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Amidst the worsening conditions in Afghanistan, ICMPD's Migrant Resource Centres (MRC) remain agile and responsive. Through its strong engagement with communities, the MRCs adapt to the unique challenges of Afghans – especially women – since the fall of Kabul in 2021 that pushed over three million people to flee. Samim Ahmadi, ICMPD's Project Manager for the Silk Routes region, shares his insights on their ongoing response to the new and often confronting realities of Afghans, and how the MRCs are reaching migrants more widely from across different time zones now. He also discusses their support to (potential) migrants on legal and safe pathways for migration, the distress and frustration that can happen during consultations, various forward-looking partnerships in Europe, and recent examples of how, particularly women, access academic and employment opportunities in the EU and beyond. More information on Afghanistan's MRCs here.
Want to achieve peak health and feel young forever? Founder of Regeneration Man, Professor Paul Lee, PhD, MSc, MBBch, MRCS, MFSEM (UK), can teach you just how through his regenerative diagnostics approach in his book, Regeneration by Design. Go to https://regenman.com/ Regeneration Man City: Grantham Address: 41 Sandon Road Website: https://regenman.com/ Phone: +44 330 001 0048 Email: support@regenman.com
Can AI augment radiological processes, imaging analysis, and diagnosis? In this Q&A, Saurabh Jha, MBBS, MRCS, MS, an associate professor of radiology at the University of Pennsylvania, joins JAMA's Editor in Chief Kirsten Bibbins-Domingo, PhD, MD, MAS, to discuss how AI could play a crucial role in improving access to medical imaging in remote, high-altitude, and low-income areas. Related Content: How Artificial Intelligence Will Enhance Imaging Access and Analysis Algorithms at the Gate—Radiology's AI Adoption Dilemma
At AOFAS Annual Meeting 2023 in Louisville, Kentucky, host Nicholas Strasser, MD, discusses with Lyndon William Mason, MRCS, the IFFAS Award Finalist paper “Tibialis Posterior Tendon Entrapment in Posterior Malleolar and Pilon injuries of the ankle: A retrospective analysis.” To claim CME credit, click on the link or listen in the free ConveyMED app: Apple Store or Google Play . CME credit is free to AOFAS members and $25 for non-members. For additional educational resources, visit: https://aofas.org
Suture Self - The Podcast of the Irish Surgical Training Group
In this episode we look at all aspects of applying and interviewing for the Core Surgical Training programme at RCSI as well as the structure of ST1/ST2 and applying for HST. We breakdown the different domains that are scored in the application and interview and our own experiences in these areas. Also covered are: Applying as an International Medical Graduate, MRCS exams and options if unsuccessful this year. (1:15) Overview of CST(5:25) CST Application Scoring(26:45) Overall advice on interview prep(30:00) MRCS Exams(34:07) Applying as an IMG(39:00) Options if unsuccessfulHosts/Content Creators: Vinnie Varley, Sinead Ramjit, Fintan Ryan, Jessica RyanProducers: Vinnie Varley, Michael FlanaganArtwork: Louisa GannonWebsite istg.ieTwitter/X @istgofficialEmail: podcast@istg.ie
Visit clinicaledge.xtalks.com/issue1 to dive into the first issue of Xtalks Clinical Edge magazine and be a part of the conversation shaping the next era of clinical trials. Xtalks Clinical Edge — "where innovation meets expertise!"This episode features an interview with Dr. Stephanie Manson Brown, VP & Head of Clinical Development & Scientific Innovation of R&D at Allergan Aesthetics at AbbVie. Allergan Aesthetics is focused on creating products and technologies that drive the advancement of aesthetic medicine. Dr. Manson Brown's Clinical Development and Scientific Innovation team are responsible for global clinical trial development strategy for the Aesthetic Medicine portfolio, covering pharmaceuticals and device. Dr. Brown is co-chair of the Aesthetics Pharmaceutical Governance Board at AbbVie and is the co-founder of the Science of Aging. She was honored as a 2023 Healthcare Business Women's (HBA) Luminary. Prior to joining industry, Dr. Manson Brown was trained to be a Plastic Surgeon and is a board-certified surgeon (MRCS).Dr. Manson Brown spoke about the innovations in the medical aesthetics space, including breast reconstruction for breast cancer patients. She spoke about clinical trials in the space, including Allergan Aesthetics' commitment to increasing diversity in trials and developing products that do not cater to any one beauty standard.For more life science and medical device content, visit the Xtalks Vitals homepage.Follow Us on Social MediaTwitter: @Xtalks Instagram: @Xtalks Facebook: https://www.facebook.com/Xtalks.Webinars/ LinkedIn: https://www.linkedin.com/company/xtalks-webconferences YouTube: https://www.youtube.com/c/XtalksWebinars/featured
In this episode, Anne tells me what Audiovestibular Medicine is like and what skills you need to get in. She shares the importance of being a good listener, and explains how she loves unpicking complex issues to arrive at the diagnosis and then a treatment plan.Anne did her medical training at Sheffield Medical school, followed by MRCS and FRCS in ENT and then 5 years of Audiovestibular Medicine Training. She started her consultant job in 2021. You can find out more about Audiovestibular medicine at www.baap.org.uk/training-in-audiovestibular-medicine/
Exams are a hurdle we all face. Bindy won the gold medal in the FRCS, but actually failed the MRCS. In this episode, he explains what he learnt about passing the exams, and he shares his tips for success.Bindy is a Consultant Head and Neck/ENT/Robotics Surgeon. You can find him at https://www.linkedin.com/in/bindy-sahota-045a5730/
Is the United States Military weak? The Heritage Foundation has fired a shot across the bow with its “2023 Index of U.S. Military Strength.” The Index concludes that the U.S. military in its current posture is “weak.” The Pentagon might not like the report. But, my guest, Dakota Wood, is calling things as they are rather than the way people would like them to be. “Nobody likes their baby being called ugly. But the facts are what they are.” -Dakota Wood The 2023 Index starts with an assessment of the operating environment from Europe to the Indo-Pacific. Dakota explains that the Index is looking at American military power within a two major-regional conflict (MRC) framework. The Index analyses enemy threats through the lens of “intent and capability.” The focus is on Russia, China, North Korea, Iran, and terrorist groups like ISIS. The Index then shifts to a detailed overview of each U.S. military branch in terms of capacity, capability, and readiness. After grading each branch individually, the Index comes up with an aggregate grade of “weak.” This is not an indictment on any individual service member or unit. Dakota explains that this is a combination of years of underfunding, misuse of resources, and a “profound lack of seriousness.” Topics of discussion: The purpose behind the Index and its target audience How two major-regional conflicts (MRCs) was developed as the framework for the Index Why the Index assesses the overall operating environment as “favorable” We dive into two specific “competitors”: Russia and China Breaking down U.S. service branches: The Army is “marginal”; the U.S. Navy is “weak”; the Air Force is “very weak”; the Marine Corps is “strong”; the Space Force is “weak”; and nuclear capabilities are “strong” but trending toward “marginal” Find the “2023 Index of U.S. Military Strength” at www.Heritage.org/military Connect with Dakota on LinkedIn and follow him at The Heritage Foundation About the guest: Dakota Wood is a Senior Research Fellow, Defense Programs, Center for National Defense at The Heritage Foundation. He served America for two decades in the U.S. Marine Corps. His research and writing focuses on programs, capabilities, operational concepts, and strategies of the U.S. Department of Defense and military services to assess their utility in ensuring the United States has the ability to protect and promote its critical national security interests. Mr. Wood originated and currently serves as the editor for Heritage's “Index of U.S. Military Strength.” HELP SPREAD THE WORD! If you like the interview and want to hear others, subscribe in iTunes, Spotify, or Audible. Support the show with written reviews, share on social media, and through word of mouth. Check out the website: www.professionalmilitaryeducation.com Check out the show on Twitter and Facebook To request additional shows or guests, e-mail me: tim@professionalmilitaryeducation.com
In this session recorded at CMO Summit 2022, Dr Paul Burton shares his experience leading Moderna as CMO since June 2021: Transitioning from pharma to biotechLeveraging data science and digital technologies to reimagine medical engagementThoughts on the future of clinical trial innovationLessons LearnedQ&A Speaker: Paul Burton, MD, PhD, FACC, MRCS, CMO, Moderna
In this episode, Sharmaine will cover lower gastrointestinal (GI) conditions tailored to MRCS revision. Content is helpfully broken down into subcategories that aid in making them more comprehendible and easily remembered! - this is the second part in a two-part series --- Send in a voice message: https://anchor.fm/hla-listen/message
In this episode, Sharmaine will cover lower gastrointestinal (GI) conditions tailored to MRCS revision. Content is helpfully broken down into subcategories that aid in making them more comprehendible and easily remembered! This is part one of a two-part series. --- Send in a voice message: https://anchor.fm/hla-listen/message
In this episode, Sharmaine will cover upper gastrointestinal (GI) conditions tailored to MRCS revision. Content is helpfully broken down into subcategories that aid in making them more comprehendible and easily remembered! This is part two of a two-part series. --- Send in a voice message: https://anchor.fm/hla-listen/message
In this episode, Sharmaine will cover upper gastrointestinal (GI) conditions tailored to MRCS revision. Content is helpfully broken down into subcategories that aid in making them more comprehendible and easily remembered! This is part one of a two-part series. --- Send in a voice message: https://anchor.fm/hla-listen/message
