a father to 4 fantastic kids, and 30 years married to Suzanne. He enjoys time off in the mountains (biking, hiking and skiing), swimming, and playing soccer (currently ranked second in his family in goal scoring but hoping to improve). He is the Vogel Team Captain of Canadian National Medical Soccer playing at the World Medical Football Championships.

E86 Kwadwo Kyeremanteng on Solving Healthcare podcast, Solving Wellness, and Health Communication

Canadian Journal of Surgery — Tue, 27 Jul 2021 13:00:01 -0600

The Solving Healthcare podcast hosted by Kwadwo Kyeremanteng has launched medical podcasting in Canada into a whole new level. Dr. K is an intensivist based out of Ottawa, and his podcast, solving healthcare, has been a tremendous source of excellent information on COVID, medicine, exercise, nutrition, and so much more. As if he wasn’t busy enough, Dr. K has now also created the Solving Wellness platform, an online website and community that is targeted at wellness for healthcare workers. It was an absolute pleasure to throw down with Dr. K. We talk about our shared Edmontonian heritage, his work with the Solving Healthcare podcast, and the Solving Wellness platform.

We are excited to announce that Cold Steel listeners can receive a free membership on the Solving Wellness platform if you go to the solving wellness website: www.drkwadwo.ca/solvingwellness and enter promo code: coldsteel. There are only 10 free memberships, so hurry to join! Remaining listeners can still get a 15% discount on their membership fees at Solving Wellness if you use promo code coldsteel15.

Twitter:
Dr. K: https://twitter.com/kwadwo777?s=20
Solving Healthcare podcast: https://twitter.com/KwadCast?s=20

1. Solving Healthcare podcast: https://drkwadwo.ca/

2. Solving Wellness: www.drkwadwo.ca/solvingwellness

3. Resource Optimization Network: https://www.resourceoptimizationnetwork.com/

4. Pareto Principle: https://en.wikipedia.org/wiki/Pareto_principle

5. Suicide and self-harm in adult survivors of critical illness: population based cohort study: https://pubmed.ncbi.nlm.nih.gov/33952509/

E85 Ed Harvey on Innovation

Canadian Journal of Surgery — Tue, 20 Jul 2021 13:00:00 -0600

In this episode, repeat guest and co-editor in chief of CJS Dr. Ed Harvey joins us to discuss “innovation”. Innovation is one of those buzzwords that everyone loves to throw around and use, but rarely do we actually think about what it means to do innovative work and how we might be more innovative. Dr. Harvey is an orthopedic surgeon at McGill University in Montreal, and is involved in several startups developing new devices. We’d love to hear your thoughts – what makes someone “innovative”? What can we do to create environments that encourage innovation? Send us an email at podcast.cjs@gmail.com or tweet at us @canjsurg.

Check out our previous interview with Dr. Harvey here: https://soundcloud.com/cjs-podcast/e49-ed-harvey-on-the-canadian-journal-of-surgery-and-ebm-in-surgery

Links:

1. Parodi and development of vascular graft: https://vascularnews.com/endovascular-revolution-in-the-aorta-25-years-of-a-landmark-case/

2. Crossing the Chasm: https://www.harpercollins.com/products/crossing-the-chasm-3rd-edition-geoffrey-a-moore?variant=32130444066850

3. The Pitch podcast: https://gimletmedia.com/shows/the-pitch

4. The Hard Thing About Hard Things: https://www.chapters.indigo.ca/en-ca/books/the-hard-thing-about-hard/9780062273208-item.html

Bio (adapted from https://rimuhc.ca/-/edward-harvey-md):

Dr. Harvey is a Professor of Surgery and Senior Scientist at Centre for Translational Biology at McGill University. His research focuses on the repair and recovery of the orthopaedic trauma patient. Encompassing fundamental and clinical aspects of healing, his interests include implant and fracture optimization, stem cells and neovascularization, biosensors and evaluation of novel hardware and surgical approaches to expedite fracture repair, and innovation and business models in surgical discovery. He actively collaborates with basic scientists, clinicians and others to drive mutual research goals.

E84 Masterclass with Carl Brown on Rectal Cancer

Canadian Journal of Surgery — Tue, 13 Jul 2021 12:01:02 -0600

Dr. Carl Brown (https://twitter.com/drcarl_vancouvr?s=20) is a colorectal surgeon at St. Paul’s Hospital in Vancouver, British Columbia. He gave us a masterclass on rectal cancer, starting really with the history of rectal cancer surgery to the evidence around neodjuvant therapy and then giving us a peek at the future of rectal cancer treatment. We then discuss how we should best adopt new technology such a TEM or taTME. A reminder to listeners that we know have the transcripts for all our episodes available on the CJS website – this is a handy written resource to go over, especially for detailed masterclasses like this one. As always, we welcome your feedback on twitter @canjsurg or via email at podcast.cjs@gmail.com.

Dr. Brown on Twitter: @drcarl_vancouvr

Links:

1. Techniques and technology evolution of rectal cancer surgery: a history of more than a hundred years. https://www.tandfonline.com/doi/full/10.1080/13645706.2016.1198381

2. Swedish Rectal Cancer trial in NEJM on preop radiotherapy- https://www.nejm.org/doi/full/10.1056/nejm199704033361402.

3. German Rectal cancer trail on preop vs post op radiotherapy - https://www.nejm.org/doi/full/10.1056/nejmoa040694

4. Dutch rectal cancer trail on preoperative radiotherapy plus TME (published in NEJM) - https://www.nejm.org/doi/full/10.1056/nejmoa010580

5. The "Holy" Plane of Rectal Cancer surgery by Healds - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1291757/

6. Rates of Circumferential Resection Margin Involvement Vary Between Surgeons and Predict Outcomes in Rectal Cancer Surgery (Phil Quirke) - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1422458/

7. CCTG CO.28 primary endpoint analysis: Neoadjuvant chemotherapy, excision and observation for early rectal cancer, the NEO trial. https://ascopubs.org/doi/abs/10.1200/JCO.2021.39.15_suppl.3508

8. Transanal endoscopic microsurgery: a review (by Dr. Brown in CJS) - http://canjsurg.ca/vol57-issue2/57-2-127/

9. Hey, I just did a new operation!: Introducing innovative procedures and devices within an academic health center. https://pubmed.ncbi.nlm.nih.gov/24866545/

10. IDEAL Collaboration: https://www.ideal-collaboration.net/

E83 Jillian Horton on Writing, Burnout, and the Quest for a Better Culture in Medicine

Canadian Journal of Surgery — Wed, 07 Jul 2021 08:30:52 -0600

Dr. Jillian Horton (https://twitter.com/JillianHortonMD?s=20) is an an internist at Max Rady College of Medicine in Winnipeg and the author of "We Are All Perfectly Fine". In the book, Dr. Horton beautifully explores burnout and her own personal journey in medicine. We talked to her about the process of writing and the vulnerability involved with such an honest depiction of her own struggles, as well as where we can go with the culture of medicine to make training better.

Links:

1. We Are All Perfectly Fine: https://www.harpercollins.ca/9781443461634/we-are-all-perfectly-fine/

2. Med Life with Dr. Horton: https://www.cmaj.ca/medlife

3. The ‘good’ doctor: It’s time to stop treating character like an afterthought in medicine – and everywhere else. https://www.theglobeandmail.com/opinion/article-the-good-doctor-its-time-to-stop-treating-character-like-an/

Bio (from https://www.gold-foundation.org/newsroom/news/dr-jillian-horton-2020-afmc-gold-humanism-award/):

Dr. Horton is a general internist who serves in multiple leadership positions at University of Manitoba’s Max Rady College of Medicine in Winnipeg, including: inaugural Director of the college’s and Faculty of Health Sciences programs in Physician and Learner Wellness; Director of the Alan Klass Health Humanities Program; and Associate Chair of the Department of Internal Medicine. Dr. Horton previously served as the Associate Dean of Undergraduate Student Affairs at the medical college. She has won numerous awards for mentorship, professionalism, and teaching.

E82 Masterclass with Charles Vollmer on Pancreatic Fistulas

Canadian Journal of Surgery — Tue, 29 Jun 2021 13:00:00 -0600

Read full transcript here: http://canjsurg.ca/e82-chuck-vollmer-masterclass-on-pancreatic-fistulas/

Dr. Charles "Chuck" Vollmer joined us again for this episode for a masterclass on pancreatic fistulas. Please listen to our previous episode with Dr. Vollmer for more about him, his career, and his fascination with all things pancreas.

Previous episode with Dr. Vollmer: https://soundcloud.com/cjs-podcast/e33-chuck-vollmer-on-peer-review-and-productivity

Bibliography for this episode:

1. The Surgery of the Pancreas. https://www.amazon.com/Surgery-Pancreas-richard-cattell/dp/B0000CIKY7

2. Pancreaticoduodenectomy for Islet Carcinoma : A Five-Year Follow-Up
A O Whipple. https://pubmed.ncbi.nlm.nih.gov/17858621/

3. Of Fistula and Football. https://pubmed.ncbi.nlm.nih.gov/32976277/

4. Decision points in pancreatoduodenectomy: Insights from the contemporary experts on prevention, mitigation, and management of postoperative pancreatic fistula. https://pubmed.ncbi.nlm.nih.gov/33892952/

5. The Fistula Risk Score Catalog: Toward Precision Medicine for Pancreatic Fistula After Pancreatoduodenectomy. https://pubmed.ncbi.nlm.nih.gov/32541227/

6. Taking Theory to Practice: Quality Improvement for Pancreaticoduodenectomy and Development and Integration of the Fistula Risk Score. https://pubmed.ncbi.nlm.nih.gov/29981917/

7. Risk Prediction for Development of Pancreatic Fistula Utilizing the ISGPF Classification Scheme. https://pubmed.ncbi.nlm.nih.gov/18175170/

8. Postoperative pancreatic fistula: an international study group (ISGPF) definition. https://pubmed.ncbi.nlm.nih.gov/16003309/

9. Defining the practice of pancreatoduodenectomy around the world. https://www.sciencedirect.com/science/article/pii/S1365182X15320165

10. The Influence of Intraoperative Blood Loss on Fistula Development Following Pancreatoduodenectomy. https://pubmed.ncbi.nlm.nih.gov/33201132/

11. Extended Experience with a Dynamic, Data-Driven Selective Drain Management Protocol in Pancreaticoduodenectomy: Progressive Risk Stratification for Better Practice. https://pubmed.ncbi.nlm.nih.gov/32081751/

12. Early versus late drain removal after standard pancreatic resections: results of a prospective randomized trial. https://pubmed.ncbi.nlm.nih.gov/20622661/

E81 Rhea Liang and Simon Fleming on Bullying, Psychological Safety, and Culture Change in Surgery

Canadian Journal of Surgery — Tue, 22 Jun 2021 13:00:09 -0600

We were joined this week by Drs. Rhea Liang (https://twitter.com/LiangRhea?s=20) and Simon Fleming (https://twitter.com/OrthopodReg?s=20) to talk about bullying, psychological safety, and culture change in surgery. We hope that the episode can be an opportunity for discussion and reflection for listeners.

Links:

1. RCS England Theatre podcast: https://anchor.fm/rcseng/episodes/Culture-Change-Why-do-we-need-culture-change-ekeo1v/a-a3djbs4

2. Simon Fleming: I launched an anti-bullying campaign to change culture in healthcare -https://blogs.bmj.com/bmj/2019/04/10/simon-fleming-i-launched-an-anti-bullying-campaign-to-change-culture-in-healthcare/

3. Operate with Respect: https://www.surgeons.org/en/about-racs/about-respect

4. Why do women leave surgical training? A qualitative and feminist study. https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32612-6/fulltext

5. All of us have a survivorship bias in regard to how we were trained in medicine. https://blogs.bmj.com/bmj/2020/11/30/all-of-us-have-a-survivorship-bias-in-regard-to-how-we-were-trained-in-medicine/

Bios:

Associate Professor Rhea Liang (twitter: @LiangRhea) is a general and breast surgeon on the Gold Coast. She is a surgical educationalist, Surgical Discipline Lead at Bond University and the immediate past Chair of the Operating With Respect Education Committee, RACS. She also researches, advocates and consults widely in diversity and equity issues.

Simon Fleming (twitter: @OrthopodReg) is a London-based Trauma and Orthopaedic registrar. While passionate about Orthopaedics, surgical training & mentoring, he has special interests in hand surgery, competency decisions & combating bullying, undermining, harassment and the lack of diversity and equity in healthcare. He undoes all the good work he does in the gym with a love of great food and tries to change the world in his spare time.

E80 Ken Mattox On Trauma Textbook, TCCACS Conference, And The Courage To Challenge The Status Quo

Canadian Journal of Surgery — Tue, 15 Jun 2021 13:00:03 -0600

This week we were joined by an icon of surgery, Dr. Ken Mattox. Dr. Mattox talked to us about the evolution of trauma surgery, the development of the Trauma textbook, the Las Vegas Trauma, Critical Care, and Acute Care Surgery Conference, and why he thinks we need to challenge the status quo.

Links:

1. Trauma textbook: https://www.amazon.ca/Trauma-Seventh-Kenneth-L-Mattox/dp/0071663517

2. Top Knife: https://www.amazon.ca/Top-Knife-Craft-Trauma-Surgery/dp/1903378222

3. Comment on trauma care systems in Saudi Arabia: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2931788/

4. Trauma, Critical Care, and Acute Care Surgery (TCCACS) Las Vegas course: https://www.trauma-criticalcare.com/tccacs/home/

5. Quiet Zone Facebook group: https://www.facebook.com/groups/538557893206223/

6. Randomized trial of pneumatic antishock garments in the prehospital management of penetrating abdominal injuries. https://pubmed.ncbi.nlm.nih.gov/3578970/

7. Extreme Ownership: How U.S. Navy SEALs Lead and Win. https://www.amazon.ca/Extreme-Ownership-U-S-Navy-SEALs/dp/1250067057

View full episode transcript: http://canjsurg.ca/cold-steel-episode-80-kenneth-mattox/

Bio (from https://www.bcm.edu/departments/surgery/meet-our-team/history-of-leadership/kenneth-l-mattox-m-d):

Dr. Kenneth L. Mattox is a distinguished service professor at Baylor College of Medicine and formerly chief of staff and surgeon-in-chief at Ben Taub Hospital, where he has worked since 1973. One of his most remarkable contributions was his work in establishing and developing the internationally renowned Ben Taub Hospital Emergency Center and Trauma Center. Dr. Mattox is past President of the American Association for the Surgery of Trauma and Secretary-Treasurer of the Michael E. DeBakey International Surgical Society. He previously chaired the Mayor's Red Ribbon Committee to address the Houston Fire Department Emergency Medical Service. He sat on the Hospital Subcommittee of the Mayor's Special Task Force on the Medical Aspects of Disaster. Currently, Dr. Mattox serves as a consultant to the Center for Biologic Evaluation and Research of the FDA.

Dr. Mattox has served on the Board of Directors of the Rotary Club of Houston, Doctors’ Club of Houston, Wayland Baptist University, the American Association for the Surgery of Trauma, the Southeast Texas Trauma Regional Advisory Council, the American College of Surgeons Board of Governors, and serves as Chairman of the Board of the John P. McGovern Museum for Health and Medical Science.

E79 Leena Yousefi On Physician Divorce

Canadian Journal of Surgery — Tue, 08 Jun 2021 13:00:03 -0600

Leena Yousefi is a multiple award winning family lawyer and founder of YLaw in Vancouver, BC. We asked her to come on the show to talk a difficult subject: divorce. Leena has some really insightful comments on some of the factors that specifically seem to play a role in physician divorce, as well as some of the advice she gives her clients who unfortunately end up going through a divorce.

YLaw website: https://www.ylaw.ca/
YLaw twitter: https://twitter.com/ylawfamilylaw?s=20
Leena Yousefi featured on BBC: https://www.bbc.com/news/business-52481276

Bio (from YLaw website):

Leena (Ronak) Yousefi is a multi award winning family lawyer, accredited mediator and the founder of YLaw, the fastest growing female-led law firm in Western Canada.

She has been chosen as one of the Top 25 Most Influential Lawyers in Canada, one of Business in Vancouver’s Top 40 under 40, and voted as the #1 top-rated Vancouver Divorce Lawyer in BC*. She has won over 90% of her family law cases from 2013 to present*.

In 2020, she was named by Lexpert as the only family lawyer in Canada to become the Rising Star of the legal profession.

E78 Brian Cameron On Global Surgery

Canadian Journal of Surgery — Tue, 01 Jun 2021 13:00:03 -0600

Dr. Brian Cameron is a pediatric surgeon at McMaster University in Hamilton, Ontario. He has dedicated himself both to pediatric surgery and to global surgery, and has worked around the world in resource-limited settings. This was a particularly memorable episode for us because Dr. Cameron retires this year! This episode was a chance for us to ask him about his career, his life story, and of course, global surgery. Congratulations again to Dr. Cameron on his well-earned retirement!

Links:

1. Establishing disability weights for congenital pediatric surgical conditions: a multi-modal approach. Poenaru D, Pemberton J, Frankfurter C, Cameron BH, Stolk E. Popul Health Metr. 2017 Mar 4;15(1):8. doi: 10.1186/s12963-017-0125-5. PMID: 28259148 Free PMC article.

2. Procedural skills training for Canadian medical students participating in international electives. Margolick J, Kanters D, Cameron BH. Can Med Educ J. 2015 Apr 20;6(1):e23-33. eCollection 2015. PMID: 26451227 Free PMC article.

3. Surgical training in Guyana: the next generation.
Cameron BH, Martin C, Rambaran M.
Can J Surg. 2015 Feb;58(1):7-9. doi: 10.1503/cjs.010414.
PMID: 25621909 Free PMC article.

4. Evaluating the long-term impact of the Trauma Team Training course in Guyana: an explanatory mixed-methods approach.
Pemberton J, Rambaran M, Cameron BH.
Am J Surg. 2013 Feb;205(2):119-24. doi:
10.1016/j.amjsurg.2012.08.004. Epub 2012 Dec 13.
PMID: 23246285

5. International surgery: the development of postgraduate surgical training in Guyana.
Cameron BH, Rambaran M, Sharma DP, Taylor RH.
Can J Surg. 2010 Feb;53(1):11-6.
PMID: 20100407 Free PMC article.

