Episodes

  • Resident Involvement in Lawsuits

    Resident Involvement in Lawsuits
    Jun 27 2024
    Most surgeons know about malpractice lawsuits, but did you know that residents and even medical students can be involved in them? Join us for a discussion of what happens when patients sue their treatment teams -- and what happens when those teams involve trainees.

    Host: Nina Clark, MD, MS

    Guests:
    Cindy Hamra, JD, MA     is an associate dean in the GME Office at the University of Washington School of Medicine, where she leads the operational, administrative and finance functions. UW School of Medicine is sponsors clinical training for over 1600 medical and dental residents in fellows in over 200 programs. UW Medicine, through the School of Medicine, is the largest sponsor of GME programs in the five-state WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho).

    Lisa Hammel, JD is the senior director of clinical risk management for UW medicine. Prior to that, she spent over 20 years as a defense attorney primarily working in medical malpractice and professional liability defense.

    References:
    American College of Surgeons: https://www.facs.org/for-medical-professionals/news-publications/journals/rise/articles/litigation-overview/

    AMA: https://www.ama-assn.org/medical-residents/residency-life/resident-medical-liability-lawsuits-why-and-how-often-they-happen

    JAMA Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5833625/ & https://jamanetwork.com/journals/jamasurgery/article-abstract/2670456

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    43 mins
  • Appendiceal Masses

    Appendiceal Masses
    Jun 24 2024
    Join Drs. Scott Steele and Dan Scheese as they engage in an in-depth conversation with Dr. Michael Valente about the intricate world of appendiceal masses, including carcinoid, adenocarcinoma, and mucinous neoplasms. Despite the complexity of the subject, this episode skillfully deconstructs the topic through the analysis of three distinct cases, illuminating the latest terminology, diagnostic approaches, and management strategies.

    Hosts:
    Scott Steele, MD (@ScottRSteeleMD)
    Dan Scheese, MD (@DanScheese13)

    Guest:
    Michael Valente, MD (@DrMikeValente) is an Associate Professor of Surgery at the Cleveland Clinic and Program Director of the colon and rectal residency program. Dr. Valente's specialty and research interests include cancer of the appendix, peritoneum, colon, rectum and anus, cytoreductive surgery/HIPEC, complex re-operative surgery, inflammatory bowel disease, advanced endoscopic techniques, laparoscopic and minimally invasive colorectal surgery, and surgical education. Dr. Valente has published numerous peer-reviewed journal articles and book chapters and has presented his research interests both nationally and internationally.

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    30 mins
  • Surgical M&M: Can We Do Better?

    Surgical M&M: Can We Do Better?
    Jun 20 2024
    M&M - we all do it, but what is its purpose? Join Jason and Nina as they talk to two experts about why we present at all, and what we can do to better reach the educational and quality improvement goals of morbidity and mortality conference.

    Hosts: Jason Bingham, Nina Clark

    Panelists
    • Keith Lillemoe, MD
      • Chief of Surgery, Massachusetts General Hospital
      • Professor of Surgery at the Harvard Medical School
    • Luise Pernar, MD, MHPE
      • Bariatric Surgeon
      • Associate Professor of Surgery, Boston University Chobanian and Avedisian School of Medicine
    References
    https://jamanetwork.com/journals/jamasurgery/article-abstract/2810740
    https://pubmed.ncbi.nlm.nih.gov/26649585/

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

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    44 mins
  • Dominate the Match - Episode 7: Applying to Residency as an International Medical Graduate - Part 2 of 2

    Dominate the Match - Episode 7: Applying to Residency as an International Medical Graduate - Part 2 of 2
    Jun 17 2024
    It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. This year, we have been focusing on the special challenges International Medical Graduates face when applying to US surgical residency positions. In our previous episode, we discussed how residents can make their applications stand out to program directors. Today, we will explore the unique challenges, experiences, and the future of IMGs with special guest Dr. Hasan Alam.

    Guests:
    Hasan Alam, MD- Chair of the Department of Surgery and Professor of Surgery (Trauma and Critical Care) and Cell and Developmental Biology- Northwestern University

    Previous DOMINATE the Match Episodes:
    Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations)
    https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/

    Episode 3- “The Interview”
    https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/

    Episode 4- “Rank and Match”
    https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    35 mins
  • Dominate the Match - Episode 6: Applying to Residency as an International Medical Graduate - Part 1 of 2

    Dominate the Match - Episode 6: Applying to Residency as an International Medical Graduate - Part 1 of 2
    Jun 13 2024
    It’s that time of year (again!)- when medical students- both US and International- are preparing their residency applications. In this episode, we will focus on the special challenges International Medical Graduates face when applying to US surgical residency positions and discuss tips and tricks for making IMG residency applicants standout to program directors in the US.

