Clinical Challenges in Trauma Surgery: Traumatic Rib Fractures
In this episode, our team discusses the management of traumatic rib fractures including pearls and pitfalls. Join as we discuss the current standards of treatment as well as controversies in how to manage these patients! Hosts: Elliott R. Haut, MD, PhD, a senior, nationally recognized name in trauma and acute care surgery at Johns Hopkins University. Dr. Haut is a past president of The Eastern...
22m Oct 06, 2022
22m
Journal Review in Minimally Invasive Surgery: The Cost of Robotic Surgery
On the University of Washington Minimally Invasive Surgery team’s search for value no piggy bank is safe and no couch cushion will be left unturned. Tune in to hear Drs. Mike Weykamp, Nicole White, Nick Cetrulo, and Andrew Wright discuss the state of the literature regarding the cost-effectiveness of robot assisted surgery. Referenced Articles: 1.     Ye L, Childers CP, de Vigilio M, Shenoy R,...
22m Oct 03, 2022
22m
Dominate the Match - Episode 3: “The Interview”
You’ve finally submitted your ERAS application! As residency programs start to review your application, it’s time to start preparing for the next step- the interview. Join our education fellow, Dr. Jessica Millar, and Dr. Jeremy Lipman as they go over all the ways to start preparing to dominate your interviews. Guests: Jeremy Lipman, MD, MHPE- Professor of Colorectal Surgery, Designated Instit...
37m Sep 26, 2022
37m
Clinical Challenges in Bariatric Surgery: Revisional Bariatric Surgery
The number of patients seeking evaluation for revisional bariatric surgery is increasing. Wondering how to approach the work-up for these patients and what surgical options may be best for them? An introduction to the work-up and potential revisional bariatric surgery options are included in this episode from your bariatric surgery team at UNMC! Hosts: Ivy Haskins, MD Corrigan McBride, MD Tiff...
33m Sep 22, 2022
33m
Clinical Challenges in Transplant Surgery: Heart & Liver Transplant
In this episode we discuss two interesting cases in transplant surgery. In the first, we review a case in which a renal cell carcinoma was discovered during the backbench portion of a deceased donor kidney transplant procedure. In the second, we examine the unique challenges that are presented by simultaneous heart-liver transplantation. Learning Objectives: - Discuss renal cell carcinoma in t...
22m Sep 19, 2022
22m
Journal Review in Colorectal Surgery: Kono-S Anastomosis and Stem Cells in Crohn’s Disease
You are faced with a young patient with ileal Crohn’s disease. He requires an ileocolic resection. Which type of anastomosis do you perform? You also see another patient with complex perianal fistulas and the patient asks about the safety and efficacy of stem cells for fistula closure. What do you tell the patient? Join Dr. Carole Richard, Dr. François Dagbert and Dr. Maher Al Khaldi in their ...
35m Sep 15, 2022
35m
Clinical Challenges in Pediatric Surgery: Congenital Diaphragmatic Hernia
Please join Drs. Brian Gray, Amanda Jensen and Manisha Bhatia from Indiana University as they discuss  management of congenital diaphragmatic hernia in pediatric surgery. Journal Article links: Jancelewicz T, Brindle ME. Prediction tools in congenital diaphragmatic hernia. Semin Perinatol 2020;44(1):151165. https://pubmed.ncbi.nlm.nih.gov/31676044/ Deprest JA, Benachi A, Gratacos E, Nicolaides...
29m Sep 12, 2022
29m
Journal Review in Surgical Oncology: Completion Dissection or Observation for Sentinel-Node Metastasis in Melanoma
What is the value of completion lymph node dissection for patients with melanoma with sentinel-node metastases? The Multicenter Selective Lymphadenectomy Trial-1 (MSLT-1) confirmed that SLNB is an important part in the treatment of patients with melanoma, but what needed to be done beyond that in managing the axilla? Learning Objectives: In this episode, we review perioperative chemotherapy r...
16m Sep 08, 2022
16m
Coding and Billing: What, Why, and How
Join BTK's Dr. Scott Steele and Dr. Jason Bingham as they discuss coding and billing with Dr. Sarah Vogler. Please visit https://behindtheknife.org (https://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our Financial Principles for Surgeons series here (https://behindtheknife.org/podcast-series/financial-prin...
29m Sep 05, 2022
29m
BTK General Surgery Oral Board Review – Sample Episode 6 - Hyperparathyroidism
Our oral board review course includes 92 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the o...