In this episode of the PRS Global Open Keynotes Podcast, Conrad Harrison MRCS and Jeremy Rodrigues PhD discuss the importance of the Cleft-Q scale in plastic surgery. This episode discusses the following PRS Global Open article: “Deeper Understanding of Appearance in Orofacial Clefts: A Structural Equation Model of the CLEFT-Q Appearance Scales” by Conrad J. Harrison MRCS, Chris J. Sidey-Gibbons PhD, Anne F. Klassen DPhil, Karen W. Y. Wong Riff PhD, Dominic Furniss MD, Marc C. Swan DPhil and Jeremy N. Rodrigues PhD. Read the article for free on PRSGlobalOpen.com: https://bit.ly/CleftQScale Dr. Harrison is a specialist registar in plastic surgery at the University of Oxford in the United Kingdom. Dr. Rodrigues is a consultant plastic surgeon at Stoke Mandeville Center in Aylesbury, United Kingdom. Your host, Dr. Damian Marucci, is a board-certified plastic surgeon and Associate Professor of Surgery at the University of Sydney in Australia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery
In this episode of the PRS Global Open Keynotes Podcast, Conrad Harrison MRCS and Jeremy Rodrigues PhD discuss the importance of the Cleft-Q scale in plastic surgery. This episode discusses the following PRS Global Open article: “Deeper Understanding of Appearance in Orofacial Clefts: A Structural Equation Model of the CLEFT-Q Appearance Scales” by Conrad J. Harrison MRCS, Chris J. Sidey-Gibbons PhD, Anne F. Klassen DPhil, Karen W. Y. Wong Riff PhD, Dominic Furniss MD, Marc C. Swan DPhil and Jeremy N. Rodrigues PhD. Read the article for free on PRSGlobalOpen.com:
Interview with Adeel Abbas Dhahri, MS, MRCS, author of Prophylactic Steroids for Postthyroidectomy Hypocalcemia and Voice Dysfunction
Interview with Adeel Abbas Dhahri, MS, MRCS, author of Prophylactic Steroids for Postthyroidectomy Hypocalcemia and Voice Dysfunction
Episode 35: Rural ResponseA discussion about how small and rural communities can respond and structure their response to active shooter events.Bill Godfrey:Welcome to the Active Shooter Incident Management Podcast. My name is Bill Godfrey, your host of the podcast and today's topic we are going to talk about active shooter response and active shooter incident management in smaller communities or rural communities where there's not a lot of resources. I've got with me today three of the C3 Pathways instructors. We've got with is Joe Ferrara, who has not been in for a while. Joe, it's good to see you back here. Thanks for being here.Joe Ferarra:Good to be back.Bill Godfrey:Absolutely, and we've got Adam Pendley from law enforcement. So Joe's with fire, I guess I should say that, fire EMS. We got Adam Pendley, one of our law enforcement instructors. Adam, good to see you.Adam Pendley:Yes, sir. Nice to be here.Bill Godfrey:All right. So guys, the question of the day is, and the discussion point that we want to have is for those communities out there that are smaller communities, or rural communities, that don't have a lot of depth and resources, how can they still respond to these events and structure their response in a way? And what I'd like to do just so the audience can kind of follow along is kind of follow the checklist process in terms of the flow of the thing, which is going to lead us starting off with contact teams. So Adam, talk to us about some of the challenges when you have a limited number of officers, how do you stretch those resources for your contact teams and to do the security work needs to be done?Adam Pendley:Sure. I think for initial response to an active shooter event, that initial contact to address the threat, one of the things we find when there's less officers working in a geographical area is this idea that there's an increased chance that you're going to have a solo officer entry. So we'll start there. Across the country, many departments are training to the idea and adjusting policy to the idea that we may have to have a solo officer entry to at least put something down range to stop the killing, to get the suspect's attention off of the innocents and maybe toward the officer so they can address that threat. So solo officer entry is a conversation that all departments, but especially those that might not have as many resources on duty at a particular time of day or in a particular geographical area, they have to consider solo officer response.Then as that additional officer arrives, that linkup procedure and understanding how do you turn it from a solo officer response into that first contact team. And of course, when we use the term contact team, in a perfect world, we want that to be three, four, or five officers. But a contact team might just be those two officers. Both of them who are doing the security work with their weapons platform, facing the threat, eliminating the threat, somebody available to talk on the radio, and somebody... The two of them being able to kind of get that 540 degree security with each other, an extra set of eyes is always important. But that might be the entire size of your contact team. And as additional officers arrive, maybe from another jurisdiction, they know to form up as a second contact team that may also only be two officers.So I think it's important to be creative and tactically sound and realize that as we attend training and exercises, just be cognizant of the fact that how do we change our training to address making entry into a building with just one or two officers, and how does that change the tactics a little bit. With time, more officers will arrive. And so, how do you transition to building some additional teams on top of that?And then that gets us into our discussion, which I know we've discussed quite a bit, about the fifth man, that tactical group supervisor. And it's not always a hard number. In some instances the third officer arrives, might have to stay outside in and coordinate the resources that are eventually going to arrive instead of having all resources inside. Or some communities that we've worked with their plan is to have all on-duty resources go inside and then as additional resources arrive, hopefully one of them can extricate themselves from inside the scene and then come back out to kind of take that fifth man function. So it's very jurisdiction specific on how you get creative.Bill Godfrey:So Robert, I'm curious, Adam's talking about reducing the contact team size, which obviously I think makes sense when your resource is constrained. What are the implications for that in training? When you're trying to train your law enforcement guys how to work in contact teams is there a difference in the way you need to train them and in the tactics that they need to use, if it's just a couple of them?Robert McMahan:Well, I think the biggest difference is we're actually doing it in training and working through what it looks like to have smaller numbers of officers on a contact team. And often our rural small jurisdictions don't get the same amount of training because they don't have the trained dollars. But when you're looking ahead towards this kind of incident, you've got to make that sacrifice somehow to get that training done so they know what they're doing. Officers that are responding in these hot situations that don't have that trainer are more at risk to getting injured or killed and not solving the situation without that training. So trainings got to be the first thing that to be addressed in these.Bill Godfrey:Okay. So we've got a couple there on how to reduce some of the team size, looking at solo officer entry and reducing the team sizes. I think everybody can kind of nod your head and see that. Do we still need a tactical, do we still need a fifth man when we're resource constrained? What do you think?Adam Pendley:So, yes, absolutely. The thing that is very important to realize is that the call for help has gone out so more resources are coming and if you only have three or four deputies or police officers that are on duty and they're all inside, and we know from experience that many of our buildings, especially in rural areas, once you get inside a building, the radio doesn't work anymore. So now you have follow on resources that are entering blindly if they don't have someone outside as a guide or a gatekeeper to what's going on. And a lot of our radio systems, you'll have a car to car type function that would work well so you can have two or three officers inside and that third or fourth officer that's outside that can use that car to car frequency to establish what's going on inside to establish a strategy of some sort.So when those mutual aid officers finally arrive, or even from a callback situation, we know in some communities, they have a plan to call officers at home and they quickly throw on a gun belt and there and out the door they go to the scene. And when that officer arrives, they really do need that tactical direction. So I'm not comfortable sacrificing the tactical group supervisor in these situations because I've said this many times, one more gun inside the crisis site might not be nearly as valuable as managing the 10 more guns that are on their way.Bill Godfrey:That's a really interesting point. And Adam, it kind of reminds me of the one group we work with. It was a very rural county out in the Midwest, and on a good day, they had three law enforcement officers on duty, four if you counted the sheriff, if the sheriff himself happened to be there. And they actually, after they went through training with their volunteer fire department, came to an arrangement with their volunteer fire department that all of the armed officers would go down range as quickly as possible to try to deal with the threat, and it would be the fire department's responsibility to take care of all the outside stuff, to get all the incident management positions stood up and kind of coordinate all of those other items on the checklist that needed to get done.And then as soon as the officers that were down range felt like they had just a little bit of stability on controlling the threat and it was warm enough, they would then have one officer back out and go grab the medics to kind of bring them in. I thought that was a pretty... I thought it was pretty creative, and quite honestly, a fascinating look into the mindset of a rural