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.
The reason to open this one is not science fiction but scarcity. It explains why pigs became preferred donors, how alpha-gal and gene editing shaped progress, and where xenografts may realistically sit as bridge therapy for severe organ failure rather than routine replacement.
Acute pelvic pain needs early separation of tubo-ovarian abscess from ovarian torsion. Exclude ectopic pregnancy first, use ultrasound as first-line imaging, but do not let preserved Doppler flow or a normal white cell count delay urgent laparoscopy or drainage when the clinical pattern remains high risk.
After an unsuccessful categorical surgery match, choose a prelim year only if clinical performance or local proof of ability is the real gap. Ask for specific feedback early, secure directly observed letters, and avoid reflexing into research when the limiting factor is elsewhere.
Pancreaticcysts found on cross-sectional imaging should not be treated as one entity.Distinguishing pseudocysts and serous cystadenomas from mucinous lesions andIPMNs guides diagnostic work-up, surveillance decisions, and when cyst-fluidgenomic testing such as PancSeq may add prognostic value.
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.
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.
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.
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