In this episode, we spoke with Drs. Jen McCall and Romy Nitsch about imposterism. Dr. McCall is a minimally invasive gynecology fellow at the University of Ottawa and Dr. Nitsch is a minimally invasive gynecologist at Queen’s University. The two researchers, along with Jessica Pudwell and Jamie Pyper, recently published a study in the Journal of American College of Surgeons on imposter phenomenon in women surgeons. Their study highlights the near universal phenomenon of imposter phenomenon among women surgeons, some of the risk factors associated with imposterism, and perhaps some strategies for how we might mitigate it. 

Jennifer McCall X/Twitter: https://x.com/jenn__mccall 

Romy Nitsch X/Twitter: https://x.com/romynitsch

Links:

1. Dr. McCall and Nitsch’s article in JACS: Impostor Phenomenon and Impact on Women Surgeons: A Canadian Cross-Sectional Survey. https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/38712839/
2. Mann A, Shah AN, Thibodeau PS, et al. Online well-being group coaching program for women physician trainees: a randomized clinical trial. JAMA Netw Open 2023;6:e2335541 –e2335541.

On this episode, Dr. Elizabeth Squirrell joined us to talk about Crohns disease. Dr. Squirrell is a staff gastroenterologist at Queen’s University and has a special expertise in inflammatory bowel disease. In this two part series, we first talk about the diagnosis of crohns disease and the different patterns of its presentation. In part 2, we talk about the changing landscape of medical therapy for Crohns disease and how Dr. Squirrell approaches the treatment of Crohns. Make sure to check out the links below for all the papers that are discussed in both part 1 and part 2 of this series. 

Links:

1.  Is there an optimal sequence of biologic therapies for inflammatory bowel disease? – Brian Bressler: https://journals.sagepub.com/doi/10.1177/17562848231159452
2. Vedolizumab as Induction and Maintenance Therapy for Crohn's Disease – Sandborn et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa1215739
   • They measured Clinical remission at week 6 and did have a significant result in one of their groups (p=0.02) but had a remission rate of 14.5% in the double-blind group and 17.7% in the open label group. Contrasted to the ustekinumab study (below) where they measured at 8 weeks and record 40.2% remission in biologic naïve patients and 20.9% remission in prior TNF exposed patients (the vedo study was a mix of bio exposed and bio naïve so would expect somewhere between). 
3.  Ustekinumab as Induction and Maintenance Therapy for Crohn’s Disease – Feagan et al. - https://nejm.org/doi/full/10.1056/NEJMoa1602773#APPNEJMoa1602773SUP
4. ECCO-ESCP Consensus on Surgery for Crohn’s Disease – Bemelman et al. - https://academic.oup.com/ecco-jcc/article/12/1/1/3813784
5. Cardiovascular and Cancer Risk with Tofacitinib in Rheumatoid Arthritis – Ytterberg et al. - https://www.nejm.org/doi/full/10.1056/NEJMoa2109927
6. ACG Clinical Guideline: Management of Crohn's Disease in Adults – Lichtenstein et al. - https://journals-lww-com.proxy.queensu.ca/ajg/Fulltext/2018/04000/ACG_Clinical_Guideline__Management_of_Crohn_s.10.aspx
7. Canadian Association of Gastroenterology Clinical Practice Guideline for the Management of Luminal Crohn’s Disease – Panaccione et al. - https://www.cag-acg.org/images/publications/CAG-CPG-Luminal-Crohns-Disease-JCAG-July2019.pdf   

This is a re-broadcast to honour the memory of the "Boss" Dr. Feliciano.

Original shownotes:

It’s not an understatement to say that Dr. David Feliciano is a true giant in trauma surgery. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

We discuss with him how he recruited such amazing faculty, developing one’s technical skills, research, and the future of trauma.

1.Trauma textbook: www.amazon.ca/Trauma-Eighth-Erne…oore/dp/1259860671

2.“Everything You Ever Wanted to Know about Trauma” public lecture: www.youtube.com/watch?v=99yddsDe6oU

3.“Leftovers” by Dr. Feliciano has one of the best lines in a paper ever: At this point, the chief surgical resident on the trauma service met with the attending surgeon for violating his own well-known rule—“wounds that don’t heal contain dead tissue, infected tissue, cancer, or a foreign body.” www.ncbi.nlm.nih.gov/pmc/articles/PMC6263419/

4.Pitfalls in the management of peripheral vascular injuries. www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/

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

View full episode transcript: http://canjsurg.ca/cold-steel-episode-80-kenneth-mattox/ 

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.

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.

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.

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.

E77 Masterclass With Colin Schieman On Lung Nodules And Lung Cancer Screening by Canadian Journal of Surgery

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.

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/

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 Dr. Sandy Widder 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.

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.

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.

We are re-broadcasting this episode in honour of the memory of the late Dr. David Feliciano.

Original shownotes:

In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them.

Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes.

Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

Links:

1. Nobel Prize winners who were trained as surgeons.
Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. journals.sagepub.com/doi/abs/10.117…urnalCode=asua

2. Alexis Carrel (1873-1944): Nobel Laureate, 1912.
Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. jamanetwork.com/journals/jamasurg…ullarticle/508657

3. Joseph E. Murray (1919- ): Nobel Laureate, 1990.
Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. jamanetwork.com/journals/jamasurg…ullarticle/508445

4. Michael Houghton, Winner of 2020 Nobel Prize. www.ualberta.ca/michael-houghton-…l-prize-2020.html

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.

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.

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.

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.

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.

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.

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/

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/

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.

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.

Transcript: http://canjsurg.ca/podcast-episode-e61-masterclass-with-michael-dangelica-on-colorectal-liver-metastases/ 

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.

It is with sadness but also profound gratitude that we commemorate the passing of David V Feliciano on January 4, 2024. 

We invited our friend Neil Parry on the podcast to talk about our memories and the legacy of this amazing surgeon, researcher, and mentor. 

Links:

1. David V. Feliciano: Contributions to acute care surgery. https://www.canjsurg.ca/content/65/2/E203

2. E27 David Feliciano On Trauma And Culture Building. https://soundcloud.com/cjs-podcast/e27-david-feliciano-on-trauma-and-culture-building

3. E46 Nobel Prize Winners In Surgery With David Feliciano.  https://soundcloud.com/cjs-podcast/e46-nobel-prize-winners-in-surgery-with-david-feliciano

4. Feliciano Favorites with Trauma and Acute Care Surgery Open! https://twitter.com/hashtag/FelicianoFavorites?src=hashtag_click'

5. Southeast Surgical Congress tribute: https://www.youtube.com/watch?v=YRaipv7hG9Y

6. E31 Grace Rozycki On Trauma Ultrasound, Gender Equity, And Mentorship. https://soundcloud.com/cjs-podcast/e31-grace-rozycki-on-trauma-ultrasound-gender-equity-and-mentorship/s-cIzPNd8HDtX

Dr. Andrew Ibrahim (https://twitter.com/AndrewMIbrahim) is a general surgeon at the University of Michigan and an architect at the firm HOK. In this episode, we talk about his path and how he combined his passion for surgery and architecture.  We get his thoughts on visual abstracts,  the concept of design, his vision for hospitals of the future and what architects might learn from surgeons.

