School Of Surgery

In part 2 of our 3 part series on breast cancer Phil Herrod talks to Mark Sibbering about incidence, risk factors, survival, family history and genetics, and classification of breast cancer. Also covered is the presentation of breast cancer and a quick overview of the breast cancer screening programme in the UK.Mapped to undergraduate and postgraduate learning objectives, this podcast will provide all you need to know as a medical student or early years surgical trainee about these aspects of breast cancer.Phil Herrod is a specialty registrar in the East Midlands, UK and Mark Sibbering is a consultant Breast Surgeon at the Royal Derby Hospital and national figure in Breast SurgerySorry about the sound again, sometimes doing these things on location can present a few problems.

Diseases of the breast are very common and varied, from simple cysts to cancer. All doctors need to know about breast disease and in the first of a series aimed at making you an expert, Phil Herrod asks Miss Carol-Ann Courtney about how to take a history from a patient with a problem in the breast, the gold standard "triple assessment" of breast lumps and gets an overview of benign breast disease. Essential listening for all medical students and junior doctors. Sorry about the sound quality in some places, we've tried as hard as we can to correct it, but the content is so good its worth persevering!Philip Herrod is a Speciality Registrar in the East Midlands, UK and Miss Carol-Ann Courtney is a consultant breast and oncoplastic surgeon at the Royal Derby Hospital, UK

You're called by the Emergency Department saying that someone has crashed a car with a full bladder and they are worried about injury to the bladder and kidney. They are unstable. Do you know what to do? Well, if you have listened to this podcast by Andrew Deytrikh and Simon Williams you will know how to safely manage all kinds of urological trauma.Penetrating and blunt trauma to bladder and kidney are covered, with classic history, presenting features, investigations to be performed, when to operate and what to do if you operate. Essential listening for medical students, doctors in the emergency department and surgeons in training.Andrew Deytrikh is a trainee in surgery in the East Midlands, UK and Simon Williams is a Consultant Urological Surgeon at the Royal Derby Hospital, UK.

Want to have a career as a clinical academic? Want to be a professor one day? Listen to this podcast and find out how to be successful.Keaton Jones talks to Dr Denise Best about the background to integrated clinical academic careers in the UK and pathway for clinical academic training from the academic foundation programme onwards. Application and progression from academic foundation programme (AFP), through the academic clinical fellowship (ACF) programme and academic clinical lecturer programme (ACL) and beyond are discussed, with tips on how to be successful and a frank discussion of the pros and cons of a career as a clinical academic. The content is applicable to any speciality in medicine, but there are a few minutes at the end discussing academic surgery in particular.Useful websites linking to topics in this podcast are www.nihr.ac.uk, www.oucags.ox.ac.uk and www.foundationprogramme.nhs.ukKeaton Jones is an Academic Clinical Fellow in Surgery at University of Oxford / Health Education Thames Valley an

In Part 1 Dr Damian Kelly discussed definitions and diagnosis of angina and in part 2 he tells us what treatments can be offered, from rehabilitation and medical treatments, through angioplasty and stenting to the role of cardiac surgery and coronary artery bypass grafting.The implications of a diagnosis of angina on the lifestyle and work of a patient are also discussed.Topics in the podcast are mapped to the clinical phase 3 (final) objectives of the University of Nottingham, UKDamian Kelly is an eminent Consultant Cardiologist, working at the Royal Derby Hospital, UK

Angina is a very common condition that all doctors will come across in their normal working day. In this podcast Dr Damian Kelly tells Jon Lund:1. how to define anginawhat the terms stable and unstable angina mean and the implications of each3. a description of the typical history of anginaabout underlying causes, risk factors and relevant investigations for angina4. about the role of a rapid access chest pain clinicObjectives are mapped to the University of Nottingham, UK clinical phase 3 (final) objectives.Look out for part 2, in which Damian covers medical treatment, angioplasty and the role of cardiac surgeryDamian Kelly is a consultant Cardiologist at the Royal Derby Hospital, UK

So, you've just started as an F1. This is the time to start thinking about how to get that core training job. Naomi Laskar, James Blackwell and Jon Lund give you top tips and a recipe for how to succeed in developing your CV to make you successful when applying for core training. There's advice for any speciality with some specific advice for surgical core interviews for how to get the most out of audit, research, teaching, leadership, presentations, publications, experience and much more. You need to start doing this early, so start now by listening to this!Naomi Laskar and James Blackwell are trainees in the East Midlands, and Jon Lund is former Core Surgery Programme Director in the East Midlands.

