POPULARITY
7 episodes with surgical critical care
3 episodes with surgical critical care
3 episodes with surgical critical care
4 episodes with surgical critical care
3 episodes with surgical critical care
2 episodes with surgical critical care
2 episodes with surgical critical care
2 episodes with surgical critical care
2 episodes with surgical critical care
We got the gang together (minus John, who is on mission). Today, we are talking about diverticulitis with super expert Scott Steele. Scott walks Jason, Patrick, and Kevin through the nuances of modern-day management of diverticulitis. We cover laparoscopic lavage, review decision making for surgical resection after drainage, and discuss the evolving role of antibiotics in uncomplicated cases. Surgical techniques, including resection boundaries and the consideration of diverting ostomies in emergent situations, are also reviewed. DOMINATE THE COLON! Hosts Scott Steele, MD: @ScottRSteeleMD Scott is the Rupert B. Turnbull MD Endowed Chair in Colorectal Surgery and Chairman of Colorectal Surgery at Cleveland Clinic in Cleveland, OH. A graduate of the United States Military Academy at West Point, he was an active duty Army officer for over 20 years, serving as the Chief of Colorectal Surgery at Madigan Army Medical Center. He also received his MBA from Case Western University Weatherhead School of Business and Management. Patrick Georgoff, MD: @georgoff Patrick Georgoff is an Acute Care Surgeon at Duke University. He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston. His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery. Patrick is the Associate Program of the General Surgery Residency and associate Trauma Medical Director at Duke. Kevin Kniery, MD: @Kniery_Bird Kevin is a vascular surgeon at Brooke Army Medical Center. He completed his undergraduate degree at the United States Military Academy in West Point, medical school at Tulane University, general surgery residency at Madigan Army Medical Center, and vascular fellowship at Cornell and Columbia. Jason Bingham, MD: @BinghamMd Jason is a general and bariatric surgeon at Madigan Army Medical Center. He also serves as the Director of Research and Associate Program Director for the general surgery residency program. He received his undergraduate degree from New York University and medical degree at the Uniformed Services University of Health Sciences. He is a medical officer in the US Army with several combat deployments under his belt. Jason's research efforts focus on the management of hemorrhagic shock, trauma induced coagulopathy, and ischemia-reperfusion injury. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
In this episode of Girls with Grafts, we sit down with Dr. Victoria Miles to explore the fascinating and complex world of hypermetabolism—the body's heightened metabolic response after a burn injury.
Join Patrick Georgoff to learn more about how YOU can make amazing digital education content. At Behind the Knife we are often asked how to create digital education content. Thanks to the democratization of technology and rise of the creator economy, all of the tools are at your fingertips. Would you like to enhance your next lecture, grant application, manuscript submission, or patient educational material? You can, even if you are part luddite! You don't need a publisher, advanced computer skills, or tons of money. Don't believe us? Listen to this short podcast for tipsand tricks on how you can make great content. Patrick Georgoff (@georgoff) is an Acute Care Surgeon at Duke University. He went to medical school at the University of Pennsylvania, completed General Surgery residency and Surgical Critical Care fellowship at the University of Michigan, and a Trauma Surgery fellowship at the University of Texas in Houston. His clinical practice includes the full spectrum of Acute Care Surgery in addition to elective hernia surgery. Patrick is deeply involved in surgical education and the is the Associate Program of the General Surgery Residency at Duke and Co-Director of Behind the Knife. He is passionate about trauma system performance and holds the position of associate Trauma Medical Director at Duke. ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Date: December 2o, 2024 Reference: Kotani et al. Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review. Crit Care. 2023 Guest Skeptic: Dr. Scott Weingart is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is a physician coach concentrating […] The post SGEM#465: Not A Second Time – Single Center RCTs Fail To Replicate In Multi-Center RCTs first appeared on The Skeptics Guide to Emergency Medicine.
Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society, where we will listen to all the bottom-line CWIS updates, shout-outs, fun facts, and weekly banter! This week's episode welcomes Dr. Chris Janowak, MD, FACS. He works in General Surgery and Surgical Critical Care at the VA and the University of Cincinnati Medical Center. Dr. Janowak discusses his research interests and his article "The Next Generation: Surgeon Learning Curve in a Mature Operative Rib Management Program." As always, SarahAnn, Dr. White, & Dr. Kryskow joined us. This episode will make you think and may even give you some research ideas!
I adopted by son Christopher in 1992 and I can't begin to tell you how wonderful it's been being an adoptive mom. I was able to manage the extensive costs but there are countless potential parents who simply can't afford adoption. We'll tell you about wonderful nonprofit called Help us Adopt. First HelpUsAdopt.org, founded in 2007, is a national 501(c)(3) adoption grant program. HelpUsAdopt.org was founded by Becky and Kipp Fawcett as a response to their own personal adoption experience. I speak to Rebecca Snyder Fawcett about the organization that's made adoption more feasible for all families. https://www.helpusadopt.org/ You see it every morning on the news. the overnight shooting. The police tape, the bullets encircled by chalk on the ground. New studies show coverage of gun violence can re-traumatize survivors. Two new studies published in Preventive Medicine Reports and BMC Public Health led by corresponding author Jessica H. Beard, MD, MPH, FACS, Associate Professor of Surgery in the Division of Trauma and Surgical Critical Care and Director of Trauma Research at the Lewis Katz School of Medicine at Temple University, more closely examine how reports of community firearm violence are framed on local television news in Philadelphia and the downstream effects of that coverage on the general public's perception of the issue. The Philadelphia Center for Gun Violence Reporting has created “Better Gun Violence Reporting: A Toolkit for minimizing Harm.
You see it every morning on the news. the overnight shooting. The police tape, the bullets encircled by chalk on the ground. New studies show coverage of gun violence can re-traumatize survivors. Two new studies published in Preventive Medicine Reports and BMC Public Health led by corresponding author Jessica H. Beard, MD, MPH, FACS, Associate Professor of Surgery in the Division of Trauma and Surgical Critical Care and Director of Trauma Research at the Lewis Katz School of Medicine at Temple University, more closely examine how reports of community firearm violence are framed on local television news in Philadelphia and the downstream effects of that coverage on the general public's perception of the issue.The Philadelphia Center for Gun Violence Reporting has created “Better Gun Violence Reporting: A Toolkit for minimizing Harm.
A Note from Rick Flynn... When we first began the RICK FLYNN PRESENTS podcast show it was my personal goal to showcase the finest guests that we could possibly place before you, the general public, and our most important ingredient, our audience. There is absolutely no doubt in my mind that we certainly have remained true to our goals in the presentation you are about to listen to in this week's show. DR. STEPHEN COHN is a 40-year veteran Trauma Surgeon and the author of "All Bleeding Stops - Life & Death in the Trauma Unit." To put it mildly, it is a fascinating book and is now available wherever books are sold. It is a gripping, first-hand account of life as a Trauma Surgeon. Dr, Cohn was a surgeon in the United States Army Medical Corps during Operation Desert Storm. He was the Chief of Trauma & Surgical Critical Care at Yale University School of Medicine. Dr. Stephen Cohn is the recipient of "Teacher of the Year" awards at Boston University, University of Massachusetts, Yale University, Northwell Health and he holds a Lifetime in Education Award from the University of Miami Department of Surgery. His book "All Bleeding Stops - Life & Death in the Trauma Unit" is also in select libraries throughout the United States and you may wish to give your local library a call and see if they have it available for you. Is this book available on Kindle? Yes. Is this book avail on audible so you may listen to it as opposed to reading it? Yes. (Published by Mayo Clinic Press). Thank-you Dr. Stephen Cohn not only for appearing on our show, but for what you are doing for society as a whole. If there is a more important mission on earth than saving the lives of your fellow citizens, I have not yet heard about it. Enjoy this show everyone and come back and see us next week, as well. --- Support this podcast: https://podcasters.spotify.com/pod/show/rick-flynn/support
Kathy Sullivan is an artist on a mission to help first responders de-contaminate their brains. She is the co-founder of Ashes 2 A.R.T. that refers to Mindful Decontamination which addresses the need to mindfully decontaminate from a shift just as one would be required to physically decontaminate. Kathy launched this program a few years ago with the help of a northern Virginia Fire captain. Listen to this compelling conversation and see how you can begin to de-contaminate your brain. ABOUT THE GUEST Kathleen Sullivan, MAAT, ATR, SME, NORA Council Member, Executive Director Ashes2A.R.T. Kathy Sullivan is the co-founder of the Ashes2A.R.T. program and the Mindful Decon Initiative which have been providing preventative wellness techniques to First Responders since 2017. Incorporating the creative arts and self-regulating techniques, Ms. Sullivan has established a clear protocol to decrease cumulative and traumatic stress in the emergency services profession. The National Institute of Occupational Safety and Health (NIOSH) recruited Kathy as a council member to their sister organization, National Occupational Research Agenda (NORA) in 2021. Presentations and partnerships include: Critical Incident Stress Management World Congress, Recovery Centers of America, Fairfax County Fire and Rescue, Virginia EMS Symposium, National Association of Mental Illness, NIOSH, George Mason University, Inova Emergency General Surgery, Surgical Critical Care and Trauma Virtual Symposium, Missouri Department of Corrections,and George Washington University CE, and Revital Colorado. Previously published in the Journal of Clinical Social Work, Ms Sullivan is currently collaborating with George Mason University testing the physiological effects of specific wellness techniques on First Responder emotional health; currently in the process of being published. Ms. Sullivan has been trained in: CISM, Havening, EMDR (I), P.E.A.T., EFT, Reiki II, QiGong, Trauma Informed Nature Based Expressive Arts, and first level Hypnosis. CONNECT WITH KATHY https://ashes2art.org/ Your Brain on Art: How the Arts Transform Us https://a.co/d/hcTRQLj +++++ FIRST RESPONDER WELLNESS PODCAST/PTSD911 MOVIE Web site: https://ptsd911movie.com/ Instagram: https://www.instagram.com/ptsd911movie/ Facebook: https://www.facebook.com/ptsd911movie/ YouTube: https://www.youtube.com/channel/UClQ8jxjxYqHgFQixBK4Bl0Q Purchase the PTSD911 film for your public safety agency or organization: https://ptsd911.myshopify.com/products/toolkit The First Responder Wellness Podcast is a production of ConjoStudios, LLC Copyright ©2024 ConjoStudios, LLC All rights reserved.
Wednesday's guest was Dr. Stephen Cohn author of the new book “All Bleeding Stops: Life and Death and the Trauma Unit”. Dr. Cohn is a 40-year veteran of Trauma care having served as a surgeon in the U.S. Army Medical Corps during Desert Storm and later Division Chief of Trauma and Surgical Critical Care at Yale University School of Medicine.