22m Sep 01, 2022
22m
BTK General Surgery Oral Board Review - Sample Episode 5 - Rectal Cancer
Our oral board review course includes 92 scenarios that meticulously cover 115 SCORE core topics. Each scenario includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the o...
23m Aug 29, 2022
23m
Journal Review in Surgical Palliative Care: Advance Care Planning, Serious Illness Conversations and Perioperative Decision Making
Welcome to the second Surgical Palliative Care Journal Club, number four of a six-part series focused on the integration of palliative care into the practice of surgery.  Join us as we discuss the value of utilizing an advance care planning video during surgical oncologic care and define the similarities and differences between advance care planning and serious illness communication.  We then e...
30m Aug 25, 2022
30m
Clinical Challenges in Surgical Education: Competency-Based Education
Surgical training is evolving, and with advancing surgical techniques, the traditional “time-served” model of residency may not best serve the needs of our learners or patients.  In this episode, we discuss recent efforts at the Indiana University surgical education program to implement a comprehensive laparoscopic cholecystectomy that utilizes all of the best practices of competency-based educ...
40m Aug 22, 2022
40m
Journal Review in Breast Surgery: Evolution of DCIS Management
Ductal carcinoma in situ, or DCIS, is a precursor lesion to invasive breast cancer; however, not all DCIS becomes invasive cancer. Given our inability to accurately determine which DCIS lesions will progress, current clinical management consists of surgical resection for everyone with the possible additions of radiation and endocrine therapy. Multiple clinical trials and leaders in the field of...
37m Aug 18, 2022
37m
Clinical Challenges in Trauma Surgery: Penetrating Great Vessel Injury
We are facing a difficult case tonight: stab wound to the base of the left neck. Hope you know your anatomy well and are ready for a ride. Let’s see how one manages a patient whose injury is life threatening, a challenge to correctly diagnose, approach and repair. Join Drs. Urréchaga, Neeman, and Rattan from Ryder Trauma Center in Miami as they go through a real case trying to save a life and ...
25m Aug 15, 2022
25m
Dominate the Match - Episode 2: "Choose Me"
Personal Statements and Letters of Recommendations- two things that can make or break any residency or fellowship application. Join our education fellow, Dr. Jessica Millar, Dr. David Hughes, and Dr. Gifty Kwakye as they discuss what makes a truly great personal statement and how to compile a strong team for your letters of recommendation. Guests: David Hughes, MD- Clinical Associate Professor...
27m Aug 11, 2022
27m
Dominate the Match - Episode 1: Meet the Match
It’s that time of year- when medical students across the country are preparing their residency applications. The process can be a bit daunting, and there have been a number of changes to process over the past few years. Join our education fellow, Dr. Jessica Millar, and Dr. David Hughes as they review the “nuts and bolts” of this year’s residency application cycle. Guests: David Hughes, MD- Cl...
22m Aug 08, 2022
22m
Common and Critical Intern Dilemmas Part 2 - Behind The Knife Medical Student and Intern Survival Guide
Bringing back an oldie but a goodie - Join Dr. Patrick Georgoff and Dr. Vahagn Nikolian as they discuss common and critical intern dilemmas.  This episode is Part 2 of 2. Please visit https://behindtheknife.org (https://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our entire Medical Student and Intern Surviv...
21m Aug 04, 2022
21m
Common and Critical Intern Dilemmas Part 1 - Behind The Knife Medical Student and Intern Survival Guide
Bringing back an oldie but a goodie - Join Dr. Patrick Georgoff and Dr. Vahagn Nikolian as they discuss common and critical intern dilemmas.  This episode is Part 1 of 2. Please visit https://behindtheknife.org (https://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our entire Medical Student and Intern Surviv...
28m Aug 01, 2022
28m
Pilonidal Disease - What You Need to Know
Pilonidal cysts – a simple disease or a sneaky nuanced problem? Drs. Shanaz Hossain,  Patrick Georgoff and Scott Steele sit down to discuss the difficulties encountered in the management of pilonidal cysts and the myriad of treatment options available, ranging from non-operative management to outpatient pit picking to major operations involving flaps. Dr. Steele dropped his “8 Key Principles f...
32m Jul 28, 2022
32m
Clinical Challenges in Emergency General Surgery: Necrotizing Soft-Tissue Infections
Join our Emergency General Surgery team as they discuss Necrotizing Soft-Tissue Infections. Hosted by Drs. Jordan Nantais, Ashlie Nadler, Stephanie Mason and Graham Skelhorne-Gross. Necrotizing Soft-Tissue Infections: - Also known as “flesh eating disease”, gas gangrene, necrotizing fasciitis/myositis, Fournier’s gangrene. - Early findings are non-specific - Rapidly fatal - diagnostic delay ca...