community who's used to having to rely on each other and make things work. I mean, I can think of any number of city or metro agencies where the idea that law enforcement would delegate those tasks to the fire department would just be crazy. But I don't know. I thought it was pretty interesting way. Robert, how does that strike you?Robert McMahan:There's a lot of things that can be done to spread the workload to maybe some unconventional areas. Everybody's got some form of road and bridge that can be brought into help control perimeter as far as access at least, maybe not the security element, but they can provide that access control to the scene and around the command post and other areas. You've got civilians within your community that may be formed into groups, that may be able to be accessed to help out with some things like a reunification program.You could get reunification on the school side, but you can also get some pieces of that from various civilian groups that come in and help staff some of those positions. So, they've got to be creative in how they can fill those things with maybe some non-commission personnel in some of those areas. And planning ahead is a big part of it because in a lot of rural areas, there's wildlife officers, there's forest service officers that we don't normally think about in these responses, and they may not even be on the channel to hear the call for help. So in the planning part of it, if they're thinking about, "Hey, there's these types of officers out in the area that we can maybe call in on." Think about calling them early on in the response.Bill Godfrey:Interesting. So before we get too far afield, down range on the other stuff, because you mentioned a couple of things I want to come back to, but before we get there, I obviously want to jump over to the medical side. So we talked a little bit about that initial law enforcement [inaudible 00:11:06] and the contact teams, but Joe, I'd like to tangent over to the medical side, and to me it seems there's a couple of challenges or potentially a couple of challenges here from not having enough staffing because you're a small or rural community, you've got limited access to the number of medics that are on duty. But also I've seen an awful lot of rural communities where the fire department is volunteer, doesn't have medical capability, they've got an EMS system that works very well for them, but then there's some challenges there because how do you operate when the medics are downrange, but then you also have to do transport. So Joe, can you talk a little bit about some ideas and thoughts on how to make those resources work and how to kind of plan ahead?Joe Ferarra:Sure. So the interesting thing about rural America is, as compared to the metropolitan areas, where you already mentioned that in metropolitan areas we tend to operate in silos, where we do our police, we do our fire, we do our EMS. But when we get out to rural America, the great thing about it is it's a whole community approach, everybody works together, whether that be volunteer fire, or a small fire department working with either a partnered private EMS agency, or a countywide EMS, and then working with law enforcement.And take that one step further, or one other layer on top of this, in many small communities, we have public safety officers that are triple certified as police, fire, and medic, and we'll kind of circle back to that. But in the basic concept where we might have two paramedics on an ambulance and we have however many volunteer firefighters that would show up for that incident, let's just say four them show up on an [inaudible 00:13:00] initially, we're going to have to be really creative because we don't want to put those non-medically trained personnel down range with a security component and ask them to do advanced triage. But we also don't want to lose our personnel and our ambulance because the key to an ambulance on an active shooter event is that is our mechanism to get to the hospital. And without that, we're going to lose time... Great, we have an ambulance, but we have nobody in it.So smaller communities, I think working together, maybe using your fire department as your drivers for the ambulance so you can free up one EMS personnel from a two person unit, and having one paramedic stay with the ambulance, and the other paramedic now get with law enforcement as a rescue task force, and there's your security component and your medical component going downrange and taking care of the patient, ultimately getting them into the ambulance and transport them out of there.So there needs to be all those partnerships looking to mutual aid agreements, looking to other parts of the community. And like I said, I applaud rural America because I think they do the best job at the whole community approach because they have to, they have to have all those pieces. They don't have resources to throw at it like a metropolitan area does.Bill Godfrey:It's interesting, Adam mentioned earlier the idea of doing callback, and I'm kind of reminded that most volunteer departments work that way. How realistic is, do you think, [inaudible 00:14:32] on the EMS side, on the medical side, I shouldn't necessarily just say EMS, but on the medical side for a rural community or a smaller community that's got limited resources, to be able to set up some sort of callback program. Is that going to work fast enough, you think, Joe, to get some medical help?Joe Ferarra:I think so. I mean, for the most part, depending on the model, let's say it's a public utility model or it's a third service EMS. Certainly there's depth there because they're working in shift work similar to how fire departments work so it should not be too much of an issue to have a depth and a callback list. And then if it's a contracted third service or contracted private ambulance, depending on the size of the company, I mean, they could have regional and statewide resources that can be there from a callback perspective.Certainly counties also should work with their emergency management because let's not forget the certificate and need process that occurs in EMS across this country. If I want to be a ambulance provider in that community, and maybe my business is normally transporting a patient from the hospital to the nursing home, the law usually requires, and it's going to be different by jurisdiction, that that ambulance be available in time of emergency. So there are other resources and that's where it's key to tap into your emergency management because they have the reach out to all those other agencies that can assist with that patient transfer.Bill Godfrey:Okay. So let's just kind of recap where we're at. At the basic response level we've got to have on the law enforcement side some certified, armed law enforcement officers to deal with the situation. And on the medical side, we need some trained medical people that are trained and equipped and certified to whatever level the community wants, to also be available to go deal with the situation. We've talked about a couple of ways to stretch those. So let's shift gears and talk a little bit about how to manage this and some of the ideas, robert, you started going down that road a little bit, on some of the ideas for some of the additional ancillary rules that we know need to be filled. Where do we go with that, Adam?Adam Pendley:Sure. I mean, once you get outside of those... That are downrange in the crisis side, there's still a lot of jobs to be filled. So let's take the command post for example. So you have your contact teams and medical and RTF doing their job. You have some sort of tactical in place, tactical triage and transport. It's ideal to have someone handling the triage group function and the transport group function separately, but that might have to be combined into one function so that you have that one fire EMS person downrange making those decisions.But at the command post level, and that's really where you can leverage a lot of help. In many areas there's three or four law enforcement officers that are helping with scribing and helping with talking on the radio and helping doing some other things, same thing on the fire EMS side, they have a trained firefighter that's in there helping scribe and manage resources and keeping the incident commander informed. When reality, you may only have the ability to have an incident commander from law enforcement, a medical branch director from fire EMS, and then you have to train in advance to the point that Robert made earlier is these are training opportunities that you have to develop during a policy development and training and exercises, find those people that can be trained to do those jobs.If I were running a command post in an area that has a fewer resources available, I would reach out to my civilian staff and train them on how to help as scribes in the command post, how to use the radio, how to make resource requests, how to go to the dispatch center and help answer extra calls for service that are coming in. And not necessarily calls for service, but all those calls for information that are going to be coming in. So every part of your civilian staff that works, in not only your agencies, but in the city and public works, like was mentioned, they can all be trained up to do those ancillary jobs when they're called to duty.Bill Godfrey:Yeah. And Robert, I think you were kind of going down this road when you were talking about the perimeter responsibilities, certainly for the outer perimeter. And I know we've got one of our instructors that worked in a smaller community and she had a fairly creative way... I've worked out a deal with our public works department to respond with the garbage trucks and the dump trucks to be able to quickly close down the roads and be able to isolate an area. And while that didn't get used on an active shooter event, it did get used on a bank robbery quite effectively. I mean, are there some other ideas that stick out in your mind about where to get some other resources and be able to kind of backfill some of those ancillary roles?Robert McMahan:So one area that communities can consider is, sometimes they're called CERT teams, civilian emergency response teams. Other agencies have community safety volunteer programs. And if you don't have them in your