When a critical patient lands on your department's doorstep without prior notice, even the most seasoned professionals can find themselves momentarily at a loss — wondering what steps to take first and how to prioritize actions in those crucial initial seconds. What do I do first, what do I do next? What's REALLY important in the first few seconds? In this episode, emergency intensivist and physician coach Scott Weingart breaks down how to get your mind unstuck and move into action. Guest Bio: Scott Weingart, MD is a physician coach and emergency department intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is best known for talking about Resuscitation and Critical Care on the EMCRIT podcast , which has been downloaded > 40 million times. Our 2024 Live Event Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Focusing on interactive experiences, this event offers a unique opportunity to reset, reflect, and connect with like-minded individuals. Limited slots. Website: Awakeandawarebend.com Early bird discount code: FULLYAWAKE24. $100 off registration. Expires Jan 31, 2024 CME: Yes! This is a CME event. REGISTRATION FOR THE FLAMEPROOF COURSE IS NOW OPEN This course will make you so burnout-resistant that when they tell you to see 5 patients an hour with only a rusty spoon in your pocket and a unit clerk at your side, you will just smile (results not guaranteed). The next cohort begins Feb 1, 2024. Learn more here. Love medicine, but the job itself leaves a lot to be desired? I work with many docs in your shoes. To learn more about 1 on 1 coaching, start here 3 free resources specifically designed to address pain points in emergency medicine practice Scripting your least favorite conversations The quick and dirty guide to calling consults My 4 favorite documentation templates We Discuss: Temporizing vs. Stabilizing: Why Seconds Count but Don't Really Count The Emergency Action Drill Get Off the Spot: Taking Action to Get Out of the White Noise Beat The Stress Fool: Breathe, Self Talk, See (Mental Rehearsal), Focus with a Trigger Word Using Operant Conditioning to Train a De-escalating Trigger Word You Don't Need to Be Everything, Everywhere, All at Once: The Critical Steps to Start Unfreezing The transition from temporizing to definitive care in a trauma arrest Why ACLS Fails as an Emergency Action Drill: Strategy vs Logistics The Reason Why Cognitive Freeze Happens in a Zero Warning Critical Situation How to Craft Your Own Emergency Action Drills: The Difference Between Thinky Time and Pure Action Building an Emergency Action Drill from the Ground Up for a New Disease A Hospital's Resuscitation Readiness Contributes to an Individual Clinician Freezing in a Zero Warning Situation Making an Emergency Department Resuscitation Ready on an Individual Level Emergency Department Resuscitation Readiness on a Systems Level: The Four Steps to Become a Resus World Champion Potential Objections to Becoming Resuscitation Ready How to Communicate Uncertainty in a Critical Situation
When a critical patient lands on your department's doorstep without prior notice, even the most seasoned professionals can find themselves momentarily at a loss — wondering what steps to take first and how to prioritize actions in those crucial initial seconds. What do I do first, what do I do next? What's REALLY important in the first few seconds? In this episode, emergency intensivist and physician coach Scott Weingart breaks down how to get your mind unstuck and move into action. Guest Bio: Scott Weingart, MD is a physician coach and emergency department intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is best known for talking about Resuscitation and Critical Care on the EMCRIT podcast , which has been downloaded > 40 million times. Our 2024 Live Event Join us at Awake and Aware 2024, a transformative 3-day workshop from May 1st to 3rd in Bend, Oregon. Focusing on interactive experiences, this event offers a unique opportunity to reset, reflect, and connect with like-minded individuals. Limited slots. Website: Awakeandawarebend.com Early bird discount code: FULLYAWAKE24. $100 off registration. Expires Jan 31, 2024 CME: Yes! This is a CME event. REGISTRATION FOR THE FLAMEPROOF COURSE IS NOW OPEN This course will make you so burnout-resistant that when they tell you to see 5 patients an hour with only a rusty spoon in your pocket and a unit clerk at your side, you will just smile (results not guaranteed). The next cohort begins Feb 1, 2024. Learn more here. Love medicine, but the job itself leaves a lot to be desired? I work with many docs in your shoes. To learn more about 1 on 1 coaching, start here 3 free resources specifically designed to address pain points in emergency medicine practice Scripting your least favorite conversations The quick and dirty guide to calling consults My 4 favorite documentation templates We Discuss: Temporizing vs. Stabilizing: Why Seconds Count but Don't Really Count The Emergency Action Drill Get Off the Spot: Taking Action to Get Out of the White Noise Beat The Stress Fool: Breathe, Self Talk, See (Mental Rehearsal), Focus with a Trigger Word Using Operant Conditioning to Train a De-escalating Trigger Word You Don't Need to Be Everything, Everywhere, All at Once: The Critical Steps to Start Unfreezing The transition from temporizing to definitive care in a trauma arrest Why ACLS Fails as an Emergency Action Drill: Strategy vs Logistics The Reason Why Cognitive Freeze Happens in a Zero Warning Critical Situation How to Craft Your Own Emergency Action Drills: The Difference Between Thinky Time and Pure Action Building an Emergency Action Drill from the Ground Up for a New Disease A Hospital's Resuscitation Readiness Contributes to an Individual Clinician Freezing in a Zero Warning Situation Making an Emergency Department Resuscitation Ready on an Individual Level Emergency Department Resuscitation Readiness on a Systems Level: The Four Steps to Become a Resus World Champion Potential Objections to Becoming Resuscitation Ready How to Communicate Uncertainty in a Critical Situation
Dr. McCamey Danielle is a mentor, leader, and educator. She has nearly 20 years of nursing experience and over a decade as an Acute Care Nurse Practitioner. Her specialties range from perianesthesia to palliative, and critical care. She serves as the Assistant Dean for Clinical Practice & Relationships & Assistant Professor at the Johns Hopkins School of Nursing and currently practices in Surgical Critical Care. Dr. McCamey explains how her leadership, skills, mentors, strategy, and networks helped her transition from healthcare to academic leadership while maintaining her well-being. To learn more about Dr. McCamey Danielle visit https://www.linkedin.com/in/mccamey/www.TheAcclivity.comhttps://www.linkedin.com/indrlorenmhill/https://twitter.com/drlorenmhillhttps://www.youtube.com/channel/UCc7Pj53_iGc2M9GcZN1AgLAwww.TheAcclivity.com https://www.linkedin.com/indrlorenmhill/ https://twitter.com/drlorenmhill https://www.youtube.com/channel/UCc7Pj53_iGc2M9GcZN1AgLA
Dr. David Oxman is a Critical Care Doctor and associate professor of medicine here at Jefferson and the program director for the critical care medicine fellowship. He went to medical school at Temple, where he also completed his residency in IM. HE completed four fellowships in Infectious Diseases at Tufts, Surgical Critical Care at Harvard, Medical critical care at Hahnemann, and Medical ethics at Harvard. He is currently the medical school's ethics and professionalism thread director and runs the hospital ethics consultation service here at Jefferson. I also had the personal luxury of being in a student group led by Dr. Oxman, where we had discussions about being medical students and our hospital experiences.Oct 9th___0:00 - Intro0:51 - Statistics About Critical Care4:36 - What Is Critical Care?5:48 - Journey Into Medicine and Critical Care10:30 - Why Critical Care?19:07 - An Average Week/Day Balancing Academia, ICU, and Ethics Consultation25:32 - Ethics Consultation and Ethical Dilemmas in the Hospital42:47 - Best Thing About Being a Critical Care Doctor43:44 - Worst Thing About Being a Critical Care Doctor45:19 - If I Give You $100 Million, What Would You Do?48:25 - Interest in Academia51:07 - Thoughts About Med Students on Social Media55:44 - Common Myth About Critical Care Doctors56:27 - Changes Over the Years and the Future of Critical Care 1:07:02 - Advice for People Looking Into Critical Care1:07:59 - Maximizing Competitiveness1:09:35 - Advice to People Entering a Career in Medicine1:11:49 - Book Recommendations1:14:25 - Lessons From COVID, Changes in Practice and Burnout1:23:29 - What Advice Would You Give Your 18-Year-Old Self?1:25:30 - Closing Message for People Looking Into Critical Care1:29:18 - Closing Message 1:31:13 - Outro__ResourcesOf Human Bondage by W. Somerset Maugham: https://a.co/d/eT0pUtyMy Own Country by Abraham Verghese: https://a.co/d/ffD8lh7 ___View the Show Notes Page for This Episode for transcript and more information: zhighley.com/podcast___Connect With ZachMain YouTube: @ZachHighley Newsletter: https://zhighley.com/newsletter/Instagram: https://www.instagram.com/zachhighley/?hl=enWebsite: https://zhighley.comTwitter: https://twitter.com/zachhighleyLinkedln: https://www.linkedin.com/in/zach-highley-gergel-44763766/Business Inquiries: zachhighley@nebula.tv___Listen for FreeSpotify: https://open.spotify.com/show/23TvJdEBAJuW5WY1QHEc6A?si=cf65ae0abbaf46a4Apple Podcast: https://podcasts.apple.com/us/podcast/the-zach-highley-show/id1666374777___Welcome to the Zach Highley Show, where we discuss personal growth and medicine to figure out how to improve our lives. My name is Zach a Resident Physician in Boston. Throughout these episodes I'll interview top performers from around the world in business, life, and medicine in hopes of extracting the resources and techniques they use to get to the top.The best way to help the show is share episodes on any platform. If you think a friend or family member will like a certain episode, send it to them!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In today's episode I speak with trauma surgeons Drs. Morad Hameed and Elliott Haut. With the announcement of President Biden's first-ever federal Office of Gun Violence Prevention, today's conversation is on point. We chat gun violence in the USA and Canada and discuss the Stop The Bleed campaign. Morad and Elliott speak on what they do to prevent burnout in themselves given that they are exposed to so much trauma themselves. The STOP THE BLEED® campaign was initiated by a federal interagency workgroup convened by the National Security Council Staff, The White House. The purpose of the campaign is to build national resilience by better preparing the public to save lives by raising awareness of basic actions to stop life threatening bleeding following everyday emergencies and man-made and natural disasters. Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Associate Professor of Surgery at the University of British Columbia (UBC). He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami. Elliott Haut MD PhD is the Vice Chair of Quality, Safety, & Service, Department of Surgery, Professor of Surgery at Johns Hopkins Medicine and Editor in Chief at Trauma Surgery & Acute Care Open.
Welcome back to another episode of TM3 Impact! Tomas is joined by Dr. Ramon Cestero. Dr. Cestero is board certified in both general surgery and surgical critical care. During his time at Los Angeles County/USC, Dr. Cestero was awarded two commendations from the County of Los Angeles for his efforts as team leader of the LAC/USC Haiti Trauma/Critical Care Task Force after the 2010 earthquake in Haiti. From 2003 to 2013, Dr. Cestero served as an active duty Navy surgeon and served as Department Head, Combat Casualty Care Research at the US Naval Medical Research Unit in San Antonio. Throughout his Navy career, Dr. Cestero has completed multiple combat surgical deployments in Iraq and Afghanistan and served as the Chief of Trauma for the NATO Role 3 Multinational Medical Unit in Kandahar, Afghanistan in 2012. His military awards and decorations include the Meritorious Service Medal, Joint Service Commendation Medal, Navy Commendation Medal, Humanitarian Service Medal, and Navy/Marine Corps Achievement Medal. Currently, he is an Associate Professor of Surgery at the University of Texas Health Science Center, Medical Director of the Surgical/Trauma Intensive Care Unit, and Program Director of the Surgical Critical Care fellowship as well as the Trauma Surgery fellowship. Additionally, he is a Fellow of the American College of Surgeons as well as the American College of Critical Care Medicine, and he has been selected as Vice Chair of the South Texas American College of Surgeons Committee on Trauma. He is also the Program Director of the UT Health San Antonio School of Medicine Executive Leadership Program which includes the Executive MBA for Health Professionals and the Executive Development Program for Emerging Health Leaders. His research interests include clinical trauma care, critical care diagnostics, surgical device development, and medical leadership and management. Follow TM3 on social media: Instagram: https://www.instagram.com/thetomasmar... Facebook: https://www.facebook.com/thetomasmart... Twitter: https://twitter.com/tomasm_3 Linkedin: https://www.linkedin.com/in/tomasmart... Want to be on the TM3 Impact Podcast? Email us here: Krystal@lhmsat.com
#027 - In this next episode, I was honored to be joined by M. George DeBusk, MD, MSc, FACS, FCCP. He's a trauma surgeon and critical care physician specialized in trauma and emergency surgery. What makes him a fantastic resource for security practitioners like us is that he's made a career out of educating, training, and providing medical oversight for security providers, first responders, law enforcement, and even special operations groups.Dr. DeBusk holds dual certification from the American Board of Surgery in General Surgery and Surgical Critical Care and specializes in Trauma Surgery and Intensive Care Medicine. “Doc” completed a General Surgery residency at Harvard Medical School's, Beth Israel Deaconess Medical Center and completed a Post-Doctoral Fellowship at MIT during his residency. He is a Fellow of the American College of Surgeons (ACS) and College of Chest Physicians. He is an elected member of the American Association for the Surgery of Trauma and has held the position of State Vice Chair of the ACS Committee on Trauma in the States of Massachusetts and New Hampshire. Dr. DeBusk also holds full medical licensure to practice in multiple U.S. states and abroad where he provides concierge medical care for private clients worldwide. Topics that we focused on included: what type of medical training curriculum is most appropriate for security or executive protection professionals, how we can evaluate training providers, what the advantages are of having a physician like him supporting your team, and what deliverables you can expect to get from a medical director. And so much more!-- Support the podcast and future content creation projects -- Become a member or donate: https://www.buymeacoffee.com/securitystudent-- -- If you'd like to get the resources and show notes mentioned in this episode --https://thesecuritystudent.com/shownotes
We devote the show to National Minority Donor Awareness Month which is designed to increase organ donor registrations among communities of color, which make up more than half of the people on the transplant waitlist. I speak to Rick Hasz President & CEO, Gift of Life Donor Program, Niels Martin, MD, Associate Professor of Surgery Vice Chair, Diversity Equity & Inclusion, Chief, Section of Surgical Critical Care, Director, Traumatology & Surgical Critical Care Fellowship Programs, Department of Surgery; Perelman School of Medicine University of Pennsylvania and Gift of Life Governing Board Member. I also speak to Earl Jones, Heart Transplant Recipient, Debra White, Donor Family Member and Phillip Davis, who is currently waiting for a Kidney Transplant.Website: www. Donors1.org Social Media: @Donors1
Host: Jennifer Caudle, DO Guest: Michelle Kincaid, MD The largest study to date on 4F-PCC was conducted as an FDA postmarketing requirement in partnership between Kaiser Permanente and CSL Behring. The purpose of this long-term study was to compare the 45-day risk of thromboembolic events and all-cause mortality in adults with warfarin-associated major bleeding after treatment with KCENTRA®, Prothrombin Complex Concentrate (Human), or plasma. Take a deep dive into the data with Dr. Jennifer Caudle as she speaks with Dr. Michelle Kincaid, Trauma Surgeon and Director of Surgical Critical Care at Ohio Health Grant Medical Center in Columbus.
Host: Jennifer Caudle, DO Guest: Michelle Kincaid, MD The largest study to date on 4F-PCC was conducted as an FDA postmarketing requirement in partnership between Kaiser Permanente and CSL Behring. The purpose of this long-term study was to compare the 45-day risk of thromboembolic events and all-cause mortality in adults with warfarin-associated major bleeding after treatment with KCENTRA®, Prothrombin Complex Concentrate (Human), or plasma. Take a deep dive into the data with Dr. Jennifer Caudle as she speaks with Dr. Michelle Kincaid, Trauma Surgeon and Director of Surgical Critical Care at Ohio Health Grant Medical Center in Columbus.
