A podcast about preparing for the General Surgery Fellowship Exam.Each year, Australian and New Zealand surgical trainees sit this exam in order to gain a 'fellowship' in General Surgery. This podcast follows one trainee doctor on her journey towards FRACS (Fellowship Royal Australian College of Surgeons). Episode topics will include content-based episodes covering topics in depth from the curriculum; specialist episodes where areas of controversy or that require clarification are explored; and exam focused episodes covering what to expect and how to prepare.
In this episode we go into some of the pathologies that can affect the salivary gland, as well as the different neck infections we need to know about. Topics covered include:Salivary Gland Pathology- Salivary gland calculi (sialolithiasis)- Infections / Inflammation including sialadenitis- Plunging ranulasCervical Infections- Compartments of the neck- Different infections and neck abscessesAs I mentioned in the first episode of this series I can highly recommend the Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery as a study resource for head and neck surgery. This is a free online resource which has great articles on each operation including relevant anatomy and pictures of each step of the surgery. I found this super useful to use during my preparation. Here is the link to the whole atlas:http://www.entdev.uct.ac.za/guides/open-access-atlas-of-otolaryngology-head-neck-operative-surgery/Here are some topics covered in this episode:Sialolithiasis: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Sialolithiasis%20and%20sialendoscopy.pdfRanula: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Ranula%20and%20sublingual%20salivary%20gland%20excision.pdfParapharyngeal space: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Access%20to%20parapharyngeal%20space-1.pdfDeep neck abscesses: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Surgical%20drainage%20of%20deep%20neck%20abscesses.pdfDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2023
On this guest episode, we talk to Anthony Payne, a financial and tax consultant with DPM Financial about some of the financial changes we will face transitioning from being a registrar to fellowship and consultancy.Some of the topics we cover include:- Transitioning from employee to sole trader, and the implications on this for Tax, Super, Insurances and Leave. - What an ABN is and why you need it- GST as a sole trader and what you need to know- The typical financial set-ups of private practice including setting up your own rooms or joining an existing group- Legal and financial aspects of setting up your own private group and how to get it right from the get-go.- A variety of different strategies to minimise your taxAnd so much more!Anthony Pane obviously has significant experience and expertise helping doctors manage their finances and transition through all stages of their careers. If you want to learn more or reach out for an obligation-free appointment you can find them on their website dpm.com.au.DisclaimerThe information discussed in this episode is of a general nature and is not intended to serve as individual advice. The views and opinions expressed are the views of DPM and not First Incision. DPM Financial services recommends you obtain advice concerning specific matters before making any decisions.The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2023
In this first episode from the Head and Neck module of our curriculum we touch on salivary gland pathology. Including:- Salivary gland anatomy - including the parotid and submandibular glands. As part of this we cover the important anatomical relations and the parasympathetic supply (highly examinable!)- Common tumours of the salivary glands and how to treat them- Some operative tips and how to describe how you would perform a superficial parotidectomy and submandibular gland extirpation- Common complications of these operations including Frey's syndromeI can highly recommend the Open Access Atlas of Otolaryngology, Head & Neck Operative Surgery as a study resource for head and neck surgery. This is a free online resource which has great articles on each operation including relevant anatomy and pictures of each step of the surgery. I found this super useful to use during my preparation. Here is the link to the whole atlas:http://www.entdev.uct.ac.za/guides/open-access-atlas-of-otolaryngology-head-neck-operative-surgery/Parotidectomy: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Parotidectomy-1.pdfSubmandibular gland excision: https://vula.uct.ac.za/access/content/group/ba5fb1bd-be95-48e5-81be-586fbaeba29d/Submandibular%20gland%20excision.pdfDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week we are joined by the incredible urologist Dr Anita Clarke to talk about all things urology!We cover:- the benefits of multidisciplinary surgical approach- putting in a ureteric stent- the diagnosis and management of bladder cancer (for general surgeons)- management of intra-operative ureteric injuries- the difficult urinary catheter and inserting a suprapubic catheterAs well as other life advice, insight into the life of a surgeon, and exam advice (from a previous chief examiner).I hope you enjoy this special guest episode :) DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
