Join the Behind the Knife Surgical Oncology Team as we discuss “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial,” the randomized trial guiding duration of imatinib treatment for gastrointestinal stromal tumors (GIST). 

Hosts:
- Timothy Vreeland, MD, FACS (@vreelant) is an Assistant Professor of Surgery at the Uniformed Services University of the Health Sciences and Surgical Oncologist at Brooke Army Medical Center.
- Daniel Nelson, DO, FACS (@usarmydoc24) is Surgical Oncologist and current HPB fellow at MD Anderson.
- Connor Chick, MD (@connor_chick) is a Surgical Oncology fellow at Ohio State University.
- Lexy (Alexandra) Adams, MD, MPH (@lexyadams16) is a PGY-6 General Surgery resident at Brooke Army Medical Center.
- Beth (Elizabeth) Carpenter, MD (@elizcarpenter16) is a PGY-5 General Surgery resident at Brooke Army Medical Center.

Learning Objectives:

In this episode, we discuss the article “One versus Three Years of Adjuvant Imatinib for Operable Gastrointestinal Stromal Tumor: A Randomized Trial” published in JAMA in 2012. This study demonstrated that 3 years of imatinib led to improved recurrence-free and overall survival compared to 1 year.  

Links to Paper Referenced in this Episode
https://jamanetwork.com/journals/jama/fullarticle/1105116

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Journal Review in Surgical Oncology: Gastrointestinal Stromal Tumors (GISTs)

Though relatively rare, lateral abdominal wall hernias present a unique challenge to surgeons. Join Drs. Ajita Prabhu, Lucas Beffa, Sara Maskal and Ryan Ellis as they talk through their approach to these difficult cases.  

Hosts:  
· Ajita Prabhu, MD, Cleveland Clinic, @aprabhumd1 
· Lucas Beffa, MD, Cleveland Clinic, @BeffaLukeMD 
· Ryan Ellis, MD, Cleveland Clinic, @EllisMD2020 
· Sara Maskal, MD, Cleveland Clinic 

Learning Objectives:  
· Review anatomy of lateral abdominal wall hernias 
· Review pitfalls of operating in the retroperitoneum 
· Review surgical approaches to repair defects based on algorithmic assessment  

References: 
· Montelione KC, Petro CC, Krpata DM, Lau B, Shukla P, Olson MA, Tamer R, Rosenblatt S, Rosen MJ, Prabhu AS. Open Retromuscular Lateral Abdominal Wall Hernia Repair: Algorithmic Approach and Long-Term Outcomes at a Single Center. J Am Coll Surg. 2023 Jan 1;236(1):220-234. doi: 10.1097/XCS.0000000000000419. Epub 2022 Dec 15. PMID: 36106747. 
https://pubmed.ncbi.nlm.nih.gov/36106747/

· Beffa LR, Margiotta AL, Carbonell AM. Flank and Lumbar Hernia Repair. Surg Clin North Am. 2018 Jun;98(3):593-605. doi: 10.1016/j.suc.2018.01.009. Epub 2018 Mar 12. PMID: 29754624. 
https://pubmed.ncbi.nlm.nih.gov/29754624/

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Clinical Challenges in Hernia Surgery: Lateral Abdominal Wall Hernias

Do the words “Is there a doctor on board” fill you with anxiety? For Dr. Thomas Doyle, responding to in flight medical events is just another day at the office. As the medical director for STAT-MD, him and his team provide on the ground consultation for passengers experiencing medical events at 35,000 feet. In this episode we talk about what events are most common, what equipment is on board, what are the rules/regulations around providing medical assistance, and what ground consultation services like STAT-MD can help offer to you so you’re never alone if you hear that phrase “Is there a doctor on board?”