Host: Jennifer Caudle, DO Guest: Michelle Kincaid, MD The largest study to date on 4F-PCC was conducted as an FDA postmarketing requirement in partnership between Kaiser Permanente and CSL Behring. The purpose of this long-term study was to compare the 45-day risk of thromboembolic events and all-cause mortality in adults with warfarin-associated major bleeding after treatment with KCENTRA®, Prothrombin Complex Concentrate (Human), or plasma. Take a deep dive into the data with Dr. Jennifer Caudle as she speaks with Dr. Michelle Kincaid, Trauma Surgeon and Director of Surgical Critical Care at Ohio Health Grant Medical Center in Columbus.
In this episode, Dr. Inaba discusses the history and importance of STOP THE BLEED®. From its origins in the military to its lifesaving ability for everyday injuries, STOP THE BLEED® can help anyone be prepared to respond in an emergency. Dr. Inaba shares why STOP THE BLEED® is important for forensic nurses and their patients, and how to learn more about the program and get trained. Kenji Inaba MD, FACS, FRCSC, is Chair of the American College of Surgeons STOP THE BLEED® Steering Committee. He is a Professor and Vice Chair of Surgery, the General Surgery Program Director, and the Chief of Trauma, Emergency Surgery, and Surgical Critical Care at Keck Medicine of the University of Southern California. Dr. Inaba is also Chief Surgeon and a sworn reserve officer with the Los Angeles Police Department. Resources: STOP THE BLEED® website: https://www.stopthebleed.org/ STOP THE BLEED® online interactive course: https://www.stopthebleed.org/training/online-course/ STOP THE BLEED® in-person course search: https://cms.bleedingcontrol.org/class/search History of STOP THE BLEED®: https://www.stopthebleed.org/our-story/
The CE experience for this Podcast is powered by CMEfy - click here to reflect and earn credits: https://earnc.me/GOK3uN Dr Addison May is Chief of Acute Care Surgery for the Atrium Health system and Carolinas Medical Center in Charlotte, North Carolina. Prior to assuming this role in 2018, he held the Ingram Chair in Surgical Sciences and was Professor of Surgery and Anaesthesiology at Vanderbilt University Medical Center where he served as the Director of Surgical Critical Care and the Program Director of Vanderbilt's Surgical Critical Care and Acute Care Surgery Fellowship for 17 years. Dr May is a past President of the Surgical Infection Society, past Chair of the Surgical Section of the Society of Critical Care Medicine, a fellow of the American College of Critical Care Medicine and the American College of Surgery, and a recipient of the Barry A. Shapiro Memorial Award for Excellence in Critical Care awarded by the American College of Critical Care Medicine. He has published greater than 230 peer reviewed manuscripts, book chapters, and editorials predominately in the areas of surgical infections, critical illness, and trauma. Today's Episode is brought to you by Doc2Doc Lending. Doc2Doc provides Match Day loans of up to $25,000 to fourth-year medical students and current residents. These loans are designed to help students cover personal expenses, such as moving costs, housing down payments, and living expenses before and during residency. With fixed interest rates, flexible repayment terms, and no prepayment penalties, Doc2Doc Match Day loans provide financial flexibility and allow students to focus on their exciting journey towards becoming a physician. Doc2Doc was founded for doctors, by doctors. They understand the challenges and hard work involved in becoming a doctor, and they support doctors throughout their careers. Using their in-house lending platform, Doc2Doc considers the unique financial considerations of doctors that are not typically considered by traditional financial institutions. So, Don't let financial stress hold you back from achieving your goals - Doc2Doc lending has you covered. Visit www.doc2doclending.com/mdcoaches to Learn more. Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon | Spotify --- Show notes at https://rxforsuccesspodcast.com/148 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com Production assistance by Clawson Solutions Group, find them on the web at csolgroup.com
In this episode the Critical Care BTK Team tackles nutrition in the ICU. High-yield journal articles will be presented, discussed, and reviewed. ICU nutrition myths will be busted, and listeners will learn about enteral nutrition, parenteral nutrition and other ICU nutrition pearls. References 1. Casaer, M.P., et al., Early versus Late Parenteral Nutrition in Critically Ill Adults. New England Journal of Medicine, 2011. 365(6): p. 506-517. 2. Compher, C., et al., Guidelines for the provision of nutrition support therapy in the adult critically ill patient: The American Society for Parenteral and Enteral Nutrition. Journal of Parenteral and Enteral Nutrition, 2022. 46(1): p. 12-41. 3. McClave, S.A., et al., Guidelines for the Provision and Assessment of Nutrition Support Therapy in the Adult Critically Ill Patient. Journal of Parenteral and Enteral Nutrition, 2016. 40(2): p. 159-211. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other Surgical Critical Care episodes here: https://behindtheknife.org/podcast-category/surgical-critical-care/
Thank you for tuning in for another episode of Life's Best Medicine. Dr. Patricia Lee is a highly credentialed ICU physician and surgeon. She has been caring for patients for over two decades at Georgetown and Harvard University affiliated hospitals. She is board certified in General Surgery and Surgical Critical Care. In this conversation, Brian and Patricia talk about adverse effects of the Covid vaccination, healthcare mandates from the federal government and California government, Patricia's public letter to the FDA and the CDC, Patricia's meeting with officers and doctors from the FDA and CDC, Brian's experience in his practice with Covid vaccine side-effects, informed consent, choosing integrity over public perception, the silence of the mainstream media on the phenomenon of vaccine side-effects, and the AB 2098 legislation recently signed into law in California. Life's Best Medicine according to Patricia: “T.S. Elliot said, ‘For us, there is only the trying and the rest is not our business.' That is something that has kept me going for the past 3+ years. Just keep trying, keep doing the right thing, and just accept whatever comes.” Thank you for listening. Have a blessed day and stay healthy! Links: HLTH Code: HLTH Code Promo Code: METHEALTH HLTH Code Website Dr. Patricia Lee: Letters to the CDC/FDA and the oversight committees: The Letter The Update to the Letter Dr. Brian Lenzkes: Website Low Carb MD Podcast
This week we were joined by trauma surgeon and podcaster Dr. Dennis Kim. Dr. Kim, among many other things, hosts the very successful and highly educational @TraumaICURounds podcast. We in Canada are lucky enough to have him back on Canadian soil, and so on this episode talked to him about his experience moving back to Canada and collaborating to develop a trauma system in Victoria, BC. We then delved into a masterclass on fascial dehiscences, ranging from closure techniques to prevent dehiscences in the first place to strategies for dealing with them when they happen. Links: 1. https://www.traumaicurounds.ca/ 2. STITCH trial: https://pubmed.ncbi.nlm.nih.gov/26188742/ 3. Wittman Patch: https://medizzy.com/feed/46410 4. Abra Closure Device: https://www.cjmedical.com/products/specialties/dynamic-tissue-systems/abra-abdominal-wall-closure Bio (from https://medicalstaff.islandhealth.ca/news-events/dr-dennis-kim): Originally from Toronto, Dr. Kim completed medical school at McMaster University followed by General Surgery residency and a Critical Care Medicine fellowship at the University of Ottawa. He subsequently underwent a 2-year fellowship in Trauma & Surgical Critical Care at UC San Diego. Dr. Kim is quadruple board certified in Canada and the US. Dennis has been an attending surgeon in the Division of Trauma/Acute Care Surgery/Surgical Critical Care at Harbor-UCLA Medical Center in South Los Angeles since 2012, where he served as the Medical Director of the Trauma SICU and Chair of the Hospital Critical Care Committee. An avid educator and recipient of several teaching awards, Dr. Kim is an Associate Professor of Clinical Surgery and the former Co-Chair of the College of Applied Anatomy at the David Geffen School of Medicine at UCLA. Dr. Kim is actively involved in and holds numerous leadership roles in several key national trauma organizations including EAST, AAST, and the American College of Surgeons Committee on Trauma. He has published over 140 peer-reviewed publications, 25 book chapters, and several Practice Management Guidelines focused on the optimal care of critically injured and ill patients. Dr. Kim hosts the very popular Trauma ICU Rounds Podcast and is active across several social media platforms. Dr. Kim joins us with his wife, Alexis, their four children, and dog. Traveling, cooking, and spending time in the outdoors are but a few of the activities that help bring balance and joy to the de Rosenroll-Kim family. Dr. Kim brings with him a wealth of experience regarding trauma program development, performance improvement, and patient safety initiatives.
In this “journal club” edition of the podcast, we are joined by the thoughtful trauma guru Dr. Hameed to talk about his paper in the Canadian Journal of Surgery (CJS). This paper, authored by Drs. Ball, Lee, Kaminsky, and Hameed gets at the “heart” of both the decision-making and technical aspects of treating penetrating cardiac injuries. YouTube version: https://youtu.be/_g6Nu66Q3AM YouTube channel: https://www.youtube.com/@coldsteelsurgery Links: 1. Technical considerations in the management of penetrating cardiac injury: https://www.canjsurg.ca/content/65/5/E580 2. Sternotomy or drainage for a hemopericardium after penetrating trauma: a randomized controlled trial. https://pubmed.ncbi.nlm.nih.gov/23604058/ 3. A caveat to the Performance of Pericardial Ultrasound in Patients with penetrating Cardiac Wounds. https://pubmed.ncbi.nlm.nih.gov/19901678/ Morad Hameed Bio: Dr. Morad Hameed is a trauma surgeon and intensivist at the Vancouver General Hospital (VGH) and an Assistant Professor of Surgery at the University of British Columbia (UBC). He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami. He spent 3 years on the surgical faculty at the University of Calgary, before moving to Vancouver. He is the Head of the UBC and VGH Division of General Surgery and is a Service Chief for Acute Care Surgery at VGH. He also chairs the Research Committee of the Trauma Association of Canada, and is the immediate past chair of the Canadian Association of General Surgeons Committee on Acute Care Surgery. His research focuses on systems of trauma care and acute care surgery. Dr. Hameed's research teams have received grants from the Canadian Institutes for Health Research, the Michael Smith Foundation for Health Research, and other funding agencies for their work on disparities in injury risk and access to trauma systems in Canada. The development of promising partnerships with trauma investigators at the University of Cape Town has recently extended this work to South Africa.