Welcome to this guest episode with A/Prof Phil Carson. A/Prof Carson is a general surgeon from Darwin and the most recent ex-censor in chief of RACS. We are lucky enough to have him for this special episode to cover a range of topics filled with pearls and insights from his varied and interesting career.We cover:- some background into his life as a rural generalist in Darwin.- what to do to prepare for practice if you are considering a career as a rural general surgeon.- we gain some insights into RACS and its role in surgical training and exams through A/Prof's position on the college council and as the censor in chief.- we hear from the other side what the college really wants us to get out of the exam process!- through his rewarding career in the territory we hear about working with Australia's Aboriginal people.- he shares how he keeps calm and clear-headed when faced with difficult clinical and administrative situations as a surgeon.- we also cover the clinical topic of necrotising fasciitis, and how to approach a question in the exam you feel you haven't prepared for.- as well as finish with advice for trainees once they've passed their exam!I'm so excited to share this episode with you!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
We are lucky enough this week to be joined by the incredible Kellee Slater - HPB and hernia surgeon from Queensland. In addition to being an incredible surgeon, researcher, published author and presenter, A/Prof Slater has been extremely generous and joined us to cover topics from the hepatobiliary and transplant modules.I hope you enjoy listening to this episode as much as I enjoyed recording it. Once again I'm overwhelmed by the time surgeons spend working with us to help us prepare for exams and am so grateful for A/Prof Slater's time and expertise. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
I'm back! After a nice break holidaying around Italy I bring you an introduction to the transplant module! Hopefully this covers enough background to get started with the module including transplant immunobiology, immunosuppressive medications, criteria for organ donation and complications of immunosuppression.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
I know I promised you all a series on urology but I'm taking a break this week and releasing a bonus episode from the vault!This episode covers all the appendiceal pathologies from the 'emergency' module of the curriculum:- acute appendicitis- appendiceal tumours including adenocarcinoma, mucinous adenocarcinoma, mucinous neoplasms, goblet cell adenocarcinoma, and neuroendocrine tumours.- and we also touch on pseudomyxoma peritonei I hope you enjoy this episode!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode continues our foray into the urology topics we need to know for our general surgical exams. We cover:- testicular tumours including the presentation, subtypes, workup, radical inguinal orchidectomy and management- Varicoceles- Hydroceles (including some operative points on Jaboulay and Lord's procedures)- and epididymal cystsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
From the abdominal wall, retroperitoneum and urogenital module from the curriculum I bring you the first in a series of podcasts covering urology!We have to know quite a few urology topics for our exam, but where better to start than by covering anatomy and embryology. In this episode we cover the clinically relevant anatomy of:- the kidneys- ureter- bladder- testes- vas deferens- seminal vesiclesAnd some embryology of the kidneys and testes. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode is number 3 in our series of pathophysiology quiz episodes.We cover pathophysiology topics from the following modules:- sepsis and critical care- nutrition- skin and soft tissue- trauma- vascular, and - abdominal compartment syndromeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode is number 2 in our series of pathophysiology quiz episodes.We cover pathophysiology topics from the following modules:- Upper GI- Breast- Colorectal- Emergency- Head and NeckDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
After the success of our Genetic Syndrome's Quiz episode, we bring you the first in a series of Pathophysiology quiz episodes!This episode is in a question and answer format - where I ask a question and give you time to think of the answer before giving it to you.We cover a variety of pathophysiology questions from the endocrine, small bowel, bariatric and hepatobiliary modules from the general surgery curriculum. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