Guests:
Thomas J. Doyle, MD, MPH- Clinical Associate Professor of Emergency Medicine- University of Pittsburgh Medical Center; Medical Director, STAT-MD
Jessica Millar, MD- General Surgery Resident- University of Michigan; Education Fellow- Behind the Knife 
Major John McClellan, MD- Acute Care and Trauma Surgeon- University of North Carolina Chapel Hill 

Want to learn more from Dr. Doyle about in-flight medical events- you can check out one of his previous lectures here: https://www.upmcphysicianresources.com/cme-courses/emergencies-at-35000-feet-is-there-a-medical-provider-on-board

**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.

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In-Flight Emergencies

You have a patient referred to you for a history of anal dysplasia and found to have an anal lesion on colonoscopy. How do you evaluate this? What are the risk factors? How will you perform surveillance afterwards? Does everyone need HRA? Tune in to find out!

Join Drs. Peter Marcello, Jonathan Abelson, Tess Aulet and special guest Dr. Lisa Breen as they discuss high yield papers discussing Anal Dysplasia. 


Learning Objectives
1. Describe the different types of anal dysplasia and pathologic categorization
2. Describe high risk populations for development of anal squamous cell cancer
3. Discuss the different options and recommendations for surveillance and treatment of anal dysplasia 

Video Link: https://www.youtube.com/watch?v=YdOjV1Gcqvk 

**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.

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Journal Review in Colorectal Surgery: Anal Dysplasia and Anal Squamous Cell Carcinoma

You get called to see a consult in the middle of the night. It is a middle-aged woman with a bariatric history, and she says her stomach is smaller but doesn’t know the name of the operation. She developed worsening abdominal pain after dinner and it’s been getting worse. She’s not peritonitic, but she’s clearly in discomfort. Is it cholecystitis, diverticulitis, pancreatitis, marginal ulcer, or an internal hernia? What do you do? Join Drs. Matthew Martin, Adrian Dan, and Paul Wisniowski on a discussion about initial evaluation and management of bariatric patients with internal hernias. 

Show Hosts:
 Matthew Martin
 Adrian Dan
 Paul Wisniowski

Show Notes
1.     Initial Evaluation
a.     Focused history and physical, labs, and imaging
                                      i.     Presenting symptoms may vary and include: nausea, emesis, and abdominal pain ranging from vague to severe.  
                                     ii.     A basic lab panel can aid in developing the diagnosis and guide resuscitation.
                                    iii.     CT of the abdomen and pelvis with IV and oral contrast can assist in identifying intra-abdominal pathology
                                    iv.     Reviewing the previous operative report is beneficial to have a framework of the anatomy, i.e. type of bariatric surgery, and configuration of small bowel limbs (ante- vs retro-gastric and ante- vs retro-colic).
1.     According to a 2019 study, 40-60% of closed defects had reopened at time of re-exploration 
                                     v.     If the patient is peritonitic with abdominal pain, they should be treated similarly to any patient with an acute abdomen with emergent exploration.
b.     CT Imaging 
                                      i.     A mesenteric swirl sign with twisting of the soft tissue and mesenteric vessels with surrounding fat attenuation has been shown to have a sensitivity of 78-100% and specificity of 80-90%. Other findings include: a Bird’s beak, dilation of roux or biliopancreatic limbs, SMV narrowing, and displacement of JJ limb to the RUQ and can be used to support the diagnosis of internal hernia
                                     ii.     An experienced radiologist familiar with bariatric anatomy has been shown to have a positive predictive value to 81% and negative predictive value to 96% at radiologically diagnosing internal hernia. 
                                    iii.     A CT scan can provide insight for a suspected diagnosis but it cannot rule out internal hernia
c.      Nasogastric/Esophageal Tube
                                      i.     Use judiciously based on patient’s presenting symptoms
                                     ii.     Placement sho

Clinical Challenges in Bariatric Surgery: Internal Hernia

We know cardiac surgery can seem a bit daunting on the surface. However, most surgeons will come across cardiac surgery patients at some point whether in the OR, ICU, ED, etc. As the FIRST cardiac surgery specialty team for Behind the Knife, we are excited to bring you episodes focused on high-yield topics to help you navigate common cardiac surgery challenges, discuss relevant literature to help you in practice, and help our listeners feel more comfortable around cardiac surgery patients. 