rural areas, it's something that you could think about starting up getting your community involved and trained to do certain roles like traffic control and other various needs within that emergency response.Bill Godfrey:Yeah. I think that's a great idea. Joe, you got any that jump out in your mind?Joe Ferarra:Yeah. One that jumps out at me and you mentioned CERT, there's another area and this is through the health department. So if the emergency management or the agency directors work with their health department ahead of time, many health departments across the country have what's called MRCs or medical reserve corps. And these are made up of, they may be retired nurses and doctors in the community, or even current and practicing ones. And they're actually in a response mode. So there's a potential there, and I'm not talking a response mode of eight minutes, advanced life support on scene, but they're going be able to support the operation. So imagine being able to get some doctors and nurses to the scene, and that's where your health department and that where it is key to work with emergency management because they have those connections.Bill Godfrey:Yeah. And I guess in some ways... You mentioned the medical reserve corps. I mean, if you're in a smaller or a rural community, it's not just at the scene you're going to have the problem, your local hospital's going to have the problem too.Adam Pendley:Absolutely. And so that all ties into that personnel recall as well, that we mentioned earlier, and also your emergency management. So on both of those, remember, even if you have resources between on-duty and mutual aid that you're able to handle the incident, all of those resources are now pretty much out of service. It's a very stressful event, you may have officer involved shooting protocols that you have to follow.And that happened in an incident that I was involved in, it involves civil unrest. We had a lot of units tied up responding to the civil unrest, and as a responding agency assistant chief, the calls I started making was for emergency recall right away because all of those units were now going to be out of service for a long period of time. And so getting that process started early is very important, I think, when you have a limited number of resources.And then secondly to that is, again, another early call, if somebody can remember to make it very early on in the incident, is reaching out to that county emergency manager because they're going to also be able to bring some of their staff in to help with a lot of the administrative type stuff. But they have plans for trying to call in additional resources. So it's a way to get all of those things started very early on. So somebody has to make that decision and make that call very early to get that going.Robert McMahan:So another area that I just thought of is a lot of rural communities have some kind of incident management team, which could be another call-up resource to come in and help out with this kind of thing. And as I was sitting here, we were talking about hospitals and their resources in these communities. Remember, in some of these communities, and I lived in one before I got into law enforcement where the hospital was 60 miles away. And so it's going to take time to transport patients to that hospital, a lot of time, and so we might think about having that agreement with that hospital to fly resources to the site to get some more advanced care on the site until we can get patients transported that far away.Bill Godfrey:Yeah. That's interesting. I mean, there's a few... I'm not aware of any here in the US, but certainly overseas, there's a few models where they have physicians and physician staff that are either assigned to the medical helicopter, or are available immediately to be deployed to the medical helicopter. It's really interesting. What strikes me about this conversation is we're talking about a lot of ideas here, and I think there's a lot of really good ideas about how to do this on the response side. But the thing that really catches my attention is, I'm not sure that you're going to do a whole lot of this at the time of the incident. This has got to be done before the bang. We're talking about a lot of planning. Where's the best place for that to occur within the community. If we've got some firefighters or some police officers, or medics that are working and serving rural America, who do they turn to to say, "Hey, listen, we need to work on this a little bit?"Adam Pendley:Well, I think mainly that work has to happen together. That's the first thing is you got to get everyone at the same table at the same time, but I can tell you from a law enforcement perspective, I've been called many times by local entities in the community that want to host an active shooter exercise. But that almost always involves some tactical officers demonstrating what it would look like, what gunshots would sound like as they're running down the hallway. And then we begin to treat a couple of patients, but then that's the end of the exercise.The reality is is we need to think about everything else that's going to need to be done. And that's where the conversation really begins because honestly, most law enforcement officers in this country are ready to do the tactical part. And yes, we need training, but that's not where we need the exercise and the policy development. We need the policy development in making sure that all of these creative ideas can happen without somebody standing there and saying, "Oh, I can't do that. The policy doesn't allow it." Or, "I can't help drive that ambulance because state law doesn't allow it." That's where you have to dig deep now to answer those questions. So when you ask a public works person to use his truck to block traffic at an incident, does his union contract allow him to do that? Those are the kinds of questions that you have to dig deep and get the answers to now so you're prepared to be that creative on scene.Bill Godfrey:Joe, what's your thoughts? You're working as a medic in a rural community, where do you start?Joe Ferarra:So Adam already mentioned that it starts with the agencies, but I'll take it one step further in that. In every community and in our great country, there's a comprehensive emergency management plan. And the purpose of that is to plan for emergency response. So we start with emergency management, emergency management has the relationships, hopefully already, that they put together to design a response plan. And then you work through all the iterations of that, that may involve, "Okay, well, if the governor declares this a disaster area, can we override XYZ regulation and deal with these things?" But in my book, that's clearly a comprehensive emergency management plan function.Bill Godfrey:Robert, what about on the political side or the management side? Is there an opportunity with a city manager, or a county manager, or the mayor, or the elected officials to ask them for their help in opening doors and kind of greasing the wheels? What are your thoughts?Robert McMahan:Yes, absolutely. And these are key people that have got to get involved in this on the front end, before the bang, as you said. And figure out how they're going to enable the resources that they have to respond to this. And where the agreements are, are they in place with the hospital 60 miles away? Are the agreements in place with other resources that they've got to have to answer this kind of call?So those political leaders, sheriffs, and I'm not even thinking chiefs of police because we're talking so small here, but maybe there is a chief of police, town marshall, county managers-Bill Godfrey:County judge.Robert McMahan:... county judge, all those things need to be brought together to figure out what these legal issues may be and what these logistical issues may be to get these agreements in place. And so everybody knows what needs to occur and that it can occur when this happens.Bill Godfrey:So guys, let me ask this bottom line question. So no question, this is a difficult challenge for a resource constraint community, no question about it. But bottom line, fixable and doable?Adam Pendley:Absolutely.Bill Godfrey:Joe?Joe Ferarra:Yes, absolutely.Robert McMahan:Absolutely.Bill Godfrey:Yeah. And I think so too. In some cases you've got to be creative and it may not be easy to get buy-in from everybody, but I think there's a common need here. And it seems, if you're willing to commit to a little bit of work and plan ahead of time that it can come together.Robert McMahan:Absolutely. Those pieces that we teach in active shooter incident management that need to occur, these communities need to come together, these community leaders need to come together and look at that, realize what their shortcomings are, and figure out, "How are we going to get this done?" And it may not happen when that bang goes off, it may not happen as quickly as we want, but it can happen and we need to plan ahead on how we're going to do that.Bill Godfrey:Absolutely. Well guys, thank you so much for taking the time. I will say this, I'm kind of reminded a little bit here on the 10 part series we did on the 10 questions that the mayor or the city manager should ask their police chief or fire chief together to talk about that. If you're out there in a rural community or a resource constraint community, and you're trying to kind of figure out where to start that political conversation, you might want to revisit some of the series of those 10 questions the mayor can ask the police chief and fire chief because there was some good stuff. They can arm you with the kind of things that you can approach your elected officials with. And if you get their buy-in, they can really begin to open doors. If they didn't have relationships and couldn't open doors, they probably wouldn't have got elected in the first place. But just a thought out there for our listeners.Robert, Adam, Joe, thank you so much for taking the time to come in guys and talk about this very important issue. Ladies and gentlemen, thank you for joining us for the podcast. If you haven't subscribed, please do so on whatever device that you consume your podcasts on. If you have any suggestions, ideas, or questions, please email them to us at info@c3pathways.com. Until next time. Stay safe.
