Brown Surgery Podcast

Today we are going to dive into what it is like to be a Preliminary General Surgery Resident here at Brown. With match day right around the corner, Drs. ⁠⁠⁠Beltre⁠⁠⁠, ⁠⁠Filtz⁠⁠, and ⁠⁠⁠Mitchell⁠⁠⁠ sit down with Drs. Audrea Bose, Liam Watkinson, and Brooke Vogel to discuss what their experience at Brown has been like and offer some advice for those of you searching for a preliminary general surgery position.

Pulmonary emboli in Trauma patients is, unfortunately, an established and not uncommon complication we must deal with. Today, we welcome one of our own Trauma Surgeons, Dr Brent Emigh, MD to the Podcast to discuss VTE occurance and prophylaxis in Trauma patients. Article with more information on PE in Trauma patients is HERE Article mentioned on IVC filters can be accessed HERE If anyone has comments on this episode or suggestions for topics please feel free to reach out to me at kenneth_lynch@brown.edu

Today are going to dive into Pediatric Surgery. Drs ⁠⁠Beltre⁠⁠, ⁠Filtz⁠, and ⁠⁠Mitchell⁠⁠ sit down with Dr Samantha Ahle to discuss why she choose general surgery and a career in pediatric surgery, some of the factors that go into choosing a pediatric fellowship, address some of the considerations with becoming a pediatric surgeon and, of course, touch on the often discussed work-life balance. Dr Ahle attended George Washington University School of Medicine and Health Sciences in Washington, DC for medical school. She did her residency training and completed a Masters in Med Ed at Yale School of Medicine in New Haven, CT. She then went on to do a pediatric surgery fellowship at Ann & Robert H. Lurie Children's Hospital in Chicago, IL If anyone would like to reach out to Dr Ahle about anything she discussed today or to talk more about pediatric surgery or surgical education, you can reach her at samantha.ahle@brownphysicians.org If anyone has ideas for topics to be covered in future episodes, please feel free to email me at kenneth_lynch@brown.edu

General surgery residency can be a stressful time, especially during intern year. Four our our general surgery residents sit down to discuss their experience and offer up tips on surviving and thriving during your intern year. Shout out to Drs Beltre, Case, Mitchell, and Saymuah for grabbing the mic and continuing our local podcast for students, residents and anyone else interested in surgery. Please look forward to many more episodes to come. If anyone has ideas for topics to be covered, please email me at kenneth_lynch@brown.edu

Hi everyone, welcome back to the Brown Surgery Podcast. Today we welcome Drs Daryl Appleton, Katie MacCallum and Charles Baldi for a panel discussion on healthy surgical compartmentalization of care that we all experience in our discipline.  This was part of a grand rounds session we had in our department the week of January 15th, 2024. It is one of the more important discussions we have had as a department and I think you all will appreciate it. 

Today we have a special episode that touches on a topic that is receiving a lot of attention in the literature but is not often talked about in general surgery or training programs.  Imposter syndrome, or phenomenon as it was originally defined, is a feature that involves fear of being discovered and exposed as an imposter, or more simply one who feels they do not belong in the role they occupy, and does not deserve the success they achieve.  To explore this concept in greater detail, we are fortunate enough to have a diverse panel of surgeons from Brown Surgery joining us today. With the help of Dr. Daryl Appleton, we will have an open conversation with Drs Christine Emmick, Dean Roye, Andrew Luhrs and Elizabeth Tindal to explore this concept in greater detail.  For Bio's on our facilitator and panelists: Dr Daryl Appleton, M.ED, CAGS, LMHC, Ed.D. Dr Christine Emmick, MD Dr Dean Roye, MD Dr Andrew Luhrs, MD Dr Elizabeth Tindal, MD Article of interest on Imposter Syndrome in General Surgery training programs: https://www.sciencedirect.com/science/article/abs/pii/S1072751521012308 Thanks again to all of our panelist and for making this discussion on Imposter Syndrome incredibly engaging.  If there a specific topics and/or specialties you would like me to dive into in future episodes of this podcast my email is below so just send me a quick note. Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast. Kenneth_Lynch@brown.edu

Today I am excited to welcome back our Brown surgical critical care fellow, Dr Jennifer Hubbard, MD to the podcast to discuss a topic we don't talk about enough in the general surgical world; caustic ingestion. Dr Hubbard presented this topic at a recent combined conference and I thought it would work really well as a podcast episode. I'm also going to try this out as a video podcast so let me know if you like this format. Without further ado, let's dive into caustic ingestion.