In this episode we’ll discuss mitral valve disease. We’ll review important physiologic differences in patients with mitral valve disease, the most common surgical approaches to address mitral valve disease, and how to work up and address acute mitral regurgitation due to acute papillary muscle rupture. 

Hosts: 
- Jessica Millar, MD- PGY-5 General Surgery Resident, University of Michigan, @Jess_Millar15
- Aaron William, MD- Cardiothoracic Surgery Fellow, Duke University, @AMWilliamsMD
- Nick Teman, MD- Assistant Professor of Thoracic and Cardiovascular Surgery, University of Virginia, @nickteman

Learning objectives:
- Understand the physiologic differences that occur with mitral valve stenosis and regurgitation. 
- Understand the basic principles of mitral valve repair and replacement strategies. 
- Understand the presentation, work-up, and acute management of acute mitral valve regurgitations due to acute papillary muscle rupture/MI.  

For episode ideas/suggestions/feedback feel free to email Jessica Millar at: millarje@med.umich.edu

**Introducing Behind the Knife's Trauma Surgery Video Atlas - https://app.behindtheknife.org/premium/trauma-surgery-video-atlas/show-content
The Trauma Surgery Video Atlas contains 24 scenarios that include never-before-seen high-definition operative footage, rich, original illustrations, and practical, easy-to-read pearls that will help you dominate the most difficult trauma scenarios.

Clinical Challenges in Cardiac Surgery: Mitral Valve Disease

Our Cardiothoracic Oral Board Audio Review includes 43 high-yield scenarios designed for Cardiothoracic Surgeons by Cardiothoracic Surgeons.

Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as cardiothoracic surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test.

Learn more about the course and see all the episode topics here: https://app.behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review

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Behind the Knife Cardiothoracic Oral Board Review - Sample Episode 2 - Patent Ductus Arteriosus

Behind the Knife Cardiothoracic Oral Board Review - Sample Episode 1 - Hemoptysis and Infectious Lung Disease

REBOA is one spicy meatball!   On this episode, Drs. Nina Clark and Patrick Georgoff discuss the landmark UK-REBOA trial with Dr. Karim Brohi.  This is the first randomized controlled trial studying REBOA and provides invaluable information about its potential indications.   

Dr. Karim Brohi is a trauma and vascular surgeon at the Royal London Major Trauma Centre and director of the London Major Trauma System, which is the largest integrated urban trauma system in the world and manages over 33,000 injuries a year.  He studied at University College of London where he obtained degrees in both computer science and medicine.  Dr. Brohi went on to train in general surgery, vascular surgery, and anesthesia/critical care in the UK and trauma surgery in Cape Town and San Francisco.  He is a prolific researcher and has led multiple large clinical trials. 

Link to UK-REBOA paper: https://jamanetwork.com/journals/jama/article-abstract/2810757

BIG T Trauma episode 290 covers potential indications, placement, and complications of REBOA: https://behindtheknife.org/podcast/big-t-trauma-series-ep-2-reboa/

***TRAUMA SURGERY VIDEO ATLAS: https://app.behindtheknife.org/premium/trauma-surgery-video-atlas

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UK-REBOA Trial with Dr. Karim Brohi

Surgical resection of bilateral colorectal liver metastasis (CLM) can pose a significant challenge to even the most experienced HPB surgeon. Is surgical resection justified, if so, in which patients? What’s the best surgical approach for curative intent resection of all lesions, and does ablation play a role? In this episode from the HPB team at Behind the Knife, listen in on the discussion about the surgical management of patients with bilateral colorectal liver metastasis.

Hosts
Anish J. Jain MD (@anishjayjain) is a T32 Research Fellow at the University of Texas MD Anderson Cancer Center within the Department of Surgical Oncology.

Timothy E. Newhook MD, FACS (@timnewhook19) is an Assistant Professor within the Department of Surgical Oncology. He is also the associate program director of the HPB fellowship at the University of Texas MD Anderson Cancer Center. 