Links:

Links:
1. WIRED story about Dr. Ibrahim: https://www.wired.com/story/lets-save-some-lives-doctors-journey-into-pandemic/
2. Dr. Ibrahim’s website, which also has great resources on visual abstracts: https://www.surgeryredesign.com/
3. Design-thinking and IDEO: https://www.ideo.com/
4. Ernest Codman: https://qualitysafety.bmj.com/content/11/1/104
5. Health in All Design: https://www.hok.com/news/2019-12/health-in-all-design-dr-andrew-ibrahim-on-the-intersection-of-architecture-and-healthcare/#:~:text=%E2%80%9CAt%20HOK%20we%20have%20launched,public%20space%20for%20health%20intervention.
6. Annals of Surgery paper on “Building a Better Operating Room”: https://pubmed.ncbi.nlm.nih.gov/27163950/
7. Health and Design Fellowship: https://medicine.umich.edu/dept/surgery/education/health-design-fellowship

Bio:

Andrew M. Ibrahim MD, MSc is an Assistant Professor of Surgery, Architecture & Urban Planning at the University of Michigan and Chief Medical Officer at HOK, a global design and architecture firm. He completed his undergraduate and medical degrees education both with Honors at Case Western Reserve University with a year of coursework at University College London and The Bartlett School of Architecture. In addition to his health services research degree from the University of Michigan as a Robert Wood Johnson Clinical Scholar, he completed additional policy training as a Crile Fellow at Princeton University and as a Doris Duke Fellow at John Hopkins Hospital.

Dr. Ibrahim’s research at the interface of healthcare, policy evaluation and architecture has resulted in numerous publications, book chapters, international presentations and appointment to the editorial boards at the Annals of Surgery and the JAMA Network. He is one the youngest Senior Principal’s at HOK and currently serves as the Innovation Principal on a >$2 billion academic health center master plan.

Our guest for this episode doesn’t believe in comfort zones. Dr. Vivian McAlister is a transplant surgeon, a professor of surgery in London, Ontario, and a former Editor-in-Chief of the Canadian Journal of Surgery. At the age of 52, Dr. McAlister decided to enlist with the Canadian Forces Health Services as a combat surgeon. For all his contributions to Canada as a surgeon and researcher, he was recently named an Office of the Order of Canada. In this episode, we talk about why chose to become a military surgeon, some of the challenges of current training paradigms, and his experience being an Editor-in-Chief of CJS. 

Please note that in this episode, we do discuss the very real but terrible things Dr. McAlister witnessed while on tour with the Canadian military. Please see below: 

12:30 – 16:45: description of injuries of children after being hit with improvised explosive devices (IEDs) 

Links:
1. Dr. McAlister naming to the Order of Canada: https://www.schulich.uwo.ca/surgery/about_us/news/2021/dr_vivian_mcalister_named_officer_of_the_order_of_canada.html#:~:text=Order%20of%20Canada-,Dr.,to%20the%20Order%20of%20Canada.
2. Dr. McAlister’s John McCrae Memorial Medal: https://www.cma.ca/john-mccrae-memorial-medal-2019-recipient 
3. Injury profile suffered by targets of antipersonnel improvised explosive devices: prospective cohort study: https://bmjopen.bmj.com/content/bmjopen/7/7/e014697.reviewer-comments.pdf
4. Dr. McAlister’s paper on the history of CJS: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512859/
5. The current state of resident trauma training: Are we losing a generation? http://canjsurg.ca/61-3-153/

Bio:

Vivian McAlister is a surgeon at University Hospital London. He is a professor in the Department of Surgery. He is a member of the Canadian Forces Medical service and has deployed to Afghanistan and Haiti. He is a general surgeon with special interest in hepatobiliary, endobiliary, transplant and combat surgery. His research interests include fundamental and clinical research in these areas as well as the history of medicine.

https://www.schulich.uwo.ca/generalsurgery/people/bio/vivian_mcalister.html

We are absolutely delighted to have Karen Norris (@freckleface23 on twitter) join us on the podcast today. Karen Norris is the conference manager at the Canadian Association of General Surgeons and manages the Canadian Surgery Forum, the largest annual meeting for Canadian general surgeons. In this episode we talk about what the future holds for conferences in a COVID world, including how organizations can optimize their virtual conferences and what hybrid conferences might look like. 

Links:
1. The Art of Gathering: How We Meet and Why it Matters - https://www.penguinrandomhouse.com/books/319055/the-art-of-gathering-by-priya-parker/
2. Meetings Mean Business Canada Advocacy Video: https://vimeo.com/367271986
3. Meetings Mean Business webpage: https://www.meetingsmeanbusiness.ca/
4. TraumaCon: https://traumacon.org/
5. Mike Morrison (Twitter): https://twitter.com/mikemorrison?lang=en
6. Article I referenced about one conference using unique networking opportunities: https://www.bizbash.com/production-strategy/virtual-events/article/21202973/how-american-film-markets-virtual-conference-created-spontaneous-networking-opportunities 
7. The Canadian Association of General Surgeons: https://cags-accg.ca/
8. The Canadian Surgery Forum: https://www.canadiansurgeryforum.com/

Bio:

Karen Norris has a degree in Political Science and Sociology from Queens University, a diploma in Event Management from Algonquin College and in 2015 she achieved her Certified Meeting Professional (CMP) designation from the Events Industry Council.

She is the Conference Manager at the Canadian Association of General Surgeons (CAGS) and manages the Canadian Surgery Forum which is the largest surgical meeting in Canada attracting 1000+ delegates annually. Before her position with CAGS, she had coordinated conferences for the Association of Faculties of Medicine of Canada and the Coaching Association of Canada.

She has sat on numerous boards and committees with Meeting Professionals International (Ottawa Chapter) and The Professional Convention Management Association (Canada-East Chapter). She has also sat on various tourism advisory boards for major Canadian cities who host business events and she currently sits on the Algonquin College Event Management Program Advisory Board.

She was awarded Planner of the Year in 2018 by the Ottawa Chapter of Meetings Professional International and was a member of the team who won the 2019 “RISE” Award for most Innovative Educational Programming by Meeting Professionals International for an inaugural conference entitled “The Event”.

