Brown Surgery Podcast

Today are going to dive into hepatoboliliary surgery. We are going to take a look at what a day in the life looks like, some of the factors that go into choosing a HPB fellowship, address some of the misconceptions of becoming a HPB surgeon and, of course, touch on the often discussed work-life balance.

Joining me to discuss this topic is our own HPB surgeon and assistant program director Dr Racheal Beard.

Dr Beard completed her undergraduate studies at Boston University. She then went on to Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA for medical school. She did her General Surgery Residency at Beth Israel Deaconess Medical Center in Boston, Massachusetts and then went on to HPB fellowship at the University of Pittsburgh Medical Center,  Pittsburgh, PA. 

Podcast Chapters:

(1:32) Why a Career in Surgery?

(3:24) Why clinical research years?

(5:33) Are clinical research years mandatory for HPB  

(6:45) What does a normal week look like for you?

(7:55) What does a typical HPB practice look like at other centers?

(9:31) Decision on HPB vs Surgical Oncology vs Transplant for a fellowship in this field?

(11:22) Tips and advice for those considering a career in HPB?

(12:25) What to look for in a HPB fellowship?

(13:54) Any misconceptions about HPB surgery

(15:19) Importance of institutional support

(16:57) Work-Life Balance? 

My email is [email protected]

Have a great week and I’m looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Today we are continuing our chief podcast series with Dr. Molly Hunter, MD. Molly is joining us today to speak about her experience with getting involved with global surgery and performing global surgery research. She has put together an excellent framework that anyone interested in this area will find extremely helpful as the plot their course in global surgery.

Podcast Chapters:

(0:32) Dr. Hunter's educational pedigree.

(1:18) Dr. Hunter's journey into global surgery.

(3:03) How to get involved with Global Surgery (GS) as a resident?

(4:36) Tips for those exploring GS options in residency programs. 

(5:55) GS and GS research.

(8:16) 4 components essential to GS/GSR: Mentorship

(12:27) 4 components essential to GS/GSR: Partnership

(16:26) 4 components essential to GS/GSR: Themes

(20:43) 4 components essential to GS/GSR: Funding

(23:38) Final tips and advice for those interested in GS/GSR

My email is [email protected]

Have a great week and I’m looking forward to having you back with us in the next episode of the Brown Surgery Podcast

In this episode, we are going to kick off our 2022 chief resident podcast series. This is something we started last year as a way for our chief residents to leave their mark here with us at brown by discussing a topic they are passionate about.

Today We are going to take a look at the decision to go into general surgery training. We’ll get into some of the factors that one should consider if they think this is the career pathway for them as well as what it takes to be a successful surgery resident at all stages of training. This is a great episode for medical students who are considering general surgery as a career and want to find out more about the process as a whole.   

Joining me to discuss this is our own chief administrative resident Dr. Andrew Varone.

Podcast Chapters:

(0:48) Dr. Varone's educational pedigree.

(2:06) Factors that led to a decision to pursue general surgery?

(3:29) Teams versus reality? 

(4:53) What about doing away rotations?

(5:43) Lifestyle of a general surgery resident?

(8:32) How best to prepare for a life in surgery?

(10:46) Research requirements for surgery residency?

(13:31) What to look for in choosing a surgery training program?

(16:45) How best to prepare to be a general surgery intern? 

(20:31) Tips on excelling as a senior surgery resident?

(23:22) Would you do it again?

My email is [email protected]

Have a great week and I’m looking forward to having you back with us in the next episode of the Brown Surgery Podcast

I’m excited to have our departmental wellness coach, Dr Daryl Appleton, M.ED, CAGS, LMHC, Ed.D. on with me today as we dive into various topics surrounding clinician wellness. We are going to touch on defining wellness, exploring imposter syndrome, discussing the 7 types of rest we should be engaging in, some of the themes she has noticed in talking with our residents and faculty over the past few years, as well as some stress reduction techniques we can apply when time is a factor.

 Podcast Chapters:

(0:46) Dr Appleton's journey into wellness. 

(3:14) How do you define wellness?

(5:57) The 7 different types of rest.

(14:47) Themes in talking with residents and faculty.

(17:34) Imposter syndrome.

(20:46) Stress reduction techniques.

(25:26) How can we get our partners engaged 

(28:56) If you haven't bought in to the concept of wellness yet.

Dr Appleton's Email: [email protected] 

Article on Imposter Syndrome in Surgery Residents: https://www.sciencedirect.com/science/article/abs/pii/S1072751521012308

My email is [email protected]

Have a great week and I’m looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Today are going to dive into vascular surgery. We are going to take a look at what a day in the life looks like, some of the factors that go into choosing a vascular fellowship, address some of the misconceptions and, of course, touch on the often discussed work-life balance.

Joining me to discuss this topic is one of our vascular surgeons Dr Carla Moreira.

Dr Moreira graduated from Rhode Island College in 2003 with B.A. in Biology and Chemistry. In 2008, she received her M.D. from Alpert Medical School of Brown University, Providence, RI, and completed residency in General Surgery at the University of Chicago, Chicago, IL in 2013. This was followed by 2-year fellowship training in vascular and endovascular surgery at Boston Medical Center, Boston, MA.