Historically, a paucity of data has existed in the most appropriate modality of critical care management of brain dead organ donors prior to organ harvest. In this episode, Drs. Bankhead, Dumas, and Park are joined by special guest Dr. Ashley McGinity, a director in the donor management unit the Center for Life at the UT Health Science Center in San Antonio, joins us to discuss modern and current practices in the management of these patients to maximize the gift for patients and families. References: https://pubmed.ncbi.nlm.nih.gov/24980425/ https://pubmed.ncbi.nlm.nih.gov/25978154/ https://pubmed.ncbi.nlm.nih.gov/31957104/ https://pubmed.ncbi.nlm.nih.gov/23116641/ https://pubmed.ncbi.nlm.nih.gov/28318674/ https://pubmed.ncbi.nlm.nih.gov/25056510/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7145376/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out other surgical critical care episodes here: https://behindtheknife.org/podcast-category/surgical-critical-care/
In this episode of the Brawn Body Health and Fitness Podcast, Dan is joined by Dr. Si Mi Pham to discuss his personal life journey, starting when he was surrounded by death and destruction growing up to Vietnam to his current role as the Chair of the Department of Cardiothoracic Surgery for the Mayo Clinic. Dr. Pham shares lessons he learned along his journey to inspire others facing challenging situations to continue to persevere and remember that you are NOT what has happened to you ... but what you choose to become in life. Dr. Si Pham is Chair of the Department of Cardiothoracic Surgery at the Mayo Clinic Florida and Professor of Surgery in the Mayo College of Medicine. He joined the Mayo staff in July 2017. Before joining Mayo Clinic, Dr. Pham had worked at 3 major University Medical Centers: University of Pittsburgh, University of Miami and University of Maryland. He received his medical degree from University of Pittsburgh, did his residency in General Surgery and Cardiothoracic Surgery at the University of Pittsburgh Medical Center. He is board-certified by: American Board of Thoracic Surgery; American Board of Surgery; Surgical Critical Care (from the American Board of Surgery) Dr. Pham has been in practice for more than 20 years and has experience in: Adult heart surgery, including heart valve surgery, coronary bypass surgery, aortic aneurysm surgery, heart and lung transplant, mechanical heart assist devices, & ECMO. He and his associates have published widely in the areas of cardiac and thoracic surgery in high impact medical journal. As a tribute to Dr. Pham's dedication to excellent patient care, he was awarded the Health Care Hero Award by the Greater Miami Chamber of Commerce in 2007. Dr. Pham is active in medical research, mentoring medical students, resident and fellows. For more on Dr. Pham, you can find him at the mayo clinic here: https://www.mayoclinic.org/biographies/pham-si-m-m-d/bio-20340740 - Facebook at https://www.facebook.com/DrSiPham/ Or Twitter here https://twitter.com/SiPhamMD?fbclid=IwAR3jFr8Blc69P6J3RHbq7hvhiqwYOFzqcHLkW3AeEUjs_OjSTwo5M3yKI9s To keep up to date with everything we are currently doing on the podcast, be sure to subscribe and follow @brawnbody on social media! Episode Sponsors: MedBridge: https://www.medbridgeeducation.com/brawn-body-training or Coupon Code "BRAWN" for 40% off your annual subscription! CTM Band: https://ctm.band/collections/ctm-band coupon code "BRAWN10" = 10% off! TRX: trxtraining.com coupon code "TRX20BRAWN" = 20% off Red Light Therapy through Hooga Health: hoogahealth.com coupon code "brawn" = 12% off Ice shaker affiliate link: https://www.iceshaker.com?sca_ref=1520881.zOJLysQzKe Training Mask: "BRAWN" = 20% off at checkout https://www.trainingmask.com?sca_ref=2486863.iestbx9x1n Make sure you SHARE this episode with a friend who could benefit from the information we shared! Check out everything Dan is up to, including blog posts, fitness programs, and more by clicking here: https://linktr.ee/brawnbodytraining Liked this episode? Leave a 5-star review on your favorite podcast platform! --- Send in a voice message: https://anchor.fm/daniel-braun/message Support this podcast: https://anchor.fm/daniel-braun/support
In this episode we sit down with the Chief of Trauma, Surgical Critical Care, Burns, & Acute Care Surgery at the University of Arizona, Dr. Bellal Joseph, who share with us his thoughts and research findings on hot topics including frailty, geriatric trauma, leadership, and more.Timestamps:00:12 Introductions01:30 What is frailty? Your physiologic NOT chronologic body.06:58 Injured elderly trauma patients can have good outcomes07:30 Trauma specific frailty index10:48 Failure to rescue13:57 Geriatricians and the trauma surgeons 15:08 4Ms-What Matters, Mobility, Mentation, Medication16:48 Geriatric cohorting/wards22:24 ACS geriatric centers of excellence 29:35 Brain Injury Guidelines (BIG)38:17 The importance of teamwork & servant leadership40:28 Imposter syndrome43:19 Leadership considerations45:25 Final thoughtsReferences:Joseph B, Friese RS, Sadoun M, Aziz H, Kulvatunyou N, Pandit V, Wynne J, Tang A, O'Keeffe T, Rhee P. The BIG (brain injury guidelines) project: defining the management of traumatic brain injury by acute care surgeons. J Trauma Acute Care Surg. 2014 Apr;76(4):965-9. doi: 10.1097/TA.0000000000000161. PMID: 24662858.Joseph B, Obaid O, Dultz L, Black G, Campbell M, Berndtson AE, Costantini T, Kerwin A, Skarupa D, Burruss S, Delgado L, Gomez M, Mederos DR, Winfield R, Cullinane D; AAST BIG Multi-institutional Study Group. Validating the Brain Injury Guidelines: Results of an American Association for the Surgery of Trauma prospective multi-institutional trial. J Trauma Acute Care Surg. 2022 Aug 1;93(2):157-165. doi: 10.1097/TA.0000000000003554. Epub 2022 Mar 28. PMID: 35343931.vJoseph B, Pandit V, Haider AA, Kulvatunyou N, Zangbar B, Tang A, Aziz H, Vercruysse G, O'Keeffe T, Freise RS, Rhee P. Improving Hospital Quality and Costs in Nonoperative Traumatic Brain Injury: The Role of Acute Care Surgeons. JAMA Surg. 2015 Sep;150(9):866-72. doi: 10.1001/jamasurg.2015.1134. PMID: 26107247.Joseph B, Pandit V, Sadoun M, Zangbar B, Fain MJ, Friese RS, Rhee P. Frailty in surgery. J Trauma Acute Care Surg. 2014 Apr;76(4):1151-6. doi: 10.1097/TA.0000000000000103. PMID: 24662884.Orouji Jokar T, Ibraheem K, Rhee P, Kulavatunyou N, Haider A, Phelan HA, Fain M, Mohler MJ, Joseph B. Emergency general surgery specific frailty index: A validation study. J Trauma Acute Care Surg. 2016 Aug;81(2):254-60. doi: 10.1097/TA.0000000000001120. PMID: 27257694.Support the show
The utilization of point-of-care ultrasound and other non-invasive cardiac output monitoring technologies varies because of knowledge, resource availability and cultural practices. In this Clinical Challenge in Surgery episode from the Surgical Critical Care team at Behind the Knife, we provide a brief history of the use of cardiac-output monitoring in the ICU, introduce a few clinical scenarios in the context of point of care ultra-sound and other less-invasive cardiac-output monitoring technologies. Learning Objectives: In this episode, we review the historical uses of central venous pressure monitoring, pulmonary-artery catheters and the more frequently utilized point-of-care-ultrasound (or POCUS) in managing complex ICU patients. We review the outcomes behind these technologies, describe the views and utility of POCUS, and introduce less-invasive or completely non-invasive ways to measure cardiac-output monitoring. Hosts: Brittany Bankhead, MD, MS (@BBankheadMD) is an Assistant Professor of Surgery at Texas Tech University Health Sciences Center. Ryan Dumas, MD, FACS (@PMH_Trauma_RPD) is an Assistant Professor of Surgery at the University of Southwestern Medical Center and Parkland Memorial Hospital. Caroline Park, MD, MPH, FACS (@CPark_MD) is an Assistant Professor of Surgery at the University of Southwestern Medical Center and Parkland Memorial Hospital. Links to Papers Referenced in this Episode: National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome (ARDS) Clinical Trials Network, Wheeler AP, Bernard GR, Thompson BT, Schoenfeld D, Wiedemann HP, deBoisblanc B, Connors AF Jr, Hite RD, Harabin AL. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N Engl J Med. 2006 May 25;354(21):2213-24. doi: 10.1056/NEJMoa061895. Epub 2006 May 21. PMID: 16714768. Yildizdas D, Aslan N. Ultrasonographic inferior vena cava collapsibility and distensibility indices for detecting the volume status of critically ill pediatric patients. J Ultrason. 2020 Nov;20(82):e205-e209. doi: 10.15557/JoU.2020.0034. Epub 2020 Sep 28. PMID: 33365158; PMCID: PMC7705480. Kircher BJ, Himelman RB, Schiller NB. Noninvasive estimation of right atrial pressure from the inspiratory collapse of the inferior vena cava. Am J Cardiol. 1990 Aug 15;66(4):493-6. doi: 10.1016/0002-9149(90)90711-9. PMID: 2386120. Marik PE, Cavallazzi R. Does the central venous pressure predict fluid responsiveness? An updated meta-analysis and a plea for some common sense. Crit Care Med. 2013 Jul;41(7):1774-81. doi: 10.1097/CCM.0b013e31828a25fd. PMID: 23774337. Acknowledgements: We would like to acknowledge Dr. Hassan Mashbari and the Department of Surgical Critical Care and Anesthesia at the Massachusetts General Hospital and Dr. Christopher Choi and the Department of Anesthesiology at the University of Texas Southwestern for their ultra-sound video contributions. Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
In this episode you will hear how Dr. King walked into a Boston Army Recruiting Office and said “Hey, I'm a Doctor and I want to join the Army”, a very uncommon scenario in the recruiting world! He describes what drew him to a career in Trauma and Critical Care and how he was part of the initial discussions of developing an Army Trauma Training platform at Ryder Trauma Center in Miami. He shares stories from his initial deployments on a Forward Surgical Team and working in a Combat Support Hospital in Iraq and how those experiences helped prepare him to care for casualties from the Boston Marathon bombing in April 2013 (after finishing the Marathon himself!). He shares some important lessons learned from that episode which he helped translate into common practice. COL King has supported the US Army Joint Special Operations Command for more than 8 years and describes a remarkable case of a critically wounded Army Ranger that required surgical repair of bleeding within the chest cavity (trauma thoracotomy) during a cardiac arrest in the most austere of conditions. This intervention saved the Soldier's life and allowed him to recover and later attend medical school. Dr. King describes his research interests in stopping traumatic bleeding using novel technologies such as self-expanding foams and expanding the accessibility and familiarity with tourniquets within the EMS and civilian population. He shares many insights and lessons learned over a distinguished career and provides some valuable advice for all listeners. You don't want to miss this episode! Find out more about Dr. King at wardocspodcast.com/guest-bios and visit our webpage and become part of Team WarDocs at wardocspodcast.com. WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization. All donations are tax-deductible, and 100% go to honoring and preserving the history, experiences, successes, and lessons learned in military medicine. Please take a moment to follow/subscribe, rate and review WarDocs on your preferred Podcast platform. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast
Dr. McCamey is a mentor, leader, and educator. She has nearly 20 years of nursing experience and over a decade as a board-certified Acute Care Nurse Practitioner. Her specialties range from perianesthesia to palliative, and critical care. She currently works PRN as a Senior Advanced Practice Provider in Surgical Critical Care and as Assistant Dean of Clinical Practice & Relationships at the Johns Hopkins School of Nursing.She received her Bachelor of Science in Nursing from the University of Virginia, and both her Master of Science in Acute Care Advanced Practice and Doctor of Nursing Practice from Georgetown University. She earned a Diversity, Equity, and Inclusion in the Workplace Certificate from the University of South Florida and a Nonprofit Management Executive Certificate from Georgetown University, Center for Public and Nonprofit Leadership. Dr. McCamey was inducted as a Fellow in the American College of CHEST Physicians. She serves as the Chair of the CHEST Palliative and End of Life Care section, -where the focus is on education, raising awareness of palliative and end-of-life care in CHEST and clinical practice. Dr. McCamey is a true visionary. She is the founder, CEO, and president of DNPs of Color, Inc., a 501c3 nonprofit national organization that builds community for nurses of color through networking, mentorship, and advocacy to increase diversity in doctoral studies, clinical practice, and leadership. Since being operationalized in 2020, the group has grown to over 2,000 professionals internationally that includes current DNP-prepared nurses, DNP students, and aspiring DNPs. In addition, she is the co-creator and Chair of the Doctoral Nurses Collaborative, a group that joins DNP and PhD prepared nurses throughout her current healthcare system. Throughout her career, she has mentored nurses in undergraduate and graduate studies including advising DNP student projects. In addition, she has precepted students in clinical practice. She is a national speaker in the areas of DEI and palliative care. She is a thought leader who has been sought out for interviews and podcasts to share her expertise in creating communities that foster innovation, collaboration, and transformational change to advance the nursing profession.1. Click the link to REGISTER for the DNPs of Color: What's Your Stress (Management) Blueprint?2. Download your FREE Mindfulness E-Book at stressblueprint.com/353. Follow the Nurse Wellness Podcast on Facebook and Instagram4. Join the Nurse Wellness Hub on Facebook 5. Email Nurse Wellness Podcast at hello@stressblueprint.com6. Background music produced by DNMbeats
In the episode we will cover the following learning objectives: · Listeners should be able to describe the evolution and changes in definitions sepsis over the past three decades · Listeners should be familiar with the three randomized controlled trials that studies early-goal directed therapy · Listeners should be able to describe the major changes in the new 2021 SCCM Sepsis Guidelines · Listeners should be able to describe the fundamental principles of sepsis management in the ICU References: https://www.nejm.org/doi/full/10.1056/nejmoa1500896 https://www.nejm.org/doi/full/10.1056/nejmoa1404380 https://www.nejm.org/doi/full/10.1056/nejmoa1701380 https://www.nejm.org/doi/full/10.1056/nejmoa1401602 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
“There is this kind of tension between what you are on the inside and what you are on the outside professionally, and whether you have to make a choice between two different things or (if) you can blend it together. And I think that leads to a lot of satisfaction when people get it right. And I think it leads to a sort of lifelong (feeling of) ‘I wish I had done this' or ‘I wish I could go back and do that' if you ignore the other part of yourself.” — David Hindin By trade, David Hindin is a surgeon based in the San Francisco Bay Area. He's currently a fellow in the Surgical Critical Care program at Stanford University's School of Medicine. He graduated with a medical degree from the Perelman School of Medicine at the University of Pennsylvania in 2011. He later went on to serve the bulk of his medical career so far at Temple University, where he completed his residency in the hospital's general surgery unit in seven years. But on the side, David also makes time to explore his creativity. And one of his most successful creative endeavors has been his YouTube channel, where he shares content around his experiences in medicine. To date, David's channel has amassed more than 30,000 subscribers. In this conversation on The Videocraft Show Presented By Video Husky, David joins host Jon Santiago to discuss a host of topics including: Why it's valuable to have both creative and rational pursuits. The importance of writing in his video creation process. How he's learned how to concede creative control to his video editor. Deciding to narrow down his niche on YouTube. And much more... If you're a content creator, we know how time-consuming and tedious it is to edit your own videos. That's why Video Husky provides unlimited editing at a flat monthly rate. Just send us your footage plus instructions of what you want and you'll get the first draft of your video in 1-2 business days. Guaranteed. Intrigued? Visit https://www.videohusky.com/pricing/. Relevant Links David Hindin on YouTube David Hindin on Instagram Stanford Biodesign Fellowship Atul Gawande - Being Mortal When Breath Becomes Air - Paul Kalinithi Casey Neistat on YouTube How Einstein's brain was literally stolen and sliced up (and what science learned) Getting Things Done By David Allen David Allen - The Art of Getting Things Done (GTD) (#384) - The Tim Ferriss Show Building a Second Brain With Tiago Forte Chapters (00:00) Intro (03:17) Start of conversation with David (04:23) Stanford (06:01) Critical care fellowship (08:50) How David got into medicine (10:33) Combining creativity and logic (11:46) His role models growing up (12:45) Double majoring in Biology and English (15:27) Going to med school (18:19) How med school influenced his creative journey for YouTube (20:04) The identity of being a doctor (23:27) Shining light on the “humanity” of being a doctor (27:58) What inspired David to start making YouTube videos (33:18) When he decided to narrow down his niche on YouTube (34:50) Imposter syndrome as a doctor and as a content creator (37:51) His target audience (39:54) How he does research for his YouTube videos (41:30) His process for writing, scripting, and filming his YouTube videos (47:51) Getting Things Done by David Allen (50:40) His process for editing his YouTube videos (53:12) Letting go of creative control to a video editor (59:05) David's future plans for his YouTube channel (01:04:16) Where to follow David Having trouble organizing ideas for your videos? Download a copy of our free script template by joining our email list: http://bit.ly/vc-script-template Production Credits Producer: Nikki Vicente Editor: Ingrid Sarayba Graphics: Paolo Lopez
In this episode, Dr. Raul Coimbra shares with us his vision for the the Journal of Trauma & Acute Care Surgery.