Jean-Nicolas Vauthey MD, FACS (@VautheyMD) is Professor of Surgery and Chief of the HPB Section, as well as the Dallas/Fort Worth Living Legend Chair of Cancer Research in the Department of Surgical Oncology at The University of Texas MD Anderson Cancer Center

Learning Objectives:
·      Develop an understanding of patient selection for surgical resection of bilateral colorectal liver metastasis (CLM).
·      Develop an understanding of the use of Two Stage Hepatectomy (TSH) versus Parenchymal Sparing Hepatectomy (PSH) in the treatment of bilateral CLM.
·      Develop an understanding of if and when to use ablative procedures for resection of bilateral CLM.
·      Develop an understanding of selection and management of patients who suffer recurrence after resection of bilateral CLM.

Suggested Readings
·      Omichi K, Shindoh J, Cloyd JM, Mizuno T, Chun YS, Conrad C, Aloia TA, Tzeng CD, Vauthey JN. Liver resection is justified for patients with bilateral multiple colorectal liver metastases: A propensity-score-matched analysis. Eur J Surg Oncol. 2018 Jan;44(1):122-129. doi: 10.1016/j.ejso.2017.11.006. Epub 2017 Nov 24. PMID: 29208318; PMCID: PMC5742306.
https://pubmed.ncbi.nlm.nih.gov/29208318/

·      Kawaguchi Y, Kopetz S, Tran Cao HS, Panettieri E, De Bellis M, Nishioka Y, Hwang H, Wang X, Tzeng CD, Chun YS, Aloia TA, Hasegawa K, Guglielmi A, Giuliante F, Vauthey JN. Contour prognostic model for predicting survival after resection of colorectal liver metastases: development and multicentre validation study using largest diameter and number of metastases with RAS mutation status. Br J Surg. 2021 Aug 19;108(8):968-975. doi: 10.1093/bjs/znab086. PMID: 33829254; PMCID: PMC8378514.
https://pubmed.ncbi.nlm.nih.gov/33829254/

·      Nishioka Y, Paez-Arango N, Boettcher FO, Kawaguchi Y, Newhook TE, Chun YS, Tzeng CD, Tran Cao HS, Lee JE, Vreeland TJ, Vauthey JN. Neither Surgical Margin Status nor Somatic Mutation Predicts Local Recurrence After R0-intent Resection for Colorectal Liver Metastases. J Gastrointest Surg. 2022 Apr;26(4):791-801. doi: 10.1007/s1160

Clinical Challenges in Hepatobiliary Surgery: Bilateral Colorectal Liver Metastasis

2023 was an exciting year for Surgical Palliative Care research! Join Drs. Katie O’Connell, Ali Haruta, Lindsay Dickerson, and Virginia Wang from the University of Washington to discuss two seminal randomized controlled trials in the Surgical Palliative Care space.

Hosts:
·    Dr. Katie O’Connell (@katmo15) is an Assistant Professor of Surgery at the University of Washington. She is a trauma surgeon, palliative care physician, Director of Surgical Palliative Care, and founder of the Advance Care Planning for Surgery clinic at Harborview Medical Center, Seattle, WA.
·    Dr. Ali Haruta is a PGY7 Hospice &amp; Palliative Care fellow at the University of Washington, formerly a UW General Surgery resident and Parkland Trauma/Critical Care fellow. 
·    Dr. Lindsay Dickerson (@lindsdickerson1) is a PGY5 General Surgery resident and current Surgical Oncology fellow at the University of Washington.
·    Dr. Virginia Wang is a PGY2 General Surgery resident at the University of Washington.

Learning Objectives:
·    Discuss the current state of the RCT literature in Palliative Care &amp; Surgical Palliative Care
·    Understand the primary outcomes of the Shinall and Aslakson trials as related to perioperative specialty palliative care intervention
·    Identify limitations in existing surgical palliative care RCTs &amp; further opportunities for study
·    Identify underlying differences between medical oncology and surgical oncology patient populations

References:
1.  Shinall MC, Martin SF, Karlekar M, et al. Effects of Specialist Palliative Care for Patients Undergoing Major Abdominal Surgery for Cancer: A Randomized Clinical Trial. JAMA Surg. 2023;158(7):747–755. doi:10.1001/jamasurg.2023.1396
https://pubmed.ncbi.nlm.nih.gov/37163249/