    Guests:
    David Hughes, MD- Clinical Associate Professor of Endocrine Surgery and General Surgery Residency Program Director- University of Michigan
    Krishnan Raghavendran, MBBS- Professor of Acute Care Surgery and Critical Care- University of Michigan

    Link to video:
    You can watch Dr. Hughes’s full presentation here: https://youtu.be/iQ0CzH7xHwE

    Previous DOMINATE the Match Episodes:

    Episode 2- “Choose Me” (Personal Statements and Letters of Recommendations)
    https://behindtheknife.org/podcast/dominate-the-match-episode-2-choose-me/

    Episode 3- “The Interview”
    https://behindtheknife.org/podcast/dominate-the-match-episode-3-the-interview/

    Episode 4- “Rank and Match”
    https://behindtheknife.org/podcast/dominate-the-match-episode-4-rank-and-match/

    Residency Program Lists:
    - FREIDA Residency and Fellowship Database: https://freida.ama-assn.org/
    - Doximity: https://www.doximity.com/residency/?utm_campaign=marketing_resnav_competitor_broad_20210520&utm_source=google&utm_medium=cpc&gclid=CjwKCAjwt52mBhB5EiwA05YKo1J47BLAtTPtsJBmVvXGP2pDXLLqgDIwM0pgkSYjoBhFUOO1ktXDYRoC2bkQAvD_BwE

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    31 mins
  • Journal Review in Minimally Invasive Surgery: Robotic Cholecystectomy and Bile Duct Injury

    Journal Review in Minimally Invasive Surgery: Robotic Cholecystectomy and Bile Duct Injury
    Jun 10 2024
    Laparoscopic cholecystectomy was introduced approximately 30 years ago and quickly became the gold standard due to multiple benefits over open cholecystectomy. It ushered in the laparoscopic revolution but also increased the number of bile duct injuries. Through the dedicated efforts of many the rate of bile duct injury has been reduced, now mirroring open cholecystectomy. The robotic surgery revolution is well underway and unsurprisingly this technology has been applied to cholecystectomy. Given the devastating nature of bile duct injury and the history of increased injury with the last major shift in operative approach, we examine the current literature on the comparative safety of robotic-assisted cholecystectomy vs. laparoscopic cholecystectomy.

    1. Andrew Wright, UW Medical Center – Montlake and Northwest, @andrewswright
    2. Nick Cetrulo, UW Medical Center - Northwest, @Trules25
    3. Nicole White, UW Medical Center - Northwest
    4. Paul Herman, UW General Surgery Resident PGY-3, @paul_herm
    5. Ben Vierra, UW General Surgery Resident PGY-2 @benvierra95

    Learning objectives:

    1. Examine the history of the laparoscopic cholecystectomy and review the efforts to reduce bile duct injury (SAGES Safe Cholecystectomy Task Force and Multi-Society Practice Guideline)
    2. Review literature on causes and prevention of bile duct injury
    3. Review a recent article on robotic cholecystectomy vs laparoscopic cholecystectomy outcomes
    4. Describe precautions that might mitigate expected increase in bile duct injury as a new approach is applied

    References
    1. https://www.sages.org/publications/guidelines/safe-cholecystectomy-multi-society-practice-guideline/
    2. https://www.sages.org/safe-cholecystectomy-program/
    3. MacFadyen BV Jr, Vecchio R, Ricardo AE, Mathis CR. Bile duct injury after laparoscopic cholecystectomy. The United States experience. Surg Endosc. 1998 Apr;12(4):315-21. doi: 10.1007/s004649900661. PMID: 9543520. https://pubmed.ncbi.nlm.nih.gov/9543520/
    4. Keus F, de Jong JA, Gooszen HG, van Laarhoven CJ. Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev. 2006 Oct 18;(4):CD006231. doi: 10.1002/14651858.CD006231. PMID: 17054285. https://pubmed.ncbi.nlm.nih.gov/17054285/
    5. Way LW, Stewart L, Gantert W, Liu K, Lee CM, Whang K, Hunter JG. Causes and prevention of laparoscopic bile duct injuries: analysis of 252 cases from a human factors and cognitive psychology perspective. Ann Surg. 2003 Apr;237(4):460-9. doi: 10.1097/01.SLA.0000060680.92690.E9. PMID: 12677139; PMCID: PMC1514483. https://pubmed.ncbi.nlm.nih.gov/12677139/
    6. Kalata S, Thumma JR, Norton EC, Dimick JB, Sheetz KH. Comparative Safety of Robotic-Assisted vs Laparoscopic Cholecystectomy. JAMA Surg. 2023;158(12):1303–1310. doi:10.1001/jamasurg.2023.4389 https://pubmed.ncbi.nlm.nih.gov/37728932/

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    32 mins
  • Association of Out Surgeons & Allies (AOSA) - Episode 4: Gender Affirming Care and Gender Affirming Surgery

    Association of Out Surgeons & Allies (AOSA) - Episode 4: Gender Affirming Care and Gender Affirming Surgery
    Jun 6 2024
    Join for the forth episode in the Association of Out Surgeons & Allies (AOSA) series for a discussion on gender affirming care and gender affirming surgery.