Todays episode is geared towards medical students and junior residents as we discuss indications for chest tube placement, types of chest tubes, as well as a quick review of the 3 chamber chest tube collection system that can be daunting for new clinicians. Joining me to discuss this topic is our current Brown surgical critical care fellow Dr Jennifer Hubbard, MD. Dr. Hubbard did her undergraduate work at Umass Amherst and then went on to medical school at Ross University before doing a general surgery residency at St Mary's Hospital in Waterbury Connecticut. She is halfway through her surgical critical care fellowship here at Brown and we are excited to have her on the podcast today. Podcast Chapters: (1:29) Chest tube indications? (2:42) Where to needle decompress? (5:27) Difference between a standard chest tube and a pigtail catheter? (9:08) Technique for standard chest tube placement (14:00) Technique for pigtail catheter placement (15:30) Suction versus waterseal? (20:50) Considerations when deciding on removing a chest tube Links to Content Discussed on this episode: Article on chest tube size and hemothorax: https://journals.lww.com/jtrauma/Fulltext/2021/11000/The_small__14_Fr__percutaneous_catheter__P_CAT_.6.aspx?casa_token=mwStOr036p0AAAAA:0_RiqETsgtR70oPpOAsXUO6D1TJGTlDyLQyR-j5NFWpmR-ScFah8Z0kelctpJrRNWTW0bRP1TQPJHb0MPUD31A Behind the knife video on chest tube placement: https://www.youtube.com/watch?v=o5HuiD51Su0 One Pager on Chest tubes (and other important ICU concepts): https://onepagericu.com/chest-tubes My email: Kenneth.lynch@brownphysicians.org Please feel free to send me topics you would like me to discuss on this podcast

Today are going to dive into hepatoboliliary surgery. We are going to take a look at what a day in the life looks like, some of the factors that go into choosing a HPB fellowship, address some of the misconceptions of becoming a HPB surgeon and, of course, touch on the often discussed work-life balance. Joining me to discuss this topic is our own HPB surgeon and assistant program director Dr Racheal Beard. Dr Beard completed her undergraduate studies at Boston University. She then went on to Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA for medical school. She did her General Surgery Residency at Beth Israel Deaconess Medical Center in Boston, Massachusetts and then went on to HPB fellowship at the University of Pittsburgh Medical Center, Pittsburgh, PA. Podcast Chapters: (1:32) Why a Career in Surgery? (3:24) Why clinical research years? (5:33) Are clinical research years mandatory for HPB (6:45) What does a normal week look like for you? (7:55) What does a typical HPB practice look like at other centers? (9:31) Decision on HPB vs Surgical Oncology vs Transplant for a fellowship in this field? (11:22) Tips and advice for those considering a career in HPB? (12:25) What to look for in a HPB fellowship? (13:54) Any misconceptions about HPB surgery (15:19) Importance of institutional support (16:57) Work-Life Balance? My email is Kenneth.lynch@brownphysicians.org Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Today we are continuing our chief podcast series with Dr. Molly Hunter, MD. Molly is joining us today to speak about her experience with getting involved with global surgery and performing global surgery research. She has put together an excellent framework that anyone interested in this area will find extremely helpful as the plot their course in global surgery. Podcast Chapters: (0:32) Dr. Hunter's educational pedigree. (1:18) Dr. Hunter's journey into global surgery. (3:03) How to get involved with Global Surgery (GS) as a resident? (4:36) Tips for those exploring GS options in residency programs. (5:55) GS and GS research. (8:16) 4 components essential to GS/GSR: Mentorship (12:27) 4 components essential to GS/GSR: Partnership (16:26) 4 components essential to GS/GSR: Themes (20:43) 4 components essential to GS/GSR: Funding (23:38) Final tips and advice for those interested in GS/GSR My email is Kenneth.lynch@brownphysicians.org Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast

