Cold Steel: Canadian Journal of Surgery Podcast

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/

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.

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

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

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

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

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

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/

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

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 [email protected]