Case studies using Nonviolent Communication in real world situations including: how to give a proper compliment, perils of bringing up past issues, emergency empathy when speaking to a consultant, receiving gratitude, point of care compassion, and the limitations of NVC in the resus bay. Guest bio: Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is best known for his EMCrit Podcast which focuses on resuscitation and ED critical care, and most recently, On Deeper Reflection, an exploration of academic productivity, philosophy, and wellness. He is the author of two books: Emergency Medicine Decision Making and the Resuscitation Crisis Manual. We discuss: The violence in communication that NVC is seeking to remedy [ 03:40]; Why you should avoid discussing the past in heated conversations [06:00]; How to give a compliment NVC-style [11:00]; Receiving gratitude [17:25]; Emergency empathy [18:45]; 4 levels of response evolution [22:30]; Limitations of using NVC in the emergency department [24:45]; Point of care compassion [27:00]; The last 3 words mirroring technique [28:50]; Using NVC when the person you're talking with has a personality disorder [30:40]; What happens when you use NVC to “manipulate” someone who is astute and quickly realizes they're being managed [35:00]; The fallacy of attribution [38:30]; And more. For previous episodes, detailed show notes, or to sign up for our newsletter: https://www.stimuluspodcast.com/. This podcast streams free on iTunes, Spotify, and Stitcher. Interested in one-on-one coaching? https://www.stimuluspodcast.com/coaching Follow Rob: Twitter, Facebook, and Youtube.
Case studies using Nonviolent Communication in real world situations including: how to give a proper compliment, perils of bringing up past issues, emergency empathy when speaking to a consultant, receiving gratitude, point of care compassion, and the limitations of NVC in the resus bay. Guest bio: Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is best known for his EMCrit Podcast which focuses on resuscitation and ED critical care, and most recently, On Deeper Reflection, an exploration of academic productivity, philosophy, and wellness. He is the author of two books: Emergency Medicine Decision Making and the Resuscitation Crisis Manual. We discuss: The violence in communication that NVC is seeking to remedy [ 03:40]; Why you should avoid discussing the past in heated conversations [06:00]; How to give a compliment NVC-style [11:00]; Receiving gratitude [17:25]; Emergency empathy [18:45]; 4 levels of response evolution [22:30]; Limitations of using NVC in the emergency department [24:45]; Point of care compassion [27:00]; The last 3 words mirroring technique [28:50]; Using NVC when the person you're talking with has a personality disorder [30:40]; What happens when you use NVC to “manipulate” someone who is astute and quickly realizes they're being managed [35:00]; The fallacy of attribution [38:30]; And more. For previous episodes, detailed show notes, or to sign up for our newsletter: https://www.stimuluspodcast.com/. This podcast streams free on iTunes, Spotify, and Stitcher. Interested in one-on-one coaching? https://www.stimuluspodcast.com/coaching Follow Rob: Twitter, Facebook, and Youtube.
Cardiac arrhythmias such as atrial fibrillation are common in any ICU. But, adequately addressing additional perioperative considerations is key in the surgical ICU. In this Critical Care episode of Behind the Knife, Drs. Bankhead, Dumas, & Park will address how to approach a critically ill patient who presents with an arrythmia. Hemodynamically stable vs. unstable patients are discussed, as well as the current ACLS guidelines for management of a patient in cardiac arrest. Referenced Articles and Guidelines: 1. Van Gelder I, Groenveld H, Crijns H, et al. Lenient versus Strict Rate Control in Patients with Atrial Fibrillation. NEJM 2010. 2. Walkey A, Hogarth K, Lip G. Optimizing Atrial Fibrillation Management: From ICU and Beyond. CHEST 2015. 3. AFFIRM Investigators. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation. NEJM 2002. 4. ACLS Training Center: Tachycardia with a Pulse Algorithm. https://www.acls.net/acls-tachycardia-algorithm 5. ACLS Training Center: Cardiac Arrest Algorithm. https://www.acls.net/acls-secondary-survey 6. ACLS Training Center: Acute Coronary Syndromes Algorithm. https://www.acls.net/acute-coronary-syndromes-algorithm Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
Welcome to FractureLine: the official weekly news feed from the Chest Wall Injury Society; where we will listen to all the bottom line CWIS updates, shout outs, fun facts and weekly banter! We (Tom, Sarah, Adam and I) are looking forward to connecting to all our CWIS members! If you have questions you need addressed, issues you want to bring forth, or just wanna say hi and chat- please let us know, we'd love to address them or even host you on a weekly episode... This week we are honored to have on Dr. David A. Spain, Professor, Chief of Acute Care Surgery, and General Surgery Residency Program Director at Stanford as well as the current President of the American Association for the Surgery of Trauma, Councilor of the American Board of Surgery and Director of the Surgical Critical Care board.
Stefan Leichtle, MD is an Acute Care Surgeon and Associate Professor of Surgery at Virginia Commonwealth University (VCU) in Richmond, VA. His clinical practice focuses on trauma surgery and surgical critical care. Dr. Leichtle received his medical education in Germany at the Technical University Munich, completed his General Surgery residency at St. Joseph Mercy Hospital in Ann Arbor, MI, and underwent fellowship training in Surgical Critical Care and Trauma Surgery at the Los Angeles County and University of Southern California Medical Center in Los Angeles, CA.Dr. Leichtle's academic interests are in the implementation of evidence-based guidelines in clinical practice, multi-disciplinary research in critical care including traumatic brain injury, and development of novel strategies for the resuscitation of hemorrhagic shock. He is the Program Director of the Surgical Critical Care Fellowship at VCU and Medical Director of the Trauma Intensive Care Unit.
In this episode, Dr. Gary Sherman addresses many of the most important questions with Dr. Hayanga, in this most crucial time of the COVID-19 pandemic resurgence. Some of these questions are :- Why are the people seriously affected by the COVID-19 Variant younger than the previous population of affected patients? - What is ECMO and why does it play such a critical role in the therapy for those most seriously affected by the virus? - What are the factors that will allow the pandemic to subside so that we can feel a sense of "normalcy" again?- Why are some factions of people more drastically affected by the virus than others?- What is the most important "medicine" needed to mitigate the pandemic?- What is the role of Artificial Intelligence in helping to get a foothold on the COVID-19 pandemic resurgence? - How will the immunosuppressed portion of the population fare in the face of the pandemic and how will the pandemic affect organ donation? Dr. Hayanga is a Professor in Cardiothoracic Surgery at West Virginia University School of Medicine. He is the Director of the West Virginia University Heart & Vascular Institute ECMO Program. Dr. Hayanga is Board Certified in Cardiothoracic Surgery, General Surgery and Surgical Critical Care. He completed his general surgical training at Johns Hopkins University and the University of Michigan - followed by cardiothoracic and transplant training at the University of Washington and the University of Pittsburgh, respectively. Dr. Hayanga has served as an Alfred Sommer Scholar during his master's in public health training at the Johns Hopkins School of Public Health. He is also a 2008 World Health Organization (WHO) Patient Safety Scholar, a Department of Health and Human Services (HHS) Fellow and Senior Medical Advisor to the Deputy Secretary in Washington, D.C. Dr. Hayanga holds a master's degree in Healthcare Leadership from Brown University and a certificate in Artificial Intelligence and Business Strategy from MIT. He is an expert - Health - Policy panelist with RAND Corporation, elected member of American Association of Thoracic Surgery (AATS), and editorial board member for Journal of Thoracic and Cardiovascular Surgery, the Journal of Heart & Lung Transplantation, and LUNG. He has authored over 150 peer-reviewed papers and his clinical work and research focus on ECMO, transplantation, and application of data analytics in the prevention, diagnosis, and mitigation of end-stage cardiopulmonary disease. He is a fellow of the American College of Surgeons, the Royal College of Surgeons, and the American College of Chest Physicians. DO NOT MISS this episode of great importance!! Dr. Hayanga sheds light on our most pressing questions during this uptick of variant-related illness throughout parts of our country. More about Dr. Jeremiah Hayanga's illustrious background may be found at: https://www.doximity.com/pub/jeremiah-hayanga-mde
Episode Description The timing of renal replacement therapy remains controversial and may be influenced by local resources, availability and institutional practices. In this episode from the Surgical Critical Care team at Behind the Knife, we provide a brief overview, introduce a clinical scenario and discuss two contemporary articles on the timing of initiation. Learning Objectives: In this episode, we review the indications for renal replacement therapy, the different modalities of continuous replacement therapy, and discuss two randomized control trials that may help us answer the question of dialysis initiation. Hosts: Brittany Bankhead-Kendall, MD, MS (@BBankheadMD) is an Assistant Professor of Surgery at Texas Tech University Health Sciences Center. Ryan Dumas, MD, FACS (@PMH_Trauma_RPD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital. Caroline Park, MD, MPH, FACS (@CPark_MD) is an Assistant Professor at the University of Southwestern Medical Center and Parkland Memorial Hospital. Links to Papers Referenced in this Episode: Timing of Renal-Replacement Therapy in Patients with Acute Kidney Injury and Sepsis. N Engl J Med. 2018 Oct 11;379(15):1431-1442. doi: 10.1056/NEJMoa1803213. https://pubmed.ncbi.nlm.nih.gov/30304656/ Timing of Initiation of Renal-Replacement Therapy in Acute Kidney Injury. N Engl J Med. 2020 Jul 16;383(3):240-251. doi: 10.1056/NEJMoa2000741. https://pubmed.ncbi.nlm.nih.gov/32668114/
Scott Weingart is arguably one of the most influential and polarizing physicians on the planet. He is not one to mince words and often comes across as definitive in how he describes his practice of medicine. What people don't realize, he says, is that his clinical care is often guided by fear, not bravado, ego, or machismo. In this episode, Scott breaks down his five fears when it comes to medical practice and thinks that those who seek to follow his advice should take these fears into account before acting. Listen on: iTunes Spotify Stitcher Guest Bio: Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is currently chief of the Division of Emergency Critical Care at Stony Brook Hospital and a tenured professor of emergency medicine at Stony Brook Medicine. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded > 400,000 times per month. Scott is the author of multiple books including Emergency Medicine Decision Making and the Resuscitation Crisis Manual. This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter. We discuss: The distinction between carrying fear and being afraid [06:50]; Delayed sequence intubation (DSI) as an example for how healthy fear can keep things safe in the emergency department [09:30]; The importance of embracing the idea that sick patients don't take a joke [13:40]; Scott's fear number one: lawyers [15:15]; A common fear that Scott does not personally experience: being an imposter [21:00]; Fear of Monday morning quarterbacking [28:10]; Fear of procedural complications [33:15]; How Scott Weingart is not a jerk. He's an acquired taste. [41:35]; Scott's final fear: a patient dying on his watch [46:55]; And more. For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
Scott Weingart is arguably one of the most influential and polarizing physicians on the planet. He is not one to mince words and often comes across as definitive in how he describes his practice of medicine. What people don't realize, he says, is that his clinical care is often guided by fear, not bravado, ego, or machismo. In this episode, Scott breaks down his five fears when it comes to medical practice and thinks that those who seek to follow his advice should take these fears into account before acting. Listen on: iTunes Spotify Stitcher Guest Bio: Scott Weingart is an emergency physician who went on to complete fellowships in Trauma, Surgical Critical Care, and ECMO at the Shock Trauma Center in Baltimore. He is currently chief of the Division of Emergency Critical Care at Stony Brook Hospital and a tenured professor of emergency medicine at Stony Brook Medicine. He is best known for his podcast on Resuscitation and ED Critical Care called the EMCrit Podcast; it currently is downloaded > 400,000 times per month. Scott is the author of multiple books including Emergency Medicine Decision Making and the Resuscitation Crisis Manual. This episode is in support of the I AM ALS. I AM ALS was founded by Brian Wallach and his wife Sandra shortly after his diagnosis at the age of 37. He was given 6 months to live, and now 4 years later he is leading a revolution to find a cure. People often refer to ALS as rare, which is not really so. The lifetime risk is around 1 in 300. Since Lou Gehrig was diagnosed 80 years ago, available treatments have been shown to extend life a mere 3 months. I AM ALS supports research, legislation to fast track therapies, and provides critical resources to patients and caregivers. ALS is relentless, and so are they. The question is no longer if we'll find a cure for ALS, but when. This is an underfunded disease and every little bit makes a difference. We will match donations to I AM ALS up to $5000 -- get started here on our Stimulus Donation Page. And for your daily dose of positivity, follow Brian on Twitter. We discuss: The distinction between carrying fear and being afraid [06:50]; Delayed sequence intubation (DSI) as an example for how healthy fear can keep things safe in the emergency department [09:30]; The importance of embracing the idea that sick patients don't take a joke [13:40]; Scott's fear number one: lawyers [15:15]; A common fear that Scott does not personally experience: being an imposter [21:00]; Fear of Monday morning quarterbacking [28:10]; Fear of procedural complications [33:15]; How Scott Weingart is not a jerk. He's an acquired taste. [41:35]; Scott's final fear: a patient dying on his watch [46:55]; And more. For complete and detailed show notes, previous episodes, or to sign up for our newsletter: https://www.stimuluspodcast.com/ If you like what you hear on Stimulus and use Apple/iTunes as your podcatcher, please consider leaving a review of the show. I read all the reviews and, more importantly, so do potential guests. Thanks in advance! Interested in sponsoring this podcast? Connect with us here Follow Rob: Twitter: https://twitter.com/emergencypdx Facebook: https://www.facebook.com/stimuluswithrobormanmd Youtube: https://www.youtube.com/c/emergencypdx
In this EAST Careercast, Dr. Jacinta Robenstine interviews Dr. Caroline Park, Assistant Professor of Surgery at UT Southwestern Medical Center, Associate Program director for Surgical Critical Care fellowship, Dr. Alexander Colonna, Associate Professor of Surgery at University of Utah, Program Director for Surgical Critical Care and Acute Care Surgery fellowship, and Dr. Zaffer Qasim, Assistant Professor of Emergency Medicine and Surgical Critical Care at University of Pennsylvania. They discuss the role of simulation in medical education, covering the history of simulation, current practices, and future directions in medical simulation, and how to incorporate medical simulation into a surgical career.