JAMAevidence The Rational Clinical Examination: Using Evidence to Improve Care
David Simel, MD, discusses Does This Patient Have Hip Osteoarthritis? with David Metcalfe, PhD, MRCP, MRCS, MRCEM
Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline? How common is hyponatremia in hospitalized patients and why does it matter to your practice? What is SIADH and how does it contribute to hyponatremia in acutely ill children? How can we prevent hyponatremia in our hospitalized patients? What are the differences between hypotonic and isotonic fluids? What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? All of this and more from the Department of Pediatrics and the Medical College of Georgia. Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820
In this episode of the PRS Global Open Keynotes Podcast, Anita Mohan MRCS, MBBS and Ankur Khajuria MRCS, MSc (Oxon.) discuss the challenges for residents’ educational experiences and the increase in online learning due to the Coronavirus Disease 2019 (COVID-19). This episode discusses the following PRS Global Open article: “Plastic Surgery Lockdown Learning during Coronavirus Disease 2019: Are Adaptations in Education Here to Stay?” by Anita T. Mohan, Krishna S. Vyas, Malke Asaad, and Ankur Khajuria. Read it for free on PRSGlobalOpen.com: https://bit.ly/LockdownLearning20 Dr. Mohan is a plastic surgery resident at the Mayo Clinic in Minnesota. Dr. Khajuria is a plastic surgery resident and honorary research fellow at the Department of Surgery and Cancer at Imperial College London in the United Kingdom. This “PRS Global Open Keynotes Podcast Resident Ambassador Special Edition” is hosted by the 2020 PRS Global Open Resident Ambassadors: Dr. Macarena Vizcay from Buenos Aires, Argentina; Dr. Anna Steve from Calgary, Canada; Dr. M. Rachadian Ramadan from Jakarta, Indonesia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery
In this episode of the PRS Global Open Keynotes Podcast, Anita Mohan MRCS, MBBS and Ankur Khajuria MRCS, MSc (Oxon.) discuss the challenges for residents' educational experiences and the increase in online learning due to the Coronavirus Disease 2019 (COVID-19). This episode discusses the following PRS Global Open article: “Plastic Surgery Lockdown Learning during Coronavirus Disease 2019: Are Adaptations in Education Here to Stay?” by Anita T. Mohan, Krishna S. Vyas, Malke Asaad, and Ankur Khajuria. Read it for free on PRSGlobalOpen.com: https://bit.ly/LockdownLearning20 Dr. Mohan is a plastic surgery resident at the Mayo Clinic in Minnesota. Dr. Khajuria is a plastic surgery resident and honorary research fellow at the Department of Surgery and Cancer at Imperial College London in the United Kingdom. This “PRS Global Open Keynotes Podcast Resident Ambassador Special Edition” is hosted by the 2020 PRS Global Open Resident Ambassadors: Dr. Macarena Vizcay from Buenos Aires, Argentina; Dr. Anna Steve from Calgary, Canada; Dr. M. Rachadian Ramadan from Jakarta, Indonesia. #PRSGlobalOpen #KeynotesPodcast #PlasticSurgery
Pediatric intensivist, Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline? How common is hyponatremia in hospitalized patients and why does it matter to your practice? What is SIADH and how does it contribute to hyponatremia in acutely ill children? How can we prevent hyponatremia in our hospitalized patients? What are the differences between hypotonic and isotonic fluids? What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? All of this and more from the Department of Pediatrics and the Medical College of Georgia. Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG, Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in Critically Ill Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 Cuzzo B, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS* A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 Peti-Peterdi J, Harris RC. Macula densa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 Wilcox CS. Regulation of renal blood flow by plasma chloride. J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820
In Episode 6, Season 2 of the Amplifying Scientific Innovation Podcast, Dr. Sophia Ononye-Onyia, Founder and CEO of The Sophia Consulting Firm, interviewed Dr. Stephanie Manson Brown, MBBS, MRCS, MFPM, Head of Clinical Development, Allergan Aesthetics at AbbVie. Here, Dr. Manson Brown shares personal anecdotes of her leadership journey; outlook on the life science industry; and her company's focus unique focus on aesthetic medicine. #ScienceofAging
អ្នកដឹកនាំលេខាធិការដ្ឋានគណៈកម្មការទន្លេមេគង្គ (Mekong River Commission Secretariat) ដែលជាស្ថាប័នអន្តររដ្ឋាភិបាល ធ្វើការងារសម្របសម្រួលបញ្ហាទឹកក្នុងមហាអនុតំបន់ទន្លេមេគង្គ បានលើកឡើងថា ការធ្វើឲ្យតំបន់មេគង្គក្លាយជាចំណាប់អារម្មណ៍របស់សហគមន៍អន្តរជាតិនឹងជួយដល់បណ្តាប្រទេសមេគង្គ ជាពិសេសប្រទេសនៅតាមខ្សែទឹកខាងក្រោមរួមមានកម្ពុជា ថៃ ឡាវ និងវៀតណាម។ លោកបណ្ឌិត អាន ពេជ្រហត្ថដា នាយកប្រតិបត្តិនៃ MRCsមានប្រសាសន៍នៅក្នុងកម្មវិធី Hello VOAកាលពីថ្ងៃចន្ទ ទី៩ ខែវិច្ឆិកា ឆ្នាំ២០២០ថា ការសម្រេចចិត្តរបស់ប្រទេសចិនក្នុងការចែករំលែកព័ត៌មានអំពីជលសាស្ត្រនៃទំនប់របស់ចិនចំនួន២កាលពីពេលថ្មីៗនេះ ជាកាយវិការគួរឲ្យសាទរហើយ ប៉ុន្តែលោកថា បណ្តាប្រទេសមេគង្គដទៃទៀត ត្រូវការទិន្នន័យបន្ថែមទៀត ដើម្បីពួកគេអាចព្យាករណ៍ទឹកជំនន់និងគ្រោះរាំងស្ងួត បានកាន់តែប្រសើរជាងនេះ៕ (សាយ មុន្នី, Hello VOA, វ៉ាស៊ីនតោន, ទី៩ ខែវិច្ឆិកា ឆ្នាំ២០២០)
A radiologist tweets a joke about COVID-19 and a cardiologist tweets a serious note on the role of doctors in shaping social policy. Both are met with similarly outraged reactions. Saurabh Jha (@RogueRad), MBBS, MRCS, MS, and John Mandrola (@drjohnm), MD, share with Chadi the immediate aftermath of their tweets and reflect on how social media has become intolerant of diverse opinions. You don't want to miss this unfiltered episode with two of the most prolific physicians on Twitter.
In this week's episode, The Layman's Doctor speaks with Dr. Tariq Parker, a Jamaican Rhode Scholar, who shares his medical journey with us. We speak about various paths to assimilate into the UK medical system, touching on the MRCS and PLAB examinations. Dr. Parker gives helpful tips on how to maximise on time while transitioning into the UK. He shares with us how he prepared for USMLE and the various resources he used and gives tips and tricks he has learnt to put forward an excellent application for matching. In this series "The Medical Doctor's Journey: Non- Traditional Pathways", The Layman's Doctor speaks with medical doctors about their careers and journey's so that more and more Caribbean doctors are aware of the different pathways they can take and the options that are out there for medical doctors. Resources mentioned:First Aid USMLE Step 1 available on amazonKaplan Q Bank hereLink to ECFMG.NBME hereUSMLE websiteUWorld Qbank linkCatch up with Dr. Tariq ParkerInstagramTwitterFacebook Keep up with The Layman's Doctorwww.thelaymansdoctor.comwww.instagram.com/thelaymansdrwww.twitter.com/thelaymansdrthelaymansdoctor@gmail.comDon't forget to rate, review and subscribe!
All you need to know about the diagnosis and management of hydrocoele in children. How it is different from hydrocoeles in adults and the central importance of the processus vaginalis, differential diagnosis, investigations and treatment are all covered. Special cases of hydrocoele of the Canal of Nuck and the abdomino-scrotal hydrocoele are also covered, as well as the acute hydrocoele and implications. In addition, learn about the fantastically named "spring back balls sign"! With David David Keily and Shalinder Singh.
Inguinal hernias are one of the most common conditions in paediatric surgery and this podcast is essential listening for anyone dealing with hernais in children in primary of secondary care. How paediatric hernias different are from adult hernias, predisposing factors for hernia and the central importance of the patient processus vaginalis are discussed, along with presentation, tricks to aid diagnosis in children and the differential diagnosis of lumps on the groin of a child. Complications of inguinal hernia in children are classified and explained. David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, UK
De Bhushan Jadhav who is currently working as a Clinical Fellow in University Hospital of Wales at Cardiff in UK shares his journey and discusses the points regarding MRCS and further career options after that in UK.