6. Teaching in Fiji: practising medicine, coping with coups.
Cameron BH.
CMAJ. 1989 Apr 1;140(7):833-5.
PMID: 2924235 Free PMC article. No abstract available.

7. Lancet commission on global surgery: https://www.thelancet.com/commissions/global-surgery

8. Bethune Roundtable: https://www.cnis.ca/what-we-do/public-engagement-in-canada/bethune-round-table/

9. Morad Hameed Trauma system app: https://www.em-consulte.com/article/859211/the-electronic-trauma-health-record-design-and-usa

10. Masters of Global Surgical Care at UBC: https://www.grad.ubc.ca/prospective-students/graduate-degree-programs/master-global-surgical-care

Bio ( from https://www.ccghr.ca/q-brian-cameron/):

Dr. Brian Cameron is a Professor of Pediatric Surgery at McMaster University and a pediatric surgeon at McMaster Children Hospital. He is the director of both the McMaster International Surgery Desk and MacGlObAS. His research interests include global surgical research and education.

E77 Masterclass With Colin Schieman On Lung Nodules And Lung Cancer Screening

Canadian Journal of Surgery — Tue, 25 May 2021 13:00:00 -0600

E77 Masterclass With Colin Schieman On Lung Nodules And Lung Cancer Screening by Canadian Journal of Surgery

E76 Colin Schieman On Direct Entry Training And Intra Operative Teaching

Canadian Journal of Surgery — Tue, 25 May 2021 13:00:00 -0600

This week we have a treat for our listeners – two episodes with Dr. Colin Schieman. Dr. Schieman is a thoracic surgeon at the University of Calgary and the current program director for the thoracic surgery program. We discuss a key issue in modern surgical training – are direct entry programs good or bad for training and trainees? Dr. Schieman also gives his approach for intra operative teaching.

Don’t forget to check out our bonus episode this week, where Dr. Schieman gives us his approach to lung nodules and lung cancer screening!

Links:

1. Scott Gmora: https://soundcloud.com/cjs-podcast/e05-scott-gmora-on-surgical-training

2. Thoracic surgery training in Canada: https://www.jtcvs.org/article/S0022-5223(16)31423-4/pdf

3. General thoracic surgical training in North America: Contrasting general thoracic surgery residencies in Canada and the United States. https://www.sciencedirect.com/science/article/pii/S0022522318318579?via%3Dihub

Bio:
Dr. Colin Schieman is a Clinical Associate Professor at the University of Calgary in the section of thoracic surgery. He did medical school, residency, and thoracic surgery fellowship at the University of Calgary. He then went on to do additional thoracic surgery training at Mayo Clinic, and subsequently practiced at St. Joseph's Hospital in Hamilton, Ontario. He came back to the University of Calgary as Assistant Professor in 2016, and is now the Program Director for the Thoracic Surgery Fellowship program.

E75 Peter Angelos On Surgical Ethics, Informed Consent, Paternalism, And The Limits Of Disclosure

Canadian Journal of Surgery — Tue, 18 May 2021 11:00:06 -0600

Dr. Peter Angelos (https://twitter.com/pangelos1?s=20) is an endocrine surgeon at the University of Chicago and is really one of the founders of the field of surgical ethics. We ask him to define for us the term “surgical ethics” and chat about a number of important ethical issues such as informed consent, paternalism, and the limits of disclosure.

Links:

1. SOUTHWESTERN SURGICAL CONGRESS EDGAR J. POTH MEMORIAL LECTURE. Surgical ethics and the challenge of surgical innovation. https://www.americanjournalofsurgery.com/article/S0002-9610(14)00457-7/fulltext

2. Dr. Angelos’s column on MD Edge: https://www.mdedge.com/authors/peter-angelos-md-phd-facs

3.The personal dimension of informed consent: https://www.mdedge.com/surgery/article/79179/personal-dimension-informed-consent

4. David Urbach on the word “leaks”: https://soundcloud.com/cjs-podcast/e17-david-urbach-on-checklists-wait-times-in-the-time-of-covid-and-medical-devices

5. Tim Pawlik: https://soundcloud.com/cjs-podcast/e26-tim-pawlik-on-surgical-regret-leadership-and-academic-success

6. The Right Choice? Paternalism, Autonomy, and the Incidental Finding. https://www.mdedge.com/surgery/article/88487/right-choice-paternalism-autonomy-and-incidental-finding

7. How was your night, Doc? The limits of disclosure in preop. https://www.mdedge.com/obgyn/article/77752/how-was-your-night-doc-limits-disclosure-preop

8. How to Solve Ethical Conflicts in Everyday Surgical Practice: A Toolbox. https://link.springer.com/chapter/10.1007%2F978-3-030-05964-4_29

Bio (from https://www.uchicagomedicine.org/find-a-physician/physician/peter-angelos)

Peter Angelos, MD, PhD, is a highly regarded surgeon who has extensive experience in surgery of the thyroid, parathyroid and adrenal glands. He is also an expert in treating endocrine cancers, including thyroid, parathyroid and adrenocortical cancers, as well as islet cell tumors of the pancreas.

Dr. Angelos has a special interest in minimally invasive endocrine surgery, a type of surgery that is performed through small incisions. Minimally invasive surgery has many benefits for patients -- from less scarring and pain, to a shorter hospital stay and a quicker recovery.

An accomplished author, Dr. Angelos has published many journal articles and book chapters on his research into improving outcomes of thyroid and parathyroid surgery, minimally invasive endocrine surgery and best practices for thyroid cancer treatment.

Dr. Angelos is a recognized expert in medical ethics, and serves as associate director of the University of Chicago MacLean Center for Clinical Medical Ethics. He has written widely on ethical issues in surgical practice and how to best teach medical ethics to surgical residents.

He is past president of the American Association of Endocrine Surgeons.

E74 Jessica Grossman On Life With A Stoma

Canadian Journal of Surgery — Tue, 11 May 2021 12:00:06 -0600

Jessica Grossman is a digital marketer, actress and model. She also is a powerful advocate for patients with Crohns disease. She specifically has done so much to destigmatize what it’s like to live with a stoma, which is a surgically created opening that allows stool to exit the body into a bag. Her work with her website uncoverostomy.org has garnered widespread attention and is an incredible resource for patients with inflammatory bowel disease. In this episode, we explored what it’s like to live with a stoma, and what physicians and surgeons can do better when counseling patients who might have or need a stoma.
Jessica's social media:

Instagram: https://www.instagram.com/jessgrossman/?hl=en
Twitter: https://twitter.com/JessGrossman?s=20

Uncoverostomy on Social Media:
Twitter: https://twitter.com/uncoverostomy?s=20
Instagram: https://www.instagram.com/uncoverostomy/

Links:

1. https://uncoverostomy.org/
2. https://uncoverostomy.org/2021/04/22/the-covid-19-vaccine-whats-the-worst-that-can-happen/
3. https://uncoverostomy.org/2019/10/03/time-stop-showing-off-ostomy-10-years-uncover-ostomy/

E73 Lawrence Gillman On Coping With Loss

Canadian Journal of Surgery — Tue, 04 May 2021 15:31:20 -0600

In this episode we interview Dr. Lawrence Gillman, a trauma surgeon at the University of Manitoba. We start off talking about the course that he and Dr. Sandy Widder developed, the Simulated Trauma and Resuscitation Team Training (STARTT course). We also get his thoughts on mentoring in point-of-care and trauma ultrasound. Finally, and most powerfully, Dr. Gillman shares his experience having to cope with the love of his beloved wife Kerry, and the impact that has had on his family and his career.

Links:

1. S.T.A.R.T.T.: development of a national, multidisciplinary trauma crisis resource management curriculum-results from the pilot course. https://pubmed.ncbi.nlm.nih.gov/24158191/

2. Andy Kirkpatrick on Telementored Ultrasound: https://soundcloud.com/cjs-podcast/e06-andy-kirkpatrick

3. Strategies to improve communication in telementoring in acute care coordination: a scoping review. https://pubmed.ncbi.nlm.nih.gov/33253511/

4. Trauma Team Dynamics textbook: https://www.amazon.ca/Trauma-Team-Dynamics-Resource-Management/dp/3319165852

5. Cozi app: https://www.cozi.com/

Bio (from https://umanitoba.ca/faculties/health_sciences/medicine/units/surgery/8759.html):

Dr. Gillman completed medical school and surgical residency at the University of Manitoba. He subsequently completed a Masters in Medical Education at the University of Dundee followed by fellowship training in Critical Care Medicine and Trauma Surgery at the University of Calgary. He joined the Department of Surgery at the University of Manitoba in 2010 as an assistant professor and currently practices as an Acute Care/Trauma Surgeon and Intensivist.
Research Focus
Dr. Gillman’s research interests include point of care ultrasound, surgical education and crisis simulation. Specifically he is focusing on improving training in point of care ultrasound including redeveloping the credentialing process for the FAST (Focused Assessment with Sonography for Trauma) examination. Other work in this area focuses on validating the use of ultrasound to measure the optic nerve sheath diameter as a non-invasive way to predict intracranial pressure. On the surgical education side, he is working on developing a novel video game platform utilizing an endoscope as a controller to teach early endoscopy skills. Finally, Dr. Gillman is co-founder of the S.T.A.R.T.T. (Standardized Trauma and Resuscitation Team Training) Course, a national trauma crisis simulation course, and is working on developing and improving the course curriculum.

E72 Clay Cothren On Pelvic Packing And Blunt Cerebrovascular Injuries (BCVI)

Canadian Journal of Surgery — Tue, 27 Apr 2021 13:00:01 -0600

Dr. Clay Cothren Burlew is a trauma surgeon in Denver, Colorado. She is world-renowned for her work on pelvic packing as well blunt cerebrovascular injuries, among many other things. We caught up with her to find out how she manages stay so productive, and specifically to talk to us about pelvic packing and blunt cerebrovascular injury.

Twitter: https://twitter.com/ClayBurlew?s=20

Links:

1. Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents.
Cothren CC, Biffl WL, Moore EE, Kashuk JL, Johnson JL.
Arch Surg. 2009 Jul;144(7):685-90.

2. Preperitoneal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift.
Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR.
J Trauma. 2007 Apr;62(4):834-9;

3. Occam's razor is a double-edged sword: concomitant pulmonary embolus and fat embolism syndrome.
Cothren CC, Moore EE, Vanderheiden T, Haenel JB, Smith WR.
J Trauma. 2008 Dec;65(6):1558-60.

Bio (from https://www.eventscribe.com/2020/AAST2020/fsPopup.asp?Mode=presenterInfo&PresenterID=931211):

Dr. Clay Cothren Burlew is a Professor of Surgery at Denver Health Medical Center/University of Colorado. Dr. Burlew grew up in San Antonio, Texas. She is a graduate of Amherst College, earning her degree in Biology magna cum laude. She attended medical school at UT Southwestern Medical School, where she was ranked 1st in her class and was elected to the Alpha Omega Alpha medical honor society. She completed her general surgery residency and Surgical Critical Care fellowship at the University of Colorado. At DHMC she is the Associate Chief of the Department of Surgery and the Director of the Surgical Intensive Care Unit. She is also the Program Director of the Surgical Critical Care Fellowship and the AAST-approved Trauma & Acute Care Surgery Fellowship.

Dr. Burlew is an active surgical investigator, educator, and clinician; she has received multiple awards in each of these areas including the J. Cuthbert Owens Award, the DHMC Award for Academic Excellence, the Bartle Faculty Teaching Award, the Eiseman Medical Student Teaching Award, the Academy of Medical Educator's award for Excellence in Mentoring, and the 2017 American College of Surgeons Travelling Fellowship to Australia/New Zealand. She serves on the Committee on Trauma for the American College of Surgeons, the Board of Managers for the American Association for the Surgery of Trauma, and is a Past-President of the Southwestern Surgical Congress. She is on the Editorial Board of The Journal of Trauma and Acute Care Surgery, The World Journal of Emergency Surgery, and Trauma Surgery and Acute Care Open, and reviews for an additional 15 journals in an ad hoc capacity. She has authored over 200 peer-reviewed articles and 70 book chapters. She has given over 100 national lectures and scientific presentations.

E71 Mark Soliman On Robotic Colorectal Surgery And Video in Surgical Education

Canadian Journal of Surgery — Tue, 20 Apr 2021 13:00:11 -0600

Dr. Mark Soliman (https://twitter.com/MarkSoliman?s=20) is a colorectal surgeon at Advent Health in Orlando, Florida. We got to talk to Dr. Soliman about his passion for robotic colorectal surgery and where he sees robotics going in the future. We then did a deep dive on the use of video in surgery, from how to edit surgical videos to how Dr. Soliman incorporates video into resident education!

Links:

1. Dr. Soliman's YouTube channel: https://www.youtube.com/channel/UChQEa8aXKsDLFA85in8YIUA

2. How to start a robotic program: https://www.sages.org/video/robotic-startup-tips-tricks-to-a-successful-start/

Bio (from AdventHealth website):

Mark Soliman, MD, FACS, FASCRS is a board-certified colon and rectal surgeon. He is the Medical Director of Colorectal Surgery for the AdventHealth Digestive Health and Surgery Institute and also the Department Chairman for Colorectal Surgery. A Florida native and a proud graduate of the University of Florida, he was part of an elite junior medical program through which he earned both his undergraduate and medical degrees with honors by age 23. After serving as Chief Resident at Baptist Health System in Birmingham, AL, he obtained his advanced subspecialty training in Colorectal Surgery at the Colon and Rectal Clinic of Orlando. Dr. Soliman is one of the most recognized colorectal surgeons nationwide in robotic colorectal surgical operations and has written nearly 50 book chapters, scientific abstracts, and manuscripts on this and its related fields. He is proficient in the Arabic language.

E70 Dan Vanhooren On Teams, Teamwork, And Coaching

Canadian Journal of Surgery — Tue, 06 Apr 2021 18:11:41 -0600

This episode we had a special guest, Dan Van Hooren. Dan is the head coach for the University of Calgary Dinos basketball team and is a legend in Canadian university basketball history (see bio below). We asked Dan to tell us about what goes into creating great teams - the parallels to surgery were striking!

Links:
1. Georges Laraque book: https://www.amazon.ca/Georges-Laraque-Story-Unlikeliest-Tough/dp/0143181017
2. Wooden: A Lifetime of Observations On and Off the Court: https://www.amazon.ca/Wooden-Lifetime-Observations-Reflections-Court/dp/0809230410
3. Eleven Rings: The Soul of Success by Phil Jackson: https://www.amazon.ca/Eleven-Rings-Success-Phil-Jackson/dp/0143125346
4. The 7 Habits of Highly Effective People: https://www.franklincovey.com/the-7-habits/
5. Legacy (All Blacks) by James Kerr - https://www.chapters.indigo.ca/en-ca/books/legacy/9781472103536-item.html
6. The Inner Game of Tennis: https://www.amazon.ca/Inner-Game-Tennis-Classic-Performance/dp/0679778314
7. The Gold Standard: Building a World-Class Team by Coach K: https://www.goodreads.com/book/show/6033770-the-gold-standard

Bio (from Dinos website):

Dan Vanhooren joined the Dinos in May 2000 and is the seventh men’s basketball head coach at the University of Calgary.

Since he took over the program, Vanhooren’s Dinos have made a steady climb into elite status in U SPORTS basketball. In just four years, he took a program that had not enjoyed a winning season in nearly a decade all the way to the conference title and within two points of the national final in 2004. It was Calgary’s first Canada West championship since 1993, and their first-round victory at the Final 8 in Halifax was the Dinos’ first national quarterfinal win in 38 years. The two-point semifinal loss came at the hands of the Carleton Ravens, who went on to win the CIS title.

In 2008, he coached the Dinos to their best conference record since 1976 (18-4) and played host to the Canada West Final Four in front of a sold-out Jack Simpson Gym. Eight years later in 2016, the Dinos won their sixth Canada West Championship and went on to compete in the national finals for the first time since 1966 against the Carleton Ravens. The Dinos finished with a silver medal. It was the first of five consecutive trips to the national tournament for the Dinos, who captured three conference titles in four years (2016, 2018, 2019) and reached the program's pinnacle with the 2018 national championship - a 79-77 win over Ryerson in Halifax.

The following season, the Dinos posted the first undefeated season in program history at 20-0, winning an eighth Canada West title before falling in the national final. Vanhooren earned his second Canada West coach of the year honour in 2018-19 and became the first Dinos coach to win the Stewart W. Aberdeen Trophy as U SPORTS coach of the year the same season.

Currently, he is head coach of the Canadian national junior team.

Vanhooren moved to Calgary following a four-year stint as head coach of Medicine Hat College. In 2000 he coached the Rattlers to a bronze medal finish and was named the ACAC south coach of the year.

He played varsity basketball at the University of Alberta under the legendary Don Horwood. After three seasons with the Golden Bears, Vanhooren graduated with a Bachelor of Physical Education in 1993 and moved to graduate studies at the University of British Columbia. While attending UBC he worked for the NBA’s Vancouver Grizzlies in their inaugural season, and he received his Master’s of Human Kinetics in 1996.

Vanhooren is a certified NCCP Level III coach.

Dan and his wife Kara reside in northwest Calgary with their three children: Peyton, Wyatt, and Nash.

E69 Masterclass With Marcus Burnstein On Perianal Abscess And Fistula

Canadian Journal of Surgery — Mon, 29 Mar 2021 12:41:58 -0600

Dr. Marcus Burnstein is a colorectal surgeon at St. Michael's Hospital in Toronto, Ontario. In this episode, we ask him to break down his approach to patients presenting with anal pain, perianal abscess, and perianal fistula. We also hear about the famous "circle of love"!

