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.
Surgical educators, supervisors and trainees get a workplace-assessment update on entrustable professional activities. It links observable clinical tasks, autonomy, entrustment, case complexity, self-assessment, representative data and narrative feedback to fairer competency-based progression decisions.
General surgery and critical-appraisal readers get a guideline-focused update on biliary imaging during laparoscopic cholecystectomy. IOC is framed as anatomy clarification, stone detection and bile duct injury recognition, with selective non-use, laparoscopic ultrasound, indocyanine green, pregnancy and paediatric considerations.
General surgical teams get a nuanced approach to optimisation before ventral and complex hernia repair. Glycaemic control, tobacco exposure, BMI trajectory, nutrition, function and symptom burden inform shared decisions, while rigid thresholds risk becoming barriers when practical support and follow-up are absent.
Colorectal surgery, oncology and maternity teams get a reproductive-age rectal cancer update. Persistent rectal bleeding in pregnancy should be examined rather than automatically attributed to haemorrhoids, with flexible sigmoidoscopy, fertility preservation, pregnancy-adapted staging, treatment sequencing and watch-and-wait surveillance all considered.
Surgical, primary-care and endocrinology teams get a systems-focused review of unequal access to metabolic and bariatric surgery. It separates clinical eligibility from referral and treatment receipt, highlighting insurance, service design, language, socioeconomic barriers and weight stigma alongside person-first communication and pathway audit.
Relevant to prehospital and trauma systems deciding how blood products fit haemorrhagic shock care. It separates whole blood from component therapy without treating trial neutrality as failure, and keeps transport time, product logistics, haemorrhage control, calcium, TXA and transfer systems visible.
Acute unilateral leg pain and swelling in pregnancy can be limb-threatening phlegmasia, not routine deep vein thrombosis. The bedside focus is a full limb-threat assessment, including temperature, pulses, movement and sensation, before anticoagulation alone becomes the default plan.
Fulminant C. difficile colitis is a surgical and critical care problem when shock, ileus, megacolon or ICU-level severity appears. The key bedside message is to act on worsening physiology and early surgical review, not wait for computed tomography to look dramatic.
Gunshot wound discharge planning should not end with “fragment retained”. Record location, removal rationale, return symptoms and surveillance needs. Intra-articular, cerebrospinal fluid, bone marrow, vascular, multiple or symptomatic fragments lower the threshold for blood lead follow-up.
Discharge instructions and trainee assessment share a practical problem: apparent understanding is not the same as demonstrated understanding. Plain language, teach-back, observable behaviours and repeated workplace data are the safer tools for patient communication and surgical progression decisions.
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