Dr. Clay Cothren Burlew is a trauma surgeon in Denver, Colorado. She is world-renowned for her work on pelvic packing as well blunt cerebrovascular injuries, among many other things. We caught up with her to find out how she manages stay so productive, and specifically to talk to us about pelvic packing and blunt cerebrovascular injury. Twitter: https://twitter.com/ClayBurlew?s=20 Links: 1. Treatment for blunt cerebrovascular injuries: equivalence of anticoagulation and antiplatelet agents. Cothren CC, Biffl WL, Moore EE, Kashuk JL, Johnson JL. Arch Surg. 2009 Jul;144(7):685-90. 2. Preperitoneal pelvic packing for hemodynamically unstable pelvic fractures: a paradigm shift. Cothren CC, Osborn PM, Moore EE, Morgan SJ, Johnson JL, Smith WR. J Trauma. 2007 Apr;62(4):834-9; 3. Occam's razor is a double-edged sword: concomitant pulmonary embolus and fat embolism syndrome. Cothren CC, Moore EE, Vanderheiden T, Haenel JB, Smith WR. J Trauma. 2008 Dec;65(6):1558-60. Bio (from https://www.eventscribe.com/2020/AAST2020/fsPopup.asp?Mode=presenterInfo&PresenterID=931211): Dr. Clay Cothren Burlew is a Professor of Surgery at Denver Health Medical Center/University of Colorado. Dr. Burlew grew up in San Antonio, Texas. She is a graduate of Amherst College, earning her degree in Biology magna cum laude. She attended medical school at UT Southwestern Medical School, where she was ranked 1st in her class and was elected to the Alpha Omega Alpha medical honor society. She completed her general surgery residency and Surgical Critical Care fellowship at the University of Colorado. At DHMC she is the Associate Chief of the Department of Surgery and the Director of the Surgical Intensive Care Unit. She is also the Program Director of the Surgical Critical Care Fellowship and the AAST-approved Trauma & Acute Care Surgery Fellowship. Dr. Burlew is an active surgical investigator, educator, and clinician; she has received multiple awards in each of these areas including the J. Cuthbert Owens Award, the DHMC Award for Academic Excellence, the Bartle Faculty Teaching Award, the Eiseman Medical Student Teaching Award, the Academy of Medical Educator's award for Excellence in Mentoring, and the 2017 American College of Surgeons Travelling Fellowship to Australia/New Zealand. She serves on the Committee on Trauma for the American College of Surgeons, the Board of Managers for the American Association for the Surgery of Trauma, and is a Past-President of the Southwestern Surgical Congress. She is on the Editorial Board of The Journal of Trauma and Acute Care Surgery, The World Journal of Emergency Surgery, and Trauma Surgery and Acute Care Open, and reviews for an additional 15 journals in an ad hoc capacity. She has authored over 200 peer-reviewed articles and 70 book chapters. She has given over 100 national lectures and scientific presentations.
D.O. or Do Not: The Osteopathic Physician's Journey for Premed & Medical Students
On today's episode, we have the privilege of speaking with Dr. Gerard Baltazar, who, I will be working with in the future at my residency. Dr. Baltazar is a trauma and intensive care surgeon at NYU Langone Health. Dr. Baltazar obtained his undergraduate degree in biology and fine arts from Georgetown University and his D.O. degree from Touro University in 2007.He completed his general surgical residency at Wyckoff Heights Medical Center in Brooklyn, NY and finished a fellowship in trauma and surgical critical care at Rutgers University Hospital in Newark, NJ. He has received several regional, state and national awards for scientific research, writing and community service. His research interests include traumatic brain injury, international medicine and osteopathic manipulative treatment for surgical patients. He has volunteered for surgical missions on three continents and was the recipient of the 2015 Oriens Award from the Eastern Association for the Surgery of Trauma. Before joining NYU Long Island School of Medicine, Dr. Baltazar was the Director of Surgical Critical Care at a safety-net hospital in the Bronx.
Evie Marcolini, MD is an Assistant Professor of Emergency Medicine and Neurocritical Care. She has clinical appointments in the Department of Emergency Medicine and the Department of Neurology; and is core faculty in the Emergency Department as well as the Division of Neurocritical Care and Emergency Neurology at Yale. She has board certifications in Emergency Medicine and Neurocritical Care, and is fellowship-trained in Surgical Critical Care from the R Adams Cowley Shock Trauma Center in Baltimore, Maryland. Evie is Medical Director for the SkyHealth Critical Care helicopter transport service that is shared between Yale-New Haven Health System and Northwell Health. She is a Fellow of the American College of Critical Care Medicine, American Academy of Emergency Medicine (AAEM) and American College of Emergency Physicians (ACEP), and is a member of the Board of Directors for AAEM. She is the past Chair of the Critical Care Section of ACEP, and active in all three societies, with a goal of bringing emergency physicians to the forefront of critical care in all realms. Evie is an active educator and speaker, with an interest in neurocritical care topics as they relate to emergency medicine and bioethics as it relates to emergency medicine and critical care patients. She has, and continues to lecture nationally and internationally, and has won the ACEP Junior Faculty Teaching Award. Evie is very active in bioethics, as a member of the Yale-New Haven Health Ethics Committee and the Society for Critical Care Medicine (SCCM) Ethics committee, and teaches ethics seminars in the ethics of neuroscience and of emergency medicine annually for the Sherwin B. Nuland Summer Institute in Bioethics at Yale. She has been awarded the Grenvik Family Ethics Award from SCCM. Evie is a co-editor of the textbook: Emergency Department Resuscitation of the Critically Ill, which is now in its second edition, is a co-author of an upcoming book on mechanical ventilation in emergency medicine. She has been active as faculty for Wilderness Medical Associates International since 1992, and teaches wilderness medical courses to medical students, residents, faculty and allied health professionals nationally and internationally, as well as having served as Faculty Advisor to wilderness medicine interest groups at the University of Maryland and Yale. When not involved in academic pursuits, Evie loves to spend her time running and skijoring with her two Siberian Huskies. Please leave us your thoughts and comments, we'd love to dig further into this topic. Make sure to leave @EMS_Nation a 5 star review wherever you listen to podcasts and to share the episode with friends and colleagues to pass along this #FOAMed resource. Checkout the blog at EMSNation.org and say hello to Dr. Faizan H. Arshad on Twitter and Instagram @emscritcare. Wishing everyone a safe tour!
The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed. Bryan Boling, DNP, ACNP; Kevin Hatton, MD, FCCM; Tonja Hartjes, DNP, ACNP-BC, CCRN, FAANP The podcast The second piece of our in-depth look at the management of right heart failure, with … Continue reading "Episode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 2)"
This White Coat Story is with Dr. Christian Jones, Director of Acute Care Surgery Fellowship and Assistant Professor of Surgery at Johns Hopkins University in Baltimore, Maryland. After completing a postgraduate degree in mathematics, he changed fields and graduated from Keck School of Medicine of the University of Southern California before his residency in general surgery at the University of Kansas Medical Center. He completed his fellowship at Ohio State University in Surgical Critical Care where he then joined the staff. From there he joined Johns Hopkins University where he is now. Enjoy this deeply thoughtful conversation with Dr. Jones’ unique view of medicine and his advice for aspiring physicians. His twitter handle is @jonessurgery and you can see his blog at https://jonessurgery.com/. You can see his full bio at https://www.hopkinsmedicine.org/profiles/results/directory/profile/10003148/christian-jones. White Coat Story is a podcast series for school students to gain first-person insights into the practice of medicine, and what it takes to get there.
The book Buy the new textbook (Bryan edited, Brandon authored a chapter) here or on Amazon: Concepts in Surgical Critical Care, First Edition ed. Bryan Boling, DNP, ACNP; Kevin Hatton, MD, FCCM; Tonja Hartjes, DNP, ACNP-BC, CCRN, FAANP The podcast An in-depth look at the management of right heart failure, with a focus on preserving … Continue reading "Episode 9: Right heart failure and the SAVIOR protocol with Habib Srour (part 1)"
Dr. Brad Dennis, Interim Chief, Division of Trauma and Surgical Critical Care at Vanderbilt University Medical Center in Nashville, talks about leading wisely through Covid-19. As cities and municipalities begin to reopen, Dr. Dennis shares ways you can protect yourself, your family and others, dispels myths about the virus, and gives us a glimpse of what a future after Covid-19 could look like.
Dr. Brad Dennis, Interim Chief, Division of Trauma and Surgical Critical Care at Vanderbilt University Medical Center in Nashville, talks about leading wisely through Covid-19. As cities and municipalities begin to reopen, Dr. Dennis shares ways you can protect yourself, your family and others, dispels myths about the virus, and gives us a glimpse of what a future after Covid-19 could look like.
This is the final episode of our mini-series on Ohio State University’s 4th Annual Women in Surgery Symposium! We hope you have enjoyed this series as much as we have – if so, we encourage you to join in person for their 5th Annual Symposium this fall. Dr. Kevin Pei, Director of Surgical Critical Care […]
In literally minute-by-minute, life and death situations, healthcare providers around the world are putting their own lives at risk as they answer the call to treat overwhelming numbers of Coronavirus patients. The situation is nowhere more challenging than in New York State, Long Island and here in Stony Brook, where medical professionals have been keeping pace with the surge day by day. On this episode of “Beyond the Expected," hosted by Interim President MIchael Bernstein, Stony Brook University Hospital attending physicians share their personal experiences of being infected by, and recovering from, COVID-19, in this environment, and Stony Brook University Hospital's Medical Director of Healthcare Epidemiology provides her expert opinions on how to stop the spread among patients and providers. Susan Donelan, MD, FSHEA, Medical Director, Healthcare Epidemiology Department; Hospital Epidemiologist; Assistant Professor, Infectious Diseases and Medical Director, Regional Training Center, MARO Region Susan Donelan has a strong clinical expertise in infectious diseases such as Lyme Disease and West Nile Virus, hospital-acquired infections, and MRSA. She has an interest in emerging infectious diseases, and her Ebola care plan is adaptable for patients who may have diseases like MERS-CoV and avian influenza. She has certified training in pandemic planning and preparedness, and trained for a week in Anniston, Alabama at the Center for Domestic Preparedness, with a certification in Healthcare Leadership and Decision Making. Dr. Donelan will share how all of this training and experience is being put to work in our current pandemic crisis to help prevent the occurrence, and spread, of COVID-19 among patients and the healthcare professionals treating them. Kimberly Noel, MD MPH, Stony Brook Medicine Telehealth Director; Deputy Chief Medical Information Officer; Patient Centered Medical Home Chief Quality Officer, Family Medicine; Occupational and Employee Health & Wellness Physician; Clinical Assistant Professor of Family, Population & Preventive Medicine Dr. Noel is a physician, published researcher, and telehealth specialist. She serves as the Director of Stony Brook Medicine Telehealth and the Deputy Chief Medical Information Officer and Chief Quality Officer of Family Medicine's PCMH. She devises telehealth strategy, implementation and policy solutions in collaboration with key stakeholders at Stony Brook and co-leads the Telehealth Workgroup, reporting to the Chief Information Officer. She is an occupational health physician, and practices clinically caring for Stony Brook employees. Beyond Stony Brook, Dr. Noel is an appointee to the New York State Department of Health Regulatory Modernization Initiative Telehealth Advisory Committee. She is leading a program for the American Telemedicine Association 2020 Conference for Telehealth Accessibility for persons with disabilities. James Vosswinkel, MD, FACS, Chief, Trauma, Emergency Surgery and Surgical Critical Care; Medical Director, Trauma Center Surgical ICU, Stony Brook Medicine; and Lillian and Leonard Schneider Endowed Professor in Trauma Surgery James “Voss” Vosswinkel's specialties include surgical management of injured patients in all aspects of traumatology. That includes management of diseases of the gastrointestinal and endocrine systems; treatment of soft tissue disease; repair of hernias; appendectomy; cholecystectomy; laparoscopic surgery; and pre- and post-operative critical care of adult surgical patients. Before and during this Coronavirus pandemic, he has been leading efforts to increase our Intensive Care Unit (ICU) capacity; collaborate with medical professionals locally, across the country and globally to share experiences and best practices; and develop innovative ways to treat patients in trauma under unimaginably challenging circumstances.