Moving from being a medical student to being a doctor is probably the biggest change you'll ever have in your professional life. In many surveys most new doctors say that they weren't prepared for what starting as a real doctor entailed. But DON'T PANIC - help is at hand from Naomi Laskar and friends Reena Shaunak and David Restall, who are all just about to finish their first year as foundation year 1 doctors (interns).With tips on keeping an up to date job list, running an efficient ward round, prioritisation of tasks, how to know when to take breaks, when to raise concerns, handover of tasks, how to survive on call and a whole host of other tips from those on the front line. Get off to a flying start in your professional life by following advice from those who know how it is!Naomi Laskar is about come to the end of being a very successful F1 doctor at the Royal Derby Hospital, UK

Sliding or rolling? That is the question! Or at least one of the questions you will need to know the answer to when you encounter a hiatus hernia.Whatever branch of medicine or surgery you go into you will need to know about this increasingly common condition. Eleanor Rudge discusses anatomy, types of hernia, physiology, presentation, investigation and treatment of hiatal hernia with Eric Sheu.Eleanor Rudge is a research fellow in surgery at Brigham and Women's Hospital and University of Harvard and Eric Sheu MD, PhD is a Bariatric Surgeon at Brigham and Women's Hospital, Boston, USA

"Doctor!" the nurse shouts, "the patient admitted earlier with abdominal pain has a blood sugar of 36! He doesn't look very well! What shall I do?!"Fortunately, you had listened to this podcast by Naomi Laskar and Roger Stanworth about recognising and dealing with diabetic emergencies on the surgical ward, and you knew exactly what was going on and what to do!This podcast covers diabetic ketoacidosis (not infrequently presenting to surgery as abdominal pain as the main symptom), the superbly named HONC (now more boringly called HHS), other causes of ketosis and what kind of fluids to give diabetic patients.Essential listening for all medical students and trainee doctors, you can save a life in the middle of the night.Naomi Laskar is a doctor at Royal Derby Hospital, UK, and Roger Stanworth is a Consultant Diabetologist, also at RDH.

Many patients who we operate on have diabetes as well. Complications are more common in patients with diabetes and we need to know how to look after their blood sugar, where to put them on the operating list, how to deal with the nil by mouth periods, how to prescribe insulin and when and special precautions which we need to take when arranging imaging for these patients. Naomi Laskar talks to Roger Stanworth about how to look after a patient with diabetes on a surgical ward. Essential listening for any medical student or surgical trainee.Next time - how to recognise and deal with diabetic emergencies presenting on a surgical ward

Diabetes is a common and growing co-morbidity in whatever branch of medicine you go in to. In this audio podcast, Roger Stanworth talks to Naomi Laskar about this condition. Types of diabetes and their aetiology and presentation are covered as well as HbA1c, WHO recommendations, different management plans for each type of diabetes, drugs and their contraindications are also covered.Roger Stanworth is a consultant diabetologist and Naomi Laskar is a foundation doctor, both at the Royal Derby Hospital, UK

"Doctor - what do you want to do with the patient with abdominal trauma now? Laparotomy? CT??" you are asked by the Emergency Room staff. You strike a wise pose, remember that you have listened to Andrew Deytrikh talk to Adam Brooks about abdominal trauma in this podcast, and say "Physiology drives decision making in major trauma" and then do the right thing for the patient.This podcast discusses all aspects of blunt and penetrating abdominal trauma beyond immediate ATLS. Patterns of injury, injuries across boundary areas (diaphragm, groin), straight to theatre vs CT, stabbing vs gunshot vs blunt trauma are all discussed. If you're not working in a Major Trauma Centre this podcast discusses which patients with trauma to transfer and when, should they have a CT before transfer? How to manage a gunshot wound to the abdomen and how to manage bowel eviceratation are also discussed.Use this podcast with the Chest Trauma podcast to build up an essential body of knowledge for the correct management of these emergenc