Whenever she can, she works with Meetings Mean Business Canada, the advocacy arm of the business events industry for Canada to garner support from government officials and the public about the economic impact of conferences and events.

It’s our pleasure to start off the new year with an episode on social media and surgery! In this episode, we were joined by Dr. Sean Langenfeld (https://twitter.com/seanlangenfeld). Dr. Langenfeld is a colorectal surgeon at the University of Nebraska and has spent a long time doing research and thinking about social media and surgery. We talk about the concept of “professionalism” on social media, the infamous “medbikini” incident, and online reputation management. 

Links:

1. An assessment of unprofessional behavior among surgical residents on Facebook: a warning of the dangers of social media. https://pubmed.ncbi.nlm.nih.gov/24981657/
2. The Glass Houses of Attending Surgeons: An Assessment of Unprofessional Behavior on Facebook Among Practicing Surgeons. https://pubmed.ncbi.nlm.nih.gov/26276300/
3. CNN article on #MedBikini: https://www.cnn.com/2020/07/25/cnn10/medbikini-backlash-and-apologies-trnd/index.html
4. RETRACTED: Prevalence of unprofessional social media content among young vascular surgeons. https://www.jvascsurg.org/article/S0741-5214(19)32587-X/fulltext
5. Social Dilemma documentary. https://www.netflix.com/ca/title/81254224
6. ASCRS Facebook group. https://www.facebook.com/fascrs/groups/

Bio (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4755771/):

Dr. Sean Langenfeld is a staff colon and rectal surgeon at the University of Nebraska Medical Center in Omaha, NE. Sean received his undergraduate and medical school training at St. Louis University in St. Louis, MO, and performed his General Surgery Residency training at the University of Kansas School of Medicine, Wichita, KS. Following this, Sean completed his Colon and Rectal Surgery residency at the University of Texas, in Houston, TX. Since that time he has been at the University of Nebraska where he is an Associate Professor of Surgery, Chief of Colon and Rectal Surgery and Associate Program Director for the General Surgery Residency. He is also the Director, Endoscopic Simulation at the University of Nebraska Medical Center.

Sean remains a busy active clinician and academic surgeon, teaching residents on a daily basis. He is an active researcher and has several ongoing projects on the use of social media in surgery and simulation training in the era of the modern residency. He is an active participant in multiple surgical societies and serves on several national committees of the American Society of Colon and Rectal Surgeons.

Sean and his wife, Elizabeth, have three children, and live in Omaha, NE. When not working, Sean enjoys playing in a men's soccer league, watching all Creighton Bluejays' sports teams, and is a huge Nebraska Cornhusker football fan.

In this episode, we were lucky enough to have Dr. Nicholas Zyromski (https://twitter.com/nzyromski) give us a masterclass on pancreatitis. We go over classification and then go through a host of controversial topics: endoscopic management, percutaneous drainage, antibiotics, nutrition, and surgical management.

Don't forget to check out Dr. Zyromski's music, including "P-Blues"!

Links:

1. Nicholas Zyromski on Spotify:  https://open.spotify.com/artist/3H9y3W3B8a2K7SGAXgzNB6
2. Atlanta Criteria: https://pubs.rsna.org/doi/full/10.1148/rg.2016150097
3. John Howard: https://bulletin.facs.org/2019/05/john-m-howard-a-pioneer-in-vascular-trauma-and-pancreatic-surgery/#:~:text=Howard%20was%20known%20for%20his,of%20pancreatitis%20and%20pancreatic%20cancer.
4. Thomas Howard “As Good As it Gets” editorial: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1877065/
5.  Transgastric Pancreatic debridement video: https://link.springer.com/article/10.1007/s11605-019-04375-x
6.  Prospective Analysis of the Mechanisms Underlying Ineffective Deep Vein Thrombosis Prophylaxis in Necrotizing Pancreatitis. https://pubmed.ncbi.nlm.nih.gov/33039510/
7.  Endoscopic management of pancreatic ascites due to duct disruption following acute necrotizing pancreatitis. https://onlinelibrary.wiley.com/doi/full/10.1002/jgh3.12113

Dr. Zyromski's Bio: 

As a gastrointestinal surgeon with a specialty in pancreas and hepatobiliary surgery, a substantial portion of my clinical practice involves caring for patients with GI and HPB malignancy. My major interest within this sub discipline is pancreatic disease. In this context, my research goals are two: 

1. Clinical research: To continue to expand and build upon an already active clinical research program within the pancreatic service. Current efforts include collaboration within the Department of Surgery pancreatic surgery group evaluating methods to improve technical considerations in surgery for pancreatic cancer as well as retrospective clinical studies utilizing lndiana Universlty's large volume of pancreatic cancer patients. Future directions include prospective randomized trials, evaluating optimal management for patients with pancreatic cancer including anticoagulation in the setting of superior mesenteric vein/portal venous resection. 

2. Basic science research: The fundamental platform of my basic science laboratory program is to evaluate pancreatic disease in the context of obesity. Obesity is epidemic in America in 2007 and has been shown to be an independent risk factor both for developing severe acute pancreatitis as well as for developing pancreatic cancer. Over the past year, in efforts to get my laboratory program up and running, I have focused on the pancreatitis arm. The big picture, however, also includes the study of pancreatic cancer. This fall we have experiments planned to investigate the mechanisms by which obesity may potentiate the development of pancreatic cancer in our well-established murine model of congenital obesity. As both arms of this laboratory program mature , the ultimate goal is to provide translational application.

In this episode, we discuss the Danish mask study. We discuss the paper itself and the results.  More importantly, we discuss the challenges of science communication and science literacy for physicians and the general public. 

We were joined once again by Drs. Kelly Vogt (https://twitter.com/kellynvogt) and Morad Hameed (https://twitter.com/moradhameed).

Email us at podcast.cjs@gmail.com with your thoughts and comments!

Links:

1. Effectiveness of Adding a Mask Recommendation to Other Public Health Measures to Prevent SARS-CoV-2 Infection in Danish Mask Wearers. Annals of Internal Medicine. https://www.acpjournals.org/doi/10.7326/M20-6817

2. The curious case of the Danish mask study. https://doi-org.ezproxy.library.ubc.ca/10.1136/bmj.m4586

3. https://www.tmz.com/2020/11/22/facebook-masks-oxford-masks-false-information-covid-coronavirus/

In this episode, we were joined by surgical oncologist Dr. Carolyn Nessim (www.twitter.com/carolynnessim). Dr. Nessim works at the Ottawa General Hospital and gave us a masterclass on melanoma. We talk about an initial approach to melanoma, staging, immunotherapy, and a walk-through of how Dr. Nessim does her groin dissections.

