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Cold Steel: Canadian Journal of Surgery Podcast
59 minutes | Jun 15, 2021
E80 Ken Mattox On Trauma Textbook, TCCACS Conference, And The Courage To Challenge The Status Quo
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 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.
63 minutes | Jun 8, 2021
E79 Leena Yousefi On Physician Divorce
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.
49 minutes | Jun 1, 2021
E78 Brian Cameron On Global Surgery
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.
36 minutes | May 25, 2021
E77 Masterclass With Colin Schieman On Lung Nodules And Lung Cancer Screening
E77 Masterclass With Colin Schieman On Lung Nodules And Lung Cancer Screening by Canadian Journal of Surgery
35 minutes | May 25, 2021
E76 Colin Schieman On Direct Entry Training And Intra Operative Teaching
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.
66 minutes | May 18, 2021
E75 Peter Angelos On Surgical Ethics, Informed Consent, Paternalism, And The Limits Of Disclosure
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.
42 minutes | May 11, 2021
E74 Jessica Grossman On Life With A Stoma
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/
55 minutes | May 4, 2021
E73 Lawrence Gillman On Coping With Loss
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 Sandy Widders 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.
32 minutes | Apr 27, 2021
E72 Clay Cothren On Pelvic Packing And Blunt Cerebrovascular Injuries (BCVI)
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.
56 minutes | Apr 20, 2021
E71 Mark Soliman On Robotic Colorectal Surgery And Video in Surgical Education
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.
67 minutes | Apr 7, 2021
E70 Dan Vanhooren On Teams, Teamwork, And Coaching
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.
71 minutes | Mar 29, 2021
E69 Masterclass With Marcus Burnstein On Perianal Abscess And Fistula
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.
55 minutes | Mar 23, 2021
E68 Melissa Red Hoffman On Writing And Surgical Palliative Care
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.
39 minutes | Mar 16, 2021
E67 Paul Duffy On Sabbaticals
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.
66 minutes | Mar 9, 2021
E66 Vahagn Nikolian On Telehealth
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.
61 minutes | Mar 2, 2021
E65 Masterclass With Jesse Pasternak On Parathyroid Disease
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.
64 minutes | Feb 23, 2021
E64 Ahmer Karimuddin On The Struggling Trainee, CaRMS, & Resident Selection
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/
51 minutes | Feb 16, 2021
E63 Shane DiNapoli On Physician Finances, Professional Corporations, And Financial Planning
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/
42 minutes | Feb 9, 2021
E62 Andrea MacNeill On Planetary Health In The Operating Room
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.
57 minutes | Feb 2, 2021
E61 Masterclass with Michael D'Angelica on Colorectal Liver Metastases
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. 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.
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