Check out the CAGS seminar on perianal disease on April 1 at 7 pm ET! Register here: https://cags-accg.member365.ca/public/event/details/1c1d9fd96fc1866649258c9aee3cff283c4c2fe4/1

Also, check out the CAGS video library for all previously recorded CAGS webinars: https://cags-accg.member365.ca/sharingnetwork/education/videolibrary

Bio (from U of T website):

Dr. Burnstein is a graduate of the Faculty of Medicine, Dalhousie University. He trained in General Surgery at the University of Toronto and in Colon and Rectal Surgery at the University of Toronto and the Lahey Clinic Medical Centre in Burlington, Massachusetts.

Dr. Burnstein began his career at Dalhousie University in 1986. He was the Program Director of the General Surgery Residency Program at Dalhousie University from 1989 – 1992. In 1992, Dr. Burnstein joined the Department of Surgery at the University of Toronto, where he has been the Program Director of the General Surgery Residency Program (1994 – 2001) and Head, Division of General Surgery, St. Michael's Hospital (1996 –2003). He was the Program Director of the University of Toronto Residency Program in Colon and Rectal Surgery from 1996 - 2011.

Dr. Burnstein is a Member of the Board of Directors of the American Board of Colon and Rectal Surgery and is an Examiner for the American Board. He has served as an Associate Editor of Diseases of the Colon and Rectum and an Associate Editor of the Canadian Journal of Surgery. He has served as the President of the Canadian Society of Colon and Rectal Surgeons and as the Chair of the Royal College of Canada Specialty Committee for Colon and Rectal Surgery.

Dr. Burnstein is an Associate Professor of Surgery at the University of Toronto, and practices at St. Michael's Hospital.

E68 Melissa Red Hoffman On Writing And Surgical Palliative Care

Canadian Journal of Surgery — Tue, 23 Mar 2021 13:55:58 -0600

Dr. Melissa “Red” Hoffman is one of only 80 dual-boarded trauma surgeons and palliative care physicians in the US. She joined us on this episode to talk about surgical palliative care and how surgeons can potentially do this better. We also ask her about her life journey informs the work that she does today, including her outstanding writing.

Links:

1. Dr. Melissa Red Hoffman: https://redhoffmanmd.com/
2. The Sound of Silence – When there are no Words. JAMA. https://jamanetwork.com/journals/jama/fullarticle/2737686
3. Surgical Palliative Care podcast: https://redhoffmanmd.com/podcast/
4. Being Mortal by Atul Gawande: http://atulgawande.com/book/being-mortal/
5. The impact of country and culture on end-of-life care for injured patients: results from an international survey. https://pubmed.ncbi.nlm.nih.gov/21045742/

Bio (From Dr. Hoffman’s website):

When she was 19 years old, Dr. Red’s father was tragically killed in Cairo, Egypt. Her father’s violent death, and the experiences which followed, inspired her to pursue a career in both trauma surgery and hospice and palliative medicine. She now utilizes both her integrative medicine training as well as her training in palliative medicine to provide whole-person care to her surgical patients and their families.

As one of just 80 surgeons in the United States who is board-certified in hospice and palliative medicine, Dr. Red is a leader in the field of surgical palliative care.

She writes and speaks extensively on how to integrate palliative medicine into the care of all surgical and trauma patients. She has an active online presence, has a bi-monthly column in General Surgery News entitled The Surgical Pause and is the creator and host of The Surgical Palliative Care Podcast.

In her free time, Dr. Red enjoys writing, reading, taking long walks, eating gorgeous food and drinking yummy drinks, and spending time with her orange cat Sammy and her boyfriend Brandon.

E67 Paul Duffy On Sabbaticals

Canadian Journal of Surgery — Tue, 16 Mar 2021 15:24:01 -0600

It’s not uncommon for surgeons to think about taking a break at various points in their career, but for many of us, it might seem daunting to think about how to make that happen. Dr. Paul Duffy is an orthopedic surgeon, Clinical Assistant Professor and Division Chief of Orthopedia Trauma at the Foothills Medical Centre in Calgary, Alberta. He recently gave a fantastic grand rounds for the Department of Surgery in Calgary about his experience taking a 6 month sabbatical. In this episode, we asked him to share with us his thoughts on his career and “taking a break” in the form of a sabbatical.

E66 Vahagn Nikolian On Telehealth

Canadian Journal of Surgery — Tue, 09 Mar 2021 09:32:34 -0700

Dr. Vahagn Nikolian (https://twitter.com/VNikolian?s=20) has been thinking about the way we can adopt virtual care far before the COVID19 pandemic. Dr. Nikolian is a surgeon at Oregon Health & Science University and specializes in abdominal wall reconstruction. In this episode, we talk to him about how he got interested in telehealth, how we can streamline telehealth consults, and where he sees telemedicine going in the future.

1. Pilot study on eClinics: https://journals.lww.com/annalsofsurgery/Fulltext/2018/10000/Pilot_Study_to_Evaluate_the_Safety,_Feasibility,.18.aspx

2. Role of telemedicine in postoperative care: https://mhealth.amegroups.com/article/view/19310/19390

3. Touch. CMAJ. https://www.cmaj.ca/content/183/18/2141

4. Surgical plans generated from telemedicine visits are rarely changed after in-person evaluation in spine patients. https://pubmed.ncbi.nlm.nih.gov/33227550/

Bio:
Twitter: @VNikolian
Link to OHSU profile: https://www.ohsu.edu/people/vahagn-c-nikolian-md

Dr. Vahagn Nikolian is a board-certified General Surgeon with advanced training and expertise in abdominal wall reconstruction. He is a member of a talented team of surgeons at OHSU where he uses his experience and research to help advance the treatment of patients with hernias and abdominal wall defects.

Dr. Nikolian was raised in Southern California, where he attended medical school and graduated with honors from the University of Southern California. He completed his surgical residency at the University of Michigan. He completed his complex abdominal wall reconstruction fellowship at Columbia University Medical Center in New York City. His research and commentaries have been published in several prominent journals such as the Journal of the American Medical Association and Annals of Surgery. His research at OHSU involves utilizing technology to improve patient care. Specifically, he directs his efforts towards improving access to digital health and improving outcomes in hernia surgery using minimally invasive and robotic surgical technology. To date, he has over 60 peer-reviewed publications and book chapters focused on general surgery, resident education, and digital health. He has received numerous national awards as well as funding from the National Institutes of Health and other surgical societies.

Dr. Nikolian aims to work with patients, their families, and primary care doctors to develop patient-centered treatment plans. He looks forward to collaborating with other specialists to give patients the most options and the best possible outcomes.

E65 Masterclass With Jesse Pasternak On Parathyroid Disease

Canadian Journal of Surgery — Tue, 02 Mar 2021 13:00:02 -0700

It is astonishing how a pea-sized gland in one’s neck could be so troublesome. Dr. Jesse Pasternak is an endocrine surgeon at Toronto General Hospital. In this episode, we delve into the workup of hyperparathyroidism, Dr. Pasternak’s approach to parathyroid surgery, and his thoughts on the introduction of new surgical techniques.

Links:
1. Charles Martell (first successful parathyroidectomy): https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5135504/

2. Differences in long-term quality of life between hemithyroidectomy and total thyroidectomy in patients treated for low-risk differentiated thyroid carcinoma. https://pubmed.ncbi.nlm.nih.gov/31623853/

3. David Urbach on language around thyroid nodules: https://soundcloud.com/cjs-podcast/e17-david-urbach-on-checklists-wait-times-in-the-time-of-covid-and-medical-devices/reposts

4. The Role of Disease Label in Patient Perceptions and Treatment Decisions in the Setting of Low-Risk Malignant Neoplasms. https://pubmed.ncbi.nlm.nih.gov/30896738/

Bio (https://surgery.utoronto.ca/faculty/jesse-pasternak):

Dr Jesse Pasternak is an endocrine surgeon specializing in the surgical management of thyroid, parathyroid and adrenal tumors. After obtaining his undergraduate degree at McGill University, he completed his medical school and residency at McMaster University in Hamilton. He then moved to San Francisco, California where he trained as an Orlo Clark Fellow in Endocrine Surgery and Oncology at UCSF. Dr Pasternak also completed a master’s degree (MPH) at Harvard University with a focus in epidemiology. As a surgeon at the University Health Network, his clinical focus is minimally invasive endocrine surgery. As a researcher, he studies clinical endocrine surgery and health outcomes.

E64 Ahmer Karimuddin On The "Struggling" Trainee, CaRMS, & Resident Selection

Canadian Journal of Surgery — Tue, 23 Feb 2021 14:27:55 -0700

What do you do if you are a "struggling" trainee or trying to help a struggling trainee? We were lucky enough to have Dr. Ahmer Karimuddin join us on this episode to try to answer those questions. He might even change your mind on the way you think about the word "struggling". Dr. Karimuddin is a colorectal surgeon at St. Paul’s Hospital in Vancouver, British Columbia. Along with Dr. Tracy Scott, Dr. Karimuddin is the co-program director for the UBC general surgery program. We talk to him about how to approach the struggling trainee, as well as some of the innovative strategies the UBC program is utilizing to more objectively select residents.

Links:

1. Equity, Diversity, and Inclusion in Academic American Surgery Faculty: An Elusive Dream. https://pubmed.ncbi.nlm.nih.gov/33011449/

2. "Hamlet was wrong." Revisionist History podcast by Malcolm Gladwell. http://revisionisthistory.com/episodes/49-hamlet-was-wrong

3. "Talking to Strangers" by Malcolm Gladwell. https://www.amazon.com/Talking-Strangers-Should-about-People/dp/0316478520

4. Surgical training in the midst of a pandemic: a distributed general surgery residency program’s response to COVID-19. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458681/

E63 Shane DiNapoli On Physician Finances, Professional Corporations, And Financial Planning

Canadian Journal of Surgery — Tue, 16 Feb 2021 12:55:08 -0700

In this episode, we interview Shane DiNapoli, a chartered accountant based in Calgary, Alberta. We talk to him about some of the common mistakes he sees physicians make with their finances, physician corporations, and the advice that he has for physicians starting out in their practice.

Links:

1. https://shanedinapoli.com/

E62 Andrea MacNeill On Planetary Health In The Operating Room

Canadian Journal of Surgery — Tue, 09 Feb 2021 15:46:17 -0700

Have you ever stared at the garbage bags in the operating room and thought – that’s a lot of trash! Dr. Andrea MacNeill (https://twitter.com/Ecosurgeon?s=20) took that thought and decided to do something about it. Dr. MacNeill is a surgical oncologist at Vancouver General Hospital and is on a mission to improve planetary health, inside and outside the operating room. We ask her in this episode to walk us through how the operating room impacts the environment, what we can do to lessen that impact, and how that effort might help cut costs and improve patient care.

Links:
1. Paper in Lancet Planetary Health: https://pubmed.ncbi.nlm.nih.gov/29851650/

2.Life cycle environmental emissions and health
damages from the Canadian healthcare system: An economic-environmental-epidemiological analysis. https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002623

3. Transforming The Medical Device Industry: Road Map To A Circular Economy. https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.01118

Bio (from BCHLC website: https://cchl-ccls.ca/site/bchlc_plenary_MacNeill)

Dr. Andrea MacNeill is a surgical oncologist at Vancouver General Hospital and BC Cancer, and a clinical associate professor at the University of British Columbia where she specializes in sarcoma and peritoneal malignancies. She holds a Master’s Degree in Environmental Change and Management and has published a number of studies investigating the environmental impacts of healthcare activities. She is the international working group lead for sustainable healthcare for CODA, a global health community mobilizing around climate and health issues, and is co-leading a Canadian initiative for a commitment to net zero healthcare emissions. She is working with Vancouver Coastal Health on a transformational planetary health strategy to mitigate the healthcare climate footprint while creating health and social value. She is committed to designing health systems for optimal planetary health and educating health professionals to be agents of change.

E61 Masterclass with Michael D'Angelica on Colorectal Liver Metastases

Canadian Journal of Surgery — Tue, 02 Feb 2021 13:00:08 -0700

Dr. Michael D’Angelica (https://twitter.com/MichaelDAngeli2?s=20)is a surgical oncologist and hepatobiliary surgeon at Memorial Sloan Kettering Cancer Centre. He is world-renowned for both his research and clinical expertise in the treatment of colorectal liver metastases. We got to pick his brain on his approach to colorectal liver mets, as well as some of his broader advice for prospective fellows and his experience living in New York City though the COVID19 pandemic.

Transcript: http://canjsurg.ca/podcast-episode-e61-masterclass-with-michael-dangelica-on-colorectal-liver-metastases/

Links:

1. Hepatic resection for colorectal metastases – review by Tim Frankel and Dr. D’Angelica. https://pubmed.ncbi.nlm.nih.gov/24318723/
2. Safety and feasibility of initiating a hepatic artery infusion pump chemotherapy program for unresectable colorectal liver metastases: A multicenter, retrospective cohort study. https://pubmed.ncbi.nlm.nih.gov/33095919/
3. The re-birth of hepatic arterial infusion for colorectal liver metastases by Dr. Nancy Kemeny. https://jgo.amegroups.com/article/view/1042/html
4. Assessing resectability of colorectal liver metastases: How do different subspecialties interpret the same data? https://pubmed.ncbi.nlm.nih.gov/30067183/
5. Treatment sequencing for simultaneous colorectal liver metastases. Review by Dr. D’Angelica. https://pubmed.ncbi.nlm.nih.gov/30816577/

Bio (from AHPBA website):
Dr. D’Angelica is an Assistant Attending in the Department of Surgery, Hepatopancreatobiliary Service at Memorial SloanKettering Cancer Center. He is a Board-certified surgical oncologist with expertise in treating cancer of the liver, bile ducts, gall bladder, and pancreas. He works with a team that has developed and uses many surgical and non-surgical techniques that have shown remarkable success in treating these cancers. Sloan-Kettering’s multi-disciplinary methods of treatment — including novel combinations of surgery, ablation, embolization as well as systemic and regional chemotherapy — offer patients with cancers in these organs a good chance of long-term survival and cure.

Dr. D’Angelica earned his M.D. at the Tufts University School of Medicine in 1993, followed by a residency at the University of Connecticut Integrated General Surgery through 2000. He did a Research Fellowship at Memorial Sloan-Kettering Cancer Center from 1995-97, serving as Chief Administrative Fellow in 1996-97. Dr. D’Angelica did his Clinical Fellowship at Sloan-Kettering form 2000 to 2002.

Dr. D’Angelica belongs to several professional societies in addition to AHPBA, including the American College of Surgeons, Society of Surgical Oncology, the Society for Surgery of the Alimentary Tract, and the Uconn Surgical Society. He serves as a reviewer for several professional journals, including Surgery, Journal of the American College of Surgeons, Cancer, Pancreatology, and the Annals of Surgical Oncology.

Dr. D’Angelica has a strong clinical interest in combining surgery, systemic chemotherapy, and hepatic arterial infusional chemotherapy (chemotherapy delivered directly to the liver through an implanted device) to treat tumors that have spread extensively throughout the liver. Dr. D’Angelica has published extensively on the treatment of metastatic colorectal cancer and proven that cure is possible with liver resection. He has been very involved in research on the treatments of gallbladder, pancreas, and bile duct cancer. Members of his research group are studying tissues from surgical specimens to identify genetic changes in tumors with the goal of improving treatment outcomes and enable us to develop new treatments.

E60 Andrew Ibrahim On Architecture, Visual Abstracts, And Design In Surgery

Canadian Journal of Surgery — Tue, 26 Jan 2021 13:00:07 -0700

Dr. Andrew Ibrahim (https://twitter.com/AndrewMIbrahim) is a general surgeon at the University of Michigan and an architect at the firm HOK. In this episode, we talk about his path and how he combined his passion for surgery and architecture. We get his thoughts on visual abstracts, the concept of design, his vision for hospitals of the future and what architects might learn from surgeons.

Links:

Links:
1. WIRED story about Dr. Ibrahim: https://www.wired.com/story/lets-save-some-lives-doctors-journey-into-pandemic/
2. Dr. Ibrahim’s website, which also has great resources on visual abstracts: https://www.surgeryredesign.com/
3. Design-thinking and IDEO: https://www.ideo.com/
4. Ernest Codman: https://qualitysafety.bmj.com/content/11/1/104
5. Health in All Design: https://www.hok.com/news/2019-12/health-in-all-design-dr-andrew-ibrahim-on-the-intersection-of-architecture-and-healthcare/#:~:text=%E2%80%9CAt%20HOK%20we%20have%20launched,public%20space%20for%20health%20intervention.
6. Annals of Surgery paper on “Building a Better Operating Room”: https://pubmed.ncbi.nlm.nih.gov/27163950/
7. Health and Design Fellowship: https://medicine.umich.edu/dept/surgery/education/health-design-fellowship

Bio:

Andrew M. Ibrahim MD, MSc is an Assistant Professor of Surgery, Architecture & Urban Planning at the University of Michigan and Chief Medical Officer at HOK, a global design and architecture firm. He completed his undergraduate and medical degrees education both with Honors at Case Western Reserve University with a year of coursework at University College London and The Bartlett School of Architecture. In addition to his health services research degree from the University of Michigan as a Robert Wood Johnson Clinical Scholar, he completed additional policy training as a Crile Fellow at Princeton University and as a Doris Duke Fellow at John Hopkins Hospital.

Dr. Ibrahim’s research at the interface of healthcare, policy evaluation and architecture has resulted in numerous publications, book chapters, international presentations and appointment to the editorial boards at the Annals of Surgery and the JAMA Network. He is one the youngest Senior Principal’s at HOK and currently serves as the Innovation Principal on a >$2 billion academic health center master plan.

E59 Officer Of The Order Of Canada Vivian McAlister On Why He Became A Military Surgeon at 52

Canadian Journal of Surgery — Tue, 19 Jan 2021 12:00:09 -0700

Our guest for this episode doesn’t believe in comfort zones. Dr. Vivian McAlister is a transplant surgeon, a professor of surgery in London, Ontario, and a former Editor-in-Chief of the Canadian Journal of Surgery. At the age of 52, Dr. McAlister decided to enlist with the Canadian Forces Health Services as a combat surgeon. For all his contributions to Canada as a surgeon and researcher, he was recently named an Office of the Order of Canada. In this episode, we talk about why chose to become a military surgeon, some of the challenges of current training paradigms, and his experience being an Editor-in-Chief of CJS.

