Cold Steel: Canadian Journal of Surgery Podcast

Canadian Journal of Surgery
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The official podcast of the Canadian Journal of Surgery

  1. E189 - The Heart of the Matter: Paul Fedak on the Pursuit of Balance and Excellence

    1D AGO

    E189 - The Heart of the Matter: Paul Fedak on the Pursuit of Balance and Excellence

    Paul Fedak is a cardiac surgeon and translational scientist at the University of Calgary. He has written and spoken about what it means to pursue excellence and what it might cost us. Dr. Fedak unexpectedly had to cut short his clinical career as a surgeon due to spinal cord issues. The result has been a powerful exploration about identity, meaning, burnout and the pursuit of excellence. This is a conversation about that pursuit. Bio: https://profiles.ucalgary.ca/paul-fedak  Links: https://www.theglobeandmail.com/opinion/article-as-a-heart-surgeon-i-chased-excellence-it-cost-me-my-body-and-my-mind/http://paulfedak.com/https://www.ted.com/talks/paul_fedak_beyond_mastery_how_a_heart_surgeon_found_his_own_hearthttps://calgaryherald.com/opinion/columnists/opinion-the-mountain-decides-who-goes-and-who-stays

    53 min
  2. E188 - Systematic Review of Why I Changed My Rank List 14 Times The CaRMS Rank List Episode

    FEB 17

    E188 - Systematic Review of Why I Changed My Rank List 14 Times The CaRMS Rank List Episode

    It's that time of year again. Can you sense it? The anticipation, the anxiety, the dread, the wracking of heart and head? Yes, it's almost time for final year Canadian medical students across the country to submit their rank lists to CaRMS. On this episode we explore the history of CaRMS and the underlying matching algorithms. We then talk about some of our top tips when building your CaRMS rank list. What do you think? How did you make your rank list? Send us an email at podcast.cjs@gmail.com. Links: Young TA. Teaching medical students to lie. The disturbing contradiction: medical ideals and the resident-selection process. CMAJ. 1997 Jan 15;156(2):219-22. PMID: 9012725; PMCID: PMC1226912. https://pmc-ncbi-nlm-nih-gov.proxy.queensu.ca/articles/PMC1226912/ https://pmc-ncbi-nlm-nih-gov.proxy.queensu.ca/articles/PMC1226912/Roth AE. The origins, history, and design of the resident match. JAMA. 2003 Feb 19;289(7):909-12. doi: 10.1001/jama.289.7.909. PMID: 12588278.https://impact.stanford.edu/article/how-does-applied-economics-maximize-kidney-transplantsCal Newport’s books: https://calnewport.com/writing/

    25 min

  3. JAN 14 · BONUS

    Bonus Episode from EBRS Webinar: "Getting out of the bay faster: Assessing trauma team performance using trauma video review""

    This Evidence Based Reviews in Surgery (EBRS) webinar was filmed July 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. Bourke Tillmann and Dr. Emilie Joos. In this EBRS webinar, we discussed Getting out of the bay faster: Assessing trauma team performance using trauma video review" (Maiga et al., 2024). Links: Maiga AW, Vella MA, Appelbaum RD, et al. Getting out of the bay faster: Assessing trauma team performance using trauma video review. J Trauma Acute Care Surg. 2024;96(1):76-84. doi:10.1097/TA.0000000000004168

    58 min

  4. JAN 14 · BONUS

    Bonus Episode from EBRS Webinar: "Structured Exercise after Adjuvant Chemotherapy for Colon Cancer"

    This Evidence Based Reviews in Surgery (EBRS) webinar was filmed November 2025. This webinar was moderated by Dr. Alison Laws and Dr. Ameer Farooq, and featured panelists Dr. Nicole Culos-Reed, Dr. Christopher Booth and Dr. Bishal Gyawali. In this EBRS webinar, we discussed Structured Exercise after Adjuvant Chemotherapy for Colon Cancer (Courneya et al., 2025). Links: Courneya KS, Vardy JL, O’Callaghan CJ, et al. Structured Exercise after Adjuvant Chemotherapy for Colon Cancer. N Engl J Med. 2025;393(1):13-25. doi:10.1056/NEJMoa2502760

    58 min

  5. JAN 14 · BONUS

    Bonus Episode from EBRS Webinar: "The INSEMA Trial: Axillary Surgery in Breast Cancer & The SOUND Randomized Control Trial"