In this episode, we are going to kick off our 2022 chief resident podcast series. This is something we started last year as a way for our chief residents to leave their mark here with us at brown by discussing a topic they are passionate about. Today We are going to take a look at the decision to go into general surgery training. We'll get into some of the factors that one should consider if they think this is the career pathway for them as well as what it takes to be a successful surgery resident at all stages of training. This is a great episode for medical students who are considering general surgery as a career and want to find out more about the process as a whole. Joining me to discuss this is our own chief administrative resident Dr. Andrew Varone. Podcast Chapters: (0:48) Dr. Varone's educational pedigree. (2:06) Factors that led to a decision to pursue general surgery? (3:29) Teams versus reality? (4:53) What about doing away rotations? (5:43) Lifestyle of a general surgery resident? (8:32) How best to prepare for a life in surgery? (10:46) Research requirements for surgery residency? (13:31) What to look for in choosing a surgery training program? (16:45) How best to prepare to be a general surgery intern? (20:31) Tips on excelling as a senior surgery resident? (23:22) Would you do it again? My email is Kenneth.lynch@brownphysicians.org Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast

I'm excited to have our departmental wellness coach, Dr Daryl Appleton, M.ED, CAGS, LMHC, Ed.D. on with me today as we dive into various topics surrounding clinician wellness. We are going to touch on defining wellness, exploring imposter syndrome, discussing the 7 types of rest we should be engaging in, some of the themes she has noticed in talking with our residents and faculty over the past few years, as well as some stress reduction techniques we can apply when time is a factor. Podcast Chapters: (0:46) Dr Appleton's journey into wellness. (3:14) How do you define wellness? (5:57) The 7 different types of rest. (14:47) Themes in talking with residents and faculty. (17:34) Imposter syndrome. (20:46) Stress reduction techniques. (25:26) How can we get our partners engaged (28:56) If you haven't bought in to the concept of wellness yet. Dr Appleton's Email: contact@drdarylappleton.com Article on Imposter Syndrome in Surgery Residents: https://www.sciencedirect.com/science/article/abs/pii/S1072751521012308 My email is Kenneth.lynch@brownphysicians.org Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Today are going to dive into vascular surgery. We are going to take a look at what a day in the life looks like, some of the factors that go into choosing a vascular fellowship, address some of the misconceptions and, of course, touch on the often discussed work-life balance. Joining me to discuss this topic is one of our vascular surgeons Dr Carla Moreira. Dr Moreira graduated from Rhode Island College in 2003 with B.A. in Biology and Chemistry. In 2008, she received her M.D. from Alpert Medical School of Brown University, Providence, RI, and completed residency in General Surgery at the University of Chicago, Chicago, IL in 2013. This was followed by 2-year fellowship training in vascular and endovascular surgery at Boston Medical Center, Boston, MA. Podcast Chapters: (1:12) Why a Career in Surgery? (4:49) Why Vascular Surgery? (10:04) What Does a Normal Week Look Like for You? (13:00) What Advice Would You Give for Students/Residents Considering a Career in Vascular Surgery? (17:12) Integrated Versus Vascular Fellowships? (21:00) Suggestions on What to Look for in a 2-Year Fellowship? (24:55) Misconceptions About Vascular Surgery? (26:56) Work-Life Balance? Dr Moreira's Email: carla.moreira@Brownphysicians.org Please visit Vascular.org to see resources available My email is Kenneth.lynch@brownphysicians.org Have a great week and I'm looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Welcome back to the Brown survey podcast. Today we are going to kick things off with the important topic of enteral nutrition delivery in the acute care setting. Nutrition delivery can be a challenge at times on surgical services and there are always a lot of questions by clinicians on how to approach enteral delivery with patients, calculating individual caloric goals, route of nutritional delivery, and choosing the correct supplemental formulas. Joining me to discuss this topic is Our local expert on surgical nutrition, Dr. Marion Winkler, PhD, RD, LDN, CNSC. Dr Winkler is a Professor of Surgery at the Alpert School of Medicine here at Brown and a Surgical Nutrition Specialist in the Department of Surgery and Nutritional Support Service at Rhode Island Hospital. Podcast Chapters: (1:46) What are our goals with enteral nutrition delivery? (3:12) When should we consider supplementing enteral nutrition? (6:08) How do we determine caloric goals for patients (9:05) Protein requirements in patients (11:42) Which formula to choose (16:01) Route of administration: gastric vs post pyloric (17:23) Continuous versus Bolus feeding (19:04) Interruptions in feeding/volume based feeding (21:35) Gastric Residuals (24:15) How good are we at delivering nutrition (25:38) When to consider TPN administration ASPEN Guidelines: https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2267