Please note that in this episode, we do discuss the very real but terrible things Dr. McAlister witnessed while on tour with the Canadian military. Please see below:

12:30 – 16:45: description of injuries of children after being hit with improvised explosive devices (IEDs)

Links:
1. Dr. McAlister naming to the Order of Canada: https://www.schulich.uwo.ca/surgery/about_us/news/2021/dr_vivian_mcalister_named_officer_of_the_order_of_canada.html#:~:text=Order%20of%20Canada-,Dr.,to%20the%20Order%20of%20Canada.
2. Dr. McAlister’s John McCrae Memorial Medal: https://www.cma.ca/john-mccrae-memorial-medal-2019-recipient
3. Injury profile suffered by targets of antipersonnel improvised explosive devices: prospective cohort study: https://bmjopen.bmj.com/content/bmjopen/7/7/e014697.reviewer-comments.pdf
4. Dr. McAlister’s paper on the history of CJS: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512859/
5. The current state of resident trauma training: Are we losing a generation? http://canjsurg.ca/61-3-153/

Bio:

Vivian McAlister is a surgeon at University Hospital London. He is a professor in the Department of Surgery. He is a member of the Canadian Forces Medical service and has deployed to Afghanistan and Haiti. He is a general surgeon with special interest in hepatobiliary, endobiliary, transplant and combat surgery. His research interests include fundamental and clinical research in these areas as well as the history of medicine.

https://www.schulich.uwo.ca/generalsurgery/people/bio/vivian_mcalister.html

E58 Karen Norris On Conferences

Canadian Journal of Surgery — Tue, 12 Jan 2021 12:43:14 -0700

We are absolutely delighted to have Karen Norris (@freckleface23 on twitter) join us on the podcast today. Karen Norris is the conference manager at the Canadian Association of General Surgeons and manages the Canadian Surgery Forum, the largest annual meeting for Canadian general surgeons. In this episode we talk about what the future holds for conferences in a COVID world, including how organizations can optimize their virtual conferences and what hybrid conferences might look like.

Links:
1. The Art of Gathering: How We Meet and Why it Matters - https://www.penguinrandomhouse.com/books/319055/the-art-of-gathering-by-priya-parker/
2. Meetings Mean Business Canada Advocacy Video: https://vimeo.com/367271986
3. Meetings Mean Business webpage: https://www.meetingsmeanbusiness.ca/
4. TraumaCon: https://traumacon.org/
5. Mike Morrison (Twitter): https://twitter.com/mikemorrison?lang=en
6. Article I referenced about one conference using unique networking opportunities: https://www.bizbash.com/production-strategy/virtual-events/article/21202973/how-american-film-markets-virtual-conference-created-spontaneous-networking-opportunities
7. The Canadian Association of General Surgeons: https://cags-accg.ca/
8. The Canadian Surgery Forum: https://www.canadiansurgeryforum.com/

Bio:

Karen Norris has a degree in Political Science and Sociology from Queens University, a diploma in Event Management from Algonquin College and in 2015 she achieved her Certified Meeting Professional (CMP) designation from the Events Industry Council.

She is the Conference Manager at the Canadian Association of General Surgeons (CAGS) and manages the Canadian Surgery Forum which is the largest surgical meeting in Canada attracting 1000+ delegates annually. Before her position with CAGS, she had coordinated conferences for the Association of Faculties of Medicine of Canada and the Coaching Association of Canada.

She has sat on numerous boards and committees with Meeting Professionals International (Ottawa Chapter) and The Professional Convention Management Association (Canada-East Chapter). She has also sat on various tourism advisory boards for major Canadian cities who host business events and she currently sits on the Algonquin College Event Management Program Advisory Board.

She was awarded Planner of the Year in 2018 by the Ottawa Chapter of Meetings Professional International and was a member of the team who won the 2019 “RISE” Award for most Innovative Educational Programming by Meeting Professionals International for an inaugural conference entitled “The Event”.

Whenever she can, she works with Meetings Mean Business Canada, the advocacy arm of the business events industry for Canada to garner support from government officials and the public about the economic impact of conferences and events.

E57 Sean Langenfeld On Social Media

Canadian Journal of Surgery — Tue, 05 Jan 2021 07:05:44 -0700

It’s our pleasure to start off the new year with an episode on social media and surgery! In this episode, we were joined by Dr. Sean Langenfeld (https://twitter.com/seanlangenfeld). Dr. Langenfeld is a colorectal surgeon at the University of Nebraska and has spent a long time doing research and thinking about social media and surgery. We talk about the concept of “professionalism” on social media, the infamous “medbikini” incident, and online reputation management.

Links:

1. An assessment of unprofessional behavior among surgical residents on Facebook: a warning of the dangers of social media. https://pubmed.ncbi.nlm.nih.gov/24981657/
2. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons. https://pubmed.ncbi.nlm.nih.gov/26276300/
3. CNN article on #MedBikini: https://www.cnn.com/2020/07/25/cnn10/medbikini-backlash-and-apologies-trnd/index.html
4. RETRACTED: Prevalence of unprofessional social media content among young vascular surgeons. https://www.jvascsurg.org/article/S0741-5214(19)32587-X/fulltext
5. Social Dilemma documentary. https://www.netflix.com/ca/title/81254224
6. ASCRS Facebook group. https://www.facebook.com/fascrs/groups/

Bio (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755771/):

Dr. Sean Langenfeld is a staff colon and rectal surgeon at the University of Nebraska Medical Center in Omaha, NE. Sean received his undergraduate and medical school training at St. Louis University in St. Louis, MO, and performed his General Surgery Residency training at the University of Kansas School of Medicine, Wichita, KS. Following this, Sean completed his Colon and Rectal Surgery residency at the University of Texas, in Houston, TX. Since that time he has been at the University of Nebraska where he is an Associate Professor of Surgery, Chief of Colon and Rectal Surgery and Associate Program Director for the General Surgery Residency. He is also the Director, Endoscopic Simulation at the University of Nebraska Medical Center.

Sean remains a busy active clinician and academic surgeon, teaching residents on a daily basis. He is an active researcher and has several ongoing projects on the use of social media in surgery and simulation training in the era of the modern residency. He is an active participant in multiple surgical societies and serves on several national committees of the American Society of Colon and Rectal Surgeons.

Sean and his wife, Elizabeth, have three children, and live in Omaha, NE. When not working, Sean enjoys playing in a men's soccer league, watching all Creighton Bluejays' sports teams, and is a huge Nebraska Cornhusker football fan.

E56 Masterclass With Nicholas Zyromski On Pancreatitis

Canadian Journal of Surgery — Tue, 29 Dec 2020 08:30:24 -0700

In this episode, we were lucky enough to have Dr. Nicholas Zyromski (https://twitter.com/nzyromski) give us a masterclass on pancreatitis. We go over classification and then go through a host of controversial topics: endoscopic management, percutaneous drainage, antibiotics, nutrition, and surgical management.

Don't forget to check out Dr. Zyromski's music, including "P-Blues"!

Links:

1. Nicholas Zyromski on Spotify: https://open.spotify.com/artist/3H9y3W3B8a2K7SGAXgzNB6
2. Atlanta Criteria: https://pubs.rsna.org/doi/full/10.1148/rg.2016150097
3. John Howard: https://bulletin.facs.org/2019/05/john-m-howard-a-pioneer-in-vascular-trauma-and-pancreatic-surgery/#:~:text=Howard%20was%20known%20for%20his,of%20pancreatitis%20and%20pancreatic%20cancer.
4. Thomas Howard “As Good As it Gets” editorial: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1877065/
5. Transgastric Pancreatic debridement video: https://link.springer.com/article/10.1007/s11605-019-04375-x
6. Prospective Analysis of the Mechanisms Underlying Ineffective Deep Vein Thrombosis Prophylaxis in Necrotizing Pancreatitis. https://pubmed.ncbi.nlm.nih.gov/33039510/
7. Endoscopic management of pancreatic ascites due to duct disruption following acute necrotizing pancreatitis. https://onlinelibrary.wiley.com/doi/full/10.1002/jgh3.12113

Dr. Zyromski's Bio:

As a gastrointestinal surgeon with a specialty in pancreas and hepatobiliary surgery, a substantial portion of my clinical practice involves caring for patients with GI and HPB malignancy. My major interest within this sub discipline is pancreatic disease. In this context, my research goals are two:

1. Clinical research: To continue to expand and build upon an already active clinical research program within the pancreatic service. Current efforts include collaboration within the Department of Surgery pancreatic surgery group evaluating methods to improve technical considerations in surgery for pancreatic cancer as well as retrospective clinical studies utilizing lndiana Universlty's large volume of pancreatic cancer patients. Future directions include prospective randomized trials, evaluating optimal management for patients with pancreatic cancer including anticoagulation in the setting of superior mesenteric vein/portal venous resection.

2. Basic science research: The fundamental platform of my basic science laboratory program is to evaluate pancreatic disease in the context of obesity. Obesity is epidemic in America in 2007 and has been shown to be an independent risk factor both for developing severe acute pancreatitis as well as for developing pancreatic cancer. Over the past year, in efforts to get my laboratory program up and running, I have focused on the pancreatitis arm. The big picture, however, also includes the study of pancreatic cancer. This fall we have experiments planned to investigate the mechanisms by which obesity may potentiate the development of pancreatic cancer in our well-established murine model of congenital obesity. As both arms of this laboratory program mature , the ultimate goal is to provide translational application.

E55 Companion 3 - Danish Mask Study & Science Communication

Canadian Journal of Surgery — Wed, 23 Dec 2020 08:08:02 -0700

In this episode, we discuss the Danish mask study. We discuss the paper itself and the results. More importantly, we discuss the challenges of science communication and science literacy for physicians and the general public.

We were joined once again by Drs. Kelly Vogt (https://twitter.com/kellynvogt) and Morad Hameed (https://twitter.com/moradhameed).

Email us at podcast.cjs@gmail.com with your thoughts and comments!

Links:

1. Effectiveness of Adding a Mask Recommendation to Other Public Health Measures to Prevent SARS-CoV-2 Infection in Danish Mask Wearers. Annals of Internal Medicine. https://www.acpjournals.org/doi/10.7326/M20-6817

2. The curious case of the Danish mask study. https://doi-org.ezproxy.library.ubc.ca/10.1136/bmj.m4586

3. https://www.tmz.com/2020/11/22/facebook-masks-oxford-masks-false-information-covid-coronavirus/

E54 Masterclass with Carolyn Nessim On Melanoma

Canadian Journal of Surgery — Tue, 15 Dec 2020 07:58:08 -0700

In this episode, we were joined by surgical oncologist Dr. Carolyn Nessim (www.twitter.com/carolynnessim). Dr. Nessim works at the Ottawa General Hospital and gave us a masterclass on melanoma. We talk about an initial approach to melanoma, staging, immunotherapy, and a walk-through of how Dr. Nessim does her groin dissections.

Links

1. http://carolynnessim.com/
2. The eighth edition American Joint Committee on Cancer (AJCC) melanoma staging system: implications for melanoma treatment and care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652033/
3. Cordeiro et al. Sentinel Lymph Node Biopsy in Thin Cutaneous Melanoma: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/26932710/
4. Socioeconomic Status and Melanoma in Canada: A Systematic Review. https://pubmed.ncbi.nlm.nih.gov/32955341/

Brief Bio:

Dr. Carolyn Nessim is a Surgical Oncologist at the Ottawa Hospital and Assistant Professor of Surgery at the University of Ottawa. She completed her MD, MSc (Biomedical Sciences) and General Surgery Residency at the University of Montreal. Her fellowship training was in Surgical Oncology at the University of Toronto and then at the Peter MacCallum Cancer Center in Melbourne Australia.

She is currently also a Clinician Investigator in the Cancer Therapeutics Program at The Ottawa Hospital Research Institute (OHRI) as well as the Program Director for the Complex Surgical Oncology Subspecialty Fellowship training program. Her clinical practice focuses on the treatment of patients with Soft Tissue Sarcoma/GIST, Melanoma/Skin Cancers, Gastric cancer and Neuroendocrine Tumours. She is the Regional Co-Lead for Melanoma and Skin Cancers and Gastric Cancer in the Champlain LHIN. She has been invited as a speaker and moderator at several national and international conferences on the topics of Sarcoma and Melanoma. She is a member of Cancer Care Ontario's Skin Cancer Advisory Board as well as the American Society of Clinical Oncology's Technical Expert Group for Melanoma.

E53 Ryan Martin On Sports, Surgery, And Simulation

Canadian Journal of Surgery — Tue, 08 Dec 2020 08:00:15 -0700

Dr. Ryan Martin is an orthopedic surgeon at the Foothills Medical Centre in Calgary, Alberta. We talked to him about what it was like to be a sports doctor for the Calgary stampeders, and the preparation he does for going into the operating room.

Dr. Martin received his medical degree from the University of Ottawa. He later went on to complete his Orthopedic surgical residency at the Cumming School of Medicine, University of Calgary (Calgary, AB). After completing his surgical residency, he began his sub-specialization. He completed his Orthopedic Trauma Fellowship at the Hospital for Special Surgery - Cornell University (New York, NY) and his Sport Medicine and Arthroscopy Fellowship at the University of Toronto (Toronto, ON).

Since returning to Calgary, Dr. Martin has taken up practice centered out of the Foothills Medical Centre. While running a busy Level 1 trauma practice he has focused on the arthroscopic treatment of traumatic knee conditions involving fractures as well as cartilage and ligament injuries.

Dr. Martin travels nationally and internationally to lecture and present his research. He serves on several committees including the Trauma representative for the University of Calgary Orthopedic Surgery Residency Training Committee, Co-Chair of the Canadian Orthopedic Residency Forum and Co-lead of the bulk Allograft Cartilage Transplantation Program. He also serves as an Orthopedic Surgeon for the Calgary Stampeders Football Club.

When his is not working Dr. Martin spends most of his time with his wife and son. He enjoys skiing, mountain biking, playing hockey and painting.

Links:

1. EBRS-CAGS Journal Club: Antibiotics versus Appendectomy for Appendicitis: https://us02web.zoom.us/webinar/register/WN_wm0nIlJLR-2zcRcqDUs8uQ

2. Ammolite Biomodels: https://www.ammolitebiomodels.com/

E52 Surgical Companion 2 - RBG

Canadian Journal of Surgery — Tue, 01 Dec 2020 08:00:15 -0700

In this episode, Dr. Kelly Vogt (https://twitter.com/kellynvogt) and Dr. Rebecca Auer(https://twitter.com/auer_r) join us to talk about the documentary film "RBG". What can we as surgeons learn about from the work of Ruth Bader Ginsburg?

Links:

-RBG documentary: https://www.netflix.com/ca/title/80240086

CAGS Meet Week - Revitalizing The Morbidity And Mortality Conference

Canadian Journal of Surgery — Mon, 30 Nov 2020 10:27:56 -0700

This is a special episode of Cold Steel done in collaboration with the Canadian Association of General Surgeons (CAGS: www.twitter.com/CAGS_ACCG). In lieu of the annual Canadian Surgical Forum (CSF), CAGS put on a series of fantastic webinars over the week of Nov 26 - 30. These were highly impactful and relevant webinars. Topics included:

-The COVID-19 Elective Surgery Crisis and New Models of Surgical Referral and Care

- Alone in the Night: Difficult Scenarios in ACS

- Revitalizing the Morbidity and Mortality Conference (MMC)

- Diversity in Health Research Outcomes

In this session, we discussed the challenges facing Morbidity and Mortality Conferences (MMC's) and how we can continue to revitalize this time-honoured tradition. The session was moderated and organized by Ameer Farooq, with Dr. Morad Hameed, Dr. Chelsea Harris, and Dr. Christian Finley as the invited panelists.

To check out all the CAGS webinars, please go to the CAGS website (https://cags-accg.ca/). Please consider becoming a member to access all the great content available to CAGS members.

Links for M&M's

1. Dr. Hameed narrative review paper on MMC's: http://canjsurg.ca/63-3-e211/

2. Failure to rescue paper by Dr. Amir Ghaferi: https://www.nejm.org/doi/full/10.1056/nejmsa0903048

3. The last dance: https://www.netflix.com/ca/title/80203144

4. Association between technical skill and long-term survival for colon cancer: https://jamanetwork.com/journals/jamaoncology/fullarticle/10.1001/jamaoncol.2020.5462

5. Ethics M&Ms: https://meridian.allenpress.com/jgme/article/8/3/462/189862/Ethics-M-amp-Ms-Toward-a-Recognition-of-Ethics-in

6. cultural complications - https://www.culturalcomplications.com/

7. ottawa M&M "OM3" model: https://emottawablog.com/2018/03/improving-morbidity-mortality-rounds-om3/

8. Positive deviance for continuous quality improvement: https://pubmed.ncbi.nlm.nih.gov/26188970/

9. Pan-Canadian standards for Cancer Surgery (Finley): https://pubmed.ncbi.nlm.nih.gov/31364830/

E51 Ernest Moore On Developing Acute Care And Trauma Surgery

Canadian Journal of Surgery — Tue, 24 Nov 2020 12:34:21 -0700

In this episode we were honoured to once again have another icon of trauma surgery join us. Dr. Ernest E. Gene Moore is a trauma surgeon at the Denver General Hospital. In this episode we explore Dr. Moore’s early insights into the developments of acute care surgery as a specialty, how he defined not one but two major surgery journals, and how he continues to think about the evolution of surgery moving forward.

Ernest E. “Gene” Moore, MD, was the Chief of Trauma at the Denver General Hospital for 36 years, Chief of Surgery for 28 years, and the first Bruce M. Rockwell Distinguished Chair in Trauma Surgery. He continues to serve as Vice Chairman for Research and is a Distinguished Professor of Surgery at the University of Colorado Denver (UCD), and has been the Editor of the Journal of Trauma since 2011.
Under Dr. Moore’s leadership, the Rocky Mountain Regional Trauma Center at Denver General became internationally recognized for innovative care of the injured patient, and its trauma research laboratory has been funded by the NIH for 35 consecutive years. In July 2018, the center was renamed the Ernest E Moore Shock Trauma Center at Denver Health.
Dr. Moore has served as president of nine academic societies, including the Society of University Surgeons, American Association for the Surgery of Trauma, International Association for the Trauma and Surgical Intensive Care, and the World Society of Emergency Surgery; and as Vice President for the American Surgical Association.