Penetrating wounds to the chest can be immediately life threatening, requiring quick decision making and the right intervention. Everyone in the emergency department will be looking at you as the surgeon on the scene. Do you know what to do and why you'd be doing it?In this audio podcast Andrew Deytrikh talks about the management of penetrating chest trauma with Adam Brooks. Mapped to ISCP objectives, differentiation between haemo and pneumothorax, safe chest drain insertion, needle pericardiocentesis, cardiac tamponade and the indications for resuscitative trauma thoracotomy are all discussed.Andrew Deytrikh is a core trainee in surgery at the Royal Derby Hospital and Adam Brooks OBE is a consultant trauma surgeon and clinical lead for the East Midlands Major Trauma Centre in Nottingham, UK.

Acid reflux is a very common condition presenting to general practice and to surgeons. In this podcast Keaton Jones talks to Shaun Appleton, consultant Upper GI Surgeon about this condition and its management.Definition, prevalence, risk factors, non-surgical treatment, tests, indications for surgery, various surgical procedures and their risks and effectiveness are all covered in this "all you need to know" podcast.Keaton Jones is an Academic Clinical Fellow at the University of Oxford, UK and Shaun Appleton is a Consultant Upper Gastrointestinal Surgeon at Buckinghamshire Healthcare Trust, UK

Daniel Couch and Jennifer Murphy tell you all you ever wanted to know about hernias in this audio podcast. They discuss definition, presentation, symptoms and signs and management of hernias of all kinds as well as complications of hernia and operations for hernia.Essential listening for all medical students and core trainees (interns) in surgery.Daniel Couch is a general surgical registrar and Jennifer Murphy a core trainee in surgery in the East Midlands in the UK.

This podcast contains all you need to know about the medical management of severe ulcerative colitis, from definitions, treatments, toxic megacolon, when to call the surgeon and many other things you will find useful to know whether a medical student, trainee in medicine or trainee in surgery.It is longer than many other podcasts from School of Surgery, but well worth the time, so make yourself a cup of tea and settle down to listen to Jon Lund talk to Bod Goddard about severe ulcerative colitis.Andrew "Bod" Goddard is a consultant gastroenterologist and Jon Lund a consultant colorectal surgeon, both working at the Royal Derby Hospital, UK

"Doctor - is it normal for that wound to be red and pus leaking from it? What shall I do?" It is inevitable that you will see post operative wound infections whether you work as a doctor or other healthcare professional, in primary care or in secondary hospital care. This podcast by Jennifer Murphy and Daniel Couch takes you through the definition, diagnosis, classification and treatment of post operative wound infections, starting from those occurring at the skin edge and working deeper, including cellulitis, infection, abscess and dehiscence. Best treatment and further management is also discussed.Essential listening for all doctors and other healthcare professionals involved in looking after patients after surgery and also for medical students trying to get a grounding in this area, often not well covered in text books.Jennifer Murphy is a Core Trainee in Surgery and Daniel Couch is a Higher surgical trainee in general surgery, both in the East Midlands, UK

Are you a viking who can't straighten your fingers, find it difficult to get your hand in your pocket and keep poking yourself in the eye when you're washing your face? If so, you might have Dupuytren's contracture. Benjamin Baker talks to Jill Arrowsmith about this common problem, discussing aetiology, diagnosis and treatment options in the latest in our plastic surgery podcasts.Dupuytren's contracture is common, and if you can diagnose it and discuss its management in undergraduate and postgraduate examinations, either as the main problem, or an incidental finding when you are examining the hands as part of your global assessment, you will be well on the way to a pass.Benjamin Baker is an academic foundation doctor and Jill Arrowsmith is a Consultant in Plastic and Reconstructive Surgery at the world famous Pulvertaft Hand Centre, in Derby, Uk

This audio podcast covers all you need to know about the aetiology, presentation, anatomy, and treatment of carpal tunnel syndrome.Ben Baker is an Academic Foundation Year 2 Doctor and Jill Arrowsmith is a Consultant Plastic and Reconstructive Surgeon in the renowned Pulvertaft Hand Centre, Royal Derby Hospital, UK