After a short hiatus First Incision is back!This episode goes through the definitions of all the conditions which may affect our critically ill surgical patients. It also goes through the pathophysiology of these conditions.We finish off by talking a little bit about some of the medications that may be used by the ICU for these critically ill patients.In my exam pathophysiology VIVA they asked me what the definition and diagnostic criteria for sepsis were so this is definitely examinable!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
Hi everyone! We're trying something different this week with a new format for the podcast.This episode covers a range of genetic syndromes that we need to know for the exam. The format is a 'call and respond' or 'question-answer' type format where I ask a question and give you a chance to see if you know the answer before telling you myself!You might find this useful in the few months leading up to the exam to practice recalling answers, and to identify what you've forgotten and what has stuck.Let me know what you think and if you want more like this!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
Spoiler alert - We Passed! In this week's episode we reflect on the exam and the whole process of preparation for and actually sitting the exam. We are joined by Ben Finlay (circa the trauma podcasts) to share his experience as well! We discuss:- exam preparation- study group- tutorials and other resources- the written exam- the viva exam- practicalities from travelling for the exam and how we structured our leave, to timing for the written questions- the exam ceremony and life post exams!We hope you learn something from our experience - send us any questions you have about the exam and I'll try and do another episode so you can hear from a range of people about their experience. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers retroperitoneal sarcoma. Another difficult sarcoma topic most trainees wouldn't see during their training. This episode covers the presentation, subtypes, workup and management of these tumours. It also features a discussion with Dr Julie Howle, a medical oncologist from Westmead Hospital who has been so helpful discussing many difficult surgical oncology topics with us. I hope you enjoy this episode and learn as much as I did! DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers everything we need to know about soft tissue sarcomas.There are so many sarcomas it can feel a bit overwhelming, so this episode breaks it down into what we need to know as general surgeons, and for the exam. It features some of my discussions on this topic with the incredible Dr Julie Howle - a surgical oncologist from Westmead Hospital in Sydney.In particular we cover:- soft tissue sarcoma subtypes, presentation, workup, and management- when to investigate a lipoma (which could be an atypical lipomatous tumour)- and finish off with desmoids (which came up in our recent VIVA exam!!)DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode finishes our series on limb anatomy!This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes covered the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode continues our series on limb anatomy.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.Also happy birthday to me! :)DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode completes the upper limb component of our series on limb anatomy.Limb anatomy is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.Good Luck to everyone sitting their clinical VIVA exams this week! DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode is the second in our series on limb anatomy.This week we cover the anatomy of the forearm and cubital fossa.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode kicks off a series on limb anatomy.This is an area of anatomy which is not as frequently encountered by general surgeons so is a great topic to revise before the exam.These episodes aim to cover the anatomy and also the clinically and surgically relevant anatomy for each area.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode covers the topic of aneurysmal disease from the vascular module of the general surgical curriculum.We cover:- definition- classification- pathogenesis- risk factors- natural history focussing on abdominal aortic aneurysms- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode covers what we need to know about the diabetic foot - a favourite topic for the general surgical exam. - background- pathophysiology - workup and important factors to consider- classification systems - management - some information about charcot neuroarthropathy DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers the topic of venous disease. This includes varicose veins and venous hypertension (chronic venous insufficiency).