Links

1. http://carolynnessim.com/
2. The eighth edition American Joint Committee on Cancer (AJCC) melanoma staging system: implications for melanoma treatment and care. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7652033/
3. Cordeiro et al. Sentinel Lymph Node Biopsy in Thin Cutaneous Melanoma: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/26932710/
4. Socioeconomic Status and Melanoma in Canada: A Systematic Review. https://pubmed.ncbi.nlm.nih.gov/32955341/

Brief Bio:

Dr. Carolyn Nessim is a Surgical Oncologist at the Ottawa Hospital and Assistant Professor of Surgery at the University of Ottawa. She completed her MD, MSc (Biomedical Sciences) and General Surgery Residency at the University of Montreal. Her fellowship training was in Surgical Oncology at the University of Toronto and then at the Peter MacCallum Cancer Center in Melbourne Australia.

She is currently also a Clinician Investigator in the Cancer Therapeutics Program at The Ottawa Hospital Research Institute (OHRI) as well as the Program Director for the Complex Surgical Oncology Subspecialty Fellowship training program. Her clinical practice focuses on the treatment of patients with Soft Tissue Sarcoma/GIST, Melanoma/Skin Cancers, Gastric cancer and Neuroendocrine Tumours. She is the Regional Co-Lead for Melanoma and Skin Cancers and Gastric Cancer in the Champlain LHIN. She has been invited as a speaker and moderator at several national and international conferences on the topics of Sarcoma and Melanoma. She is a member of Cancer Care Ontario's Skin Cancer Advisory Board as well as the American Society of Clinical Oncology's Technical Expert Group for Melanoma.

Dr.  Ryan Martin is an orthopedic surgeon at the Foothills Medical Centre in Calgary, Alberta. We talked to him about what it was like to be a sports doctor for the Calgary stampeders, and the preparation he does for going into the operating room.

Dr. Martin received his medical degree from the University of Ottawa. He later went on to complete his Orthopedic surgical residency at the Cumming School of Medicine, University of Calgary (Calgary, AB). After completing his surgical residency, he began his sub-specialization. He completed his Orthopedic Trauma Fellowship at the Hospital for Special Surgery - Cornell University (New York, NY) and his Sport Medicine and Arthroscopy Fellowship at the University of Toronto (Toronto, ON).

Since returning to Calgary, Dr. Martin has taken up practice centered out of the Foothills Medical Centre. While running a busy Level 1 trauma practice he has focused on the arthroscopic treatment of traumatic knee conditions involving fractures as well as cartilage and ligament injuries.

Dr. Martin travels nationally and internationally to lecture and present his research. He serves on several committees including the Trauma representative for the University of Calgary Orthopedic Surgery Residency Training Committee, Co-Chair of the Canadian Orthopedic Residency Forum and Co-lead of the bulk Allograft Cartilage Transplantation Program. He also serves as an Orthopedic Surgeon for the Calgary Stampeders Football Club.

When his is not working Dr. Martin spends most of his time with his wife and son. He enjoys skiing, mountain biking, playing hockey and painting.

Links:

1. EBRS-CAGS Journal Club: Antibiotics versus Appendectomy for Appendicitis: https://us02web.zoom.us/webinar/register/WN_wm0nIlJLR-2zcRcqDUs8uQ

2. Ammolite Biomodels: https://www.ammolitebiomodels.com/

In this episode, Dr. Kelly Vogt (https://twitter.com/kellynvogt) and Dr. Rebecca Auer(https://twitter.com/auer_r) join us to talk about the documentary film "RBG". What can we as surgeons learn about from the work of Ruth Bader Ginsburg? 

Links: 

-RBG documentary: https://www.netflix.com/ca/title/80240086

This is a special episode of Cold Steel done in collaboration with the Canadian Association of General Surgeons (CAGS: www.twitter.com/CAGS_ACCG). In lieu of the annual Canadian Surgical Forum (CSF), CAGS put on a series of fantastic webinars over the week of Nov 26 - 30. These were highly impactful and relevant webinars. Topics included: 

-The COVID-19 Elective Surgery Crisis and New Models of Surgical Referral and Care

- Alone in the Night: Difficult Scenarios in ACS

- Revitalizing the Morbidity and Mortality Conference (MMC)

- Diversity in Health Research Outcomes 

In this session, we discussed the challenges facing Morbidity and Mortality Conferences (MMC's) and how we can continue to revitalize this time-honoured tradition. The session was moderated and organized by Ameer Farooq, with Dr. Morad Hameed, Dr. Chelsea Harris, and Dr. Christian Finley as the invited panelists. 

To check out all the CAGS webinars, please go to the CAGS website (https://cags-accg.ca/). Please consider becoming a member to access all the great content available to CAGS members.

Links for M&M's

1. Dr. Hameed narrative review paper on MMC's: http://canjsurg.ca/63-3-e211/

2. Failure to rescue paper by Dr. Amir Ghaferi: https://www.nejm.org/doi/full/10.1056/nejmsa0903048

3. The last dance: https://www.netflix.com/ca/title/80203144

4. Association between technical skill and long-term survival for colon cancer: https://jamanetwork.com/journals/jamaoncology/fullarticle/10.1001/jamaoncol.2020.5462

5. Ethics M&Ms: https://meridian.allenpress.com/jgme/article/8/3/462/189862/Ethics-M-amp-Ms-Toward-a-Recognition-of-Ethics-in

6. cultural complications - https://www.culturalcomplications.com/

7. ottawa M&M "OM3" model: https://emottawablog.com/2018/03/improving-morbidity-mortality-rounds-om3/

8. Positive deviance for continuous quality improvement: https://pubmed.ncbi.nlm.nih.gov/26188970/

9. Pan-Canadian standards for Cancer Surgery (Finley): https://pubmed.ncbi.nlm.nih.gov/31364830/

We still got more in the vault from CSF 2023! In this episode, Dr. Spoyalo talked about her work on perioperative warming at Vancouver General Hospital. Listen to the work she's done to understand what goes on for warming (most patients have 11 blankets!) and the modeling she's done to figure out the most effective techniques for warming.

Another example of the amazing work being done through Dr. Andrea MacNeill's Planetary Health Lab!

Links:

1. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10718225/

2. UBC Planetary Healthcare Lab: https://www.med.ubc.ca/news/planetary-healthcare-lab/

3. https://soundcloud.com/cjs-podcast/e62-andrea-macneill-on-planetary-health-in-the-operating-room

In this episode we were honoured to once again have another icon of trauma surgery join us. Dr. Ernest E. Gene Moore is a trauma surgeon at the Denver General Hospital. In this episode we explore Dr. Moore’s early insights into the developments of acute care surgery as a specialty, how he defined not one but two major surgery journals, and how he continues to think about the evolution of surgery moving forward. 