His awards include the Robert Danis Prize from the Society of International Surgeons, Orazio Campione Prize from the World Society of Emergency Surgery, Philip Hench Award from the University of Pittsburgh, Florence Sabin Award from the University of Colorado, Lifetime Achievement Award from the Society of University Surgeons, Lifetime Achievement Award for Resuscitation Science from the American Heart Association, Distinguished Investigator Award from the American College of Critical Medicine, Distinguished Investigator Award from the Shock Society, Lifetime Service Award from the International Association for Trauma and Surgical Intensive Care, and the Medallion for Scientific Achievement from the American Surgical Association. He has honorary fellowships in the Royal College of Surgeons of Edinburgh, the Royal College of Surgeons in Ireland, the Royal College of Surgeons of Thailand, and the American College of Emergency Physicians; and is an honorary member of the Brazilian Trauma Society, Colombian Trauma Society, Eastern Association for the Surgery of Trauma, European Society for Trauma and Emergency Surgery, North Pacific Surgical Association, and Trauma Association of Canada. Dr. Moore is coeditor of the textbook Trauma, in its 9th edition, Surgical Secrets in its 7th edition, and Trauma Induced Coagulopathy, in its 2nd edition; he has >1700 publications and has lectured extensively throughout the world.

He is married to Sarah Van Duzer Moore, M.D., an internist at the University of Colorado Denver, and they have two sons; Hunter, a transplant fellow at UCD and Peter, a pulmonary/critical care fellow, both at UCD. Dr. Moore’s additional interests include endurance sports, mountaineering, skiing, and wapiti pursuit. He lives by the principle to work hard you must play hard, with the understanding that family is the ultimate priority.

Links
1. AAST Interview w/ Dr. Moore: http://www.aast.org/assets/f658eae6-95c2-4258-9df0-58344a846882/635338644875870000/23-ernest-e-gene-moore-md-1993-1994-pdf

2. Dedication of Ernest E Moore Shock Trauma Center: https://www.denverhealth.org/news/2018/07/dedication-of-the-ernest-e-moore-shock-trauma-center-at-denver-health

3. WSES tribute to Dr. Moore: https://wjes.biomedcentral.com/articles/10.1186/s13017-018-0206-1

E50 Ed Harvey On The Canadian Journal Of Surgery And EBM In Surgery

Canadian Journal of Surgery — Tue, 17 Nov 2020 11:00:11 -0700

1. Dr. Harvey bio: https://irr-rimuhc.ca/edward-harvey/
2. Article on the previous Canadian Journal of Surgery Editors-in-Chief: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386197/
3. Continuing a long tradition: the Canadian Journal of Surgery at 60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608575/
4. COPE committee on publication ethics: https://publicationethics.org/
5. A sampling of Dr. Harvey's editorials for CJS: http://canjsurg.ca/wp-content/uploads/2017/01/60-1-4.pdf and https://pubmed.ncbi.nlm.nih.gov/26011846/
6. Evidence-Based Medicine: Boom or Bust in Orthopaedic Trauma. https://pubmed.ncbi.nlm.nih.gov/31609888/

E49 Masterclass With Clarence Wong On Advanced Polypectomies and Quality Metrics In Colonoscopy

Canadian Journal of Surgery — Tue, 10 Nov 2020 07:00:18 -0700

In this episode, we were lucky enough to have Dr. Clarence Wong. Dr. Wong is an interventional gastroenterologist at the University of Alberta. He gave us a masterclass on the approach to large polyp. We also talked about the development of screening guidelines in Alberta, and way to improve the quality of colonoscopies on a very practical level.

Tweet at us @CanJSurg or email us at podcast.cjs@gmail.com.

Links:

1. Is 45 the new 50 in colorectal cancer screening? https://pubmed.ncbi.nlm.nih.gov/33077453/

2. https://www.healio.com/news/hematology-oncology/20201027/uspstf-expands-colorectal-cancer-screening-recommendation-to-include-adults-age-45-years#:~:text=All%20adults%20should%20begin%20to,initiation%20at%20age%2045%20years.

3. Managing difficult polyps: techniques and pitfalls. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959925/

4. Geographic variation in the provider of screening colonoscopy in Canada: a population-based cohort study. http://cmajopen.ca/content/6/1/E126.full.

5. Alberta CRC Screening Guidelines: https://actt.albertadoctors.org/CPGs/Lists/CPGDocumentList/colorectal-cancer-screening-guideline.pdf

6. DOPS Program in BC for Colon Screening: http://www.bccancer.bc.ca/screening/Documents/COLON_GuidelinesManual-DOPSCandidateResourceBooklet.pdf

7. CAG SEE course: https://www.cag-acg.org/education/see-program

Dr. Wong is a gastroenterologist and Associate Professor with the Division of Gastroenterology at the University of Alberta. He is an Attending Staff gastroenterologist at the Royal Alexandra Hospital, University of Alberta Hospital and the Cross Cancer Institute. He holds a BSc in Cellular and Molecular Biology from the University of Calgary and a MD degree from the University of Alberta. He is a Fellow of the Royal College of Physicians and Surgeons of Canada (RCPSC) in Internal Medicine and Gastroenterology having completed medical residency at McMaster University in Hamilton and the University of Alberta. During his training, Dr. Wong was awarded research fellowships from both the Alberta Heritage Foundation for Medical Research and the Canadian Association of Gastroenterology for translational research in Experimental Oncology. He has also completed a fellowship in endoscopic ultrasound and is a therapeutic endoscopist focusing on gastrointestinal cancers. He is the medical director of the Edmonton Endoscopic Ablation Program which treats Barrett’s esophagus and early upper gastrointestinal tract cancers. He is also the provincial medical director of the Alberta Colorectal Cancer Screening program (ACRCSP). His research interests include clinical and laboratory innovations in colon cancer screening and Barrett’s esophagus. He received funding from AHFMR and Alberta Innovates. Dr. Wong is a Past-President of the Alberta Society of Gastroenterology. He has received regional and national teaching awards for excellence in medical education including Endoscopy & Teacher of the Year from the UofA GI Residency Training Program, the University of Alberta Medical Students’ Association Teacher of the Year Award, the Canadian Association of Medical Education (CAME) Certificate of Merit, and the University of Alberta Rutherford Award for Excellence in Undergraduate Teaching.

E48 Masterclass Alison Laws On Neoadjuvant Therapy In Breast Cancer, ALND and Becoming a Patient

Canadian Journal of Surgery — Tue, 03 Nov 2020 09:00:24 -0700

Dr. Laws graduated from the University of British Columbia and obtained her medical degree from McMaster University. She completed a general surgery residency at the University of Calgary and a breast surgical oncology fellowship at Massachusetts General Hospital/Brigham and Women’s Hospital.

She is currently pursuing a Master of Public Health in epidemiology from the Harvard T.H. Chan School of Public Health. She is a member of the Society of Surgical Oncology (SSO) and the American Society of Breast Surgeons (ASBrS).

Dr. Laws’ clinical and research interests include optimizing oncologic outcomes after breast cancer surgery, improving cancer care delivery through implementation of evidence-based practices, as well as managing patients at high-risk for breast cancer.

We were lucky enough to get her expertise about a number of important topics, including neoadjuvant therapy for breast cancer, indications for axillary node dissection in 2020, and an approach to recurrent breast cancer. Finally, we delve into her experience as a patient, and how that shaped her practice as a surgeon.

Links:

1. Intraoperative Margin Assessment in Wire-Localized Breast-Conserving Surgery for Invasive Cancer: A Population-Level Comparison of Techniques. https://pubmed.ncbi.nlm.nih.gov/27406094/

2. Does intra-operative margin assessment improve margin status and re-excision rates? A population-based analysis of outcomes in breast-conserving surgery for ductal carcinoma in situ. https://pubmed.ncbi.nlm.nih.gov/30293241/ Breast Biopsy During Post-treatment Surveillance of Screen-Detected Breast Cancer Patients Yields High Rates of Benign Findings. https://pubmed.ncbi.nlm.nih.gov/32100221/

3. Margins in Breast-Conserving Surgery After Neoadjuvant Therapy. https://pubmed.ncbi.nlm.nih.gov/30128902/

4. KATHERINE trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1814017

5. CREATE-X trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1612645

6. RX-PONDER: https://www.nature.com/articles/s41598-019-49644-6

7. The surgeon who underwent surgery: How being a patient changed him. https://www.kevinmd.com/blog/2019/10/the-surgeon-who-underwent-surgery-how-being-a-patient-changed-him.html

E47 Surgical Companion 1 - The Aging Surgeon

Canadian Journal of Surgery — Wed, 28 Oct 2020 07:00:03 -0600

This is the first in our new "Companion" series, meant to offer a discussion on new topics and events. We are lucky enough to be joined by Drs. Kelly Vogt and Morad Hameed, both previous guests on the show.

In this episode we discuss the paper published in the CMAJ, "Relation between surgeon age and postoperative outcomes: a population-based cohort study" (https://www.cmaj.ca/content/192/15/E385).

Send us your thoughts and comments by email at podcast.cjs@gmail.com or on twitter @CanJSurg!

Links:

1. Dr. Kelly Vogt bio: https://www.schulich.uwo.ca/generalsurgery/people/bio/kelly_vogt.html#:~:text=Vogt%20is%20a%20recipient%20of,Acute%20Care%20Surgery%20and%20Trauma.

2. Dr. Morad Hameed bio: https://surgery.med.ubc.ca/people/s-m-hameed/

3. Comment on “Comparison of Patient Outcomes of Surgeons Who Are US Versus International Medical Graduates”.https://journals.lww.com/annalsofsurgery/Citation/9000/Comment_on__Comparison_of_Patient_Outcomes_of.94281.aspx

4. The view from 10,000 procedures: technical tips and wisdom from master pancreatic surgeons to avoid hemorrhage during pancreaticoduodenectomy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660662/

E46 Nobel Prize Winners In Surgery With David Feliciano

Canadian Journal of Surgery — Tue, 20 Oct 2020 11:05:20 -0600

Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes.

Links:

1. Nobel Prize winners who were trained as surgeons.
Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. https://journals.sagepub.com/doi/abs/10.1177/000313480907500103?journalCode=asua

2. Alexis Carrel (1873-1944): Nobel Laureate, 1912.
Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. https://jamanetwork.com/journals/jamasurgery/fullarticle/508657

3. Joseph E. Murray (1919- ): Nobel Laureate, 1990.
Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. https://jamanetwork.com/journals/jamasurgery/fullarticle/508445

4. Michael Houghton, Winner of 2020 Nobel Prize. https://www.ualberta.ca/michael-houghton-nobel-prize-2020.html

E45 Undergraduate Surgical Education With Andreana Butter And Geoffrey Blair

Canadian Journal of Surgery — Tue, 13 Oct 2020 15:07:47 -0600

In this episode, we explore the many challenges facing an under-discussed topic: undergraduate surgical education. We were joined by Drs. Andreana Butter and Geoffrey Blair, current and former chairs of the Canadian Undergraduate Surgical Education Committee (CUSEC).

Dr. Andreana Bütter completed medical school at the University of Ottawa and residency in General Surgery at Western University. During residency, she also pursued a year of research at the Montreal Children’s Hospital in pediatric surgery; specifically in the area of fetal surgery and congenital diaphragmatic hernia. This research culminated in her obtaining a Master of Science Degree from McGill University in 2001. Upon completing her General Surgery residency, she returned to Montreal for a Pediatric Surgery fellowship at Sainte Justine Hospital (Université de Montréal), which she completed in 2005. She then joined the Division of Pediatric Surgery and the Department of Pediatrics at the Children’s Hospital (LHSC) as an Assistant Professor in the Department of Surgery. In 2012, she was promoted to Associate Professor. She assumed the role of Associate Director of Surgical Education in July 2014. She is also a review editor for Frontiers in Pediatric Surgery journal.

Her clinical areas of interest include Pediatric Thoracic and General Surgery, such as congenital diaphragmatic hernia, bracing for pectus carinatum, nonoperative management of appendicitis and minimally invasive surgery. She helped develop the first Canadian Robotic Pediatric Surgery program. Her research interests are in the areas of fetal surgery with minimally invasive ways of correcting or improving outcomes for congenital anomalies such as bladder outlet obstruction and congenital diaphragmatic hernia.

Dr. Geoffrey Blair is a recently retired pediatric surgeon at the BC Children's Hospital in Vancouver, BC. Being a pediatric general surgeon, he took seriously the need for clinical investigation in the field of surgery. He pursued topics related to congenital anomalies, thyroid surgery, and pediatric surgical oncology.

He was the UBC Pediatric Surgery Program Director for our site since 1993, and the Chief Examiner of the Royal College of Physicians and Surgeons since 2001. With the constant evolution of better surgical methods, he's concerned that older models of training and surgical resident assessment are not applicable to the current delivery of health care. Therefore, he continues to be enthusiastically engaged in educational research projects looking at pedagogical tools, such as "portfolio" based methods, to enhance learning and evaluation.

Links:

1. CUSEC Website: https://www.cusec-ccecp.com/

2. C-CASE is happening virtually on Oct 29 and 30th. Be sure to register! https://www.cusec-ccecp.com/about-1

E44 Joe Dubose On Integrating Vascular And Trauma Surgery

Canadian Journal of Surgery — Tue, 29 Sep 2020 07:00:14 -0600

Joe DuBose is a graduate of the Virginia Military Institute and the University of Virginia School of Medicine. He performed surgical training at Keesler Air Force Base Medical Center and the University of Virginia from 2001-2006. Additional fellowship training in surgical critical care and trauma surgery was completed at Los Angeles County + University of Southern California Hospital from 2006-2008. Lt Col DuBose has been a staff trauma surgeon and surgical intensivist at Wilford Hall Medical Center and as an assistant professor of surgery at R Adams Cowley Shock Trauma Center / University of Maryland since 2008. During that period he has deployed as a trauma director once to the Air Force Theater Hospital at Balad Air Base in Iraq (2009) and twice in support of Operation Enduring Freedom in Afghanistan (Kandahar-2010; Bagram Air Base 2011-2012). He presently holds the title of Clinical Professor at the University of Maryland Medical Center.

In this episode we talk to Dr. DuBose about his training pathway, his experience in the military, and about integrating his vascular training with his trauma background, which includes his thoughts about REBOA.

As always, we love feedback and comments, and feel free to email us at podcast.cjs@gmail.com or on twitter @canjsurg . Thanks and enjoy the episode!

Links:

1. Evolving Paradigms In Vascular Injury Management. https://www.youtube.com/watch?v=YfSYEM797Gg

2. Dr. Dubose’s Tiger Country podcast! https://www.listennotes.com/podcasts/tiger-country-the-trauma-podcast-joseph-4L9V2rU8x53/

3. EMCrit 281 – Why Can’t Emergency Medicine and Trauma Surgery Just Get Along?https://emcrit.org/emcrit/emergency-medicine-and-trauma-surgery-just-get-along/

4. EMCrit170 – the ER REBOA Catheter with Joe DuBose. https://emcrit.org/emcrit/er-reboa/

5. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). https://pubmed.ncbi.nlm.nih.gov/27050883/

E43 Masterclass with Sarvesh Logsetty On Burns

Canadian Journal of Surgery — Tue, 22 Sep 2020 07:00:14 -0600

After graduating from the University of Alberta with a Bachelor of Science and M.D in 1990, Dr. Logsetty obtained his Diploma in Clinical Epidemiology from the University of Toronto in 1996 garnering many awards along the way. Dr Logsetty completed the Surgical-Scientist Program at University of Toronto in 1994-1996. He continued his training in fellowships in Acute Burn Care & Reconstructive Surgery at Ross Tilley Burn Centre in Wellesley Hospital in Toronto, Ontario (1996-1998) and in Critical Care of Burns at Harborview Medical Centre in Seattle, Washington (1998-1999).
He was appointed to the position of Associate Director of the Firefighters Burn Treatment Unit at the University of Alberta Hospital in 1999. He was also the Director of Resident Research for the General Surgery Department at the University of Alberta Hospital from 2005 to 2007. During his time at the University of Alberta Hospital he was promoted from Assistant Professor to Associate Professor. In 2007 he was recruited by the University of Manitoba and the Health Sciences Centre to take on the position of Director of the brand new Burn Unit located at Health Sciences Centre in Winnipeg. He remains an Associate Professor of Surgery at the University of Manitoba and was appointed the Director of Research for the Section of Plastic Surgery.

In this episode, we get all fired up about burn care. We talk about training pathways for burn surgeons, burn resuscitation, operative management of burns, and finally about Dr. Logsetty’s innovative research into burn wound management.

Links:

1. Dr. Logsetty’s nature review on burns: https://pubmed.ncbi.nlm.nih.gov/32054846/
2. Clinical Value of Debriding Enzymes as an Adjunct to Standard Early Surgical Excision in Human Burns; A Systematic Review: https://academic.oup.com/jbcr/advance-article-abstract/doi/10.1093/jbcr/iraa074/5840378?redirectedFrom=fulltext
3. Simple Derivation of the Initial Fluid Rate for the Resuscitation of Severely Burned Adult Combat Casualties: In Silico Validation of the Rule of 10. https://pubmed.ncbi.nlm.nih.gov/20622619/
4. Mental health outcomes of burn: A longitudinal population-based study of adults hospitalized for burns. https://europepmc.org/article/med/27049068
5. Bacteria-Responsive Single and Core-Shell Nanofibrous Membranes Based on Polycaprolactone/Poly(ethylene Succinate) for On-Demand Release of Biocides. https://pubs.acs.org/doi/10.1021/acsomega.8b03137

E42 Henry Pitt On Quality In HPB Surgery

Canadian Journal of Surgery — Tue, 15 Sep 2020 07:00:18 -0600

Henry A. Pitt, M.D. trained in surgery at Johns Hopkins and has been at the forefront of developing Hepato-Pancreato-Biliary (HPB) Surgery over the past three decades. His career has taken him to UCLA (1979), back to Johns Hopkins (1985) in Wisconsin (1997) and Indiana (2004), (2013) to Temple University Health System (TUHS) and now to Rutgers Cancer Center. He has served as president of the AOA Chapter in medical school , the Society of Clinical Surgery, the American Hepato-Pancreato-Biliary Association and the International Hepato-Pancreato-Biliary Association. He had funding for research in gallstone pathogenesis for 30 years. He has overseen surgical training programs at Johns Hopkins, the Medical College of Wisconsin (MCW) and at Indiana University (IU). His focus in recent years has been in quality, both at the hospital and the national level. His accomplishments have been honored by the Surgical Research Society of South Africa, the Surgical Research Society of Australia, the Tongi Medical College of Wuhan, China, the Second Military Medical College in Shanghai, China, and the Royal College of Surgeons of Edinburgh, Scotland.