- the epidemiology- anatomy of lower limb veins- pathophysiology of chronic venous htn and the consequences of this disease (haemosiderin deposition, lipodermatosclerosis and venous eczema)- classification systems- risk factors- presentation - workup- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode covers everything we need to know about acute limb ischaemia. - definition- aetiology- risk factors- severity assessment- pathophysiology- presentation- workup- managementIncluding how to perform embolectomy and fasciotomy DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode starts us off with the vascular module of the general surgical curriculum.We cover chronic limb ischaemia, also known as chronic arterial disease. - definition- presentation- pathophysiology - risk factors- the rutherford classification - workup - severity classifications- management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers the sweat-gland related pathologies covered in the skin and soft tissue module:Starting with anatomy of the sweat glands and the autonomic nervous system.Hyperhydrosis including- presentation- primary and secondary causes- managementHydraadenitis Suppurativa- presentation- pathophysiology- diagnosis- classification- managementDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers everything you need to know about basal cell carcinoma including- presentation- risk factors- histological subtypes- poor prognostic factors- management including topical treatments, surgery, radiotherapy and targeted treatmentsDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers everything you need to know about cutaneous squamous cell carcinoma.- presentation- risk factors- premalignant lesions- histopathology- workup and when to stage- grading- TNM staging- poor prognostic markers - management including topical treatments, surgery, radiotherapy, systemic treatments and nodal treatmentDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers the topic of Merkel Cell Carcinoma - a favourite question in the exam. We have added the discussion we had with Dr Julie Howle onto the end of this episode. Dr Howle a surgical oncologist from Westmead Hospital who has an interest in these rare cancers.We cover:- background- risk factors- pathogenesis- presentation- diagnosis- staging- histopathology- and management DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode welcomes our guest Dr Julie Howle who is a surgical oncologist from Westmead Hospital in Sydney.We cover a wide range of topics related to management of melanoma including:- precursor lesions- whether ulceration relates to the clinical or histopathological diagnosis of ulceration- when to perform systemic staging for melanoma- management of in-transit and satellite lesions including whether you need do a sentinel lymph node biopsy if these are present- sentinel lymph node biopsy - the role of isolated limb infusion and perfusion in the era of effective systemic therapies- a brief overview of targeted therapies and immunotherapy- how to perform an inguinal lymph node dissectionJulie also talks to us about her incredible triathlon achievements and balancing life in surgery and as an athlete. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode continues on from last week to discuss the management of MelanomaThis episode covers:- wide local excision and the surgical margin- lymph node biopsy and when to perform it, as well as a summary of the MSLT 1 and MSLT2 trials- the role of lymphadenectomy - the role of radiotherapy in melanoma- systemic therapy including the targeted therapies (BRAF and MEK inhibitors), and immunotherapies (Anti-PD1, Anti-PD-L1, and CTLA-4)- when to give adjuvant treatment- management of in-transit and satellite lesions and some information about isolated limb perfusion and infusion - follow-up post a diagnosis of melanoma DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode introduces us to the topic of melanoma We cover: - Risk factors- Precursor lesions- Histopathology and important histopathological features related to poor prognosis - Melanoma types and their appearance including superficial spreading, nodular, lentigo maligna melanoma, acral lentiginous, and desmoplastic - Workup including excisional biopsy and when to stage patients- Staging with AJCC 8th edition TNM staging classification - When to perform sentinel lymph node biopsy and lymph node dissection Keep an eye out for next week's episode where we talk about management of melanoma!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode introduces us to the topic of 'skin'. I know it seems weird that I would do an episode just on this but bear with me! The topics covered include:- the function of the skin as an organ- histopathology of the layers of the skin- Fitzpatrick skin types- history and examination of a skin lesions- principles and pathophysiology of flaps and grafts- topical treatments for skins cancersEverything we need before taking a deep dive into skin cancers in the coming weeks!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode covers the useful topics of topical haemostatic agents and anticoagulants.We discuss principles of haemostasis, the coagulation cascade, how topical haemostatic agents work, the different classes and when to use them. We also cover anticoagulants, the different types, how they work, when to stop them before surgery and how to reverse them if you need to quickly!Great high yield topics for the exam.