Ernest E. “Gene” Moore, MD, was the Chief of Trauma at the Denver General Hospital for 36 years, Chief of Surgery for 28 years, and the first Bruce M. Rockwell Distinguished Chair in Trauma Surgery. He continues to serve as Vice Chairman for Research and is a Distinguished Professor of Surgery at the University of Colorado Denver (UCD), and has been the Editor of the Journal of Trauma since 2011.
Under Dr. Moore’s leadership, the Rocky Mountain Regional Trauma Center at Denver General became internationally recognized for innovative care of the injured patient, and its trauma research laboratory has been funded by the NIH for 35 consecutive years. In July 2018, the center was renamed the Ernest E Moore Shock Trauma Center at Denver Health.
Dr. Moore has served as president of nine academic societies, including the Society of University Surgeons, American Association for the Surgery of Trauma, International Association for the Trauma and Surgical Intensive Care, and the World Society of Emergency Surgery; and as Vice President for the American Surgical Association.

His awards include the Robert Danis Prize from the Society of International Surgeons, Orazio Campione Prize from the World Society of Emergency Surgery, Philip Hench Award from the University of Pittsburgh, Florence Sabin Award from the University of Colorado, Lifetime Achievement Award from the Society of University Surgeons, Lifetime Achievement Award for Resuscitation Science from the American Heart Association, Distinguished Investigator Award from the American College of Critical Medicine, Distinguished Investigator Award from the Shock Society, Lifetime Service Award from the International Association for Trauma and Surgical Intensive Care, and the Medallion for Scientific Achievement from the American Surgical Association. He has honorary fellowships in the Royal College of Surgeons of Edinburgh, the Royal College of Surgeons in Ireland, the Royal College of Surgeons of Thailand, and the American College of Emergency Physicians; and is an honorary member of the Brazilian Trauma Society, Colombian Trauma Society, Eastern Association for the Surgery of Trauma, European Society for Trauma and Emergency Surgery, North Pacific Surgical Association, and Trauma Association of Canada. Dr. Moore is coeditor of the textbook Trauma, in its 9th edition, Surgical Secrets in its 7th edition, and Trauma Induced Coagulopathy, in its 2nd edition; he has >1700 publications and has lectured extensively throughout the world.

He is married to Sarah Van Duzer Moore, M.D., an internist at the University of Colorado Denver, and they have two sons; Hunter, a transplant fellow at UCD and Peter, a pulmonary/critical care fellow, both at UCD. Dr. Moore’s additional interests include endurance sports, mountaineering, skiing, and wapiti pursuit. He lives by the principle to work hard you must play hard, with the understanding that family is the ultimate priority.

Links
1. AAST Interview w/ Dr. Moore: http://www.aast.org/assets/f658eae6-95c2-4258-9df0-58344a846882/635338644875870000/23-ernest-e-gene-moore-md-1993-1994-pdf

2. Dedication of Ernest E Moore Shock Trauma Center: https://www.denverhealth.org/news/2018/07/dedication-of-the-ernest-e-moore-shock-trauma-center-at-denver-health

3. WSES tribute to Dr. Moore: https://wjes.biomedcentral.com/articles/10.1186/s13017-018-0206-1

1. Dr. Harvey bio: https://irr-rimuhc.ca/edward-harvey/
2. Article on the previous Canadian Journal of Surgery Editors-in-Chief: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2386197/
3. Continuing a long tradition: the Canadian Journal of Surgery at 60. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5608575/
4. COPE committee on publication ethics: https://publicationethics.org/
5. A sampling of Dr. Harvey's editorials for CJS: http://canjsurg.ca/wp-content/uploads/2017/01/60-1-4.pdf and https://pubmed.ncbi.nlm.nih.gov/26011846/
6. Evidence-Based Medicine: Boom or Bust in Orthopaedic Trauma. https://pubmed.ncbi.nlm.nih.gov/31609888/

In this episode, we were lucky enough to have Dr. Clarence Wong. Dr. Wong is an interventional gastroenterologist at the University of Alberta. He gave us a masterclass on the approach to large polyp. We also talked about the development of screening guidelines in Alberta, and way to improve the quality of colonoscopies on a very practical level.

Tweet at us @CanJSurg or email us at podcast.cjs@gmail.com.

Links:

1. Is 45 the new 50 in colorectal cancer screening? https://pubmed.ncbi.nlm.nih.gov/33077453/

2. https://www.healio.com/news/hematology-oncology/20201027/uspstf-expands-colorectal-cancer-screening-recommendation-to-include-adults-age-45-years#:~:text=All%20adults%20should%20begin%20to,initiation%20at%20age%2045%20years.

3. Managing difficult polyps: techniques and pitfalls. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3959925/

4. Geographic variation in the provider of screening colonoscopy in Canada: a population-based cohort study. http://cmajopen.ca/content/6/1/E126.full. 

5. Alberta CRC Screening Guidelines: https://actt.albertadoctors.org/CPGs/Lists/CPGDocumentList/colorectal-cancer-screening-guideline.pdf

6. DOPS Program in BC for Colon Screening: http://www.bccancer.bc.ca/screening/Documents/COLON_GuidelinesManual-DOPSCandidateResourceBooklet.pdf

7. CAG SEE course: https://www.cag-acg.org/education/see-program

Dr. Wong is a gastroenterologist and Associate Professor with the Division of Gastroenterology at the University of Alberta. He is an Attending Staff gastroenterologist at the Royal Alexandra Hospital, University of Alberta Hospital and the Cross Cancer Institute. He holds a BSc in Cellular and Molecular Biology from the University of Calgary and a MD degree from the University of Alberta. He is a Fellow of the Royal College of Physicians and Surgeons of Canada (RCPSC) in Internal Medicine and Gastroenterology having completed medical residency at McMaster University in Hamilton and the University of Alberta. During his training, Dr. Wong was awarded research fellowships from both the Alberta Heritage Foundation for Medical Research and the Canadian Association of Gastroenterology for translational research in Experimental Oncology. He has also completed a fellowship in endoscopic ultrasound and is a therapeutic endoscopist focusing on gastrointestinal cancers. He is the medical director of the Edmonton Endoscopic Ablation Program which treats Barrett’s esophagus and early upper gastrointestinal tract cancers. He is also the provincial medical director of the Alberta Colorectal Cancer Screening program (ACRCSP). His research interests include clinical and laboratory innovations in colon cancer screening and Barrett’s esophagus. He received funding from AHFMR and Alberta Innovates. Dr. Wong is a Past-President of the Alberta Society of Gastroenterology. He has received regional and national teaching awards for excellence in medical education including Endoscopy & Teacher of the Year from the UofA GI Residency Training Program, the University of Alberta Medical Students’ Association Teacher of the Year Award, the Canadian Association of Medical Education (CAME) Certificate of Merit, and the University of Alberta Rutherford Award for Excellence in Undergraduate Teaching.