We really delve deep with him on his initiatives to improve the quality of hpb surgery in the US, north America, and around the world. You can find him on twitter: https://twitter.com/HenryPittMD

Links:

1. Dr. Pitt’s first paper! On gentamicin levels in the biliary tree: https://academic.oup.com/jid/article/127/3/299/2189262
2. ACS-NSQIP has the potential to create an HPB-NSQIP option. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742610/.
Variation in Drain Management After Pancreatoduodenectomy: Early Versus Delayed Removal. https://pubmed.ncbi.nlm.nih.gov/29064899/
3. IHPBA: the first 25 years. https://www.ihpba.org/includes/moxiemanager/data/files/article.pdf

E41 Mark Campbell On Space Medicine

Canadian Journal of Surgery — Tue, 01 Sep 2020 09:16:37 -0600

Dr. Mark Campbell is a board certified general surgeon, a member of the Texas Surgical Society, and a Fellow of the American College of Surgery. He received a B.S. in Pre-Medical Biology at The University of Texas at Arlington in 1976 and received his M.D. from the University of Texas Medical School at Houston in 1979. He finished his surgical residency at St. Joseph’s Hospital in Houston in 1984. He has been practicing general surgery for 23 years and is currently in private practice in Paris, Texas. He has been a member of the Space Medicine Branch and The Aerospace Medical Association since 1989. He has authored or co-authored 25 published papers concerning surgical care during space flight and surgical techniques in weightlessness. Ten of these articles were published in Aviation Space and Environmental Medicine. He also was the author for the surgical section of “Medical Guidelines for Air Travel” published by the Aerospace Medical Association. Dr. Campbell has been a private pilot since 1984 (single and multi-engine ratings) and received his Air Force Flight Surgery wings in 1994. He began performing parabolic flight research with NASA Medical Operations at the Johnson Space Center in 1991 and was a NASA Flight Surgeon at the Johnson Space Center from 1994 to 1996 where he was deployed to Star City, Russia to support the Shuttle-Mir program.

In this episode we talk to him about prophylactic surgery for astronauts, developing remote surgical capacity, and telementored ultrasound.

Links:

1. Nonoperative treatment of suspected appendicitis in remote medical care environments: implications for future spaceflight medical care. https://pubmed.ncbi.nlm.nih.gov/15110816/.

2. A review of surgical care in space. https://pubmed.ncbi.nlm.nih.gov/12081072/

3. Prophylactic surgery prior to extended-duration space flight: is the benefit worth the risk? https://pubmed.ncbi.nlm.nih.gov/22564516/

E40 Melinda Davis On Career Counseling And The Anesthetist - Surgeon Relationship

Canadian Journal of Surgery — Tue, 25 Aug 2020 07:00:07 -0600

Dr. Melinda Davis (https://twitter.com/melindadavisyyc) is an anesthesiologist at the Foothills Medical Centre. She has a fellowship in neuroanesthesiology and clinical interest in perioperative medicine.

While she spends half her professional life putting people to sleep, Dr. Davis spends the other half attempting to inspire and energize them. She teaches at all levels of medical education from students in undergraduate medical education through to faculty development. She believes in finding the forest before the trees, and helping learners create strong cognitive scaffolds. She has been the recipient of numerous awards for education including the Jones Award for Teaching Excellence in Undergraduate Medical Education.

Dr. Davis holds a number of leadership positions in medical education. She is the Director of the Anesthesiology Clerkship, Associate Program Director of the Anesthesiology Residency Program, and the Director of the Master Teacher Program in Undergraduate Medical Education. Dr. Davis has a research interest in medical student career choice, shaped by the observation that medical students in Canada are making important, complex career decisions under considerable time pressure. She is the lead of the Career Exploration Program which aims to help students make informed, confident career choices in medicine.

An ectopic Australian, Dr. Davis has replaced oceans and beaches with time in the mountains at any opportunity. She can be found there with her daughter, in a tent, on foot, on skis, or on a horse, but never with a bad cup of coffee.

In this episode with Dr. Davis, we put the surgery-anesthesia relationship on the table, dissect it out and try to think about ways we can make that relationship better. We also talk about career counseling for medical students and Dr. Davis’s role as the new program director for the Calgary anesthesia program.

Links:
1. Career Counseling at UCalgary: https://cumming.ucalgary.ca/mdprogram/current-students/student-advising-wellness

2. Stats on CaRMS matching: https://pubmed.ncbi.nlm.nih.gov/32802225/

3. CFMS handbook on differential match rates in CaRMS: https://www.cfms.org/files/matchbook/MatchStats.pdf

4. Royal College CanMEDS framework: http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e

5. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients. https://jamanetwork.com/journals/jamasurgery/fullarticle/2736337

E38 Mock Oral #1 With Caitlin Cahill and Greg Knapp

Canadian Journal of Surgery — Tue, 18 Aug 2020 07:00:15 -0600

In this episode, we do a practice mock oral examination. We hope that this can help candidates to get a sense of the Royal College oral examinations. Although there are no oral exams this year, we hope to help next year's examinees get in the mindset for studying and practicing for the oral exam.

Thanks again to our examiners Dr. Caitlin Cahill and Dr. Greg Knapp!
Dr. Cahill's slides: https://drive.google.com/file/d/1hSiLxlEEvqwC23Qbe4-8kU2ESoEabQN7/view?usp=sharing

Dr. Knapp's slides: https://drive.google.com/file/d/1XkjC1nlT-XvUqHjfQx_yxfLY1H6AuxGg/view?usp=sharing

Dr. Caitlin Cahill is a colorectal fellow at the University of Calgary. She did general surgery residency at the University of Ottawa. She has been instrumental in helping the Calgary chief residents prepare for their exams.

Dr. Greg Knapp is a repeat guest on Cold Steel! He did residency at Dalhousie University, a year of community practice, a year as a Global Surgical Oncology Fellow at Memorial Sloan Kettering and is pursuing his surgical oncology fellowship at the University of Calgary.

E39 Janice Pasieka On Gender Equity And Surgical Training

Canadian Journal of Surgery — Mon, 17 Aug 2020 09:28:10 -0600

Links:
1. American Association of Endocrine Surgeons (AAES): https://www.endocrinesurgery.org/
2. Chernobyl on Netflix: https://www.imdb.com/title/tt7366338/
3. Norm Thompson: https://americansurgical.org/transactions/Fellows/Memoirs/NormanWThompson.cgi
4. Kindred spirits of the endocrines: The training of the future endocrine surgeons. https://onlinelibrary.wiley.com/doi/abs/10.1002/jso.20176

E37 Premier Andrew Furey On Team Broken Earth, Advocacy, and Leadership

Canadian Journal of Surgery — Tue, 11 Aug 2020 07:00:03 -0600

Born and raised in Newfoundland and Labrador, Dr. Furey (https://twitter.com/FureyAndrew) is a passionate orthopaedic trauma surgeon and educator with Memorial University’s School of Medicine. He also holds a Diploma in Organizational Leadership from Oxford University. His strong work ethic has earned him many local, provincial, and national awards and honours. He was named Humanitarian of the Year by the Canadian Red Cross and earned the Governor General of Canada’s Meritorious Service Cross.

In 2010, he helped create Team Broken Earth to provide medical relief after the devastating earthquake in Haiti. This Newfoundland and Labrador-born charity has since expanded in size and scope. Today, over 1,500 volunteers from across Canada, the US, and UK have participated in medical missions to Haiti as well as Bangladesh, Ethiopia, Guatemala, and Nicaragua.

Dr. Furey is also the new premier-elect of the province of Newfoundland after winning the Liberal Party nomination on August 4, 2020. In this episode, we hear about how Dr. Furey started Team Broken Earth, a humanitarian organization, his work in Haiti and his thoughts on leadership and physician advocacy.

Links:

1. https://andrewfurey.ca/

2. Morbidity and mortality following pelvic ramus fractures in an older Atlantic Canadian cohort. http://canjsurg.ca/62-4-270/

3. The Orthopedic Trauma Symposium: improving care of orthopedic injuries in Haiti. http://canjsurg.ca/60-4-228/

4. Team Broken Earth: https://brokenearth.ca/

5. Courses from the Canadian Medical Association: https://www.cma.ca/advocacy-skills-coaching

E36 Masterclass with Todd McMullen On Thyroid Nodules

Canadian Journal of Surgery — Tue, 04 Aug 2020 07:00:16 -0600

Dr. Todd McMullen is a scientist and endocrine surgeon at the University of Alberta in Edmonton, Alberta. In this episode we talk to Dr. McMullen about a topic that is sometimes a pain in the neck for trainees: thyroid nodules. Dr. McMullen gives us his approach to nodules, how he works them up, a brief overview of how he does his thyroidectomies, and post op calcium management. We hope you enjoy!

Dr. Todd McMullen is a fellowship trained endocrine surgeon with specialized training in thyroid ultrasound techniques.He received his PhD in Biochemistry from the University of Alberta, then completed a Medical Research Council of Canada Post-Doctoral Fellowship in the Department of Physiology at the University of Virginia in Charlottesville, Virginia. Having received his PhD and additional training in Physiology, Dr. McMullen went on to complete medical school at the University of Toronto and a residency in General Surgery at the University of Alberta. He further specialized in Endocrine Surgery at the Royal North Shore Hospital in Sydney, Australia, where he finished a TS Reeve Fellowship in Endocrine Surgery.

Since that time, Dr. McMullen has been an active member of the University of Alberta staff as part of the Faculty of Medicine and Dentistry, where he now holds positions in Surgery and Oncology (Division of General Surgery), an Adjunct appointment in the Division of Endocrinology (Department of Medicine) and also serves as the Director of the Division of Surgical Oncology (Department of Oncology) based at the Cross Cancer Institute.

In this episode we get Dr. McMullen's approach to thyroid nodules, thyroidectomies and post-op management.

Links:

1. TIRADS score: https://radiopaedia.org/articles/acr-thyroid-imaging-reporting-and-data-system-acr-ti-rads

2. South Korea's Thyroid-Cancer "Epidemic"--Turning the Tide. https://pubmed.ncbi.nlm.nih.gov/26650173/

3. The 2017 Bethesda System for Reporting Thyroid Cytopathology. https://pubmed.ncbi.nlm.nih.gov/29091573/

4. Minimally invasive thyroid surgery for single nodules: an evidence-based review of the lateral mini-incision technique.

E35 Christian Finley On Quality In Cancer Care

Canadian Journal of Surgery — Tue, 28 Jul 2020 08:00:16 -0600

Dr. Christian Finley trained in General Surgery in at UBC in Vancouver, BC and thereafter completed his training in Thoracic Surgery in Toronto at UofT. After completing advanced training in Leuven, Belgium and England, he started working at St. Joseph's Healthcare Hamilton in 2010. He completed his Masters of Public Health at Harvard University. Since joining the Division of Thoracic Surgery, Dr Finley has been awarded over $600 000 in research funding for his active research program in thoracic surgery quality improvement and has put considerable effort towards developing the collaborative clinical research program with his Thoracic Surgery colleagues. He is the proud father of three crazy girls.

In this episode, we talk with Dr. Finely about his work with the Canadian Partnership Against Cancer (CPAC) in demonstrating disparities in surgical cancer care across Canada.

1. The spatial epidemiology of trauma: the potential of geographic information science to organize data and reveal patterns of injury and services. http://canjsurg.ca/wp-content/uploads/2014/03/51-5-389.pdf

2. Julia Abelson. https://www.mcmasterforum.org/lets-collaborate/people/bio/julia-abelson

3. Understanding Failure to Rescue and Improving Safety Culture. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4385410/

4. Pan-Canadian standards for cancer surgery. Canadian Journal of Surgery. https://canjsurg.ca/wp-content/uploads/2019/07/62-4-S170.pdf

5. Surgical Skill and Complication Rates after Bariatric Surgery. https://www.nejm.org/doi/full/10.1056/NEJMsa1300625

6. "Personal Best" by Atul Gawande in the New Yorker about coaching in the operating room. https://www.newyorker.com/magazine/2011/10/03/personal-best

E34 Prism Schneider On Intimate Partner Violence

Canadian Journal of Surgery — Tue, 28 Jul 2020 07:00:15 -0600

Dr. Prism Schneider is an orthopedic trauma surgeon and Assistant Professor at the University Calgary. Dr. Schneider is well known for her research on many topics, particularly on the use of thromboelastography in post operative and hospitalized patients. In this episode, we delve into Dr. Schneider’s research on intimate partner violence, and how surgeons might do a better job of recognizing it.

Links:
1. Health care practitioners’ responsibility to address intimate partner violence related to the COVID-19 pandemic. https://www.cmaj.ca/content/192/22/E609

2. Intimate Partner Violence and Orthopaedics: AOA Critical Issues. https://europepmc.org/article/med/31274727

3. Mohit Bhandari interview on Cold Steel: https://soundcloud.com/cjs-podcast/e20-mohit-bhandari-on-surgical-trials-productivity-and-presentations

4. Novel educational program improves readiness to manage intimate partner violence within the fracture clinic: a pretest–posttest study. http://cmajopen.ca/content/6/4/E628.full

E33 Chuck Vollmer On Peer Review And Productivity

Canadian Journal of Surgery — Tue, 21 Jul 2020 08:00:50 -0600

Dr. Charles Vollmer is the Director of Pancreatic Surgery at the University of Pennsylvania where he holds the rank of Professor of Surgery. Dr. Vollmer began his career at the Beth Israel Deaconess Medical Center in Boston where he served as an Assistant Professor of Surgery at Harvard Medical School before moving to Penn in 2011. He specializes in Pancreaticobiliary and other complex gastrointestinal surgery with a clinical research focus in outcomes assessment of high-acuity surgery. He has authored over 100 manuscripts and numerous book chapters. He is active in multiple national and international surgical societies where he has served in various leadership positions, including being a past President of the AHPBA. He is the current Scientific Program Chair for the IHPBA, and sits on their Executive Committee and Council. He is currently a reviewer for over 20 medical specialty journals and is on the Editorial Boards of Annals of Surgery, Surgery, HPB, JOGS, and the Journal of Surgical Oncology.

In this episode, we delve into why Dr. Vollmer is so passionate about the pancreas and why he has done over a thousand peer reviews for surgical journals.

1. https://soundcloud.com/cjs-podcast/e07-paul-greig-on-transplantation-surgical-education-and-retiring-from-surgery

2. Clinical and Economic Validation of the International Study Group of Pancreatic Fistula (ISGPF) Classification Scheme. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1877022/

3. The Pancreas Club: https://www.pancreasclub.com/

4. Pancreatic Head Resection Following Roux-en-Y Gastric Bypass: Operative Considerations and Outcomes. https://pubmed.ncbi.nlm.nih.gov/31485901/

E32 Omar Farooq On International Medical Graduates

Canadian Journal of Surgery — Tue, 21 Jul 2020 07:00:10 -0600

Dr. Omar Farooq is a general surgeon at Fort Saskatchewan Hospital in Fort Saskatchewan, Alberta. He did his MBBS in Punjab Medical College in Faisalabad, Pakistan. He then went on to do his internship at Case Western in Cleveland, general surgery resident at the University of Saskatchewan, and MIS fellowship at McMaster.

In this episode, we hear his experiences as an International Medical Graduate (IMG). Dr. Farooq shares his advice for IMG's on navigating the system, as well as how we could potentially make the system better.

Links:

1. Growth Mindset: https://hbr.org/2016/01/what-having-a-growth-mindset-actually-means

2. https://www.amazon.ca/Mans-Search-Meaning-Viktor-Frankl/dp/080701429X

E31 Grace Rozycki On Trauma Ultrasound, Gender Equity, And Mentorship

Canadian Journal of Surgery — Tue, 14 Jul 2020 07:30:56 -0600

Grace Rozycki is a professor of surgery. Primarily practicing at Johns Hopkins Bayview Medical Center, Dr. Rozycki specializes in trauma surgery and surgical critical care. Her research focuses on quality as it relates to emergent general surgery and injury.

She received her medical degree from Sidney Kimmel Medical College of Thomas Jefferson University.

In this episode we talk to her about her pioneering work in trauma ultrasound. We also get her thoughts about gender equity and mentorship in surgery.

1. Interview with Dr. David Livingstone for AAST: http://www.aast.org/Assets/99682126-7e34-438f-810b-d8c8534754ca/636987448036600000/rozycki-grace-pdf

2. WTA 2009 Presidential Address: http://westerntrauma.org/documents/PastPresidents/2009Rozycki.pdf

3. AAST 2016 Presidential Address: https://scholarworks.iupui.edu/bitstream/handle/1805/13289/Rozycki_2016_legacy.pdf?sequence=1&isAllowed=y

4. EAST 2014 Oriens Lecture: https://journals.lww.com/jtrauma/Fulltext/2014/07000/The_strength_that_it_takes__Ten_lessons_learned.2.aspx

E30 Alex Poole with Masterclass On Frostbite Injuries and Remote Surgery

Canadian Journal of Surgery — Tue, 07 Jul 2020 07:00:11 -0600

Dr. Alex Poole is a general surgeon in Whitehorse, Yukon, although his practice is not a typical general surgery practice. In this episode we talk about what it's like to be a remote surgeon, his advice for those interested in a career in remote and rural surgery, and his work on frostbite injuries.

