Cold Steel: Canadian Journal of Surgery Podcast Canadian Journal of Surgery

 Janice Kwan is an internist at Mount Sinai Hospital in Toronto. Her research interests focus on health care quality and diagnostic error. She collaborated with folks from the Canadian Medical Protective Association (CMPA) to investigate diagnostic errors in surgery. Her paper, published in the Canadian Journal of Surgery, highlight the significant consequences of diagnostic errors in surgery. We also talked about de-biasing techniques and other strategies for reducing diagnostic error in surgery.
Janice Kwan Twitter:  https://twitter.com/kwanjanice

 Links:
 Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada.  https://www.canjsurg.ca/content/67/1/E58 Diagnostic Process:  https://www.improvediagnosis.org/processes/the-diagnostic-process/ Improving Diagnosis in Healthcare:  https://nap.nationalacademies.org/resource/21794/interactive/ I-PASS tool:  https://www.ahrq.gov/teamstepps-program/curriculum/communication/tools/ipass.html Society to Improve Diagnosis in Medicine (SIDM) Fellowship in Diagnostic Excellence.  https://www.improvediagnosis.org/sidmfellowship/#:~:text=The%20Society%20to%20Improve%20Diagnosis,error%20community%2C%20and%20help%20you

 Most of us come out of training and have no idea on how to balance a busy clinical practice, academic interests, and most importantly, our home and personal lives. Mr. Adi Kumar is trying to change that. Mr. Kumar is a consultant neurosurgeon in the UK and has written a book called Work Less, Live More: The Doctor’s Guide for Time Freedom. We caught up with him to talk about his unconventional academic interests and his thoughts on how we as physicians can lead more fulfilling lives.
 Links:
Work Less, Live More e-book: https://adi-kumar.ghost.io/worklesslivemore/https://adi-kumar.ghost.io/Doctors and Writers: https://doctorsandwriters.com/X/Twitter: https://twitter.com/adi_kumar1#038 Why being a surgeon is a Loser's Game. https://adi-kumar.ghost.io/038-why-being-a-surgeon-is-a-losers-game/ The Neurosurgeons YouTube channel. https://www.youtube.com/c/TheNeurosurgeons

Shiva Jayaraman is a minimally invasive and hepatobiliary surgeon at St. Joseph’s Hospital. He’s been traveling around the world talking about his innovative peer-to-peer coaching program for bile duct injuries. Not only is this such an important clinical topic that virtually every general surgeon in the world has to deal with, but his group’s approach to coaching is something that we should be trying to replicate on a national and international level.
Make sure to check out part 2 of our interview with him, a masterclass on subtotal cholecystectomy: https://youtu.be/9ptTuPCJ8WA 
Twitter: @cutitoutPODCAS1
Shiva's YouTube: https://www.youtube.com/channel/UCKUnmUDH1z3c9VMR1iv6tpg 
Links:
Helping the Surgeon Recover: Peer-to-Peer Coaching after Bile Duct Injury. https://pubmed.ncbi.nlm.nih.gov/34111530/Shiva’s Approach to Tough Gallbags: https://www.youtube.com/watch?v=oX35O61qga0 The inferior boundary of dissection as a novel landmark for safe laparoscopic cholecystectomy. https://pubmed.ncbi.nlm.nih.gov/33648820/The Academy of Surgical Coaching. https://surgicalcoaching.org/Personal Best by Atul Gawande. https://www.newyorker.com/magazine/2011/10/03/personal-bestThinking your way through a difficult subtotal cholecystectomy. https://journals-lww-com.proxy.queensu.ca/journalacs/fulltext/2022/12000/thinking_your_way_through_a_difficult_laparoscopic.23.aspxTVASurg: www.tvasurg.ca/lapchole 

On this episode, we had the opportunity to speak with Beverly Blaney. Bev is a psychotherapist who has extensive experience doing therapy with physicians in particular, as well as conducting workshops on mindfulness for Queen’s School of Medicine. We asked her about her perspective on the psychological challenges surgeons experience during their training, and her thoughts on what we could do to make ourselves more resilient. 
Links
1.      Atomic habits by James Clear
2.      Essentialism: The Disciplined Pursuit of Less – Greg McKeown