Today are going to dive into the topic of providing feedback in medical education. Today I thought it would be a good time to review this topic, including how we define feedback in the clinical context, the guidelines on how best to provide feedback to our learners and also some of the barriers that we encounter around this process. Joining me to discuss this topic is one of our local experts in adult education Dr Emily Green, PhD, MA. Dr Green is the Assistant Dean for faculty development here at The Warren Alpert medical school at Brown university. Podcast Chapters: (1:28) What is Feedback? (2:38) Difference between Feedback and Evaluation? (3:55) The Feedback/Sef-Assessment/Reflection Loop (6:14) Discrepancy between Learner and Faculty Perception versus Reality around Feedback (7:55) Guidelines to Provide Feedback (9:00) Language to use when Providing Feedback (11:00) Timing of Feedback (12:14) Administering Negative Feedback (14:25) Hearsay versus Direct Observation (16:10) Incorporating Teach-Back in Feedback (20:08) Location to Provide Feedback (23:13) Barriers to Feedback (24:36) How can Learners Engage Faculty to Provide Feedback A good reference article on Providing Feedback can be found here: https://edu.umsu.ac.ir/uploads/Feedback_30000.pdf Video Resources can be found here: https://facultydev.med.brown.edu/resources/evaluation

Today we are going to continue our career based podcast discussions and dive into the world of trauma surgery. To help put this into better perspective, we asked Dr. Stephanie Lueckel, MD to join us on the podcast today. Dr Lueckel is an associate professor of surgery here at Brown and one of our trauma/critical care surgeons. She is also a wife and mother of 3 children. I thought she would be a great guest to have on the podcast to explore some of the finer details about why she chose a career in trauma critical care, what a day in her life looks like, what residents should be looking for in a fellowship program, and to find out if work-life balance actually exists.

Welcome back to the brown surgery podcast. Today we are going to tackle the topic of sedation in critical care with our local Trauma ICU pharmacist Dr Shawn Whitehead, PharmD The objectives for this podcast are to discuss some of the common medications we have at our disposal for sedating patients in the ICU, particularly those who are intubated on mechanical ventilation. We will also discuss the formal assessment of patients with agitation and factors that should be considered when working up these patients. Article on the Richmond Agitation and Sedation Scale can be found at: https://www.atsjournals.org/doi/pdf/10.1164/rccm.2107138 Resources on the PADIS Guidelines at SCCM can be found here: https://www.sccm.org/iculiberation/guidelines Do you have ideas for future podcast episodes? Please email me at Kenneth_lynch@brown.edu

Today we continue part 2 of our discussion on burn management with Drs Eric Benoit and Manuel Portalatin. This episode is going to focus on fluid resuscitation as well as excision and grafting options for these patients. Eric is currently an assistant professor of surgery at Tufts University school of medicine and part of the trauma, ACS, surgical critical care faculty at Lahey hospital and medical center in Massachusetts. Manny was one of our former critical care fellows, and now an attending burn surgeon at Loyola (This episode was recorded during Manny's fellowship year at MGH) This is part 2 of a 2 part episode.

Today we are going to do something a little different and hand the reigns over to our former critical care fellow and faculty member Dr Eric Benoit, MD. Eric is currently an assistant professor of surgery at Tufts University school of medicine and part of the trauma, ACS, surgical critical care faculty at Lahey hospital and medical center in Massachusetts. Eric is going to lead this discussion on burn management with another one of our former critical care fellows, and now attending burn surgeon at Loyola, Dr Manuel Portalatin, DO (This episode was recorded during Manuel's fellowship year at MGH) This is part 1 of a 2 part episode.

Today we're going to talk about obtaining informed consent from patients. It's a situation that most clinicians, especially junior residents, find themselves in on a daily basis. This episode should serve as a good basic review of the informed consent process and the components that should be included in your discussion with patients. Additional resources for informed consent can be found here: Dr. Schwarze's best case/worst case tool: https://www.youtube.com/watch?v=FnS3K44sbu0 https://patientpreferences.org/best-case-worst-case/ Behind the knife podcast discussions on best case/worst case: https://podcasts.apple.com/us/podcast/best-case-worst-case-tool-scenario-planning-dr-gretchen/id980990143?i=1000526751084 Further Reading on Informed Consent: https://www.journalacs.org/article/S1072-7515(08)01724-9/fulltext

Welcome back to the Brown Surgery Podcast. Today we going to continue our quick-shot podcast series on the basics of fluid resuscitation. This is a concept that is often discussed and which clinicians encounter frequently, especially junior residents and advanced practice providers who find themselves covering critical care units managing patients with shock. Joining me today to discuss this topic is Dr. Michael Connolly, MD. Mike is an associate professor of surgery and one of our trauma, critical care surgeons here at Brown Surgery. Please comment if you enjoy these quick shot podcasts. If there is a topic you would like us to cover, please email me at: Kenneth_Lynch@brown.edu