35m Jul 25, 2022
35m
Journal Review in Colorectal Surgery: Timing of Biologics and Surgery in the Setting of Crohn’s Disease
You get consulted on a 34-year-old with ileocolic Crohn’s disease on Humira. You determine he needs surgery for recurrent partial obstructions. When do you do the surgery? How long should he be off his biologic medication? When to restart it post op? Join Drs. Abelson, Marcello and Aulet as they take us through two articles to help us figure it out! Learning Objectives: 1.     Describe the com...
31m Jul 21, 2022
31m
Journal Review in Thoracic Surgery: POEM vs. Heller Myotomy
Want to learn more about achalasia and its procedural management? Excited about the POEM procedure?  Learn what the current literature says when it comes to recommending POEM or the tried-and-true Heller myotomy from the Swedish Thoracic surgery team. Learning objectives -        Review basics of achalasia -        Discuss the current literature comparing POEM and Heller myotomy with fundoplic...
28m Jul 18, 2022
28m
Clinical Challenges in Surgical Critical Care: Point-of-Care Ultrasound
The utilization of point-of-care ultrasound and other non-invasive cardiac output monitoring technologies varies because of knowledge, resource availability and cultural practices. In this  Clinical Challenge in Surgery episode from the Surgical Critical Care team at Behind the Knife, we provide a brief history of the use of cardiac-output monitoring in the ICU, introduce a few clinical scenari...
34m Jul 14, 2022
34m
Financial Principles for Surgeons Ep. 6: Real Estate Investing with Dr. Jordan Frey
Dr. Jordan Frey, a Plastic Surgeon in Buffalo NY, joins us to talk about how he uses investments in real estate to diversify his portfolio. We discuss: -Types of real estate investments and the pros and cons -Books to read on real estate investing -How to get started in real estate -Criteria he uses to choose a property and more Books recommended: The Millionaire Real Estate Investor - Gary ...
38m Jul 11, 2022
38m
Financial Principles for Surgeons Ep. 5: Contract Negotiations with Dr. Jill Streams
Dr. Jill Streams, Trauma Surgeon at Vanderbilt, takes us through the ins and outs of understanding your first contract and how and when to negotiate. In this episode we cover -When/how to apply for your first job -Break down each part of a contract -Why you should negotiate -What and how to negotiate -Salary expectations -Contract landmines and more! You can connect with Dr. Streams on Twitte...
56m Jul 07, 2022
56m
Financial Principles for Surgeons Ep. 4: Student Debt with Dr. Adam Tanious
Kevin interviews Dr. Adam Tanious a Vascular Surgeon at MUSC about the ins and outs of managing student debt. Adam is passionate about personal finance and student debt and is happy to discuss further with our listeners, please reach out at tanious@musc.edu (mailto:tanious@musc.edu) . Want to learn more at student debt? Check out White Coat Investor resources on student debt. https://www.whi...
43m Jul 04, 2022
43m
Financial Principles for Surgeons Ep. 3: Disability Insurance with Larry Keller
Kevin Kniery and Jason Bingham interview Larry Keller of Physician Financial Services on how and when to choose the right disability policy. You can reach Larry here Lkeller@physicianfinancialservices.com (mailto:Lkeller@physicianfinancialservices.com?subject=Question%20from%20a%20WCI%20reader) or at his website. https://www.physicianfinancialservices.com/ (https://www.whitecoatinvestor.com/d...
43m Jun 30, 2022
43m
Financial Principles for Surgeons Ep. 2: Investing and Buying a House with Dr. Mizell
Kevin Kniery and Jason Bingham interview Dr. Jason Mizell, a colorectal surgeon at University of Arkansas and pioneer in finance education for surgeons. He won the 2020 White Coat Investor Award for excellence in financial education. In this episode they discuss how to invest, and what to invest in, also cover topics regarding real estate, and biggest financial regrets. Links to articles disc...
34m Jun 28, 2022
34m
Financial Principles for Surgeons Ep. 1 with Dr. Jason Mizell
Kevin Kniery and Jason Bingham interview Dr. Jason Mizell, a colorectal surgeon at University of Arkansas and pioneer in finance education for surgeons. He won the 2020 White Coat Investor Award for excellence in financial education. In this episode they discuss his lecture "How to Resuscitate Your Critically Ill Finances". Dr. Mizell can be reached at jsmizell@uams.edu (mailto:jsmizell@uams....
