School of Surgery

Naomi Laskar teaches James Cassidy in an interactive video on chest pain on the surgical ward. Using a series of cases common causes of chest pain are discussed and the video will help you to develop a structured approach to reviewing chest pain and understand the basic management of chest pain. Common life threatening and non life threatening causes are covered, with important points in the history, examination, investigation, treatment and prognosis explained, with plenty of acronyms to help you remember. Pause the video as you go to write down what you think are the correct answers. All the benefits of small group teaching without any of the pain!

Its never too early to think about getting yourself ready for successful application to core surgical training, be you medical student or foundation doctor.
In this podcast Ricky Ellis and Susan Hall explain the process and give their tips for success.
Good luck!

It is not uncommon to be called to see a patient who has experienced a sudden change in their mental state. The patient is often suffering from one of the forms of delirium, and puts them at increased risk of complication, injury and death.
In this podcast Ricky Ellis and Christine Taylor discuss what delirium is, why it is important, how to recognise it, who is at risk, how we can prevent it and how we can treat it

Assessing the capacity of patients is an essential skill for all doctors, not least surgeons, as it is intimately related to taking consent and treating any patient correctly.
In one of the most important podcasts from the School of Surgery, Ricky Ellis and Christine Taylor discuss capacity, the Mental Capacity Act, how to assess and enhance capacity and how to care for patients without capacity. The 5 key principles of the Mental Capacity Act are clearly explained as is how to act in the best interest of patients without capacity - for example, the unconscious patient who requires life threatening surgery, with a best interests checklist to help you do thing correctly. How to deal with Advanced Directives or advanced decisions to refuse treatment is clearly explained here too.
Its a long podcast but not knowing about issues related to capacity can lead to charges of assault being brought or omission of care leading to charges of negligence.
This may be one of the most important 20 minutes you can spend, whether you are a medical student, doctor or anyone else involved in the treatment of patients.

Every surgeon needs to obtain informed consent before proceeding with any procedure. Ricky Ellis talks to Daniel Couch about consent, how best to take it and the framework around consent. Essential listening for any medical student and surgeon in training.
Ricky Ellis and Daniel Couch are both training in Surgery in the East Midlands of the UK at the Royal Derby Hospital

Funnel plots are a central part of how the results of a meta analysis are presented. Learn what they are, what they mean and how to interpret them with Rob Radcliffe.

In the third and final episode of this series, Phil Herrod talks to Mark Sibbering about how to treat breast cancer with surgical and hormonal, chemo and radiotherapies, discussing the indications for each.

In part 2 of our 3 part series on breast cancer Phil Herrod talks to Mark Sibbering about incidence, risk factors, survival, family history and genetics, and classification of breast cancer. Also covered is the presentation of breast cancer and a quick overview of the breast cancer screening programme in the UK.
Mapped to undergraduate and postgraduate learning objectives, this podcast will provide all you need to know as a medical student or early years surgical trainee about these aspects of breast cancer.
Phil Herrod is a specialty registrar in the East Midlands, UK and Mark Sibbering is a consultant Breast Surgeon at the Royal Derby Hospital and national figure in Breast Surgery
Sorry about the sound again, sometimes doing these things on location can present a few problems.

Diseases of the breast are very common and varied, from simple cysts to cancer. All doctors need to know about breast disease and in the first of a series aimed at making you an expert, Phil Herrod asks Miss Carol-Ann Courtney about how to take a history from a patient with a problem in the breast, the gold standard "triple assessment" of breast lumps and gets an overview of benign breast disease. Essential listening for all medical students and junior doctors. Sorry about the sound quality in some places, we've tried as hard as we can to correct it, but the content is so good its worth persevering!
Philip Herrod is a Speciality Registrar in the East Midlands, UK and Miss Carol-Ann Courtney is a consultant breast and oncoplastic surgeon at the Royal Derby Hospital, UK

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Risk factors, history, signs, X-ray appearances and classification of fractured neck of femur are all covered in this video podcast aimed at medical students and interns/foundation/core doctors in training.
Next time you see someone on a trolley in the ER with a shortened externally rotated leg you'll know exactly what to do.
Naomi Laskar and Pete Legg are trainees in Surgery in the East Midlands, UK