Dr. Laws graduated from the University of British Columbia and obtained her medical degree from McMaster University. She completed a general surgery residency at the University of Calgary and a breast surgical oncology fellowship at Massachusetts General Hospital/Brigham and Women’s Hospital.

She is currently pursuing a Master of Public Health in epidemiology from the Harvard T.H. Chan School of Public Health. She is a member of the Society of Surgical Oncology (SSO) and the American Society of Breast Surgeons (ASBrS).

Dr. Laws’ clinical and research interests include optimizing oncologic outcomes after breast cancer surgery, improving cancer care delivery through implementation of evidence-based practices, as well as managing patients at high-risk for breast cancer.

We were lucky enough to get her expertise about a number of important topics, including neoadjuvant therapy for breast cancer, indications for axillary node dissection in 2020, and an approach to recurrent breast cancer. Finally, we delve into her experience as a patient, and how that shaped her practice as a surgeon.

Links:

1. Intraoperative Margin Assessment in Wire-Localized Breast-Conserving Surgery for Invasive Cancer: A Population-Level Comparison of Techniques. https://pubmed.ncbi.nlm.nih.gov/27406094/

2. Does intra-operative margin assessment improve margin status and re-excision rates? A population-based analysis of outcomes in breast-conserving surgery for ductal carcinoma in situ. https://pubmed.ncbi.nlm.nih.gov/30293241/ Breast Biopsy During Post-treatment Surveillance of Screen-Detected Breast Cancer Patients Yields High Rates of Benign Findings. https://pubmed.ncbi.nlm.nih.gov/32100221/

3. Margins in Breast-Conserving Surgery After Neoadjuvant Therapy. https://pubmed.ncbi.nlm.nih.gov/30128902/

4. KATHERINE trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1814017

5. CREATE-X trial: https://www.nejm.org/doi/full/10.1056/NEJMoa1612645

6. RX-PONDER: https://www.nature.com/articles/s41598-019-49644-6

7. The surgeon who underwent surgery: How being a patient changed him. https://www.kevinmd.com/blog/2019/10/the-surgeon-who-underwent-surgery-how-being-a-patient-changed-him.html

This is the first in our new "Companion" series, meant to offer a discussion on new topics and events. We are lucky enough to be joined by Drs.  Kelly Vogt and Morad Hameed, both previous guests on the show.

In this episode we discuss the paper published in the CMAJ, "Relation between surgeon age and postoperative outcomes: a population-based cohort study" (https://www.cmaj.ca/content/192/15/E385). 

Send us your thoughts and comments by email at podcast.cjs@gmail.com or on twitter @CanJSurg!

Links:

1. Dr. Kelly Vogt bio: https://www.schulich.uwo.ca/generalsurgery/people/bio/kelly_vogt.html#:~:text=Vogt%20is%20a%20recipient%20of,Acute%20Care%20Surgery%20and%20Trauma.

2. Dr. Morad Hameed bio: https://surgery.med.ubc.ca/people/s-m-hameed/

3. Comment on “Comparison of Patient Outcomes of Surgeons Who Are US Versus International Medical Graduates”.https://journals.lww.com/annalsofsurgery/Citation/9000/Comment_on__Comparison_of_Patient_Outcomes_of.94281.aspx

4. The view from 10,000 procedures: technical tips and wisdom from master pancreatic surgeons to avoid hemorrhage during pancreaticoduodenectomy. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660662/

In this episode, we were lucky enough again to be joined by Dr. David Feliciano. Dr. Feliciano is a world-renowned trauma surgeon and a passionate surgical historian. Today he joins us to talk about surgeons who won the Nobel Prize and the complex and rich history that surrounds them. 

Email us at podcast.cjs@gmail.com or send us a tweet @CanJSurg with your thoughts about this and all our previous episodes. 

Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.

Links:

1. Nobel Prize winners who were trained as surgeons.
Feliciano DV.Am Surg. 2009 Jan;75(1):15-9; quiz 97.PMID: 19213390 No abstract available. https://journals.sagepub.com/doi/abs/10.1177/000313480907500103?journalCode=asua

2. Alexis Carrel (1873-1944): Nobel Laureate, 1912.
Dente CJ, Feliciano DV.Arch Surg. 2005 Jun;140(6):609-10. doi: 10.1001/archsurg.140.6.609. https://jamanetwork.com/journals/jamasurgery/fullarticle/508657

3. Joseph E. Murray (1919- ): Nobel Laureate, 1990.
Cash MP, Dente CJ, Feliciano DV.Arch Surg. 2005 Mar;140(3):270-2. doi: 10.1001/archsurg.140.3.270.PMID: 15781791 No abstract available. https://jamanetwork.com/journals/jamasurgery/fullarticle/508445

4. Michael Houghton, Winner of 2020 Nobel Prize. https://www.ualberta.ca/michael-houghton-nobel-prize-2020.html

In this episode, we explore the many challenges facing an under-discussed topic: undergraduate surgical education. We were joined by Drs. Andreana Butter and Geoffrey Blair, current and former chairs of the Canadian Undergraduate Surgical Education Committee (CUSEC). 

Dr. Andreana Bütter completed medical school at the University of Ottawa and residency in General Surgery at Western University. During residency, she also pursued a year of research at the Montreal Children’s Hospital in pediatric surgery; specifically in the area of fetal surgery and congenital diaphragmatic hernia. This research culminated in her obtaining a Master of Science Degree from McGill University in 2001. Upon completing her General Surgery residency, she returned to Montreal for a Pediatric Surgery fellowship at Sainte Justine Hospital (Université de Montréal), which she completed in 2005. She then joined the Division of Pediatric Surgery and the Department of Pediatrics at the Children’s Hospital (LHSC) as an Assistant Professor in the Department of Surgery. In 2012, she was promoted to Associate Professor. She assumed the role of Associate Director of Surgical Education in July 2014. She is also a review editor for Frontiers in Pediatric Surgery journal.

Her clinical areas of interest include Pediatric Thoracic and General Surgery, such as congenital diaphragmatic hernia, bracing for pectus carinatum, nonoperative management of appendicitis and minimally invasive surgery. She helped develop the first Canadian Robotic Pediatric Surgery program. Her research interests are in the areas of fetal surgery with minimally invasive ways of correcting or improving outcomes for congenital anomalies such as bladder outlet obstruction and congenital diaphragmatic hernia.

Dr. Geoffrey Blair is a recently retired pediatric surgeon at the BC Children's Hospital in Vancouver, BC. Being a pediatric general surgeon, he took seriously the need for clinical investigation in the field of surgery. He pursued topics related to congenital anomalies, thyroid surgery, and pediatric surgical oncology. 

