A US-based surgical education podcast running since 2015, created by Dr Kevin Kniery, Dr Scott Steele, Dr Jason Bingham, and Dr John McClellan. It covers surgical training, procedures, clinical updates, and interviews with surgical experts across various specialties.
Paediatric trauma assessment starts with mechanism. Persistent vomiting or tenderness after handlebar injury should prompt CT for duodenal haematoma, while a seat-belt sign plus abdominal pain raises bowel and Chance fracture risk. Observation needs review intervals and clear failure criteria, not passive waiting.
Understanding RVUs prevents service-design errors. Work RVUs, facility payment, global periods and DRGs answer different questions; the same cholecystectomy pays differently by site of service, and incomplete comorbidity documentation can down-code an admission.
The most important early decision in metastatic colorectal cancer is whether the primary tumour can safely stay in situ while systemic therapy begins. Exclude obstruction, bleeding, or perforation, get MSI/MMR and broader sequencing early, and use liver-directed imaging before dismissing resection or ablation.