RadioRotary interviews (via Zoom) Joe Ryan, the Coordinator for the Medical Reserve Corp of Dutchess County, an organization of 1,004 volunteers currently who provide disaster relief, emergency-medical training, and related services throughout Dutchess County. The Medical Reserve Corps (MRC) is a nationwide organization designed to prepare for and help hand disaster relief, started after the September 11, 2001, attack. The Dutchess Country branch currently has 1,004 volunteers, and also Mr. Ryan has also won the nationally given Mentor Award for its coordination with surrounding county MRCs. The volunteers are almost exactly split between medical personnel and those with no prior medical training. The many preparedness programs offered by Dutchess MRC include classes in stopping bleeding, overdose recovery, suicide prevention, tick safety, and hands-only CPR. During the COVID-19 epidemic, MRC has been part of contact tracing, monitoring victims who are living at home, and providing food or prescription delivery when necessary. Listen to the whole program to learn much more about the services and also about how to volunteer to become a member. Learn more: Medical Reserve Corps of Dutchess County: mailto:https://www.dutchessny.gov/Departments/Emergency-Response/Medical-Reserve-Corps-MRC.htm Medical Reserve Corps: mailto:https://mrc.hhs.gov/HomePage Mentor Award: mailto:https://www.dutchessny.gov/County-Government/National-Medical-Reserve-Corps-Bestows-Mentor-Award-on-Dutchess-Countys-Joe-Ryan.htm CATEGORIES Animals Disaster Relief Dutchess Country Health Service Organizations Volunteers --- Support this podcast: https://anchor.fm/radiorotary/support
Jeff Adam returns to the MRCS as we make up for having lost a show last year. https://archive.org/download/mrcs0227/mrcs0227.mp3 https://archive.org/download/mrcs0227/mrcs0227.mp3 https://ia801505.us.archive.org/21/items/mrcs0227/mrcs0227.mp3
Jeff Adam returns to the MRCS as we make up for having lost a show last year. https://archive.org/download/mrcs0227/mrcs0227.mp3 https://archive.org/download/mrcs0227/mrcs0227.mp3 https://ia801505.us.archive.org/21/items/mrcs0227/mrcs0227.mp3
Dr. Ash Patel discusses practical tips with Vu Nguyen MD and Francesco Egro MD, MSc, MRCS.
The NHS pay scale is pretty standardised throughout all hospitals. Here we discuss the different levels of pay and salary scale for doctors. Salary depends on the amount of years of experience a doctor has and at what medical grade they are operating at. You can find out more about pay scales and NHS salaries here: https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Pay-and-Conditions-Circular-MD-22019.pdfAny questions? Email us at apply@bdiresourcing.com Join our Facebook Group IMG Advisor! We post three blog posts a week and two vlogs.
Daniel Diesel's college buddy Christopher Kouse is the Co-Founder of Makers, Reenactors and Cosplayers of Society. He invited the Podcast for a night at the meeting, bantering with the people and Large Dog behind the group. Featuring interview with Kouse, Spencer Bryant, Paul Ciaravolo and "Luna"! OH MVP goes to Stephanie Stanavich for her report on Football Fans wanting weed when their team loses games. Featuring Music Tracks "Soda Pop" "8-Bit Heaven" from Purple Planet Music Visit https://www.facebook.com/groups/1948800191801951/ to attend a Cosplay session with MRCS! projects.dayton.com to vote for Best Dayton Podcast of 2019 --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/ohioisonfire/message
To obtain GMC Registration and an NHS job, you will need to demonstrate your specialist knowledge and skills. This can be done via PLAB or a GMC approved postgraduate qualification. In this episode, we compare the difference between the exams, prices, formats and the advantages and disadvantages. If you are unsure of which pathway to take after listening to this episode, email us at apply@bdiresourcing.comJoin our Facebook Group IMG Advisor! We post three blog posts a week and two vlogs.
In this Podcast we are exploring the effects of fat loss. So today we have the honour of having Mr Ivo Gwanmesia on the show. Mr Ivo Gwanmesia is a graduate of Manchester University Medical School, Ivo is trained in all aspects of Plastic Surgery. He trained within the London Deanery, working in most of London’s Teaching Hospitals. He obtained his Certificate of Completion of Training in Plastic Surgery in November 2010. He spent all of 2011 working as a fellow within the Craniofacial Unit at Great Ormond Street Hospital. In August 2013, he left the UK for the United States where he undertook a 12 month fellowship in Craniomaxillofacial surgery at the world renowned Cleveland Clinic Foundation, Cleveland, Ohio, United States. During his time at the Cleveland Clinic, Ivo spent time further subspecialising in adult and paediatric craniofacial surgery. He also undertook pioneering research which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. This method is now published in the scientific literature. He is the author of several papers and is co-author of several chapters in the newly published Plastic Surgery textbook ‘Plastic Surgery – A problem based approach’ as well as the author of a couple of chapters in the new Atlas for Craniofacial Surgery. Ivo consults patients at 10 Harley Street in Central London and operates at both the Highgate Hospital in North London and the Welbeck Hospital in Central London. The types of procedures Ivo performs include:- facial aesthetic surgery (facelift, brow lift, upper and lower blepharoplasty, neck lift, otoplasty, rhinoplasty genioplasty, insertion of orbital rim implants, mandibular and malar implants), breast aesthetic surgery (breast augmentation, breast reduction, breast uplift (mastopexy), body contouring surgery (liposuction, body lift, abdominoplasty, brachioplasty and thigh lift). Mr Ivo Gwanmesia -BSc, MSc (Lond), MBChB, MRCS, FRCS (Plast) Office Address: 10 Harley Street, London W1G 9PF, Phone Number – 02074741300 If you want to Get in Shape, Get Healthy and Get Happy, call us for a confidential consultation - Stephanie Webster Urban Health Method. 07500 356356 (WhatsApp) hello@urbanhealthmethod.com urbanhealthmethod.com Follow me on: Twitter: @urbanhealthm Instagram: @stephaniewebsterurban Linkedin: https://www.linkedin.com/in/urbanhealthmethod/ Facebook: https://www.facebook.com/UrbanHealth.UH Youtube: https://bit.ly/2mhuSRw CLICK HERE TO DONATE TO IMPROVE THE QUALITY OF OUR
St Mark's Hospital Podcast- Part 1 of 2: Join us for our second episode as our host Mr Peter McDonald interviews fellow St Mark's colorectal consultant Mr Phil Tozer. In this two-part series they discuss all aspects of the work-up and management of anal fistula. Perfect for MRCS or FRCS revision! Please subscribe.
Mariana Rolanda Carla and Saja from 1st period share
...::: Mwango Sessions :::... [MRCS 011] Mixed by Pastrana 00. Mwango (Intro) 01. Tigerskin - Sliver (Robert Babicz Remix) [Bar 25 Music] 02. R3cycle & Roy Lebens - Thousand Pounds (Cherry UA Remix) [Bonzai Progressive] 03. Rafa Alcantara - Hadron (Original Mix) [Bonzai Progressive] 04. Osunlade - The 8th Chakra (Original Mix) [BBE Music] 05. SURAJ - Wawere (Aquatone's Dub Remix) [Gondwana] 06. Sebjak & Fahlberg - Tomorrow Never Comes (Original Mix) [Bibliotheque Records] 07. Cornelius SA, Jackie Queens - Feel It Now (Original Mix) [Get Physical] 08. Saint Evo, Idd Aziz - Kamulole (Original Mix) [Cabeau Music] 09. Kaysha, Boddhi Satva, H. Baraka - Antelope (Breyth AfroTech Remix) [Sushiraw] 10. Paulo Alves, Denker - Rockin (Original Mix) [DJs 4 Africa] 11. Space Motion - Requiem for a Dream (Original Mix) [Timeless Moment] 12. Brigado Crew, Crisstiano - Sustain (Original Mix) [Solar Distance] DISCOVER PASTRANA www.facebook.com/PastranaDJ www.instagram.com/dj_pastrana www.twitter.com/DJPastrana www.soundcloud.com/dj-pastrana DISCOVER MWANGO RECORD COMPANY www.facebook.com/mwangorc www.instagram.com/mwangorc www.twitter.com/mwangorc THANKS TO ALL THE LABEL OWNERS, ARTISTS AND PEOPLE THAT ARE SUPPORTING THE SHOW... WE ARE ONE !!!
...::: Mwango Sessions :::... [MRCS 010] Mixed by Ruddy Jorge 00. Mwango (Intro) Playlist Not Available!!! DISCOVER RUDDY JORGE www.soundcloud.com/ruddy_jorge www.facebook.com/ruddyjorge1 www.instagram.com/ruddy_jorge DISCOVER MWANGO RECORD COMPANY www.facebook.com/mwangorc www.instagram.com/mwangorc www.twitter.com/mwangorc THANKS TO ALL THE LABEL OWNERS, ARTISTS AND PEOPLE THAT ARE SUPPORTING THE SHOW... WE ARE ONE !!!