He was the UBC Pediatric Surgery Program Director for our site since 1993, and the Chief Examiner of the Royal College of Physicians and Surgeons since 2001. With the constant evolution of better surgical methods, he's concerned that older models of training and surgical resident assessment are not applicable to the current delivery of health care. Therefore, he continues to be enthusiastically engaged in educational research projects looking at pedagogical tools, such as "portfolio" based methods, to enhance learning and evaluation.

Links:

1. CUSEC Website: https://www.cusec-ccecp.com/

2. C-CASE is happening virtually on Oct 29 and 30th. Be sure to register! https://www.cusec-ccecp.com/about-1

Joe DuBose is a graduate of the Virginia Military Institute and the University of Virginia School of Medicine. He performed surgical training at Keesler Air Force Base Medical Center and the University of Virginia from 2001-2006. Additional fellowship training in surgical critical care and trauma surgery was completed at Los Angeles County + University of Southern California Hospital from 2006-2008. Lt Col DuBose has been a staff trauma surgeon and surgical intensivist at Wilford Hall Medical Center and as an assistant professor of surgery at R Adams Cowley Shock Trauma Center / University of Maryland since 2008. During that period he has deployed as a trauma director once to the Air Force Theater Hospital at Balad Air Base in Iraq (2009) and twice in support of Operation Enduring Freedom in Afghanistan (Kandahar-2010; Bagram Air Base 2011-2012). He presently holds the title of Clinical Professor at the University of Maryland Medical Center.

In this episode we talk to Dr. DuBose about his training pathway, his experience in the military, and about integrating his vascular training with his trauma background, which includes his thoughts about REBOA.

 As always, we love feedback and comments, and feel free to email us at podcast.cjs@gmail.com or on twitter @canjsurg . Thanks and enjoy the episode! 

Links: 

1. Evolving Paradigms In Vascular Injury Management. https://www.youtube.com/watch?v=YfSYEM797Gg

2. Dr. Dubose’s Tiger Country podcast! https://www.listennotes.com/podcasts/tiger-country-the-trauma-podcast-joseph-4L9V2rU8x53/

3. EMCrit 281 – Why Can’t Emergency Medicine and Trauma Surgery Just Get Along?https://emcrit.org/emcrit/emergency-medicine-and-trauma-surgery-just-get-along/

4. EMCrit170 – the ER REBOA Catheter with Joe DuBose. https://emcrit.org/emcrit/er-reboa/

5. The AAST prospective Aortic Occlusion for Resuscitation in Trauma and Acute Care Surgery (AORTA) registry: Data on contemporary utilization and outcomes of aortic occlusion and resuscitative balloon occlusion of the aorta (REBOA). https://pubmed.ncbi.nlm.nih.gov/27050883/

After graduating from the University of Alberta with a Bachelor of Science and M.D in 1990, Dr. Logsetty obtained his Diploma in Clinical Epidemiology from the University of Toronto in 1996 garnering many awards along the way.  Dr Logsetty completed the Surgical-Scientist Program at University of Toronto in 1994-1996.  He continued his training in fellowships in Acute Burn Care & Reconstructive Surgery at Ross Tilley Burn Centre in Wellesley Hospital in Toronto, Ontario (1996-1998) and in Critical Care of Burns at Harborview Medical Centre in Seattle, Washington (1998-1999).
He was appointed to the position of Associate Director of the Firefighters Burn Treatment Unit at the University of Alberta Hospital in 1999.  He was also the Director of Resident Research for the General Surgery Department at the University of Alberta Hospital from 2005 to 2007.  During his time at the University of Alberta Hospital he was promoted from Assistant Professor to Associate Professor.  In 2007 he was recruited by the University of Manitoba and the Health Sciences Centre to take on the position of Director of the brand new Burn Unit located at Health Sciences Centre in Winnipeg.  He remains an Associate Professor of Surgery at the University of Manitoba and was appointed the Director of Research for the Section of Plastic Surgery. 

In this episode, we get all fired up about burn care. We talk about training pathways for burn surgeons, burn resuscitation, operative management of burns, and finally about Dr. Logsetty’s innovative research into burn wound management. 

Links:

1. Dr. Logsetty’s nature review on burns: https://pubmed.ncbi.nlm.nih.gov/32054846/
2. Clinical Value of Debriding Enzymes as an Adjunct to Standard Early Surgical Excision in Human Burns; A Systematic Review: https://academic.oup.com/jbcr/advance-article-abstract/doi/10.1093/jbcr/iraa074/5840378?redirectedFrom=fulltext
3. Simple Derivation of the Initial Fluid Rate for the Resuscitation of Severely Burned Adult Combat Casualties: In Silico Validation of the Rule of 10. https://pubmed.ncbi.nlm.nih.gov/20622619/
4. Mental health outcomes of burn: A longitudinal population-based study of adults hospitalized for burns. https://europepmc.org/article/med/27049068
5. Bacteria-Responsive Single and Core-Shell Nanofibrous Membranes Based on Polycaprolactone/Poly(ethylene Succinate) for On-Demand Release of Biocides. https://pubs.acs.org/doi/10.1021/acsomega.8b03137

Henry A. Pitt, M.D. trained in surgery at Johns Hopkins and has been at the forefront of developing Hepato-Pancreato-Biliary (HPB) Surgery over the past three decades. His career has taken him to UCLA (1979), back to Johns Hopkins (1985) in Wisconsin (1997) and Indiana (2004), (2013) to Temple University Health System (TUHS) and now to Rutgers Cancer Center. He has served as president of the AOA Chapter in medical school , the Society of Clinical Surgery, the American Hepato-Pancreato-Biliary Association and the International Hepato-Pancreato-Biliary Association. He had funding for research in gallstone pathogenesis for 30 years. He has overseen surgical training programs at Johns Hopkins, the Medical College of Wisconsin (MCW) and at Indiana University (IU). His focus in recent years has been in quality, both at the hospital and the national level. His accomplishments have been honored by the Surgical Research Society of South Africa, the Surgical Research Society of Australia, the Tongi Medical College of Wuhan, China, the Second Military Medical College in Shanghai, China, and the Royal College of Surgeons of Edinburgh, Scotland.

We really delve deep with him on his initiatives to improve the quality of hpb surgery in the US, north America, and around the world. You can find him on twitter: https://twitter.com/HenryPittMD

Links:

1. Dr. Pitt’s first paper! On gentamicin levels in the biliary tree: https://academic.oup.com/jid/article/127/3/299/2189262
2. ACS-NSQIP has the potential to create an HPB-NSQIP option. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2742610/.
 Variation in Drain Management After Pancreatoduodenectomy: Early Versus Delayed Removal. https://pubmed.ncbi.nlm.nih.gov/29064899/
3. IHPBA: the first 25 years. https://www.ihpba.org/includes/moxiemanager/data/files/article.pdf

In this special episode, we had the opportunity to do our first live Cold Steel episode! We were lucky enough to be able to have Dr. Justin Dimick join us at Queen’s University in Kingston, Ontario as part of our William Ersil research day. During this interview we really delved into Dr. Dimick’s life story and his vision for how we can continue to improve the science and craft of surgery. 