2.  Aslakson RA, Rickerson E, Fahy B, et al. Effect of Perioperative Palliative Care on Health-Related Quality of Life Among Patients Undergoing Surgery for Cancer: A Randomized Clinical Trial. JAMA Netw Open. 2023;6(5):e2314660. doi:10.1001/jamanetworkopen.2023.14660
https://pubmed.ncbi.nlm.nih.gov/37256623/

3.  Ingersoll LT, Alexander SC, Priest J, et al. Racial/ethnic differences in prognosis communication during initial inpatient palliative care consultations among people with advanced cancer. Patient Educ Couns. 2019;102(6):1098-1103. doi:10.1016/j.pec.2019.01.002
https://pubmed.ncbi.nlm.nih.gov/30642715/

4.  Bakitas M, Lyons KD, Hegel MT, et al. Effects of a palliative care intervention on clinical outcomes in patients with advanced cancer: the Project ENABLE II randomized controlled trial. JAMA. 2009;302(7):741-749. doi:10.1001/jama.2009.1198
https://pubmed.ncbi.nlm.nih.gov/19690306/

5.  Corn BW, Feldman DB, Hull JG, O&#39;Rourke MA, Bakitas MA. Dispositional hope as a potential outcome parameter among patients with advanced malignancy: An analysis of the ENABLE database. Cancer. 2022;128(2):401-409. doi:10.1002/cncr.33907
https://pubmed.ncbi.nlm.nih.gov/346136

Journal Review in Surgical Palliative Care: RCTs in Surgical Palliative Care

Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis.

Episode 4 outlines the complex perineal and soft tissue, urological, bone and vascular reconstructions that may be required as part of these multi-visceral resections, as well as how to approach challenging postoperative complications.

Each episode in this series features a different international guest surgeon. In episode 4, the RPA team are joined by A/Prof Gabrielle van Ramshorst from the Ghent University Hospital, Belgium.

Technical descriptions:

Ho K, Warrier S, Solomon MJ, Lee K. A prepelvic tunnel for the rectus abdominis myocutaneous flap in perineal reconstruction. J Plast Reconstr Aesthet Surg. 2006;59(12):1415-9. doi: 10.1016/j.bjps.2006.01.050. Epub 2006 Jun 22. PMID: 17113532.
https://pubmed.ncbi.nlm.nih.gov/17113532/

Jacombs AS, Rome P, Harrison JD, Solomon MJ. Assessment of the selection process for myocutaneous flap repair and surgical complications in pelvic exenteration surgery. Br J Surg. 2013 Mar;100(4):561-7. doi: 10.1002/bjs.9002. Epub 2012 Nov 27. PMID: 23188415.
https://pubmed.ncbi.nlm.nih.gov/23188415/

References:

Witte DYS, van Ramshorst GH, Lapid O, Bouman MB, Tuynman JB. Flap Reconstruction of Perineal Defects after Pelvic Exenteration: A Systematic Description of Four Choices of Surgical Reconstruction Methods. Plast Reconstr Surg. 2021 Jun 1;147(6):1420-1435. doi: 10.1097/PRS.0000000000007976. PMID: 33973948.
https://pubmed.ncbi.nlm.nih.gov/33973948/

van Ramshorst GH, Young JM, Solomon MJ. Complications and Impact on Quality of Life of Vertical Rectus Abdominis Myocutaneous Flaps for Reconstruction in Pelvic Exenteration Surgery. Dis Colon Rectum. 2020 Sep;63(9):1225-1233. doi: 10.1097/DCR.0000000000001632. PMID: 33216493.
https://pubmed.ncbi.nlm.nih.gov/33216493/

Sutton PA, Brown KGM, Ebrahimi N, Solomon MJ, Austin KKS, Lee PJ. Long-term surgical complications following pelvic exenteration: Operative management of the empty pelvis syndrome. Colorectal Dis. 2022 Dec;24(12):1491-1497. doi: 10.1111/codi.16238. Epub 2022 Jul 19. PMID: 35766998.
https://pubmed.ncbi.nlm.nih.gov/35766998/

