School of Surgery

You're standing in your surgical examination looking at a patient's abdomen. The examiner asks you to comment on the scars you can see. What are you going to say? Help is at hand...
Keaton Jones takes you though positions of scars on the abdomen, how old they are and what the operation might have been. Kochers, roof top, mercedes benz and Rutherford- Morrison incisions are covered amongst all the other incisions and combinations of scars from open and laparoscopic operations which will give you clues to previous procedures and diagnosis.
Essential viewing for surgical finals and good revision for MRCS viva
Keaton Jones is an academic clinical fellow in surgery at the University of Oxford, UK

"Doctor, Mr Jones's urine output has been low for the last 3 hours, can you come to review him please?" This is a common call to trainees on surgical wards. But what is a low urine output, why is is low and what are you going to do?
In the second in their series on common problems on the ward facing FY1/2 and core trainees (interns and junior residents), Jennifer Murphy and Daniel Couch take you through definitions of adequate and poor urine output, causes and management of the problem so that you'll know what to do when you're called. Essential listening for medical students and trainees in surgery alike, this will be one of the most useful 10 minutes you can spend listening.
Jennifer Murphy and Daniel Couch are trainees in Surgery in the East Midlands School of Surgery, UK

In a previous podcast you've seen how to to a laparoscopic nephrouterectomy for TCC. Now you can learn about transitional cell carcinoma itself. Susan Clayton discusses epidemiology, aetiology, presentation, investigation, treatment options and prognosis of TCC with Simon Williams.
The podcast is mapped to learning outcomes from ISCP and covers all you need to know as a medical student and core surgical trainee (junior resident) about this common urological cancer. Listening to this is a few minutes well spent on the way to urology clinic or theatre where you might see a patient with TCC and be asked equations on it. Impress the consultant with your knowledge and structured presentation! Its also useful as a quick revision aid for more senior trainees, especially in the run up to an exam.
Dr Susan Clayton is a core surgical trainee in the East Midlands School of Surgery UK, and Simon Williams is a Consultant Urological Surgeon at the Royal Derby Hospital, UK.

Do you have an average number of legs? Most likely you have slightly more than the mean number of lower limbs if you think about it. It is important to be able to describe data properly so that we convey the correct and accurate meaning.
In his second podcast on medical statistics, Rob Radcliffe takes us through descriptive statistics, central tendency and normal distribution in an accessible and painless fashion. Easy to understand explanations are supplemented with diagrams and charts so that you will know how to apply descriptive statistics to data by the end of the podcast and also how to interpret others data when you see it in publications.
This podcast gives you an essential basis in medical statistics which you will need to understand before moving onto the the next in the series, which will explain hypothesis testing. It is essential viewing for all medical students, trainees in surgery and even senior surgeons who want an easy to understand refresher and were afraid to ask.
A knowledge of statistics and competency in data interpretation are now integral parts of many interview, exam and selection processes.
Rob Radcliffe is a former mathematics teacher and is currently a trainee in surgery in the East Midlands School of Surgery, UK

In the first of a new series on common problems seen on the surgical ward after an operation, Jennifer Murphy discusses hypotension in the post operative period with Daniel Couch. The symptoms, signs and of causes of hypotension in the post op period are discussed, as well as an algorithm for diagnosis and treatment for each cause.
Essential listening for medical students coming up to finals or wanting to be well prepared for their first surgical job. Also important revision for foundation doctors (interns) and junior residents.
Jennifer Murphy is a core trainee and Daniel Crouch is a speciality trainee in General Surgery, both on the East Midlands, UK training scheme.

Susan Clayton takes you through laparoscopic removal of the kidney and ureter to treat transitional cell carcinoma. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. This podcast will help you to fully understand nephroureterectomy, whether you are a medical student, core trainee (junior resident), or higher surgical trainee.
Surgery perfumed by Simon Williams, Consultant Urological Surgeon, Royal Derby Hospital, UK

What are you going to do when you are asked to see a patient in pain?! What drug will you give? What if it doesn't work??! Help is at hand...
Ben Baker and Tom Heinink discuss the WHO pain ladder in this audio podcast. They discuss all you'll need to know to manage post operative pain and pain in patients presenting as emergencies to surgery in a logical and stepwise manner, using the World Health Organisation ladder as a model.
This podcast is essential listening for medical students coming up to finals, foundation doctors (interns) and core trainees (residents), as well as for those wanting to update their knowledge in th field which affects all patients coming to surgery.
Ben Baker is a Academic Foundation Year 2 doctor at the Royal Derby Hospital, and Tom Heinink is a speciality registrar in anaesthesia in the East Midlands of the UK, currently doing research with the University of Nottingham.

In the second in the series on common emergencies in urology, Susan Clayton talks to Hari Ratan about the presentation and management of renal colic, one of the most common urological conditions presenting as an emergency. A good working knowledge of renal colic and renal calculi is essential for anyone learning urology either as a medical student, foundation year doctor (intern) or core trainee in surgery or urology (junior resident). This podcast is mapped to final year medical student learning outcomes and also to learning outcomes for ISCP. Listen to this for 8 minutes and you will know all that you need to know.
Susan Clayton is a core trainee in surgery in the East Midlands School of Surgery and Hari Ratan is a consultant in Urology at Nottingham University Hospitals, UK.

In the first of a series on urological emergencies, Benjamin Baker talks to Hari Ratan about torsion of the testicle and epididymo-orchitis. The talk covers all aspects of presentation and management and is mapped to medical student finals objectives and also ISCP. It is essential listening for medical students coming up to finals or during a surgery attachment, foundation year 1 doctors (interns) and core surgical trainees (Junior residents), or anyone involved in emergency care.
Benjamin Baker is an Academic foundation doctor at the Department of Surgery, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham and Hari Ratan is Consultant Urologist at University Hospitals, Nottingham.

In the first of his series on medical statistics, Rob Radcliffe, maths graduate, former maths teacher and current trainee in surgery in East Midlands School of Surgery, talks us through a way to clearly formulate clinical questions. Correct formulation of these questions is fundamental to research, the correct use of statistics in clinical settings and will help you to read, interpret and critique a scientific paper. Rob describes, using an example from his own practice, the PICO method to help with logical formulation of clinical questions each time we want to ask them.
This podcast is aimed at medical students, core trainees in surgery (junior residents), trainees in higher surgical training, consultants and anyone interested in research, reading, writing or reviewing an academic paper. This, and the rest of the series, will be especially useful to trainees coming up to interview or examination where there will be an academic component with an expectation of a working knowledge of statistics.
The next part of the series will cover descriptive statistics