Welcome back to the Brown Surgery Podcast. Today we going to continue our quick-shot podcast series on the basics of mechanical ventilation. This is a concept that clinicians should have a good basic understanding of, especially those junior residents and advanced practice providers who find themselves covering critical care units managing patients on a ventilator. Joining me today to discuss this topic is Dr. Tareq Kheirbek, MD. Tareq is an associate professor of surgery and one of our trauma, critical care surgeons here at Brown Surgery. Please comment if you enjoy these quick shot podcasts. If there is a topic you would like us to cover, please email me at: Kenneth_Lynch@brown.edu

As we kick off a new academic year with our new surgical interns, we have put together a quickshot podcast series on the management of critically ill patients to help them get up and running when preparing to take call. In this first episode, we tackle the selection of vasopressors with one of our local trauma and critical care faculty members, Dr. Andrew Stephen, MD. In the coming weeks, we will be continuing this quickshot series on topics such as fluid resuscitation, mechanical ventilation, and sedation. If you have topics you would like to hear us put together for this series, please reach out to me at kenneth_lynch@brown.edu

Today we are going to continue our career based podcast discussions and dive into the world of cardiothoracic surgery, specifically targeting the cardiac side of the equation. To help put this into better perspective, we asked Dr. Neel Sodha, MD to join us on the podcast. Dr Sodha is an associate professor of surgery here at Brown and one of our cardiothoracic surgeons who typically takes our residents through a month of elective cardiac surgery. I thought he would be a great guest to have on today to explore some of the finer details about why he chose a career in cardiac surgery, what residents should be looking for in a fellowship program, and what a day in his life looks like.

Compartment syndrome and crush injury are two different clinical processes that are commonly confused with one another. Our residents get to work up a number of these patients on the trauma and acute care surgery service and it is important to understand that while the two diagnoses are similar, recognizing the differences between them is extremely important and can significantly impact patient outcomes. Today we discuss the workup and management of each of these diagnoses with our chief surgical resident Dr Juan Pablo Zhenlio, MD.

Today we continue with our Chief Resident Podcast Project and welcome Dr Laura Scrimgeor, MD to the podcast.  Laura has also invited our local cardiothoracic surgeon Dr. Neel Sodha, MD to join her for a discussion on the workup and management of acute aortic syndromes.  In this episode, we will cover some basic thoracic anatomy, clarify the dissection classification syndrome, and discus the workup and management of aortic dissections, intramural hematomas, and penetrating aortic ulcers.   

A few weeks ago we talked to both senior and junior surgical faculty here at Brown on how to better teach residents how to operate while in the operating room. If you haven't listened to those podcasts yet, please be sure to check those out with doctors David Cloutier, Christine Emmick, Marcoandrea Giorgi and Andrew Luhrs. Today we will be continuing that discussion from the perspective of our chief resident Dr Eleanor Fallon, MD. as she discusses the best way senior residents can better prepare to take on teaching cases during residency.

The workup and management of carotid artery disease is a common clinical condition that our surgical residents are frequently exposed to on the vascular surgery service. Today, we continue our Chief Resident Podcast Project with Dr. Lily Wang, MD as she takes us through the workup and surgical management of carotid artery disease and discusses a few key clinical trials all residents should be familiar with when starting their vascular surgery rotation. Trials mentioned in this Podcast: ACAS: https://pubmed.ncbi.nlm.nih.gov/7723155/ NASCET: https://pubmed.ncbi.nlm.nih.gov/10471419/ CREST: https://pubmed.ncbi.nlm.nih.gov/20876500/

Today we are doing something different on this episode of our Chief Resident Podcast Project. Dr Haley Leesley, MD is going to take us through two cases of esophageal perforations. This should serve as a good overview and review of the surgical management of this disease process. Please let us know if you enjoy this format and would like to hear more cases presented like this on the podcast.