Johnson YL, West MA, Gould LE, Drami I, Behrenbruch C, Burns EM, Mirnezami AH, Jenkins JT. Empty pelvis syndrome: a systematic review of reconstruction techniques and their associated complications. Colorectal Dis. 2022 Jan;24(1):16-26. doi: 10.1111/codi.15956. Epub 2021 Oct 25. PMID: 34653292.
https://pubmed.ncbi.nlm.nih.gov/34653292/

Persson P, Chong P, Steele CW, Quinn M. Prevention and management of complications in pelvic exenteration. Eur J Surg Oncol. 2022 Nov;48(11):2277-2283. doi: 10.1016/j.ejso.2021.12.470. Epub 2022 Ja

Pelvic Exenteration Surgery Series Episode 4: Reconstruction and Recovery

Join Professor Michael Solomon, Dr Kilian Brown and Dr Jacob Waller from Royal Prince Alfred Hospital in Sydney, Australia, for this special four part series on pelvic exenteration surgery for locally advanced and recurrent rectal cancer. Learn about these ultra-radical procedures which go beyond the traditional TME planes that we learn during surgical training, and into all compartments of the pelvis.

Episode 3 outlines the radical technical approaches to posterior and laterally invasive tumours, including en bloc iliac vascular resection and reconstruction, as well as radical sacrectomy techniques.

Each episode in this series features a different international guest surgeon. In episode 3, the RPA team are joined by Dr Oliver Peacock from the University of Texas MD Anderson Cancer Centre, USA.

Episode Video Link: https://www.youtube.com/watch?v=y25IYUiARgQ

Technical descriptions and videos:

Shaikh I, Holloway I, Aston W, Littler S, Burling D, Antoniou A, Jenkins JT; Complex Cancer Clinic St Mark&#39;s Hospital London. High subcortical sacrectomy: a novel approach to facilitate complete resection of locally advanced and recurrent rectal cancer with high (S1-S2) sacral extension. Colorectal Dis. 2016 Apr;18(4):386-92. doi: 10.1111/codi.13226. PMID: 26638828.
https://pubmed.ncbi.nlm.nih.gov/26638828/

Brown KGM, Solomon MJ, Austin KKS, Lee PJ, Stalley P. Posterior high sacral segmental disconnection prior to anterior en bloc exenteration for recurrent rectal cancer. Tech Coloproctol. 2016 Jun;20(6):401-404. doi: 10.1007/s10151-016-1456-0. Epub 2016 Mar 21. PMID: 27000857.
https://pubmed.ncbi.nlm.nih.gov/27000857/

Sutton PA, Solomon M, Sasidharan P, Lee P, Austin K. Abdominolithotomy sacrectomy for the management of locally recurrent rectal cancer: video vignette. Br J Surg. 2021 Aug 19;108(8):e257. doi: 10.1093/bjs/znab105. PMID: 34089593.
https://pubmed.ncbi.nlm.nih.gov/34089593/

Drami I, Fletcher JA, Corr A, West MA, Aston W, Hellawell G, Burns EM, Jenkins JT. Total pelvic exenteration with &#39;high and wide&#39; sacrectomy for recurrent rectal cancer: A video vignette. Colorectal Dis. 2022 Dec;24(12):1625-1626. doi: 10.1111/codi.16230. Epub 2022 Jul 18. PMID: 35730692.
https://pubmed.ncbi.nlm.nih.gov/35730692/

References:

Rajendran S, Brown KGM, Solomon MJ. Oncovascular surgery for advanced pelvic malignancy. Br J Surg. 2023 Jan 10;110(2):144-149. doi: 10.1093/bjs/znac414. PMID: 36427187.
https://pubmed.ncbi.nlm.nih.gov/36427187/

Austin KK, Solomon MJ. Pelvic exenteration with en bloc iliac vessel resection for lateral pelvic wall involvement. Dis Colon Rectum. 2009 Jul;52(7):1223-33. doi: 10.1007/DCR.0b013e3181a73f48. PMID: 19571697.
https://pubmed.ncbi.nlm.nih.gov/19571697/

Rogers AC, Jenkins JT, Rasheed S, Malietzis G, Burns EM, Kontovounisios C, Tekkis PP. Towards Standardisation of Technique for En Bloc Sacrectomy for Locally Advanced and Recurrent Rectal Cancer. J Clin Med. 2021 Oct 25;10(21):4921. doi: 10.3390/jcm10214921. PMI

Pelvic Exenteration Surgery Series Episode 3: Posterior and Lateral Compartment Tumours

Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam.