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode is co-hosted by Ben Finlay. We cover a wide range of topics including:Burns- initial resuscitation including the parkland formula - assessment of depth and extent of burns (rule of nines- burns management- frostbite Blast injuries- pathophysiology - managementExtremity compartment syndrome and how to perform fasciotomyThe blast injury talk Ben mentioned was from the recent GSA trainees day and is accessible for general surgical trainees through the GSA website. Go to 'educational webcasts', '2021 Virtual: Trauma and Critical Care', and the Session 5 talk is by Kyle Bender on Blast Injuries.DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's trauma episode is presented with our guest host Ben Finlay.We cover hollow viscus injuries including:- gastric- duodenal- small bowel- colonic, and- rectal injuriesWe also cover pelvic trauma including:- pelvic fractures and the Young and Burgess classification - pelvic bleeding management including how to perform preperitoneal pelvic packing- bladder injuries, and - ureteric injuries including how to do a retrograde urethrogramDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode welcomes back Ben Finlay to help present abdominal trauma.We go through:- trauma laparotomy- liver trauma- splenic trauma- pancreatic trauma- renal trauma - and retroperitoneal haematomas and what to do with them!Special mentions include how to do right and left medial visceral rotations, and some operative decision making that will be super high yield for the exam.The ANZAST (Australian and New Zealand Association for the Surgery of Trauma) has some great recordings from their grand rounds available on trauma topics which we found useful for study: https://anzast.org/anzast-trauma-grand-rounds/DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This episode explores blunt and penetrating neck trauma with special guest Ben Finlay.We discuss:Blunt cerebrovascular injury including:- the grading system- Denver screening criteria- diagnosis - managementPenetraing neck trauma- zones of the neck- hard and soft signs of vascular and aerodigestive tract injuries- approaches to management including the 'zonal approach' and 'no-zone' approach- exposures of zone I, II and II injuries- repair of carotid and aerodigestive tract injuries- the dreaded exposure of subclavian injuries Links:Kenji Inaba's talk on Subclavian Artery Injuries for the Arizona Trauma Association: https://arizonatrauma.org/subclavian-injuries/'DSTC' is the Definitive Surgical Trauma Care course which is fantastic and we highly recommend doing if possible! https://dstc.com.au/And the Top Knife chapter on neck trauma we mentioned is a book entitled 'Top Knife: the Art and Craft of Trauma Surgery' by Hirshberg and Mattox. Another great trauma resource. DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2022
This week's episode introduces us to some concepts in trauma with our new guest host Ben Finlay!We cover a wide range of topics including:- Primary and secondary survey- Trauma adjuncts - Fast exam- Pathophysiology of trauma and shock- Massive transfusion protocol- Principles of damage control surgery and resuscitation- Teg and ROTEMAnd more!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this document.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This week's guest episode features Dr Michael Crawford who is a hepatobiliary, hernia and liver transplant surgeon from Sydney.We cover a wide range of operative topics including:How to perform gastroenterostomyDifficult laparoscopic cholecystectomy- Features preoperatively that make you suspicious it will be difficult- Mirrizi syndrome- Bail out options for difficult gallbladder including subtotal cholecystectomy- Bile duct injury and how to avoid it.- We talked about this video of a bile duct injury that was circulated online last week. This video can be viewed at: https://www.youtube.com/watch?v=I0AtJqCj2dI and as Dr Crawford mentioned provides a rare opportunity to learn from this injury. Definitely worth a watch- Routine versus selective cholangiography Laparoscopic splenectomy: tips, tricks and pitfalls.Chronic liver failure: tips for operating on patients with ascites, and what to do with umbilical hernias in cirrhotic patientsTranscystic bile duct exploration and laparoscopic choledochotomy Dr Crawford's youtube channel where there are some fantastic operative videos and descriptions can be found at: https://www.youtube.com/channel/UCLzesA4ZAxYpFbuFCRO__uADisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This week's guest episode is with Dr Laurence Webber, a hepatobiliary surgeon from Western Australia.We cover a wide range of topics including:Practicalities of post-fellowship exam life including:- Pathways in surgical training - How to get a job after surgical training00:00 - 00:25 minsClinical topics including:Colorectal liver metastases:- What to do with disappearing liver metastases- Chemotherapy- Liver first?