Links:

1. https://surgery.queensu.ca/research/2022-william-ersil-resident-research-day#:~:text=The%20William%20Ersil%20Resident%20Research,the%20supervision%20of%20Attending%20Staff. 

2. How I Built This: https://www.npr.org/series/490248027/how-i-built-this 
3. https://www.ourherald.com/articles/randolph-nationals-dimick-is-banker-of-the-year/

4. https://www.ourherald.com/articles/justin-dimick-wins-medical-research-award/

5. Variation in Hospital Mortality Associated with Inpatient Surgery. https://www-nejm-org.proxy.queensu.ca/doi/full/10.1056/nejmsa0903048

6. Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. https://pubmed.ncbi.nlm.nih.gov/19953723/

7. https://www.canjsurg.ca/e60-andrew-ibrahim-on-architecture-visual-abstracts-and-design-in-surgery. 

8. Wired article on Andrew Ibrahim. https://www.wired.com/story/lets-save-some-lives-doctors-journey-into-pandemic/ 

9. Michigan Mentorship Academy. https://www.youtube.com/playlist?list=PLNxqP-XbH8BLhAqx9o_sTLCV2dpGebFM9 

10. Chelsea Harris, Justin Dimick, Lesly Dossett. Cultural Complications: A Novel Strategy to Build a More Inclusive Culture. https://pubmed.ncbi.nlm.nih.gov/32740257/

Dr. Mark Campbell is a board certified general surgeon, a member of the Texas Surgical Society, and a Fellow of the American College of Surgery. He received a B.S. in Pre-Medical Biology at The University of Texas at Arlington in 1976 and received his M.D. from the University of Texas Medical School at Houston in 1979. He finished his surgical residency at St. Joseph’s Hospital in Houston in 1984. He has been practicing general surgery for 23 years and is currently in private practice in Paris, Texas. He has been a member of the Space Medicine Branch and The Aerospace Medical Association since 1989. He has authored or co-authored 25 published papers concerning surgical care during space flight and surgical techniques in weightlessness. Ten of these articles were published in Aviation Space and Environmental Medicine. He also was the author for the surgical section of “Medical Guidelines for Air Travel” published by the Aerospace Medical Association. Dr. Campbell has been a private pilot since 1984 (single and multi-engine ratings) and received his Air Force Flight Surgery wings in 1994. He began performing parabolic flight research with NASA Medical Operations at the Johnson Space Center in 1991 and was a NASA Flight Surgeon at the Johnson Space Center from 1994 to 1996 where he was deployed to Star City, Russia to support the Shuttle-Mir program.

In this episode we talk to him about prophylactic surgery for astronauts, developing remote surgical capacity, and telementored ultrasound. 

Links:

1. Nonoperative treatment of suspected appendicitis in remote medical care environments: implications for future spaceflight medical care. https://pubmed.ncbi.nlm.nih.gov/15110816/.

2. A review of surgical care in space. https://pubmed.ncbi.nlm.nih.gov/12081072/

3. Prophylactic surgery prior to extended-duration space flight: is the benefit worth the risk? https://pubmed.ncbi.nlm.nih.gov/22564516/

Dr. Melinda Davis (https://twitter.com/melindadavisyyc) is an anesthesiologist at the Foothills Medical Centre. She has a fellowship in neuroanesthesiology and clinical interest in perioperative medicine.

While she spends half her professional life putting people to sleep, Dr. Davis spends the other half attempting to inspire and energize them. She teaches at all levels of medical education from students in undergraduate medical education through to faculty development. She believes in finding the forest before the trees, and helping learners create strong cognitive scaffolds. She has been the recipient of numerous awards for education including the Jones Award for Teaching Excellence in Undergraduate Medical Education.

Dr. Davis holds a number of leadership positions in medical education. She is the Director of the Anesthesiology Clerkship, Associate Program Director of the Anesthesiology Residency Program, and the Director of the Master Teacher Program in Undergraduate Medical Education. Dr. Davis has a research interest in medical student career choice, shaped by the observation that medical students in Canada are making important, complex career decisions under considerable time pressure. She is the lead of the Career Exploration Program which aims to help students make informed, confident career choices in medicine.

An ectopic Australian, Dr. Davis has replaced oceans and beaches with time in the mountains at any opportunity.  She can be found there with her daughter, in a tent, on foot, on skis, or on a horse, but never with a bad cup of coffee.                  

In this episode with Dr. Davis, we put the surgery-anesthesia relationship on the table, dissect it out and try to think about ways we can make that relationship better. We also talk about career counseling for medical students and Dr. Davis’s role as the new program director for the Calgary anesthesia program. 

Links:
1. Career Counseling at UCalgary: https://cumming.ucalgary.ca/mdprogram/current-students/student-advising-wellness

2. Stats on CaRMS matching: https://pubmed.ncbi.nlm.nih.gov/32802225/

3. CFMS handbook on differential match rates in CaRMS: https://www.cfms.org/files/matchbook/MatchStats.pdf

4. Royal College CanMEDS framework: http://www.royalcollege.ca/rcsite/canmeds/canmeds-framework-e

5. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complications in Their Patients. https://jamanetwork.com/journals/jamasurgery/fullarticle/2736337

In this episode, we do a practice mock oral examination. We hope that this can help candidates to get a sense of the Royal College oral examinations. Although there are no oral exams this year, we hope to help next year's examinees get in the mindset for studying and practicing for the oral exam. 

Thanks again to our examiners Dr. Caitlin Cahill and Dr. Greg Knapp!
Dr. Cahill's slides: https://drive.google.com/file/d/1hSiLxlEEvqwC23Qbe4-8kU2ESoEabQN7/view?usp=sharing

Dr. Knapp's slides: https://drive.google.com/file/d/1XkjC1nlT-XvUqHjfQx_yxfLY1H6AuxGg/view?usp=sharing

Dr. Caitlin Cahill is a colorectal fellow at the University of Calgary. She did general surgery residency at the University of Ottawa. She has been instrumental in helping the Calgary chief residents prepare for their exams. 

Dr. Greg Knapp is a repeat guest on Cold Steel! He did residency at Dalhousie University, a year of community practice, a year as a Global Surgical Oncology Fellow at Memorial Sloan Kettering and is pursuing his surgical oncology fellowship at the University of Calgary.