    Host:
    Dan Scheese, MD
    Andrew Schlussel, DO, Colorectal and General Surgeon, Charlie Norwood VA Medical Center

    Guests:
    1. Dr. Megan Lane (She/her)
    megalane@med.umich.edu
    Dr. Lane is a Plastic Surgery resident at the University of Michigan who is planning on going into Gender Affirming Surgery and general reconstruction, she completed a research fellowship in the National Clinician Scholars Program and focused primarily on patient-reported outcomes in gender affirming surgery.

    2. Dr. Scott Chaiet (he/him/his/himself)
    chaiet@surgery.wisc.edu
    Dr. Chaiet is double board certified by the American Board of Otolaryngology and the American Board of Facial Plastic & Reconstructive Surgery and is currently at the University of Wisconsin. His areas of expertise include rhinoplasty and facial gender surgery. He also practices reconstructive surgery including facial paralysis reanimation. His gender affirming practice includes all areas of the face and Adam’s apple except for hair.

    3. Dr. Amy Suwanabol
    pasuwan@med.umich.edu
    Amy Suwanabol is a colorectal surgeon at the University of Michigan and the Ann Arbor VA. She assists the gender affirming surgeons at the University of Michigan in performing robotic assisted vaginoplasty. Her research focuses on optimizing quality of life among surgical patients and their families, surgeon well being, and cancer survivorship.

    4. Dr. Monica Llado-Farrulla
    lladofar@ohsu.edu
    Dr. Llado-Farulla was born and raised in Puerto Rico, completed a residency in general surgery and then plastic surgery at Tulane and Penn, respectively. She pursued a year of training in advanced gender surgery and is now currently at OHSU, her practice largely focuses on facial feminization, chest affirming surgeries, phalloplasty, autologous breast reconstruction, and limb salvage.

    5. Dr. Michele “Mike” Fascelli (he/him/his)
    FASCELM2@ccf.org
    Dr. Fascelli is a practicing reconstructive urologist at Cleveland Clinic. He comppleted his urology training at the Cleveland Clinic in Ohio and then fellowship in urogenital gender affirming surgery with the urology team at OHSU with Dr. Llado-Farulla. He is now the Director of Urogenital Reconstruction and Co-Director of the Gender Affirming Surgery Program at Cleveland Clinic. He is very committed to LGBTQIA+ urologic access and actively works to protect and expand care to the rainbow community, and to our trans and gender diverse patients. His practice is currently focused on queer urologic health concerns and genital gender surgery (i.e. vaginoplasty, metoidioplasty and phalloplasty).

    Learn more and get involved with AOSA: https://www.outsurgeons.org

    Twitter/X: @OutSurgeons

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    44 mins
  • So, You Want to be a Cardiac Surgeon?: Training Paradigms

    So, You Want to be a Cardiac Surgeon?: Training Paradigms
    Jun 3 2024
    Interested in cardiac surgery? The training paradigm for cardiac surgery has changed significantly over the past decade and we know may students often struggle when deciding what pathway is best for them. For this episode, we assembled a robust team of attendings, fellows, and residents to discuss their journey as well as some of the research that has been conducted about these different pathways to help guide students navigating this decision.

    Hosts:
    - Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15

    Guests:
    - Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman

    - Jolian Dahl, MD, MSc- Integrated Thoracic Surgery Resident (PGY-6), University of Virginia, @JolianDahl

    - Lyndsey Wessels, MD- Traditional Thoracic Surgery Resident (CT-1), University of Virginia, @LyndseyWessels

    Articles Referenced:

    - Pathways to Certification: https://www.abts.org/ABTS/CertificationWebPages/Pathways%20to%20Certification.aspx

    - Narahari AK, Patel PD, Chandrabhatla AS, Wolverton J, Lantieri MA, Sarkar A, Mehaffey JH, Wagner CM, Ailawadi G, Pagani FD, Likosky DS. A Nationwide Evaluation of Cardiothoracic Resident Research Productivity. Ann Thorac Surg. 2024 Feb;117(2):449-455. doi: 10.1016/j.athoracsur.2023.08.011. Epub 2023 Aug 26. PMID: 37640148; PMCID: PMC10842395
    https://pubmed.ncbi.nlm.nih.gov/37640148/

    - Bougioukas L, Heiser A, Berg A, Polomsky M, Rokkas C, Hirashima F. Integrated cardiothoracic surgery match: Trends among applicants compared with other surgical subspecialties. J Thorac Cardiovasc Surg. 2023 Sep;166(3):904-914. doi: 10.1016/j.jtcvs.2021.11.112. Epub 2022 Mar 22. PMID: 35461707.
    https://pubmed.ncbi.nlm.nih.gov/35461707/

    For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.

    If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
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    35 mins