Mister Rogers said, “When I was a boy and I would see scary things in the news, my mother would say to me, "Look for the helpers. You will always find people who are helping.” This hour, we’re going to do just that. We’re talking to volunteers, and those working to make our lives a little brighter during this difficult time. We want to hear from you. What are you doing to help out your community? What are your friends and neighbors doing to lift each other's spirits? GUESTS: Dr. David Shapiro - MD, MHSM Chief of Surgical Critical Care & Chief Quality Officer at St Francis Hospital in Hartford, Connecticut Deb Polun - Executive Director, Connecticut Association for Community Action J.R. Logan - Executive Director, MakeHaven, Rob Faber - photographer from Suffield, Connecticut Amanda Stanton - CEO of Stanton Equipment Lisa Tuttle - resident of Somerville, Massachusetts Support the show: http://wnpr.org/donateSee omnystudio.com/listener for privacy information.
This conversation with Dr. Patrick Kim was recorded on March 26th of 2020, and was the first episode of the "Healthcare Reimagined" podcast. Dr. Kim spoke about his work as an attending surgeon at Penn Medicine in the divisions of trauma, critical care, and emergency general surgery. As the division Vice Chief, Dr. Kim is able to provide a unique perspective both as a practicing physician and as a clinical leader. Dr. Kim tells us about the steps Penn is taking to prepare for the surge of patients they are expecting, and how, on a personal level, being a trauma surgeon has given him some insights into how to prepare for high pressure situations. The Society for HealthCare Innovation is a community of professionals dedicated to improving healthcare through innovation. We are comprised of physicians, nurses, healthcare executives, tech and industry leaders, and many more with a unifying ethos and mission- improving healthcare through innovation.SHCI Website: https://www.shci.org/LinkedIn: https://www.linkedin.com/company/theshci/Youtube: http://www.bit.ly/SHCIPatrickKimSpotify: http://bit.ly/healthcarereimaginedTime Stamps0:21 – Introducing Dr. Patrick Kim1:12 – University of Pennsylvania Trauma Center Introduction1:31 – How is the UPenn Trauma Center preparing for COVID-19?5:39 – Do you have any general takeaways from your experience as a trauma surgeon that are relevant to those with less experience?8:05 – How is UPenn planning to address the expected surge of COVID-19 patients?09:50 – Are there any positive takeaways from the pandemic (Telemedicine & more)? 14:30 – Conclusion, SHCI Introduction
On the 5th episode of #NomadicHustle - I sit with Dr. Qaali Hussein to discuss her experience in becoming a board certified surgeon while raising her six children, advice for professional Muslim women, advocating for yourself in the workplace, and balancing a successful career with a busy family life.Dr. Qaali Hussein is a double board certified trauma/acute care surgeon and surgical intensivist who practices in Florida. She graduated from the University of Texas with honors in human biology. In addition to her busy professional schedule, Dr. Hussein is the mother of six children, all of whom she had during her intense training years in general surgery and critical care. She went to medical school at the University of Texas Medical Branch in Galveston, Texas. Dr. Hussein then went on to Baylor College of Medicine in Houston, Texas where she completed her residency in General Surgery as well as a fellowship in Surgical Critical Care. After completion of her training, she relocated to Florida in 2015 to practice at a level 2 trauma center. She also provides trauma/acute care surgery/critical care coverage for understaffed hospitals throughout the country. Dr. Hussein is also the co-founder of Advanced Surgical Skills for Advanced Providers, a Trauma and Acute Care Surgery training course for physician assistants and nurse practitioners. She is also a an entrepreneur and a professional keynote speaker on leadership, culture change, overcoming adversity, women’s empowerment, and time-management.__Follow the host:IG: https://www.instagram.com/shareef_nomadic—Follow our social media accounts:IG: https://www.instagram.com/thenomadichustleYoutube: http://bit.ly/2Bv4isiListen to our podcasts:Apple - https://apple.co/2MpgsJCSpotify: https://spoti.fi/2OXh3DWStitcher: http://bit.ly/2OU12yIAbout Nomadic Hustle:Historically known as a nomadic people, the Somali diaspora's presence can be felt in nearly every country and region of the world. Often pioneering as the first generation in their families to be successful in their education and careers, the process in which it takes to break those barriers is rarely highlighted. This podcast aims to celebrate and highlight Somali excellence while shedding light on the countless success stories within our community both on a local and global scale. Focusing on inspiring the younger generation is the goal, and facilitating conversations on common issues and solutions that pertain to the Somali diaspora experience will help us stay connected as a people.The Nomadic Hustle: Shedding light on our success stories while engaging in conversation to enlighten our youth and inspire our community to grow."All we're trying to do is hustle and motivate"
Dr. Jon Marinaro, the Director of the UNM Center for Surgical Critical Care, and the Founding Director and President of the Society of Critical Care Medicine New Mexico Chapter talks with the Health Sciences Center’s Elizabeth Dwyer about emergency medicine, critical care and the UNM’s use of the first pre-hospital ECMO procedure in the United States.
Sedation is commonly used in the intensive care unit (ICU) to make patients who require mechanical ventilation more comfortable, and less anxious. But sedation can have serious side effects, including delirium, that can endanger a patient’s life. Dr. Richard Barton, Director of Surgical Critical Care at University of Utah Health, and Nick Lonardo, Pharmacy Clinical Coordinator, describe the hazards and how to avoid them. The research behind their recommendations was published in the American Journal of Respiratory Critical Care Medicine.
Dr. George Koenig presented at the ECHO Annual Conference in 2017 addressing trauma and the standards to what is done during the "critical times" after injury to a patient. Dr. Koenig will discuss current standards and trends that he has seen as a medical director in the prehospital environment. He is a graduate of The Philadelphia College of Osteopathic Medicine (PCOM) in 2003. He also holds a Masters degree in Biomedical Science from PCOM. He is an Assistant Professor of Surgery in the Division of Acute Care Surgery: Trauma, Surgical Critical Care and Emergency General Surgery of Sidney Kimmel Medical College at Thomas Jefferson Univeristy. He is the Associate Medical Director of JeffSTAT. Check out our website for more information about upcoming events and announcements! ECHO HeliOps Email tony.falzone@echoheliops.org for flight ops comms submissions! RW logo designed in conjunction with ECHO member Bud Lavin photo submission. Music provided by BenSounds.com
"This used to be merely intuition...even a minute or two at low MAPs may be too much and certainly waiting 20 minutes for pharmacy to send up a drip is probably way too long...and your kidneys may actually be getting damaged in that short period of time." - Scott Weingart, MD Who is Scott Weingart, MD? Courtesy of Scott Weingart, MD Scott D. Weingart, MD FCCM FUCEM DipHTFU Scott is an ED Intensivist from New York. He did fellowships in Trauma, Surgical Critical Care, and ECMO. He is currently an attending in and chief of the Division of Emergency Critical Care at Stony Brook Hospital. He is a clinical associate professor of emergency medicine at Stony Brook Medicine and an adjunct associate professor at the Icahn School of Medicine at Mount Sinai. He is best known for talking to himself about Resuscitation and Critical Care on a podcast called EMCrit, which has been downloaded > 19 million times. EMCrit Twitter Team @emcrit What is a MAP? (Mean Arterial Pressure) Average pressure in a patient’s arteries during one cardiac cycle Really good number to measure organ perfusion Systolic BP is a useless measurement in super hypotensive patients Calculations: MAP = CO x SVR MAP = SBP + 2(DBP)/3 Low MAPs should be treated as an Emergency = Requires Good Nursing!! What is a minimal MAP for adequate perfusion? No one knows!! Minimal MAPs (what we think and have made up) to adequately perfuse 3 main organs. Use this as a loose guideline. May have to individualize for each patient. Brain MAP 60-65 but can go lower for a bit of time before damage MAP 40 starts to have altered mental status Heart MAP 60-65 Kidney MAP 65 super sensitive to low MAPs May not be able to measure output in ED if kidneys were hit hard and due to shunting In the ED, we like MAP 65... because the organs will have minimal perfusion and we often don't know what the medical history is or have had 24 hours of patient observation. Normal MAP + Low SBP + Normal DBP = Okay Organs are being perfused Low MAP + Normal SBP + Low DBP (Ex: 100/20) = Badness Can be in cardiac arrest if you don't pay attention and do something ASAP Low MAP, How long is too long? New Anesthesia literature that shows a minute or two may be too much. Concern for kidney injury Hearts may dislike low MAP esp. Pts with cardiac history. React quickly to low MAPs (MAP 40s and 50s) No barrier to treating low MAPs No Harm in treating low MAPs Can start peripheral NE drip and if in 45 minutes, NE drip is titrated off - no harm done to Pt Wait and See approach with fluids doesn't work Fluids don't last to maintain MAPs, it will drop 30-60 minutes later Harm to keep Pt at low MAPs "Permissive Hypotension" A confusing term No one is really in a permissive hypotension state lower than the minimal MAP 65 Trauma A confusing term because the trauma studies still show that a Pt is being perfused and hovering around MAP 60-65 Term came about because fluids were restricted instead of giving bunch of fluids - but BPs were normal Some say the clot is formed so don't break the clot - still BPs are at MAPs that we talked about Bickell study on penetrating trauma Scott mentioned Permissive hypotension/hypotensive resuscitation and restricted/controlled resuscitation in patients with severe trauma by D. Kudo Rick Dutton Approach for penetrating trauma management as described by Scott Keep your patient from being vasoconstricted Organs are not being perfused with higher MAP but in fact exsanguinating due to vasoconstriction Manage by hovering around a MAP 60-65 and perfuse organs MAP 80 (or whatever upper limit you decide), give them some anesthetic and dilate them. Fentanyl is an indirect vasodilator Read more about Richard Dutton and trauma at emcrit.org Hemostatic Resuscitation Hemorrhagic Shock Patient in Trauma Neuro - term doesn't really apply
According to the U.S. Department of Health and Human Services, more than 12.5 million Americans are severely overweight. Obesity can cause many health problems and put you at a higher risk for diseases such as high blood pressure, diabetes, heart disease, stroke, sleep apnea and more.Bariatric Surgery is a life changing event that requires a team approach for long term success. The team at The St. Luke's Cornwall Hospital Institute for Metabolic and Bariatric Surgery works with each individual patient to ensure that the proper pre and post procedure support is provided. Here to speak with us today about the benefits bariatric surgery can offer the severely obese is Dr. Wayne Weiss, he is a board certified surgeon specializing in General Surgery, Surgical Critical Care and Bariatric Surgery procedures at St. Luke's Cornwall Hospital.
In this Careercast, Dr. Stefan Leichtle talks with Dr. Jay Menaker from the University of Maryland Shock Trauma Center about how emergency medicine physicians can become board-certified in surgical critical care, and why they should consider pursuing this unique career.