We sat down with arguably the world expert on low anterior resection syndrome. Dr. Marylise Boutros (https://twitter.com/BoutrosMarylise) is an academic colorectal surgeon at Cleveland Clinic Florida.. Dr. Boutros talks about her pioneering research to understand and treat the challenging functional issues that patients must content with.
We also talk about her move to Cleveland Clinic and her advice for an academic surgical career.
Links:
Low Anterior Resection Syndrome: Predisposing Factors and Treatment.  https://pubmed.ncbi.nlm.nih.gov/34863592/Low Anterior Resection Syndrome in a Reference North American Sample: Prevalence and Associated Factors. https://pubmed.ncbi.nlm.nih.gov/37466264/ Financial and occupational impact of low anterior resection syndrome in rectal cancer survivors. https://pubmed.ncbi.nlm.nih.gov/33724620/ Assessing the readability, quality and accuracy of online health information for patients with low anterior resection syndrome following surgery for rectal cancer. https://pubmed.ncbi.nlm.nih.gov/30609222/ Comparison of the Colonic J-Pouch Versus Side-To-End Anastomosis Following Low Anterior Resection: A Systematic Review and Meta-Analysis. https://pubmed.ncbi.nlm.nih.gov/37507144/Bio (from Cleveland Clinic website)
Marylise Boutros is a Staff Colorectal Surgeon at the Cleveland Clinic Florida and the Regional Digestive Disease InstituteDirector of Research. Previously, Dr. Boutros was a Colorectal Surgeon at the Jewish General Hospital, Professor of Surgery at McGill University, and Colorectal Surgery Program Director. Having completed General Surgery residency at McGill University and Colorectal Surgery residency at Cleveland Clinic Florida, her clinical interests are advanced minimally invasive approaches to benign and malignant colorectal and anorectal diseases. She treats colon and rectal cancer, inflammatory bowel disease, diverticular disease, fecal incontinence and all anorectal disorders. 
Dr Boutros is a federally funded researcher who currently leads an internationally renowned research program focused on assessing innovations to improve recovery and functional outcomes after colorectal surgery using multicentre prospective trials, patient-centred interventions and patient-reported outcome measures. Within her research program, Dr Boutros has mentored over forty trainees and graduate students. Dr Boutros also has leadership roles in multiple international societies including Society of American Gastrointestinal and Endoscopic Surgeons, American Society of Colon and Rectal Surgeons, Canadian Society of Colon and Rectal Surgeons and the Canadian Association of General.

This is a re-broadcast to honour the memory of the "Boss" Dr. Feliciano.
Original shownotes:
It’s not an understatement to say that Dr. David Feliciano is a true giant in trauma surgery. Dr. David V. Feliciano received his medical degree in 1970 from Georgetown University in Washington, D.C. He completed his general surgery training at Mayo Clinic, in trauma at Wayne State University, and vascular surgery at Baylor College of Medicine (where he trained under Dr. DeBakey). He was Professor of Surgery at Emory University and Surgeon-in-Chief at Grady Memorial Hospital in Atlanta, Georgia from 1991 to 2011. He is now a Clinical Professor of Surgery at the University of Maryland and an attending surgeon at Shock Trauma.
We discuss with him how he recruited such amazing faculty, developing one’s technical skills, research, and the future of trauma.
1.Trauma textbook: www.amazon.ca/Trauma-Eighth-Erne…oore/dp/1259860671
2.“Everything You Ever Wanted to Know about Trauma” public lecture: www.youtube.com/watch?v=99yddsDe6oU
3.“Leftovers” by Dr. Feliciano has one of the best lines in a paper ever: At this point, the chief surgical resident on the trauma service met with the attending surgeon for violating his own well-known rule—“wounds that don’t heal contain dead tissue, infected tissue, cancer, or a foreign body.” www.ncbi.nlm.nih.gov/pmc/articles/PMC6263419/
4.Pitfalls in the management of peripheral vascular injuries. www.ncbi.nlm.nih.gov/pmc/articles/PMC5877918/