Podcast Chapters:

(1:12) Why a Career in Surgery?

(4:49) Why Vascular Surgery?

(10:04) What Does a Normal Week Look Like for You?  

(13:00) What Advice Would You Give for Students/Residents Considering a Career in Vascular Surgery?

(17:12) Integrated Versus Vascular Fellowships?

(21:00) Suggestions on What to Look for in a 2-Year Fellowship? 

(24:55) Misconceptions About Vascular Surgery?  

(26:56) Work-Life Balance?

Dr Moreira’s Email: [email protected]

Please visit Vascular.org to see resources available

My email is [email protected]

Have a great week and I’m looking forward to having you back with us in the next episode of the Brown Surgery Podcast

Welcome back to the Brown survey podcast.

Today we are going to kick things off with the important topic of enteral nutrition delivery in the acute care setting. Nutrition delivery can be a challenge at times on surgical services and there are always a lot of questions by clinicians on how to approach enteral delivery with patients, calculating individual caloric goals, route of nutritional delivery, and choosing the correct supplemental formulas.

Joining me to discuss this topic is Our local expert on surgical nutrition, Dr. Marion Winkler, PhD, RD, LDN, CNSC. Dr Winkler is a Professor of Surgery at the Alpert School of Medicine here at Brown and a Surgical Nutrition Specialist in the Department of Surgery and Nutritional Support Service at Rhode Island Hospital. 

Podcast Chapters:

(1:46) What are our goals with enteral nutrition delivery?

(3:12) When should we consider supplementing enteral nutrition?

(6:08) How do we determine caloric goals for patients

(9:05) Protein requirements in patients

(11:42) Which formula to choose  

(16:01) Route of administration: gastric vs post pyloric  

(17:23) Continuous versus Bolus feeding  

(19:04) Interruptions in feeding/volume based feeding  

(21:35) Gastric Residuals  

(24:15) How good are we at delivering nutrition 

(25:38) When to consider TPN administration 

ASPEN Guidelines: https://aspenjournals.onlinelibrary.wiley.com/doi/10.1002/jpen.2267

Today are going to dive into the topic of providing feedback in medical education. Today I thought it would be a good time to review this topic, including how we define feedback in the clinical context, the guidelines on how best to provide feedback to our learners and also some of the barriers that we encounter around this process. Joining me to discuss this topic is one of our local experts in adult education Dr Emily Green, PhD, MA. Dr Green is the Assistant Dean for faculty development here at The Warren Alpert medical school at Brown university.

Podcast Chapters:

(1:28) What is Feedback?

(2:38) Difference between Feedback and Evaluation?

(3:55) The Feedback/Sef-Assessment/Reflection Loop

(6:14) Discrepancy between Learner and Faculty Perception versus Reality around Feedback

(7:55) Guidelines to Provide Feedback

(9:00) Language to use when Providing Feedback

(11:00) Timing of Feedback

(12:14) Administering Negative Feedback

(14:25) Hearsay versus Direct Observation

(16:10) Incorporating Teach-Back in Feedback

(20:08) Location to Provide Feedback

(23:13) Barriers to Feedback

(24:36) How can Learners Engage Faculty to Provide Feedback

A good reference article on Providing Feedback can be found here: https://edu.umsu.ac.ir/uploads/Feedback_30000.pdf

Video Resources can be found here: https://facultydev.med.brown.edu/resources/evaluation

Today we are going to continue our career based podcast discussions and dive into the world of trauma surgery.  To help put this into better perspective, we asked Dr. Stephanie Lueckel, MD to join us on the podcast today. Dr Lueckel is an associate professor of surgery here at Brown and one of our trauma/critical care surgeons. She is also a wife and mother of 3 children.  I thought she would be a great guest to have on the podcast to explore some of the finer details about why she chose a career in trauma critical care, what a day in her life looks like, what residents should be looking for in a fellowship program, and to find out if work-life balance actually exists.

Welcome back to the brown surgery podcast. Today we are going to tackle the topic of sedation in critical care with our local Trauma ICU pharmacist Dr Shawn Whitehead, PharmD

The objectives for this podcast are to discuss some of the common medications we have at our disposal for sedating patients in the ICU, particularly those who are intubated on mechanical ventilation. We will also discuss the formal assessment of patients with agitation and factors that should be considered when working up these patients.

Article on the Richmond Agitation and Sedation Scale can be found at: https://www.atsjournals.org/doi/pdf/10.1164/rccm.2107138

Resources on the PADIS Guidelines at SCCM can be found here: https://www.sccm.org/iculiberation/guidelines

Do you have ideas for future podcast episodes? Please email me at [email protected]

Today we continue part 2 of our discussion on burn management with Drs Eric Benoit and Manuel Portalatin.  This episode is going to focus on fluid resuscitation as well as excision and grafting options for these patients.  

Eric is currently an assistant professor of surgery at Tufts University school of medicine and part of the trauma, ACS, surgical critical care faculty at Lahey hospital and medical center in Massachusetts.

Manny was one of our former critical care fellows, and now an attending burn surgeon at Loyola (This episode was recorded during Manny's fellowship year at MGH)

This is part 2 of a 2 part episode.