Session 21 General Surgery is gaining in popularity, which shows in its competitiveness for residency. You need to be on the top of your game to match. And similar to Internal Medicine, it is the gateway to a lot of subspecialties. As we're presenting the data here, remember that this is not just for those looking to be general surgeons their whole life but those who are looking into other subspecialties which we will be featuring here on the podcast in the future such as Surgical Oncology, Colorectal Surgery, Surgical Critical Care, Minimally Invasive Surgery, etc. There are certainly a lot of things you can go on and do after your general surgery residency. The 2017 NRMP Main Match Data is now available since the match happens in March of every year. [01:45] Total Number of Programs and Applicants For General Surgery, there are a lot of physicians available with 267 programs around. There are 236 Psychiatry residencies and 204 Pediatric residencies so that gives you an idea that there are more general surgeons than pediatrics. There are 241 OB/GYN residencies so there are a lot of surgical residencies. General Surgery has two categorical residency programs. A categorical program is one where you apply to the program from medical school and that's where you're going to do your five years of General Surgery residency. Then there are prelim surgery positions and there are more prelim surgery positions than there are categorical. Somebody doing a surgical prelim can do it because they're going into a surgical subspecialty straight out of medical school and they're required to do their PGY-1 year separate from their categorical residency. In this episode, I will only tackle the full five-year categorical surgery programs consisting with 267 programs for categorical surgery. Out of 267 programs, there are 1,281 spots. There are almost 5 spots at each program. Interestingly, there are not a ton of U.S. Seniors applying for these categorical programs. And out of these spots, there were only 1,383 that applied and 2,388 total applicants. For the purposes of this data, U.S. Seniors equals Seniors at an allopathic (MD) medical school. Hence, this does not include graduates of an MD medical school. These are only students who are still in school. Those who took some time off to do some research or didn't match the first time are not included in the U.S. Seniors data. There were 3 unfilled programs which means a lot of of people are matching with 99.6% of the spots filled. I want to briefly mention that if you don't match in a categorical spot, it's typically pretty easy to do a Supplemental Offer and Acceptance Program (SOAP), which used to be called Scramble. There are only 61.7% of those spots were filled. So it's very easy to do a SOAP into a program if you don't match in a surgical program. But assuming your stats are decent and you're a good person, you're probably going to match because it's not overly competitive for U.S. Seniors which is interesting. [06:55] Types of Applicants Table 2 of the 2017 NRMP Match Data breaks down the types of applicants for each specialty. For categorical surgery, there were 1,281 positions and there were 1,276 were filled. So there were 5 empty spots and 3 programs that went unfilled. Out of the 1,276 filled positions, 1,005 were U.S. Seniors while 74 were U.S. Grads (students that either didn't match the first time or didn't apply because they were doing research or something else. Total number of U.S. Seniors (allopathic MD students) was 1,079 out of the 1,276 positions. The rest of it was filled by 64 osteopathic students and 62 U.S. International medical graduates. Something that is highly debated in the premed world is whether to go to a U.S. DO school or an international MD school, specifically Caribbean schools. If General Surgery is something you're interested in, there were 64 students that matched from U.S. osteopathic schools and 62 from international medical schools. Moving along, there were 71 Non-U.S. International medical graduates that matched into General Surgery. For me, this is a peculiar number and is not something I would have thought to see. It just goes to show that there is still a high demand for General Surgery spots so they're taking as many possible and the most qualified and a lot of those happen to be non-U.S. citizen international medical graduates. [09:47] Trends in Positions Offered and U.S Seniors (2013-2017) Table 3 of the 2017 NRMP Match Data illustrates the total number of physicians offered from 2013 to 2017. This is the fourth time I've looked at the Match Data and the numbers always seem to very consistent. Surgery is no different at 4.4 to 4.5 every year, going at a a good, steady pace and hopefully it continues that way. Table 7 shows the number of U.S. Seniors being accepted compared to all applicants over the course of the last five years. As the number of seats in each program has increased all the way up to 1,281 for 2017, the U.S. Seniors are increasing as well. This is a good thing in that more U.S. allopathic students are going into General Surgery to fill this increasing need for spots. It's not necessarily a good thing for DO students or U.S. International medical grads because the demand is rising among U.S. Seniors as there are more spots. Table 8 shows the actual percentage of U.S. Seniors for each of the programs. There were 80.8% of U.S. Seniors in 2013 and it dropped down to 76.5% in 2014, back up to 80% in 2015, back down to 76.4% in 2016, and then up again at 78.5% in 2017. This suggests that maybe the demand is not as high also looking at the data in table 7. Table 9 shows the percentage of applicants that matched into a given field compared to the rest as a whole. 4.6% of all applicants that matched in all fields matched into Surgery (categorical). So it's up there. Internal Medicine is huge at 25.6%, Family Medicine at 11.6%, Emergency Medicine at 7.4%. This gives you an idea of where Surgery lies. Interestingly, Psychiatry (categorical) is at 5.4% which is more than Surgery and Pediatrics at 9.7%. [13:25] Osteopathic Students, Unmatched U.S. Seniors, Independent Applicants, and SOAP Table 11 looks specifically at Osteopathic students who have matched into PGY-1 spots as a whole. This is similar to the last table but this one looks specifically at osteopathic students. As expected, General Surgery has a lot less total number of osteopathic students percentage-wise. Looking at all specialties adding up to 100%, Surgery only made up 2.2% of all osteopathic students that matched into an allopathic General Surgery (categorical) program. Students may think it's harder to go to an MD General Surgery residency as a DO student and if this is what they want to do, then they should probably only apply to MD programs. My different perspective on this is that if osteopathic schools are doing a good job at recruiting students that meet this "osteopathic" philosophy and are looking at recruiting and attracting more students that are interested in Primary Care, then there should obviously be a lot less that are matching into a surgical program. Figure 6 of the 2017 NRMP Match Data shows the percentages of Unmatched U.S. Seniors and Independent Applicants (outside of the U.S. Seniors which, for these purposes, are considered U.S. allopathic students who are still in school). General Surgery had one of the higher unmatched rate at 20.7%, which is 9th on the list. Majority of those are unmatched, independent applicants (non allopathic students, non MD Seniors). The unmatched U.S. Seniors was only 9.6%. This is still high compared to a lot of the other specialties. It seems it's getting more and more competitive and this is a trend that I've heard from speaking to others that General Surgery is becoming more and more competitive as there are more options available for these subspecialties and fellowships afterwards. Table 18 breaks down the SOAP process and looking into Surgery (categorical), there were 3 programs that needed to fill 5 spots and all 3 programs filled those 5 spots through the SOAP process. Looking at the National Matching Service Data for 2016 for the different program types, there were 49 programs for General Surgery for osteopathic students and 155 positions. 149 positions were filled and 6 went unfilled. The data given is not as robust at the NRMP so I'm uncertain if there were a lot more applicants than these 155 spots and a lot went unmatched or if there weren't just that many applicants. [17:43] 2016 Charting the Outcomes - NRMP Based on the 2016 Charting the Outcomes for the NRMP, Chart 3 shows the match rates and there was an 83% match rate for U.S. Allopathic Seniors for General Surgery. Looking at other specialties, Dermatology at 77%, Neurosurgery at 76%, Orthopedics at 75%, Plastic Surgery at 77%, and Vascular Surgery at 71%. So General Surgery is right there with all of the other surgery subspecialties. Chart 4 shows the Median Number of Contiguous Ranks of U.S. Allopathic Seniors. For students that matched and those who didn't, the chart shows you how many programs they ranked on their rank list when they submitted. Those that matched ranked 13 as a median number while those that did not match ranked 5. If you are picky about where you go or if you didn't get an opportunity to apply or to interview at a lot of spots, then you have a lot less chance of matching. Chart 12 shows the percentage of U.S. Allopathic Seniors who are members of AOA (the Honor Society for medical students showing good academic success in medical school). For those that matched only 17% of the U.S. allopathic Seniors were AOA whereas 52% for Plastic Surgery and 53% for Dermatology. So General Surgery is in the lower end for a surgical specialty. Looking at the Summary Statistics (Table GS-1) for General Surgery, those that matched have a decent Step-1 Score at 235 and those that did not match at 218, which shows a big difference in Step scores. This is one of those things where you need to be very realistic with your chances of matching. If you don't match, why? Could it be that because your Step score is not high enough? The mean Step 2 score is 247 for those that matched and 231 for those that did not. [21:20] Burnout, Happiness, and Compensation The Medscape Lifestyle Report 2017 and Medscape Physician Compensation Report 2017 are two separate reports that Medscape releases every year. For the Lifestyle Report, more than 14,000 physicians over 30 specialties have responded in the survey. The numbers are not necessarily the best data-wise because it's a survey so just take this with a grain of salt. Who is the most burned out? General Surgery is lower on the list at 49% which is more than halfway down the list. This is good. But looking at how severe is the burnout, surgery is higher up on the list at 4.3 from a scale of 0-4.5. Which physicians are happiest at work and outside of work? General Surgery is higher up on the list with 35% happiness at work and 69% happiness outside of work. So it's on the higher end of the scale. Moving on to the Medscape Physician Compensation Report 2017, General Surgery is higher up on the list with an average annual salary of $352,000. Above it is Anesthesiology and below it is Ophthalmology. So it's a decent living as a general surgeon. Although if you think about the lifestyle and everything else, it's harder. So you're compensated for that harder lifestyle. Looking at the rate of increase year over year,General Surgery had a 9% increase which is pretty decent. The number of physicians who feel fairly compensated for General Surgery is lower at only 48%. Whether a specialist would choose medicine again, General Surgery is right in the middle at 77%. While only 82% said they would choose the same specialty, which is a little in the lower half of all the specialties there. [24:50] Final Thoughts If you're not sure what you're interested in yet, go through these numbers. It's eye-opening to see what is going on in the world when it comes to matching and physicians that are happy and making money and those that aren't. Links: MedEd Media Network 2016 Match Data NRMP Supplemental Offer and Acceptance Program (SOAP) National Matching Service Data for 2016 Charting the Outcomes - NRMP Medscape Lifestyle Report 2017 Medscape Physician Compensation Report 2017 AOA
In this Careercast, Dr. Stefan Leichtle talks with Dr. Bill Chiu from the University of Maryland Shock Trauma Center about everything applicants for a Surgical Critical Care Fellowship need to know. Highlights include an explanation of SAFAS, the SCC and ACS Fellowship Application Service, a discussion of what's important in a CV and personal statement, and how to be a competitive fellowship applicant.
Episode 83: David Bunnell is a Paramedic whose plan was not to become a Physician Assistant. That changed and he now works as a PA at VA in Washington DC. Dave's practice experiences include Cardiothoracic Surgery, Surgical Critical Care and Emergency Medicine. Before becoming a PA, Dave was Paramedic (still has his certification in Pennsylvania) and an Organ Recovery Coordinator. Dave is very active in leadership of the Association of PAs as well as peer reviewer for the Journal of the American Academy of Physician Assistants. We discuss how he got is start in EMS, his days at the Center for Emergency Medicine and Medical Rescue Team South. We spend time discussing what it is like in the operating room as PA, team leadership and a work day for Dave.
Surgical Critical Care or Acute Care Surgery Fellowship? Interest in Surgical Critical Care and Acute Care Surgery Fellowships have been steadily growing. Dr. Ron Tesoriero talks with Dr. Sam Tisherman, the President of the Surgical Critical Care Program Directors Society, about what prospective fellows should look for in a fellowship program and how to decide whether a one or two year fellowship is the right choice for you.
Colonel Matthew J. Martin, MD Dr. Martin is currently the Trauma Medical Director and Chief of Surgical Critical Care at Madigan Army Medical Center, Joint Base Lewis-McChord in Washington State. He is also the Director of Surgical Research and the former Associate Program Director for the Madigan Army Medical Center General Surgery residency program. He is a Clinical Associate Professor of Surgery at the University of Washington School of Medicine, and Associate Professor of Surgery at the Uniformed Services University in Bethesda, MD. He is the current Chair of the Army State, Region 13, for the American College of Surgeons Committee on Trauma. He has been deployed twice in support of Operation Iraqi Freedom and twice in support of Operation Enduring Freedom in Afghanistan, service for which he received The Bronze Star as well as many other military distinctions. Dr. Martin completed his undergraduate degree in 1990; a master’s degree in Medical Science in 1995, and his medical degree in 1998 all from Boston University. He completed residency training in General Surgery at Madigan Army Medical Center in 2003, and a fellowship in Trauma and Surgical Critical Care at Los Angeles County Hospital and USC Medical Center in 2005. Dr. Martin has had a prolific literary and research career in the 11 years since completing his formal training which includes contributions to 100s of peer-reviewed publications, authorship of 24 book chapters, and being co-author and editor of two books (“First to Cut: Trauma Lessons Learned in the Combat Zone”; and more recently “Front Line Surgery: A Practical Approach”) Lastly, Dr. Martin is a co-host of the podcast Traumacast, a show that discusses topics related to all things trauma surgery. Please enjoy with Dr. Matthew Martin!
This week on BTK, Dr. Ali Salim, Division Chief of Trauma, Burns, and Surgical Critical Care at Brigham and Women's hospital and Professor of Surgery at Harvard Medical School, is joined by return guest moderator Dr. Matthew Martin to discuss Dr. Salim's research on racial disparities in organ donation. In addition, Dr. Salim gives us Tips and Tricks on how he (and his team) manage penetrating abdominal trauma. Specifically, we discuss the situations where management is not so cut and dry (pun intended!). There isn't a better way to discuss this topic than with two experienced trauma surgeons!! A great listen!
Medical malpractice claims and other litigation have unfortunately become a common occurrence in all fields of surgery. Although each case has unique and specific aspects, there are common patterns, themes, and risk factors that all practicing physicians should be aware of in order to minimize or even completely avoid these situations. In addition, there is a great deal of misunderstanding about how published guidelines such as the EAST Practice Managemenet Guidelines may be used for or against the physician in establishing the standard of care and any violoations of that standard. We discuss these issues with Dr. Carlo Reyes, a board certified Emergency Medicine physician, health care attorney, and nationally recognized expert in medical malpractice, and Dr. Chet Morrison, a Trauma and Surgical Critical Care attending with a longstanding interest in this area. Supplemental Materials:Legal implications of Pay for Performance article by Dr. ReyesMinimizing your malpractice risk article by Dr. ReyesValue of CPGs as “Safe Harbors” for Legal Defense
Today we are fortunate to have Dr. Joseph R. Shiber, an Associate Professor in the Departments of Emergency Medicine and Surgical Critical Care at the University of Florida College of Medicine. Dr. Shiber also acts as the Co-Director of the Neuroscience ICU and attends in the SICU/TICU. And if that wasn’t enough, he has also has the distinct pleasure of the being in the FIRST graduating class of the EM/IM/CCM program at the University of Maryland! This is a talk that you CANNOT miss if you ever plan to encounter COPD or CHF in your patient population.
Dr. Ron Tesoriero, Assistant Professor in the Department of Surgery & Associate Program Director of the Surgical Critical Care and Acute Care Surgery Fellowship at UMMC & Shock Trauma has has a thing or two to say about acute pancreatitis. These patients are by far some of the sickest in our ...
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