"Doctor, Mrs Smith's calcium is 2.9, what do you want me to do?" Cat Boereboom talks to Roger Stanworth about all aspects of the presentation, diagnosis and treatment of both high and low calcium. Once you've listened to this podcast you will know how to manage any calcium disorder. Mapped to the General Surgery 2016 curriculum, this podcast is also very useful listening to those taking MRCS or FRCS, as well as medical school finals. Cat Boereboom is a trainee in General Surgery, and Roger Stanworth is Clinical Lead for Diabetes and Endocrinology at the Royal Derby Hospital, UK
Meta analysis is a very common way of bringing together data to help us decide which treatments might be best. BUT, you have to take care when interpreting them - there's a lot more to it than just looking which side of the line the little black diamond is on! How do you construct a search for a systematic review?Can you trust the result of a meta analysis? How do you know if it has been done well? How to recognise different kinds of bias, how to interpret a forest plot, and funnel plot and a bubble plot. What is the I squared statistic and what does it tell you about the data and how much to trust the result? These and many more things to do with these common but complex analyses is explained by Brett Doleman, statistical guru! Star in national selection academic station and FRCS academic viva
In this interview, Ashton Harper, MBBS, MRCS, describes the research associated with probiotics to help prevent and treat a variety of conditions in children. He also describes a new study using probiotics to treat infant colic and explains why it's so important to treat colic as soon as it's diagnosed. About the Expert Ashton Harper, MBBS, MRCS, has a bachelor of science degree in physiology and pharmacology from University College London (UCL). He graduated with a degree in medicine (MBBS) from UCL in 2010. He worked in the National Health Service for 5 years, during which time he discovered his passion for the management of gastrointestinal diseases. While working in gastrointestinal surgery he achieved membership of the Royal College of Surgeons and was awarded a post-graduate travelling fellowship to visit the Cleveland Clinic to observe world-leading doctors manage inflammatory bowel disease. He has published in the fields of nutrition and gastrointestinal diseases and has presented his work at multiple national and international medical congresses. Harper is a medical advisor for the Protexin Human Healthcare team, where he is responsible for providing medical expertise for the business. About the Sponsor Probiotics International Ltd (Protexin), manufacturers of Bio-Kult, a scientifically developed, naturally powerful 14-strain probiotic. Manufactured to pharmaceutical standards and with an extensive research programme, our products are sold in over 80 countries worldwide, including America. Visitwww.bio-kult.com/usa for more information on our full range, including Bio-Kult Infantis, Bio-Kult Pro-Cyan and Bio-Kult Candéa. Distributed by: Protexin Inc., 1833 NW 79th Avenue, Doral, Miami, FL 33126.
In part 2 of our 3 part series on breast cancer Phil Herrod talks to Mark Sibbering about incidence, risk factors, survival, family history and genetics, and classification of breast cancer. Also covered is the presentation of breast cancer and a quick overview of the breast cancer screening programme in the UK. Mapped to undergraduate and postgraduate learning objectives, this podcast will provide all you need to know as a medical student or early years surgical trainee about these aspects of breast cancer. Phil Herrod is a specialty registrar in the East Midlands, UK and Mark Sibbering is a consultant Breast Surgeon at the Royal Derby Hospital and national figure in Breast Surgery Sorry about the sound again, sometimes doing these things on location can present a few problems.
TO VIEW PLEASE DOWNLOAD The CT scan has become central in the management of abdominal conditions, especially emergencies. But how do you interpret a CT when theres no radiologist around or you can't wait for the report? Pete Thurley tells Jon Lund the secrets of radiology and gives a structure to looking at CTs so that you never miss anything again. Essential viewing for all for both exams and real life! Pete Thurley is a Consultant Radiologist at the Royal Derby Hospital, UK and Jon Lund is Clinical Associate Professor of Surgery at the University of Nottingham,UK
ABPI is not a credit card interest rate, but just about the most important measurement you can make in vascular surgery.Find out what it is, what it means, who not to do it on, and a video on how to perform it quickly and efficiently using our point of view technique (like you're really there!) with James Blackwell (research fellow in surgery) and Greg McMahon (consultant in Vascular Surgery, Royal Derby Hospital, UK). This comes up in OSCEs a lot and so is essential knowledge for exams, both undergraduate and postgraduate, and you never know, might actually be useful when you're treating patients! If you just want to watch how to do the ABPI and not hear the what and why, skip to 6:30 in the video
Can you tell the difference between a monocyte and a basophil? Would you know what an eosinophil looked like if it came up to you and introduced itself? Where do platelets come from? If I have worms, what cells are responsible for killing them? All this and much more answered as Susan Anderson takes you on a tour of blood on a microscopic scale, teaching you how to identify red cells, granulocytes, lymphocytes, platelets, monocytes, basophils, eosinophils and neutrophil polymorphs and going through what each cell type is for. Don't miss this if you are a medical student or doctor taking early postgrad exams. Susan Anderson is Associate Professor of Surgery at the University of Nottingham, UK
What's in the walls of your blood vessels? How are arteries different from veins? What is a capillary? All these questions and more and some clinical applications are explained by showing what these structures look like down the microscope in this really useful podcast from Dr Susan Anderson, Associate Professor of Pathology at the University of Nottingham, UK
"You, boy/girl! Tell me about this disease!" the consultant shouts at you in the middle of a ward round. Your eyes widen, your heart thumps, everyone looks at you, you break out into a cold sweat. You can't think of what to say! If only you'd watched this podcast on how to structure facts about any disease in a logical and easy to remember way. Exasperated the consultant moves onto your colleague who has watched this podcast, and gives a perfect answer using the In A Surgeon's Gown A Physician May Make Some Significant Progress mnemonic described here. Most med students and doctors in training know all the facts but can't get them out at important moments. Use this technique and you'll never be stuck again... Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK
Knowing the histology and embryology of the anorectal junction helps you to understand why you should band piles above the dentate line, why cancers in the region have different tissues of origin and spread to different lymph nodes. In this video podcast Susan Anderson takes you though important histological features of the large bowel and contrasts them with the different features of the anal canal. Clinical application of these features is also described Dr Susan Anderson is Associate Professor in Pathology at the University of Nottingham, UK
You need to know what normal looks like before you can recognise what is abnormal. Susan Anderson takes you on a tour of the mucosa of the stomach and duodenum in this video podcast. You'll be able to see the different structures in the mucosa, glands and those villi which become atrophic in coeliac disease. A much more interesting way to learn about histology than looking in a textbook and quicker than sitting in a lecture. Dr Susan Anderson is Associate Professor of Surgery at the University of Nottingham, UK
Despues de gozar libertad y prosperidad en Egipto, el pueblo de Israel cae bajo esclavitud por cientos de años hasta que Dios, a su tiempo, los rescata usando a Moises como lider. Debemos recordar que toda la gente necesita liberacion, que Dios esta en el negocio de liberar, que Dios usa a gente en el proceso de liberacion y que Dios libera para su Gloria. Ex 1-18, Juan 8:31-36, 2Cor 12:9-10, Mateo 1:21, Lc 19:10, Mrcs 10:45
In part 3 of this podcast telling you all you need to know about acute inflammation, David Semeraro talks about the vascular and cellular components of acute inflammation, diapedesis, chemical mediators of acute inflammation, cytokines and much more, using clinical pictures and histological slides and conditions such as appendicitis and cellulitis as examples. David Semeraro is a consultant histopathologist at the Royal Derby Hospital, UK.
Daniel Couch and Jennifer Murphy tell you all you ever wanted to know about hernias in this audio podcast. They discuss definition, presentation, symptoms and signs and management of hernias of all kinds as well as complications of hernia and operations for hernia. Essential listening for all medical students and core trainees (interns) in surgery. Daniel Couch is a general surgical registrar and Jennifer Murphy a core trainee in surgery in the East Midlands in the UK.
How confident are you with confidence intervals? Perhaps not 95%.... In this podcast Rob Radcliffe explains what confidence intervals are, how to interpret them and how they provide a deeper understanding of data and the p value. Essential viewing for any student, trainee or consultant/attending reading a scientific paper and wanting to interpret the data correctly. Rob Radcliffe is a former maths teacher and is now a trainee in Urology in the East Midlands, UK
One of your colleagues has made an incision the wrong way on a limb and the patient complains the scar pulls and is wide. What are you going to do? In the fourth and final instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform a z plasty, probably the simplest but one of the most useful and versatile techniques in plastic surgery, which helps to revise unsightly scars and has many other uses. The indications, contraindications of z plasty are discussed, as well as potential complications. On a cadaveric specimen Jill shows you how to perform a z plasty, which is an essential technique for any medical student or surgeon in training. Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.