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Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/

Download our iOS and Android apps from your App Store.  You can easily search through our library of content, bookmark episodes for later and enjoy our premium content.  You can also take notes, pin chapters and download for off-line listening.    

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Behind the Knife ABSITE 2024 - Quick Hits 4

Behind the Knife ABSITE 2024 - Quick Hits 3

Behind the Knife ABSITE 2024 - Quick Hits 2

As the cost of living continues to rise, the salary and housing stipends of resident physicians are not keeping pace. Dr. Melissa Drezdzon and Dr. Jed Calata from the Medical College of Wisconsin have explored these issues in depth and share their insights. Join hosts Dr. Ananya Anand, Dr. Joe L’Huillier, and Dr. Rebecca Moreci and their special guests as they discuss the salary of resident physicians. 

Hosts:
–Dr. Ananya Anand, Stanford University, @AnanyaAnandMD, ananya_anand@stanford.edu
–Dr. Joseph L’Huillier, University at Buffalo, @JoeLHuillier101, josephlh@buffalo.edu
–Dr. Rebecca Moreci, Louisiana State University, @md_moreci, morecir@med.umich.edu
–COSEF: @surgedfellows

Special guests: 
-Dr. Melissa Drezdzon, Medical College of Wisconsin, @mdrezdzonmd, mdrezdzon@mcw.edu
-Dr. Jed Calata, Medical College of Wisconsin, jcalata@mcw.edu

Learning Objectives: 

Listeners will:
 – Appreciate the discrepancy between cost of living increases and stagnant resident salaries
– Describe how residency salaries are funded
– Recall the regional variation in resident stipends and access to affordable housing across the united states 
– List possible solutions for addressing this issue 

References:
 Drezdzon MK, Cowley NJ, Sweeney DP, Peterson CY, Ridolfi TJ, Ludwig KA, Evans DB, Calata JF. Going for Broke: The Impact of Cost of Living on Surgery Resident Stipend Value. Ann Surg. 2023 Dec 1;278(6):1053-1059. doi: 10.1097/SLA.0000000000005923. Epub 2023 May 25. PMID: 37226808.
https://pubmed.ncbi.nlm.nih.gov/37226808/

Drezdzon, M.K., Cowley, N.J., Sweeney, D.P., Peterson CY, Ridolfi TJ, Ludwig KA, Calata JF. A costly threat to GME: the housing crisis and residency training. Global Surg Educ 2, 85 (2023).
https://doi.org/10.1007/s44186-023-00157-x

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Journal Review in Surgical Education: The Salary of Resident Physicians

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Behind the Knife ABSITE 2024 - Quick Hits 1

Behind the Knife ABSITE 2024 – Brand new, up-to-date, high yield learning to help you DOMINATE the exam.

Don’t forget to check out our NEW ABSITE Podcast Companion Book available on Amazon: https://www.amazon.com/Behind-Knife-ABSITE-Podcast-Companion/dp/B0CLDQWZG3/ref=monarch_sidesheet

Download our iOS and Android apps from your App Store.  You can easily search through our library of content, bookmark episodes for later and enjoy our premium content.  You can also take notes, pin chapters and download for off-line listening.    

Behind the Knife would like to sincerely thank Medtronic for sponsoring the entire 2024 ABSITE podcast series.  Medtronic has a rich history of supporting surgical education, and we couldn’t be happier that they chose to partner with Behind the Knife.  Learn more at https://www.medtronic.com/

If you like the work that Behind the Knife is doing, please leave us a review wherever you listen to podcasts.  

Visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

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