- Liver remnant and functional assessment- Criteria of when to resectMRI liver and when to use gadolinium and primovistWhen to operate on patient's with HCC and cirrhosisAnatomical factors that determine resectability of hilar cholangiocarcinoma and pancreatic cancerPancreatic cancer:- Neoadjuvant chemotherapy- Arterial resection - ABC of resectability of pancreatic cancer (the MD Anderson model)- Broad steps of a Whipple's operationBile duct injury- How to avoid them- How to identify them- What do to with themDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode has everything you need to know about genetic conditions that predispose to endocrine tumours. We cover:- Multiple endocrine noeplasia (MEN) type 1- MEN types 2a and 2b- SDH syndromes- Von Hippel-Lindau Syndrome- Neurofibromatosis type I (and brief mention about type 2)- Hyperparathyroidism-jaw tumour syndromeDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode looks at the adrenal gland:- adrenal incidentalomas- the important questions to ask about adrenal lesions - is it cancer and is it functional? - workup of adrenal lesions- functional tests for corticosteroid hypersecretion (cushing's), catecholamine hypersecretion (pheochromocytoma), primary hyperaldosteronisms (Conn's syndrome) and sex hormone excess- screening, confirmatory and localisation tests for functional lesions- imaging characteristics of malignant versus benign lesions- preoperative optimization of functional tumours- management of adrenal lesions DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode covers everything you need to know about pancreatic neuroendocrine tumours- what they are- classification into functional and non-functional- risk factors and associated genetic syndromes- the different types of functional tumours, how they present and their biochemical testing- how to image localise and stage these tumours- WHO grading and TNM staging - management including which ones are suitable for surveillance, surgery, management of unresectable or metastatic disease, and medical management of the functional syndromes- surveillanceDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode covers a range of topics related to calcium:- pathophysiology of calcium homeostasis - causes of hypercalcaemia- workup of hypercalcaemia- presentation including symptoms and signs of hypercalcaemia- primary, secondary and tertiary hyperparathyroidism- diagnostic tests for diagnosis of primary hyperparathyroidism- imaging modalities to localise parathyroid adenomas- medical and surgical management of hyperparathyroidism and hypercalcaemia- and management of postoperative hypocalcaemiaDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode follows on from last week's episode on thyroid nodules and an introduction to thyroid cancer. We cover:- surgery for thyroid cancer- what to do with the lymph nodes- tumour markers (calcitonin, thyroglobulin and anti-Tg antibodies)- risk stratification- radioactive iodine- TSH suppression with thyroxine therapy- treatment of recurrent and palliative disease DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This episode covers the presentation and workup of thyroid nodules. It includes a targeted history, examination, blood tests, and imaging modalities. We also discuss the TI-RADS reporting system for thyroid nodule ultrasound scanning, and the Bethesda classification of thyroid FNA cytology.The end of this episode introduces us to the different types of thyroid cancer including- papillary- follicular- medullary- anaplastic- lymphomaAnd summaries the different types, what differentiates them from each other, and a short summary on the management of anaplastic thyroid cancer and lymphoma.This episode is a precursor to next week's episode on the management of thyroid cancer!DisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
This week's episode kicks off the endocrine content with the thyroid. In this episode we cover:- Physiology of thyroid hormone and iodine metabolism- Hyper and hypothyroidism- Interpreting thyroid function tests - Thyroiditis, covering: hashimoto's subacute, reidel's, postpartum, radiation and amiodarone thyroiditis- Thyrotoxicosis, covering: grave's disease including thyroid eye disease, the toxic multinodular goitre, toxic adenoma/toxic solitary nodule, and amiodarone thyroiditisDisclaimerThe information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam.This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam. No responsibility or liability is accepted by the author in relation to the performance of any person in the exam. This podcast is not a substitute for candidates undertaking their own preparations for the exam.To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.The information contained in this podcast has not been independently verified.© Amanda Nikolic 2021
© 2020-2025 Ivy Podcast Discovery LLC