The wound is the only part of the operation a patient gets to see, so make sure you get the wound closure right! In the third instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform running mattress sutures and subcuticular sutures. Which suture to choose and why is discussed. On a cadaveric specimen Jill shows you how to perform a running mattress suture and subcuticular suture, both of which need to be in the repertoire for sutured skin closure and are essential skills for any medical student or surgeon in training. Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.
In probably the most important series of 4 podcasts for any budding surgeon to watch, Ben Baker and Jill Arrowsmith take you though how to suture, from handling instruments, through simple interrupted and mattress sutures, running sutures and finally, how to perform a z-plasty. Performed on a cadaveric specimen, these video podcasts are high fidelity and essential viewing for all medical students wanting to follow a career in surgery. They will also be useful to all foundation doctors (interns) and core trainees (residents). Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.
So, you're a medical student who has just started a vascular surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means? Help is at hand: Keaton Jones explains the basics of all the common vascular operations, from anatomy, though indication to the operations themselves in this video podcast. This is essential viewing for all medical students on a surgical placement and for any students interested in a career in surgery. This is the second in the "Basics of..." series. You might want to view our other podcasts on aneurysms, amputations and varicose veins after you've seen this one, which discuss vascular surgery and pathology in more detail. Keaton Jones is an Academic Clinical Fellow at the University of Oxford, UK
So, you're a medical student who has just started a surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means? Help is at hand: Keaton Jones explains the basics of all the common colorectal operations, from anatomy, though indication to the operations themselves in this video podcast. This is essential viewing for all medical students on a surgical placement and for any students interested in a career in surgery. Once you have mastered this podcast, you might want to check out our other podcasts from School of Surgery in the "Explained" series and the "How to" series, as well as the podcasts explaining stomas and wounds. Keaton Jones is an Academic Clinical Fellow in Surgery at the University of Oxford, UK
"What suture would you like to close with, Doctor?" asked the scrub nurse. "Errrr....Dunno, what do they normally use?" replied the surgical trainee who hadn't taken a few minutes to watch this week's podcast from Lee Creedon, all about sutures. In this podcast, mapped to ISCP and basic surgical skills course objectives, Lee takes you though different kinds of sutures, needles, nomenclature and the indications for using each particular type of suture. So, when the scrub nurse asks you which suture you want you will be able to make the correct choice with confidence. Essential viewing for all medical students interested in surgery and all trainees at the start of a surgical career. Lee Creedon is a Clinical Research Fellow in General Surgery at the University of Leicester.
Eponymously named operations give you little clue as to what they are or what they're for. One of the most commonly performed eponymous procedures is Hartmann's procedure. Jon Lund takes you though the background, indications, preparation and performance of this operation in a video podcast, latest in the "operation explained" series. Essential viewing for medical students on a surgical attachment and core trainees (junior residents). Jon Lund is Associate Professor of Surgery at the University of Nottingham and Consultant Colorectal Surgeon at the Royal Derby Hospital, UK
What's a population? Easy question? Or not? What's a representative sample? What's a random sample from the population and how do you decide if the set of data you have is the same or different from your population. How many samples do you need to take to be representative of the whole population? Rob Radcliffe explains these concepts and much more, passing through central limit theorem - the very core of medical statistics - to explain all of these easy sounding but difficult concepts in a clear and easy to understand video podcast. Biased and unbiased estimators, sampling distribution of the mean, the difference between standard deviation and standard error and the key principles underlying the statistical tests we all use all the time are explained. See this podcast and you will understand what you are doing when you are looking at the results of a paper, be able to answer questions in exams with more confidence and be on the way to designing your own study and the analysis of the data. Essential viewing for medical students, core trainees (junior residents) and higher trainees (senior residents) as exams approach, and also fro anyone starting or in the middle of a research project. There are lots of books on statistics out there, but none as clear as these vodcasts. Next time: statistical testing
There are many ways to skin cat and many ways to image the colon. Barium enema is quickly becoming a thing of the past and being replaced by CT colonography, also called virtual colonoscopy. In this video podcast Jon Lund talks to Dr Rajeev Singh about this increasingly common imaging technique, its advantages and disadvantages, its sensitivity and specificity for detecting lesions in the colon and its future. The discussion is illustrated with images taken from CT colonography investigations. This podcast will be useful to medical students and trainees in surgery or radiology, as well as long in the tooth surgeons wanting an update on newer techniques. Dr Rajeev Singh is a consultant radiologist at the Royal Derby Hospital, UK, with a special interest in gastrointestinal imaging. Jn Lund is Associate Professor of Surgery at the University of Nottingham, UK.
Are you a viking who can't straighten your fingers, find it difficult to get your hand in your pocket and keep poking yourself in the eye when you're washing your face? If so, you might have Dupuytren's contracture. Benjamin Baker talks to Jill Arrowsmith about this common problem, discussing aetiology, diagnosis and treatment options in the latest in our plastic surgery podcasts. Dupuytren's contracture is common, and if you can diagnose it and discuss its management in undergraduate and postgraduate examinations, either as the main problem, or an incidental finding when you are examining the hands as part of your global assessment, you will be well on the way to a pass. Benjamin Baker is an academic foundation doctor and Jill Arrowsmith is a Consultant in Plastic and Reconstructive Surgery at the world famous Pulvertaft Hand Centre, in Derby, Uk
Statistics is a bit of a mystery to most of us. Help is here from former maths teacher and current surgical trainee, Rob Radcliffe. In the third in this series explaining medical statistics, Rob explains hypothesis testing. This is fundamental to just about all we do when cam paring data in trials. The null hypothesis is explained and when it is safe to reject it (how to tell if 2 distributions are the same or different and by how much). This podcast also makes it clear where the "magic" p
Susan Clayton shows you how to do a laparoscopic renal pyeloplasty for pelviureteric junction (PUJ) obstruction. In this step by step video you will be taken though the stages of this key operation in urology. Essential viewing for any core trainee or resident, or anyone interested in or already pursuing a career in surgery or urology. Susan Clayton is a trainee in the East Midlands School of Surgery. The procedure was performed by Mr Simon Williams, Consultant Urologic Surgeon, Royal Derby Hospital, UK
This audio podcast covers all you need to know about the aetiology, presentation, anatomy, and treatment of carpal tunnel syndrome. Ben Baker is an Academic Foundation Year 2 Doctor and Jill Arrowsmith is a Consultant Plastic and Reconstructive Surgeon in the renowned Pulvertaft Hand Centre, Royal Derby Hospital, UK
How do wounds heal? What stitch would you use to close a wound and why? When would you not close a wound? What do you do when a wound looks infected? Seem like easy questions but would you be able to answer them?? In the first of a series of podcasts on plastic surgery, Benjamin Baker talks to Jill Arrowsmith about aspects of wound healing. Types of wounds healing are discussed. Primary closure, delayed primary closure healing by secondary intention are explained as well as granulation tissue, types of suture and what suture to use and why. How wounds heal is explained as well as hypertrophic scars and keloid formation. How to recognise and manage wound infection is also covered in this podcast. Mapped to medical finals and ISCP curriculum this podcast is essential listening for medical students and trainees in surgery. Benjamin Baker is an Academic Foundation Doctor at the University of Nottingham, Royal Derby Hospital. Jill Arrowsmith is a Consultant Plastic and Reconstructive Surgeon at the renowned Pulvertaft Hand Centre, Royal Derby Hospital, UK
You're standing in your surgical examination looking at a patient's abdomen. The examiner asks you to comment on the scars you can see. What are you going to say? Help is at hand... Keaton Jones takes you though positions of scars on the abdomen, how old they are and what the operation might have been. Kochers, roof top, mercedes benz and Rutherford- Morrison incisions are covered amongst all the other incisions and combinations of scars from open and laparoscopic operations which will give you clues to previous procedures and diagnosis. Essential viewing for surgical finals and good revision for MRCS viva Keaton Jones is an academic clinical fellow in surgery at the University of Oxford, UK
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