The multimodal approach for patients with peritoneal carcinomatosis involves what is known as cytoreductive surgery, followed by hyperthermic intraperitoneal chemotherapy (HIPEC). The specifics of this treatment regimen and how it is performed is not something we typically discuss outside of service specific surgical oncology conferences. To better prepare our residents and medical learners out there, today we sit down with our Chief Surgical Resident, Constantinos Zambirinis, MD to discuss the evolution, patient management, and future applications of HIPEC therapy. Follow Dr Zambirinis on Twitter at: @czambir

We are excited to kick off our first Chief Resident Podcast Episode. Dr Zmijewski was our Chief of Wellness this past academic year at Brown. In addition to doing an outstanding job in this role, she implemented a Narrative Surgery curriculum for both faculty and staff. In this weeks episode, we explore the meaning, content and curriculum behind her Narrative Surgery efforts and gain insight into why this curriculum is meaningful for our surgical discipline as a whole.

Today we are going to continue with our career based podcast discussions and dive into the world of endocrine surgery. Our residents at Brown spend a lot of time rotating on this service during their PGY3 year and it is always a rotation they look forward to for many reasons. Whether is the repetitive nature of the procedure, the ability to improve their dexterity working in in smaller spaces, or just getting more facile with neck anatomy and dissections, the overall experience of residents in this service is always very positive. To help put this into better perspective for us, today I'd like to welcome Dr. Travis Cotton to the podcast. Dr Cotton is an assistant professor of surgery at Brown and one of our endocrine surgeons here at Brown Surgery. I thought he would be a great guest to have on today to explore some of the finer details about why he chose a career in endocrine surgery and what a day in his life looks like.

It is common practice to use mortality as a primary outcomes variable, particularly in critical care research. Today, we welcome Dr, Eric Benoit to the Podcast to discuss why this may not always be the best approach and the other ways we can examine outcomes in clinical-based research. We will touch on topics such as composite outcomes, quality adjusted life years, the treatment effect and the infrequently discussed fragility index. Selected references: Harhay, et al. “Outcomes & statistical power in adult critical care randomized trials.” Am J Respir Crit Care Med 2014. PMID 24786714 Kent & Trikalinos. “Therapeutic innovations, diminishing returns, and control rate preservation.” JAMA 2009. PMID 19934428 Sackett. “Why randomized controlled trials fail but needn't: 2. Failure to employ physiologic statistics, or the only formula a clinician-trialist is ever likely to need (or understand!)” Can Med Assoc J 2001. PMID 11706914 Tignanelli & Napolitano. “The Fragility Index in randomized controlled trials as a means of optimizing patient care.” JAMA Surgery 2019. PMID 30422256 Ioannidis. “Why most published research findings are false.” PLoS Med 2005. PMID 16060772

Whether or not to enter the lab is a common career decision for surgical residents, either for fellowship or professional development opportunities. Unlike other medical disciplines, surgery is the only discipline where lab years are performed in between clinical years, typically after PGY 2 or 3. This episode continues our two-part look into the role of the surgical scientist to gain insight into the decision making process of entering the lab as a resident, the resources available to novice researchers, and how to ultimately balance a research career with clinical practice as well as family life. We continue part 2 with Dr Sean Monaghan, MD, one of our Trauma, Critical Care Surgeons here at Brown, who is also one of our former residents, and as a current NIH funded researcher, maintains a productive research lab focusing on RNA splicing in critical illness.

Whether or not to enter the lab is a common career decision for surgical residents, either for fellowship or professional development opportunities. Unlike other medical disciplines, surgery is the only discipline where lab years are performed in between clinical years, typically after PGY 2 or 3. We begin a two-part episode on the role of the surgical scientist to gain insight into the decision making process of entering the lab as a resident, the resources available to novice researchers, and how to ultimately balance a research career with clinical practice as well as family life. We kick off part 1 with Dr Daithi Heffernan, MD, one of our Trauma, Critical Care Surgeons here at Brown who also maintains a productive research lab focusing on INKT cells in sepsis.

It's definitely one thing to be in command of a case and tell your first assistant what you need from them. It's an entirely different scenario when they have to get into the position of taking a junior resident through a case (the art of being a good first assistant and evaluating the decision making of the junior). We further explore this concept in part 2 of our 3 part series exploring the transition from intra-operative learner to intra-operative teacher

It's definitely one thing to be in command of a case and tell your first assistant what you need from them. It's an entirely different scenario when they have to get into the position of taking a junior resident through a case (the art of being a good first assistant and evaluating the decision making of the junior). We explore this concept in what is going to be a 3 part series exploring the transition from intra-operative learner to intra-operative teacher

Chapters: (0:00) Introduction (1:04) Why should we care about the Cures act (5:46) What notes are eligible for sharing (10:40) Use of abbreviations (14:02) Liability Concerns (16:09) Tips and suggestions for writing notes