Links:

1. Treatment of severe frostbite with iloprost in northern Canada. CMAJ paper: https://www.cmaj.ca/content/188/17-18/1255/tab-article-info

2. Equestrian Injuries: Incidence, Injury Patterns, and Risk Factors for 10 Years of Major Traumatic Injuries. https://pubmed.ncbi.nlm.nih.gov/17434372/

3. GSA Provincial Surgeons of Australia: https://psa.generalsurgeons.com.au/

E29 Sean Gregg On Creativity, Entrepreneurship, And Advocacy In Surgery

Canadian Journal of Surgery — Tue, 30 Jun 2020 09:00:02 -0600

Dr. Sean Gregg is a general surgeon in Red Deer, Alberta. He has a special focus on hepatobiliary surgery but practices a full range of general surgical operations. Dr. Gregg completed medical school, residency and HPB training at the University of Calgary.

In this episode we hear Dr. Gregg's fascinating life story, and how his experiences with a Thai street artist shaped his approach to surgical training. We also get his thoughts on how entrepreneurship and advocacy can unlock creativity in a surgical career.

Links:

1. Cold Steel episode with Dr. David Urbach on new models to improve surgical efficiency: https://soundcloud.com/cjs-podcast/e17-david-urbach-on-checklists-wait-times-in-the-time-of-covid-and-medical-devices

2. Globe & Mail op-ed on single-entry models: https://www.theglobeandmail.com/opinion/article-a-simple-scheduling-fix-could-help-clear-the-surgery-backlog/

3. Scott Gmora on out-of-the-box thinking: https://soundcloud.com/cjs-podcast/e05-scott-gmora-on-surgical-training

4. CBC news article on surgeons speaking out against AHS recommendations: 4. https://www.cbc.ca/news/canada/calgary/alberta-doctors-ahs-review-surgeries-1.5456152

E28 Equity in Surgery with Julius Ebinu, Shahzeer Karmali, and Morad Hameed

Canadian Journal of Surgery — Fri, 26 Jun 2020 06:00:25 -0600

This was a special episode of Cold Steel. In light of the murder of George Floyd and the subsequent protests, there has been a renewed international desire to confront the racial inequities that plague our society today. This applies to healthcare and in particular to surgery. To talk about this we have three phenomenal guests.

Dr. Julius Ebinu is a neurosurgeon in Sacramento at UC Davis.
Bio: https://health.ucdavis.edu/team/search/32267/julius-ebinu---neurological-surgery---minimally-invasive-surgery---spine-surgery---neuro-oncology-sacramento

Dr. Shahzeer Karmali is a previous guest on the show and is a minimally invasive and bariatric surgeon at the University of Alberta.
Bio: https://www.longdom.org/editor/shahzeer-karmali-13704

Dr. Morad Hameed is a recurrent guest on our show! He is a trauma and critical surgeon at Vancouver General Hospital and section head at UBC.
Bio: https://surgery.med.ubc.ca/people/s-m-hameed/

Links:

1. .Moneeza Walji - Diversity in medical education: data drought and socioeconomic barriers. Editorial in CMAJ. https://www.cmaj.ca/content/187/1/11

2.#blackintheivory : https://www.nature.com/articles/d41586-020-01741-7

3. Langenfeld paper on social media and professionalism "An Assessment of Unprofessional Behavior Among Surgical Residents on Facebook: A Warning of the Dangers of Social Media": https://www.sciencedirect.com/science/article/pii/S1931720414001597

4.Daniel Coyle - The Culture Code: http://danielcoyle.com/the-culture-code/

5. Scott Page: https://www.amazon.ca/Difference-Diversity-Creates-Schools-Societies/dp/0691138540/ref=pd_lpo_14_t_0/144-1177497-3882233?_encoding=UTF8&pd_rd_i=0691138540&pd_rd_r=a51d0320-1d9c-414a-9693-8da0daa33eee&pd_rd_w=LxHKq&pd_rd_wg=Rp9r9&pf_rd_p=256a14b6-93bc-4bcd-9f68-aea60d2878b9&pf_rd_r=AP8HAG2NYQ2REKA89MSJ&psc=1&refRID=AP8HAG2NYQ2REKA89MSJ

6. CJS edtorial. Gender (and other) equity, diversity and inclusion
in surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7006353/pdf/0620292.pdf

7. Annals of Surgery commitment to rapid peer review for articles on equity and social justice: https://twitter.com/AnnalsofSurgery/status/1271532880716427265

8. All-Blacks rugby team "Legacy": https://www.amazon.ca/Legacy-James-Kerr/dp/849450648X/ref=sr_1_2?dchild=1&gclid=CjwKCAjwltH3BRB6EiwAhj0IUN4vp5-TumaPXOrj6O3Jkq0vT6pIaQDwYGRyR6gi251DieBvmmIUdBoCLPMQAvD_BwE&hvadid=208296459563&hvdev=c&hvlocphy=9001332&hvnetw=g&hvqmt=e&hvrand=15113677967642998583&hvtargid=kwd-300495912229&hydadcr=22431_9261611&keywords=legacy+all+blacks&qid=1593068639&s=books&sr=1-2&tag=googcana-20

9. "A physician and father asks if things will be different for his boys" CBC article. https://www.cbc.ca/news/canada/ottawa/racism-black-doctor-growing-up-name-calling-medical-school-impact-career-1.5603251

10. United World Colleges Swaziland: https://www.uwc.org/news/?pid=159&nid=8&storyid=19

E27 David Feliciano On Trauma And Culture Building

Canadian Journal of Surgery — Tue, 23 Jun 2020 09:00:12 -0600

We discuss with him how he recruited such amazing faculty, developing one’s technical skills, research, and the future of trauma.

1.Trauma textbook: https://www.amazon.ca/Trauma-Eighth-Ernest-Moore/dp/1259860671

2.“Everything You Ever Wanted to Know about Trauma” public lecture: https://www.youtube.com/watch?v=99yddsDe6oU

4.Pitfalls in the management of peripheral vascular injuries. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/

E26 Tim Pawlik On Surgical Regret, Leadership, And Academic Success

Canadian Journal of Surgery — Tue, 16 Jun 2020 05:00:04 -0600

Tim Pawlik (@https://twitter.com/timpawlik) is an academic surgeon focused on hepatobiliary diseases. He serves as the surgeon-in-chief of The Ohio State University Wexner Medical Center and Chair of the Department of Surgery in the College of Medicine. He has an MPH, PhD, and a Masters of Theology from Harvard Divinity School.

We talk to him about his unique training pathway, academic productivity and surgical“regret”. Finally, he gives us his thoughts on passion and leadership, specially duringCOVID19.

Links:
1. The Last Dance documentary: https://www.imdb.com/title/tt8420184/

2. When a Patient Regrets Having Undergone a Carefully and Jointly Considered Treatment Plan, How Should Her Physician Respond?: https://journalofethics.ama-
assn.org/article/when-patient-regrets-having-undergone-carefully-and-jointly-
considered-treatment-plan-how-should-her/2020-05

3. Regret in Surgical Decision Making: A Systematic Review of Patient and Physician
Perspectives. https://pubmed.ncbi.nlm.nih.gov/28243695/

4. A Singular Hope: How the Discussion Around Cancer Surgery Sometimes Fails.
https://pubmed.ncbi.nlm.nih.gov/27638674/?from_term=pawlik%2C+tim+AND+decis
ion&from_pos=5

5. Comparing Surgeon Approaches to Patient-Centered Cancer Care Using Vignette
Methodology. https://link.springer.com/article/10.1007/s11605-020-04661-z .

6. ASO Author Reflections: The Influence of Surgeon Characteristics on Patient-
Centered Approaches to Treatment Decision-Making.
https://link.springer.com/article/10.1245/s10434-020-08490-x .
7. https://www.ahpba.org/

8. Tim Pawlik’s peloton challenge
https://twitter.com/kelly_haisley/status/1248232421260173312

E25 Fellows On Fellowship

Canadian Journal of Surgery — Tue, 09 Jun 2020 05:00:38 -0600

The transition from surgical residency to fellowship is a landmark step. Two fantastic surgery fellows offer us their advice on everything fellowship! Salila Hashmi and Greg Knapp are fellows in Hepato-Pancreato-Biliary and surgical oncology respectively.

We talk about applying to a fellowship, obtaining personal letters, the importance of resident electivesfor setting up fellowship opportunities, and how to get the most out of your time as a fellow. Good luck
to all fellows starting this July 1!!

Links:

1. Qualities and characteristics of successfully matched North American HPB surgery fellowship candidates: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4857058/

2.A Survey of the Complex General Surgical Oncology Fellowship
Programs Regarding Applicant Selection and Rank: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6684844/

3. MSK Global Oncology Program: https://www.mskcc.org/hcp-education-training/fellowships/international-surgical-oncology-global-cancer-disparities-fellowship

4. The surgeon and social media: Twitter as a tool for practicing surgeons: https://bulletin.facs.org/2016/06/the-surgeon-and-social-media-twitter-as-a-tool-for-practicing-surgeons/

5. NRMP (US Fellowship match): http://www.nrmp.org/match-calendars/

E24 Richard Reznick On Competency - Based Medical Education

Canadian Journal of Surgery — Tue, 02 Jun 2020 05:00:17 -0600

Dr. Reznick currently serves as dean in the Faculty of Health Sciences at Queen’s University and as chief executive officer of the Southeastern Ontario Academic Medical Organization (SEAMO). His passion for medical education contributed to the founding of the Wilson Centre, a renowned health profession education research institute based in Toronto.

In addition to ushering in competency-based medical education at Queen’s University, Dr. Reznick pioneered the objective structured clinical examination (OSCE) that is used each year to assess thousands of medical licensure applicants in Canada. Dr. Reznick’s seminal work as an educator and researcher has been recognized by organizations such as the Medical Council of Canada, Royal College of Surgeons of England and Karolinska Institutet.

In this episode we take a deep dive into competency-based medical education.

Links:

1. Eight-year outcomes of a competency-based residency training program in orthopedic surgery: https://www.tandfonline.com/doi/full/10.1080/0142159X.2017.1421751

2.Setting Up a Surgical Skills Center: https://link.springer.com/article/10.1007/s00268-007-9326-6

3. Assessing Competency in Surgery: Where to Begin?: https://linkinghub.elsevier.com/retrieve/pii/S0039606003001545

E22 David Notrica On Pediatric Trauma

Canadian Journal of Surgery — Tue, 26 May 2020 05:00:13 -0600

Dr. David Notrica (@surgery4kids on Twitter: https://twitter.com/surgery4kids) is a native of Atlanta, Georgia. He graduated Cum Laude from Duke University in 1988 and Emory University School of Medicine in 1992 where he was class president and a member of the Alpha Omega Alpha National Medical Honor Society. He completed his General Surgery residency training at Emory University in 1997 and his Pediatric Surgery Fellowship training at Texas Children's Hospital in Houston in 1999. He is an Associate Professor of Surgery at Mayo Clinic Medical School, Associate Professor at the University of Arizona College of Medicine Phoenix, and Associate Program Director for the Pediatric Surgery Fellowship at Phoenix Children's Hospital. He was one of the founding members of the ATOMAC pediatric research network. He Co-founded and co-chairs the Western Pediatric Trauma Conference, the Southwest Trauma and Acute Care Symposium, and Trauma Conference International. Dr. Notrica developed and continues to direct the Level 1 Trauma Center for Phoenix Children's Hospital.

We discuss all things pediatric surgery with Dr. Notrica, both on a clinical level but also on a systems-level.

Links:

1. ATOMAC guidelines: https://surgery4children.com/diagnoses-and-treatment/trauma/atomac-guideline/

2. Non-op management of blunt abdominal trauma in children: https://pubmed.ncbi.nlm.nih.gov/26402546/?from_term=notrica%2C+david&from_pos=2

3. Shock Index: https://journals.lww.com/jtrauma/Citation/2012/09000/Shock_Index___A_simple_clinical_parameter_for.45.aspx

E23 Rebecca Auer On Being A Surgeon - Scientist, COVID19 Vaccines, & Work - Life Harmony

Canadian Journal of Surgery — Tue, 26 May 2020 05:00:13 -0600

Dr. Rebecca Auer (@auer_r on twitter: https://twitter.com/auer_r?lang=en) is a Surgical Oncologist and translational researcher studying the impact of surgery on the immune system and subsequent cancer recurrence. In her laboratory the focus is to develop innovative cancer therapeutics that can be administered during the perioperative period and to translate these therapies to the clinic. With three active clinical studies of perioperative cancer therapies, Dr. Auer aims to improve cancer outcomes for all patients who undergo invasive cancer surgeries.

Dr. Auer talks about her training pathway, being a surgeon-scientist, developing a COVID19 vaccine, her work on vaccines and cancer, and her tips for "work-life harmony".

Links:

1. Rebecca Auer bio: http://www.ohri.ca/profile/rauer

2. Dr. Auer lab page: https://www.auerlab.com/

3. Are morbidity and mortality conferences becoming a lost art?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6440886/

4. Morbidity and mortality conferences in general surgery: a narrative systematic review: http://canjsurg.ca/63-3-e211/

5. Perioperative Influenza Vaccination Reduces Postoperative Metastatic Disease by Reversing Surgery-Induced Dysfunction in Natural Killer Cells: https://clincancerres.aacrjournals.org/content/19/18/5104.long

6. Killers 2.0: NK cell therapies at the forefront of cancer control: https://www.jci.org/articles/view/129338

E21 Keith Lillemoe on Equity in Surgery, Annals, and Bile Duct Injuries

Canadian Journal of Surgery — Tue, 19 May 2020 04:00:13 -0600

Dr. Keith D. Lillemoe received his undergraduate education at the University of South Dakota and his MD from The Johns Hopkins University School of Medicine in 1978. He served his surgical training at Hopkins and joined the faculty there in 1985, rising to the rank of Professor of Surgery in 1996. He served as Associate Program Director for the Hopkins Surgical Residency from 1993 to 2003 and Vice-Chairman of the department from 1997 to 2003. He was recognized with the Hopkins Department of Surgery Faculty Teaching Award on five occasions. In 2003, he was appointed the Jay L. Grosfeld Professor and Chairman of the Department of Surgery at the Indiana University School of Medicine. In May 2011, Dr. Lillemoe was appointed to the position of Surgeon-in-Chief and Chief of the Department of Surgery at the Massachusetts General Hospital and the W. Gerald Austen Professor of Surgery at the Harvard Medical School.

Dr. Lillemoe’s clinical research interests are in pancreatic cancer, IPMNs and other benign pancreatic disorders and biliary tract injuries. His bibliography lists over 500 journal articles and 140 book chapters. He has served as a visiting professor over 120 times and has spoken nationally and internationally on over 500 occasions. He is the former Editor of one of the leading surgical texts Surgery: Scientific Principles and Practice and is Editor-in-Chief of Annals of Surgery.

We spoke to him about his training, equity & diversity in surgery, bile duct injuries, and being the Editor-in-Chief at one of the biggest journals in the world.

Links:

1. American Surgical Association meeting address: https://www.youtube.com/watch?v=lDiYB1sIqpg

2. Bile duct injuries on Behind the Knife podcast: https://behindtheknife.org/?p=2398

3. Safe cholecystectomy consensus conference: https://journals.lww.com/annalsofsurgery/Abstract/9000/Safe_Cholecystectomy_Multi_society_Practice.94547.aspx

4. Visual Abstracts: https://www.surgeryredesign.com/resources

E20 Mohit Bhandari On Surgical Trials, Productivity And Presentations

Canadian Journal of Surgery — Tue, 12 May 2020 05:00:14 -0600

Dr. Mohit Bhandari is a orthopaedic surgeon and trialist at McMaster University. To say he is productive is an understatement; he is in the top 10 most cited orthopedic surgeons in the world. He is the recipient of numerous accolades, including the Order of Canada. In our conversation, we discuss everything from his career track to productivity to social media to the characteristics of "hyper-performers".

Links:

1. Dr. Bhandari's instagram: https://www.instagram.com/mobhandari/?hl=en

2. Bio page: https://surgery.mcmaster.ca/bio/mohit-bhandari

3. Characteristics of highly successful orthopedic surgeons in CJS: http://canjsurg.ca/wp-content/uploads/56-3-192.pdf

4. "Confounding: What is it and how do we deal with it?" paper in CJS: http://canjsurg.ca/wp-content/uploads/55-2-132.pdf

5. "Think Bigger" Lecture: https://www.youtube.com/watch?v=9kXbKp5e-28

E19 Jane Lemaire on Burnout, Resiliency and Coping during COVID

Canadian Journal of Surgery — Mon, 04 May 2020 05:16:31 -0600

Dr. Jane Lemaire in an internist at the University of Calgary and is national expert on the topic of physician wellness. In our conversation we talked about physician burnout, resiliency, and some strategies to help us cope during these incredibly challenging times.

1. Dr. Lemaire's interview with Canadian Society of Internal Medicine: https://cjgim.ca/index.php/csim/article/view/388/1004

2. Well Doc Alberta: https://www.welldocalberta.org/

3. Physician and Family Support Program: https://www.albertadoctors.org/services/pfsp

4. Wallace J, Lemaire J, Ghali W. "Physician wellness: a missing quality indicator". Lancet review paper: http://medicine.uams.edu/wp-content/uploads/sites/7/2012/10/Physician-Wellness-A-Missing-Quality-Indicator.pdf

5. Dr. Lemaire's nutrition paper, "Physician nutrition and cognition during work hours: effect of a nutrition based intervention" : https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2929232/

6. Paper in CJS "Mental toughness in surgeons: Is there room for
improvement?": http://canjsurg.ca/wp-content/uploads/2019/11/62-6-482.pdf

7. Paper in CJS "Surgeons and Astronauts: so close, yet so far apart": https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2552938/pdf/20080800s00003p247.pdf

8. Cold Steel episode with Scott Gmora on surgical training: https://soundcloud.com/cjs-podcast/e05-scott-gmora-on-surgical-training

E18 Matt Kaminsky On Cook County, Trauma Simulations, and Finding Your Path

Canadian Journal of Surgery — Thu, 30 Apr 2020 10:51:01 -0600

Dr. Matt Kaminsky is a trauma and critical care surgeon at Cook County Hospital in Chicago. He talks about what it is like to be at a high volume trauma centre like Cook County, and shares with us his pathway to getting there.