32m Jun 27, 2022
32m
Behind the Knife Update 2022
Join the BTK leadership team for a quick update on what's happening at Behind the Knife! Please visit behindtheknife.org (http://behindtheknife.org/) to access other high-yield surgical education podcasts, videos and more.
8m Jun 24, 2022
8m
Clinical Challenges in Endocrine Surgery: Medullar Thyroid Cancer with Special Guest Dr. Kepal Patel
In this episode from the Endocrine Surgery team at BTK we invited Dr. Kepal Patel to join us to discuss two endocrine surgery cases while discussing pertinent literature. We discuss the work-up and surgical decision making for a case of medullary thyroid cancer and a Bethesda III thyroid nodule. Dr. Kepal Patel is the Chief of the Division of Endocrine Surgery and a Professor of Surgery, Otola...
42m Jun 20, 2022
42m
Journal Review in Surgical Education: Intersection of Leadership and Wellness in Education
The grind of surgical training has been celebrated in the past, but to what end? With mounting evidence that supports a high prevalence of burnout in the surgical community, surgical educators and leaders are often called to develop initiatives to address the detrimental and potentially irreversible effects on trainees’ wellness during surgical training. We invite Dr. David Rogers, who has pers...
35m Jun 16, 2022
35m
Journal Review in Hepatobiliary Surgery: Genomics of Colorectal Liver Metastasis
Colorectal liver metastasis (CRLM) is a complex clinical situation requiring multidisciplinary management. In this episode from the Hepato-Pancreato-Biliary team at Behind the Knife, we review the genomics of CRLM, discuss a journal article investigating the frequency and impact of these mutations on survival in patients with stage IV disease, and interview the senior author Dr. Jean-Nicholas V...
47m Jun 13, 2022
47m
Journal Review in Vascular Surgery: Acute Limb Ischemia – So Many Choices!?!
Acute limb ischemia is simultaneous one of the most fun but frustrating diseases to treat in vascular surgery. In this episode of Behind the Knife, the vascular surgery team gives a concise overview of the diagnosis/workup and treatment of patients with acute limb ischemia and talks about some of the difficult decision making regarding treatment modality given all the exciting technology availa...
26m Jun 09, 2022
26m
Clinical Challenges in Minimally Invasive Surgery: Acute Gastric Volvulus and Duodenal Perforation
It’s 1AM and the emergency department is calling about *insert terrifying foregut problem you haven’t seen since you were an intern here* and you wake up in a cold sweat to realize it was just a dream…this time. Tune in to this clinical challenge episode for some tips and tricks for managing foregut nightmares with Drs. Mike Weykamp, Nicole White, Andrew Wright, and Nick Cetrulo from the Univer...
34m Jun 06, 2022
34m
Journal Review in Trauma Surgery: Imaging for Blunt Cerebrovascular Injury (BCVI)
Determining when to order imaging for blunt cerebrovascular injury is a diagnostic quandary that has long engendered controversy. Today we discuss a paper that introduced universal CT angiogram of the neck to screen for BCVI in all blunt trauma patients and then compared the result to what would have happened if some of the current screening guidelines were utilized. Join us as we discuss their...
27m Jun 02, 2022
27m
Journal Review in Pediatric Surgery: TEF & Transanastomotic Feeding Tube
Please join Drs. Brian Gray, Amanda Jensen and Manisha Bhatia from Indiana University as they discuss TEF management and the use of a post-operative transanastomotic feeding tubes in pediatric surgery. Journal Article links: Wang, C., Feng, L., Li, Y., & Ji, Y. (2018). What is the impact of the use of transanastomotic feeding tube on patients with esophageal atresia: a systematic review and me...
16m May 30, 2022
16m
ASCRS 2022 Highlights 2
Join Shreya Gupta, MD and Jonathan Abelson, MD as they discuss highlights from the American Society of Colon and Rectal Surgeons.  Dr. Sharon Stein and Dr. Erin King-Mullins are the guest speakers. They are discussing female leadership, diversity and inclusion topics, and much more! This is episode 2 of 2. Please visit behindtheknife.org (http://behindtheknife.org/) to access other high-yield ...