    This Evidence Based Reviews in Surgery (EBRS) webinar was filmed May 2025. This webinar was moderated by Dr. Alison Laws and Dr. Kerollos Wanis, and featured panelists Dr. Stephanie Wong, Dr. Sarah Knowles and Dr. Rebecca Warburton. In this EBRS webinar, we discussed Axillary Surgery in Breast Cancer--Primary Results of the INSEMA Trial (Reimer et al., 2024) & Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes (Gentilini et al., 2023). Links: Gentilini, O. D., Botteri, E., Sangalli, C., Galimberti, V., Porpiglia, M., Agresti, R., Luini, A., Viale, G., Cassano, E., Peradze, N., Toesca, A., Massari, G., Sacchini, V., Munzone, E., Leonardi, M. C., Cattadori, F., Di Micco, R., Esposito, E., Sgarella, A., Cattaneo, S., … SOUND Trial Group (2023). Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA oncology, 9(11), 1557–1564. https://doi.org/10.1001/jamaoncol.2023.3759Reimer, T., Stachs, A., Veselinovic, K., Kühn, T., Heil, J., Polata, S., Marmé, F., Müller, T., Hildebrandt, G., Krug, D., Ataseven, B., Reitsamer, R., Ruth, S., Denkert, C., Bekes, I., Zahm, D. M., Thill, M., Golatta, M., Holtschmidt, J., Knauer, M., … Gerber, B. (2025). Axillary Surgery in Breast Cancer – Primary Results of the INSEMA Trial. The New England journal of medicine, 392(11), 1051–1064. https://doi.org/10.1056/NEJMoa2412063

    1h 5m

  6. JAN 14 · BONUS

    Bonus Episode from EBRS Webinar: "Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones"

    This Evidence Based Reviews in Surgery (EBRS) webinar was filmed February 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. James Byrne, Dr. Kimberly Bertens and Dr. Sean Gregg. In this EBRS webinar, we discussed Restrictive Strategy vs Usual Care for Cholecystectomy in Patients with Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial (Comes et al., 2024). Links: Comes DJ, Wennmacker SZ, Latenstein CSS, et al. Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. JAMA Surg. 2024;159(11):1235-1243. doi:10.1001/jamasurg.2024.3080

    58 min

  7. JAN 14 · BONUS

    Bonus Episode from EBRS Webinar: "Safe Laparoscopic Cholecystectomy: Practices, Preparation, and Prevention"

    This Evidence Based Reviews in Surgery (EBRS) webinar was filmed January 2022, in collaboration with UNITAR. This webinar was moderated by Dr. Chad Ball and Dr. Neel Detta, and featured panelists Dr. Keith Lillemoe, Dr. Majella Doyle and Dr. Jeff Barkun. In this EBRS webinar, we discussed Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy (Brunt et al., 2020). Links: Brunt LM, Deziel DJ, Telem DA, et al. Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy. Ann Surg. 2020;272(1):3-23. doi:10.1097/SLA.0000000000003791

    1h 5m
  8. E187 - Krista Goulding on Pelvic Sarcomas, 3D Printing, and What Patients Really Want

    12/23/2025

    E187 - Krista Goulding on Pelvic Sarcomas, 3D Printing, and What Patients Really Want

    The William Ersil Research day invited guest and moderator for 2025 was Dr. Krista Goulding.  Dr. Goulding is an Orthopedic Surgeon at Mayo Clinic Arizona, where she specializes in caring for patients with sarcomas and other cancerous and non-cancerous tumors of the musculoskeletal system.  Dr. Goulding’s expertise is in limb preservation surgery using innovative techniques (synthetic and bone transplants, 3D printed and patient-specific implants, joint replacement). Her goal is to cure cancer while preserving function and quality of life. She is involved in research on a national and international scale, and is currently researching ways to improving surgical, oncologic and health-related quality of life outcomes for patients with malignant bone and soft tissue cancers. In this “How I Built This” segment of the research day, we explored Dr. Goulding’s career. Links: What are the 2-year survivorship outcomes of custom hemipelvis reconstruction after hemipelvectomy and revision arthroplasty? The evolution of a custom ilium "monoflange". https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/36255157/Košir U, Denis-Larocque G, Tsimicalis A, Freeman C, Turcotte RE, Cury F, Alcindor T, Goulding K. Psychological functioning, coping styles and their relationship to appraisal of physical limitations following invasive surgical procedures for soft-tissue sarcoma: A qualitative study. J Surg Oncol. 2020 Jun;121(8):1266-1275. doi: 10.1002/jso.25915. Epub 2020 Mar 27. PMID: 32221986.

    30 min
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