Links:

-Next generation simulation: https://youtu.be/9ZM63l2fiEc

E17 David Urbach On Checklists, Wait Times In The Time Of COVID, And Medical Devices

Canadian Journal of Surgery — Sun, 26 Apr 2020 13:34:58 -0600

David Urbach is a bariatric surgeon and health services research at Women's College Hospital in Toronto, Ontario. We had a wide ranging discussion with him where we talked checklist, the impact of the word "cancer" on patient decision-making, wait-times in Canada in the face of COVID, and medical devices in surgery.

1. David Urbach and colleagues on "Introduction of Surgical Safety Checklists in Ontario, Canada": https://www.nejm.org/doi/full/10.1056/NEJMsa1308261

2. Is WHO’s surgical safety checklist being hyped? Commentary from David Urbach and Justin Dimick in BJS. https://www.bmj.com/content/366/bmj.l4700

3. Impact of the word "cancer" in thyroid nodules paper: https://jamanetwork.com/journals/jamaoncology/article-abstract/2728810

4. wait times in Canada. Dr. Urbach's Op-ed in "The Province": https://theprovince.com/opinion/op-ed/dr-david-urbach-how-to-shorten-hospital-wait-times-in-canada

5. Centralized intake system in Edmonton. Facilitated Access to Surgical Treatment (FAST) program in Edmonton: https://www.albertahealthservices.ca/findhealth/Service.aspx?id=1080550&serviceAtFacilityID=1125938

6. David Urbach Canadian Journal of Surgery editorial, "Heroes, citizens, and the shoulders of giants": http://canjsurg.ca/wp-content/uploads/2020/03/63-2-E118.pdf

E16 Mary Brindle On Art, Ariadne Labs, And Pediatric ERAS

Canadian Journal of Surgery — Sun, 26 Apr 2020 13:20:46 -0600

Dr. Mary Brindle is a pediatric surgeon at the Alberta Children's Hospital in Calgary, Alberta. We had a unique discussion about the relationship between art and surgery, and how those two disciplines interact with each other. We also heard from Dr. Brindle about her work on updating the safe surgery checklist and her work on ERAS in pediatrics.

Links:

1. ROSCOE magazine. "Art and Surgery: A conversation between Mary Brindle and Andrew Seal: https://cags-accg.ca/wp-content/uploads/2018/10/Roscoe_II_2018_FINAL_pages.pdf

2. Dave Chang interview w/ Jerry Saltz on podcast "The Dave Chang Show": https://www.youtube.com/watch?v=YXIZY8iATv4

3. Revision of the WHO Safe Surgical Checklist: http://www.cspsteam.org/revision-of-the-who-surgical-safety-checklist

4. "Managing COVID19 in Surgical Systems" Annals of Surgery paper: https://journals.lww.com/annalsofsurgery/Citation/publishahead/Managing_COVID_19_in_Surgical_Systems.94654.aspx

5. Mary Brindle & colleagues. "Embracing Change: the era for pediatric ERAS is here": https://link.springer.com/content/pdf/10.1007/s00383-019-04476-3.pdf

6. Ariadne Labs: https://www.ariadnelabs.org/about-us/people/affiliate-members/mary-brindle/

7. The Ambassadors: https://www.nationalgallery.org.uk/paintings/hans-holbein-the-younger-the-ambassadors

8. J-M Basquiat: https://www.wikiart.org/en/jean-michel-basquiat

9. Mastery in surgery: https://www.journalacs.org/article/S1072-7515(16)31635-0/fulltext

10. Dr. Brindle's colleague David Haughton's website: https://www.haughton-art.ca/

11. Dr. Andrew Seal's website: https://thechangingpalette.com/author/seal45/

E15 Shahzeer Karmali On Bariatrics And Dealing With Industry

Canadian Journal of Surgery — Tue, 14 Apr 2020 20:48:16 -0600

In this episode, we had the opportunity to talk to Dr. Shahzeer Karmali. Dr. Karmali is a minimally invasive and bariatric surgeon in Edmonton, Alberta. He gave us a masterclass on the common types of bariatric operations, post-op care, and gives an overview of bariatric complications. He also discusses his fascinating research of the impact of bariatric surgery on intra-cranial hypertension. Finally, he talks about how to navigate a relationship with industry.

Links:
1. Complications associated with laparoscopic sleeve gastrectomy for morbid obesity: a surgeon's guide. This is one of the top 10 highest viewed papers published in the Canadian Journal of Surgery. http://canjsurg.ca/vol56-issue5/56-5-347/
2. Complications associated with adjustable gastric banding for morbid obesity: a surgeon’s guide: http://canjsurg.ca/vol54-issue1/54-1-61/
3. Idiopathic intracranial hypertension and bariatric surgery: a systematic review: https://www.ncbi.nlm.nih.gov/pubmed/32195557

E14 COVID19 with Neil Parry And Morad Hameed

Canadian Journal of Surgery — Wed, 01 Apr 2020 15:07:48 -0600

In this episode, we are joined by repeat guests Dr. Morad Hameed (@moradhameed) and Dr. Neil Parry to talk about how surgeons across the country have adapted to COVID. We also talk about the impact COVID has had on final year residents across the country. Finally, we discuss the basics of COVID management.

Dr. Neil Parry joined the staff at London Health Sciences Centre and the Department of Surgery at Western in July 2003 as an Assistant Professor. He was promoted to Associate Professor in July 2010. He has served as the Medical Director of Critical Care, Victoria Hospital, LHSC and is currently the Director of Trauma for London Health Sciences Centre. He has held several leadership roles with the Trauma Association of Canada and is the Provincial Chair of the Committee on Trauma for the American College of Surgeons.

Links:

1. SCCM Guide to COVID management for non-intensivists: https://sccm.org/covid19

2. UBC Reticulum. This online platform developed by BC surgeons has been utilized extensively by surgeons across the country to communicate about COVID. https://www.ubcreticulum.com/

3. CBC News article on cancelled Royal College exams: https://www.cbc.ca/news/canada/hamilton/resident-doctors-certification-covid-1.5510028

4. The Behind the Knife podcast (https://behindtheknife.libsyn.com/) has had some excellent episodes recently on ventilator & COVID management.

5. Surviving Sepsis Campaign: Guidelines on the Management of Critically Ill Adults with Coronavirus Disease 2019 (published March 2020) is available https://bit.ly/3dB9H2Z

6. Traumacast also has an excellent episode on the management of COVID. https://open.spotify.com/show/1CnoyxwOXlARa9Kd69zsA)

7. Re-listen to our episode with Dr. Kirkpatrick on telementoring: https://soundcloud.com/cjs-podcast/e06-andy-kirkpatrick

E13 Emilie Joos On Global Surgery

Canadian Journal of Surgery — Tue, 31 Mar 2020 06:40:22 -0600

Dr. Emilie Joos (@EmilieJoos) is a trauma surgeon at the Vancouver General Hospital. She is also a Canadian leader in global surgery. We talked about the global response to the Haiti earthquake, challenges in global surgery, and advice to trainees interested in global surgery.

Links:

1. Surgical Response to Humanitarian Crisis in ROSCOE magazine: https://cags-accg.ca/wp-content/uploads/2018/10/Roscoe_II_2018_FINAL_pages.pdf

2. Dr. Joos's global surgery projects: https://internationalsurgery.med.ubc.ca/global-initiatives/projects/international-projects/

3. McGill Global Surgery webpage: https://www.mcgill.ca/generalsurgery/resident-information/global-surgery

4. Program for Global Surgery & Social Change (PGSSC):https://www.pgssc.org/

5. Lucille Tisdale: https://www.thecanadianencyclopedia.ca/en/article/lucille-teasdale

6. Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial. South African trial: https://www.ncbi.nlm.nih.gov/pubmed/23604058

E12 Philip Dawe On Leadership And Military Surgery

Canadian Journal of Surgery — Sat, 28 Mar 2020 12:27:56 -0600

Dr. Philip Dawe is a trauma surgeon at the Vancouver General Hospital. He has a truly unique perspective having been both a military and civilian trauma surgeon. We talked to him about leadership, what we can learn from the military, and his path to becoming a trauma surgeon.

Links:

-A descriptive study of US Special Operations Command fatalities, 2001 to 2018: https://journals.lww.com/jtrauma/Abstract/2019/09000/A_descriptive_study_of_US_Special_Operations.24.aspx

-"Are morbidity and mortality conferences becoming a lost art?" http://canjsurg.ca/wp-content/uploads/2019/03/62-2-76.pdf

E11 Masterclass with Neil Parry on Trauma Resuscitation, REBOA And Mentorship

Canadian Journal of Surgery — Wed, 25 Mar 2020 06:01:50 -0600

Neil Parry breaks down trauma resuscitation, whole blood in Canada, REBOA, and pelvic packing. We even delve into duodenal and pancreatic trauma!

Neil Parry is a practicing trauma surgeon in London Health Sciences Centre in London, Ontario.

Link:

-Five Things They Don't Teach in You Medical School: https://canjsurg.ca/vol59-issue5/59-5-296/

-Trauma surgery associations and societies: which organizations match your goals?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4065540/

E10 Tony MacLean On Examsmanship

Canadian Journal of Surgery — Thu, 05 Mar 2020 11:19:30 -0700

In this episode, we talked about a really important topic to trainees: exams! Dr. Tony MacLean is a colorectal surgeon at the Foothills Hospital in Calgary. He is also the new head of the Royal College General Surgery exam committee. He talked to us about how to prepare for oral examinations, become a competitive applicant for fellowship programs, and get the most out of residency.

E09 Frances Wright On Nodal Disease In Melanoma

Canadian Journal of Surgery — Thu, 05 Mar 2020 11:13:51 -0700

In this episode we were lucky to have Dr. Frances Wright! Dr. Wright (@franceswright15) is a surgical oncologist at Sunnybrook Hospital in Toronto. She dissected out the topic of nodal management of melanoma for us. She also talked about her groundbreaking work in IL-2 injections for in-transit disease, her research on the patient-experience in cancer, as well as how to get involved in large, multicentre trials.

Links:
1. Complex abdominal wall hernias as a barrier
to quality of life in cancer survivors. http://canjsurg.ca/wp-content/uploads/2019/05/62-3-162.pdf

2. MSLT1: https://www.nejm.org/doi/full/10.1056/nejmoa1310460

3. MSLT2: https://www.nejm.org/doi/full/10.1056/NEJMoa1613210

3. MelMarTII Trial: https://twitter.com/CDNCancerTrials/status/1225156142449549312

E08 Masterclass with Sav Brar On Gastric Cancer

Canadian Journal of Surgery — Wed, 19 Feb 2020 11:43:27 -0700

In this episode, Dr. Sav Brar (https://twitter.com/savbrar) gives a masterclass on gastric cancer. Dr. Brar is a surgical oncologist at Mount Sinai Hospital in Toronto, specializing in gastric cancer and sarcoma. He is also the new program director for the general surgery residency program in Toronto!

Links:
1. "Bilroth+Brahm" article in ROSCOE: https://cags-accg.ca/wp-content/uploads/2017/10/ROSCOE_Final-PDF.pdf

2. "Sleep is for the Strong" article in ROSCOE: https://cags-accg.ca/wp-content/uploads/2018/10/Roscoe_II_2018_FINAL_pages.pdf

E07 Paul Greig On Transplantation, Surgical Education, And Retiring From Surgery

Canadian Journal of Surgery — Wed, 19 Feb 2020 11:29:12 -0700

In this episode, we sat down with a true legend of transplant. Dr. Greig is a recently retired transplant surgeon at the University of Toronto. He is renowned for developing the transplant program in Toronto, and for his teaching of residents and fellows. We talked to him about setting up a transplant program, his thoughts on Competency By Design (CBD) and how to make a graceful transition to retirement.

Links:

1. Dr. Greig's piece on Bernie Langer's induction into the Canadian Medical Hall of Fame:
http://canjsurg.ca/wp-content/uploads/2015/03/58-2-80.pdf

2.'‘Fab Four’ celebrated for accomplishments in UHN Transplant Program': https://www.uhn.ca/corporate/News/Pages/Fab_Four_celebrated_for_accomplishments_in_UHN_Transplant_Program.aspx

E06 Andy Kirkpatrick on Telementoring, Trauma Research, and the Trip to Mars

Canadian Journal of Surgery — Wed, 29 Jan 2020 02:00:20 -0700

In this episode we had the pleasure of talking to Dr. Andy Kirkpatrick, a trauma surgeon at the University of Calgary. Our discussion focused on some of Dr. Kirpatrick's unique research interests: telementored ultrasound and space medicine. Buckle up!

Links:

1. Telementoring in Austere Environments: http://canjsurg.ca/supplement-the-canadian-armed-forces-supplement-on-military-medicine-caring-for-the-wounded-in-the-future/58-3-s88/

2. 2010 Trauma Association of Canada Presidential Address: Why the
Trauma Association of Canada Should Care About Space Medicine: https://www.traumacanada.org/wp-content/uploads/2017/10/Kirkpatrick-TAC-2010-Presidential-Address-Trauma-in-Space-Spinoffs-J-Trauma-2011.pdf

3. Remote just-in-time telementored trauma ultrasound: a double-factorial randomized controlled trial examining fluid detection and remote knobology control through an ultrasound graphic user interface display: https://www.americanjournalofsurgery.com/article/S0002-9610(16)30111-8/abstract

E05 Scott Gmora on surgical training

Canadian Journal of Surgery — Tue, 14 Jan 2020 06:12:21 -0700

In this episode, we had the pleasure of interviewing Dr. Scott Gmora. Dr. Gmora is a minimally invasive and bariatric surgeon at McMaster University. He did his medical school at Queen's, residency in Calgary, trauma fellowship in Miami and bariatric fellowship at St. Luke-Roosevelt Hospital in New York under Dr. Texeira.

In this episode, we had a blast talking about a wide range of topics, and in particular, we discuss the challenges of surgical training in an era of restricted work hours. Dr. Gmora had some brilliant strategies of how to get the most of out of training. This is a must-listen for every surgical resident.

Links:

1. Dr. Gmora's paper on chest tube complications in Canadian Journal of Surgery:
http://canjsurg.ca/wp-content/uploads/2014/03/50-6-450.pdf

2. "The Coach in the Operating Room" by Atul Gawande. Published in the New Yorker in September 2011:
https://www.newyorker.com/magazine/2011/10/03/personal-best

3. Jocko Wiilink "Good":
https://www.youtube.com/watch?v=IdTMDpizis8

E04 CSF edition: Kelly Vogt on the Evolution of ACS & Tips for a Career in Academic Surgery

Canadian Journal of Surgery — Sun, 15 Sep 2019 07:55:26 -0600

We recorded this interview at the Canadian Surgical Forum (CSF), the annual national conference that brings together surgeons from across Canada. We sat down with Dr. Kelly Vogt, a trauma and acute care surgeon practicing in London, Ontario. We discussed her paper looking at the complete caseload of patients for an Acute Care Surgery (ACS) service and what that means for the evolution of ACS in the future. She also shared her advice for starting out in academic surgery.
Links:

1. van Zyl T, Murphy P, Allen L, Parry N, Leslie K, Vogt K. Beyond just the operating room: characterizing the complete caseload of a tertiary acute care surgery service. Can J Surg 2018;61(4):264-269
https://canjsurg.ca/wp-content/uploads/2018/07/61-4-264.pdf

2. https://www.canadiansurgeryforum.com/

E03 Tony Gomes on Professionalism in Surgery & Surgical Satisfaction

Canadian Journal of Surgery — Sun, 15 Sep 2019 07:45:26 -0600

Tony Gomes is a busy community general surgeon and has been a important mentor for many of us. He discusses the consensus statement by the Canadian Association of General Surgeons early on in the dissemination of advanced laparoscopic techniques in Canada. He also talked about professionalism in surgery and "surgical satisfaction".

The links to both of Dr. Gomes's papers in CJS are linked below:

1. "Canadian consensus conference on the development of training and practice standards in advanced minimally invasive surgery": https://www.albertahealthservices.ca/assets/programs/ps-1009154-2009-08-consensus-conference-cmj.pdf
2. "Professionalism - connecting the past and the present and a blueprint for the Canadian Association of General Surgeons": https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386326/pdf/20080400s00003p88.pdf

E02 Morad Hameed on Process-Mapping in ACS

Canadian Journal of Surgery — Wed, 07 Aug 2019 14:42:56 -0600

We were thrilled to have Dr. Morad Hameed on Cold Steel! Dr. Morad Hameed is a trauma surgeon at Vancouver General Hospital (VGH) and is currently the head of the Division of General Surgery for the University of British Columbia and VGH. We talk in detail about his paper "Process mapping as a framework for performance improvement in emergency general surgery" published in CJS. We also get his thoughts on what inspired him to pursue surgery, his reflections on diversity in surgery, and why public health approaches should be adopted by surgeons.

You can access his article for free at: https://canjsurg.ca/61-1-13/
Also check out the website of his company: http://www.t6healthsystems.com/

As always, please leave us a review on iTunes, tweet at us @CanJSurg or email us at podcast.cjs@gmail.com

E01 Robin McLeod on EBRS and a life in surgery

Canadian Journal of Surgery — Mon, 05 Aug 2019 10:21:12 -0600

We are absolutely delighted to have Dr. McLeod as our first guest on Cold Steel. Dr. McLeod is a colorectal surgeon and has had a long and productive career both clinically as a surgeon and academically as a clinical trialist. She also has had a longstanding interest in quality improvement and evidence-based medicine. In the podcast, we talk to her about her work on Evidence-Based Reviews in Surgery (first published in CJS) as well as about her life, career and advice for trainees.

Check out all the EBRS reviews at the link below:
https://ebrs.online/published-reviews/