58m May 26, 2022
58m
ASCRS 2022 Highlights 1
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** Join Shreya Gupta, MD and Jonathan Abelson, MD as they discuss highlights from the American Society of Colon and Rectal Surgeons.  This is episode 1 of 2. Please visit behindtheknife.org (http://behindtheknife.org/) to access other high-yield surgical education p...
35m May 23, 2022
35m
Journal Review in Bariatric Surgery: Worsening or De Novo GERD following Vertical Sleeve Gastrectomy
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** Subjective and objective GERD are common amongst bariatric surgery patients. Is weight loss alone enough to improve GERD symptoms? Is the vertical sleeve gastrectomy really associated with worsening GERD? What technical factors of the vertical sleeve gastrectomy l...
18m May 19, 2022
18m
Clinical Challenges in Surgical Oncology: Surgical Management for Borderline Resectable/Locally Advanced Pancreatic Cancer
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** How do you decide if a pancreatic head mass is resectable? Does vascular involvement matter? What impacts survival? Join the Surgical Oncology team as they dive into operative considerations when operating on borderline resectable and locally advanced pancreatic c...
38m May 16, 2022
38m
Cardiac Xenotransplantation
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** In January 2022, the University of Maryland Medical Center performed the world’s first transplant involving a genetically modified animal heart. Join Behind the Knife as we discuss this significant transplant milestone with the 2 surgeons who led this historic cas...
30m May 12, 2022
30m
Journal Review in Transplant Surgery: History and Challenges of Xenotransplantation
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** Inspired by recent transplant surgery headlines, in this episode we briefly review the history and challenges of xenotransplantation. We discuss an article recently published in the American Journal of Transplantation describing the transplant of a porcine kidney ...
21m May 09, 2022
21m
Clinical Challenges in Colorectal Surgery: Lynch Syndrome
*** FELLOWSHIP APPLICATION: https://docs.google.com/forms/d/e/1FAIpQLScxkGQTz-rh5OfPJBBdyvVZ4Pq2R8NWgBUOC1dt8VQHtvawhw/viewform *** You are faced with a young patient with an advanced colon cancer. You suspect Lynch syndrome. He asks if he should undergo total colectomy as opposed to segmental colectomy. How do you approach such a patient? Join Dr. Carole Richard, Dr. François Dagbert and Dr....
44m May 05, 2022
44m
Journal Review in Surgical Education: Gender Representation in Surgery
The landscape of surgery is shifting, reflecting the diverse composition of graduating medical students and the efforts to recruit the most talented people into the field.  It is one thing to have a diverse group of people within surgery, but it is an entirely different thing to ensure a welcoming, supportive environment for them.  In this Journal Club episode, we review these topics from the p...
46m May 02, 2022
46m
Mattox Vegas TCCACS 2022: Ep. 2
Mattox Vegas TCCACS 2022: Ep. 2 The Trauma, Critical Care, and Acute Care Surgery conference (aka the MATTOX conference, named after trauma surgery legend Kenneth L Mattox) is the longest running show in Las Vegas at 55 consecutive years.  The MATTOX conference is unique in its focus on clinical topics.  Every talk, every panel, and every case discussion is relevant and practical.  Join Behind...
56m Apr 28, 2022
56m
Mattox Vegas TCCACS 2022: Ep. 1
The Trauma, Critical Care, and Acute Care Surgery conference (aka the MATTOX conference, named after trauma surgery legend Kenneth L Mattox) is the longest running show in Las Vegas at 55 consecutive years.  The MATTOX conference is unique in its focus on clinical topics.  Every talk, every panel, and every case discussion is relevant and practical.  Join Behind the Knife as we use case-based d...
58m Apr 25, 2022
58m
Journal Review in Trauma Surgery: Managing Blunt Pelvic Hemorrhage
The mortality rate for unstable pelvic hemorrhage due to blunt trauma remains around 30 percent. However, technological advances promise to finally make a dent. But on the cutting edge, it’s not clear which treatments should be used when to maximize lives saved. With life-threatening pelvic exsanguination, time is critical. Do you know when to rush to pack the pelvis? Do you know when to deploy...
29m Apr 21, 2022
29m
Clinical Challenges in Surgical Education: Entrustable Professional Activities (EPAs)
EPAs are coming in 2023. This isn’t about your carbon emissions, but it will dramatically impact surgery training programs. Join Drs. Karen Brasel, Jeremy Lipman, Judith French, and Amy Han as they discuss Entrustable Professional Activities (EPAs) and how they will change the way we assess trainees. Learning Objectives 1.     Listeners will be able to define entrustable professional activitie...
35m Apr 18, 2022
35m