In part 1 @CleoKenington, ASGBI lead for Sustainability, told us about the huge problem healthcare has with greenhouse emissions and what to do about improving pathways to minimise healthcare impact, In this eposode Cleo tell us what each of us can do once the patient gets to theatre. Practical solutions for all surgeons to embrace. Be part of the solution!Useful links: Resources for how to offer lifestyle advice to prevent disease:http://makingeverycontactcount.co.uk/training/healthy-lifestyle-information/https://www.e-lfh.org.uk/programmes/making-every-contact-count/To promote Shared decision making and improved perioperative see Centre for Perioperative care:https://cpoc.org.uk/about-cpocLean Healthcare pathwayshttps://sustainablehealthcare.org.uk/what-we-do/green-surgery-challengeCompanies that produce reusable kit:Hybrid Laparoscopic Ports, scissors & Clip applicatorshttps://www.surginno.com/resposable-8-2/Reprocessed Harmonic scalpelshttps://www.vanguard-medical.com/harmonic-scalpel/The zero waste operating theatre:https://www.ecoquip.eu/procurement-projects/towards-zero-waste-operating-theatres.html

In the UK, the National Health Service accounts for 5.4% of the carbon emissions for the whole country! Surgery accounts for 5-10% of this total. The target is an 80% reduction in greenhouse emissions by 2028. Find out what's going on and what you and your unit can do to save slow global warming in this podcast by @CleoKenington, Emergency Surgeon and ASGBI lead for sustainability. This is everyone's problem - be part of the solution!Links to helpful sites below:Resources for how to offer lifestyle advice to prevent disease:http://makingeverycontactcount.co.uk/training/healthy-lifestyle-information/https://www.e-lfh.org.uk/programmes/making-every-contact-count/To promote Shared decision making and improved perioperative see Centre for Perioperative care:https://cpoc.org.uk/about-cpocLean Healthcare pathwayshttps://sustainablehealthcare.org.uk/what-we-do/green-surgery-challengeCompanies that produce reusable kit:Hybrid Laparoscopic Ports, scissors & Clip applicatorshttps://www.surginno.com/resposable-8-2/Reprocessed Harmonic scalpelshttps://www.vanguard-medical.com/harmonic-scalpel/The zero waste operating theatre:https://www.ecoquip.eu/procurement-projects/towards-zero-waste-operating-theatres.html

All you need to know about investigation and treatment of this common and serious condition. Indications for pneumatic or hydrostatic reduction, plus operative intervention and complications are all covered.There are fantastic, beautifully handwritten notes to accompany both podcasts that you can download here: https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharingShalinder Singh is a consultant in Paediatric Surgery in Nottingham, UK, and David Kiely is a trainee in Paediatric Surgery in the East Midlands of the UK

David Kiely asks Shalinder Singh about intussusception, a common and serious cause of abdominal pain in children aged 3 months to 3 years.This podcast covers all you need to know about the incidence, history and examination of intussusception. Part 2 covers investigation and treatment.Accompanying notes can be downloaded from here https://drive.google.com/file/d/1BTNoeYe-csn0X2mTsb3rGJ38o5KKyQdy/view?usp=sharing

You'll need to operate on about 1/3 patients with SBO. Matt Lee tells you what approach is best and when, and how to look after your patients after the operationMatt Lee is Clinical Lecturer in Surgery at the University of Sheffield and a recognised leader in the management of SBO

Who's going to settle with drip and suck and who isn't? Matt Lee tells you how to tell, who to operate on and when and not to forget that patients with small bowel obstruction need feeding!Further reading: https://bmjopen.bmj.com/content/9/7/e029235.abstract

Once you've diagnosed small bowel obstruction, Matt Lee tells us the best initial managementMatt Lee is Clinical Lecturer in Surgery at the University of Sheffield and a world expert in small bowel obstruction

Matt Lee talks about causes of small bowel obstruction, important points in the history and examination.Matt Lee (@wannabehawkeye) is a Clinical Lecturer in Surgery at the University of Sheffield

If the National Audit of Small Bowel Obstruction was a car, Matt Lee is the engine and most of the other moving parts. In this podcast Matt (@wannabehawkeye) talks about NASBO and its main findings and recommendations.Further reading here: https://academic.oup.com/bjsopen/article/3/3/354/6060819

All you need to know about the management of this complex abdominal wall defect of the newborn. Similar to but different from exomphalos (listen to our other episode on that condition).With David Kiely and Shalinder Singh

All you need to know about the management of this complex abdominal wall defect of the newborn.With David Kiely and Shalinder Singh

Learn about pre-operative resuscitation and operative management of pyloric stenosis. Essential listening for anyone who is learning to operate on children.With David Kiely and Mike John.

All you need to know about the aetiology, history, examination and investigation of pyloric stenosis. Essential listening for anyone who treats children, be you surgeon, paediatrician, ED doctor or GP/family doctor.With David Kiely, Mike John and those squeaky chairs again

All you need to know about management of the acute scrotum in children.With David Keily, Mike John and 2 squeaky chairs!

All you need to know about the diagnosis and management of hydrocoele in children. How it is different from hydrocoeles in adults and the central importance of the processus vaginalis, differential diagnosis, investigations and treatment are all covered. Special cases of hydrocoele of the Canal of Nuck and the abdomino-scrotal hydrocoele are also covered, as well as the acute hydrocoele and implications. In addition, learn about the fantastically named "spring back balls sign"!With David David Keily and Shalinder Singh.

In part 2 of this podcast learn how to deal with emergency presentations of inguinal hernia in children, top tips on how to reduce an inguinal hernia in children, indications and timing of surgery and what to tell parents. Operative approach and special considerations for females with inguinal hernia are also discussed. Essential listening for trainees in paediatric surgery and emergency department doctors.David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, UK

Inguinal hernias are one of the most common conditions in paediatric surgery and this podcast is essential listening for anyone dealing with hernais in children in primary of secondary care. How paediatric hernias different are from adult hernias, predisposing factors for hernia and the central importance of the patient processus vaginalis are discussed, along with presentation, tricks to aid diagnosis in children and the differential diagnosis of lumps on the groin of a child. Complications of inguinal hernia in children are classified and explained.David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, UK

Now you know how much fluid to give, Shalinder Singh tells David Keily what fluid to use and why in a range of settings from trauma to pyloric stenosis to maintenance fluids in children. When and why to use crystalloid or colloid is explained. Side effects of using the wrong fluids are also covered, including acid/base balance problems and ARDS. Essential listening for anyone prescribing IV fluids for children.David Keily is a trainee in paediatric surgery in the East Midlands, UK, and Shalinder Singh is a consultant paediatric surgeon and FRCS(Paed) examiner working at University Hospitals Nottingham, Uk

Prescribing fluids in paediatric surgical patients can be daunting. This podcast tells you easy to remember ways of recognising the degree of fluid loss, why signs like diastolic hypertension are important and a method of calculating how much fluid to prescribe whatever the age of your patient. David Keily talks to Shalinder Singh about dehydration, on going fluid loss and maintenance fluids in children. After this podcast you will never be daunted again.David Keily is a trainee in Paediatric Surgery in the East Midlands of the UK, and Shalinder Singh is a consultant Paediatric Surgeon and Examiner for FRCS(Paed) working in University Hospitals, Nottingham, UK

How to recognise and interpret a normal ECG, with Dr. Julia Baron. All you need to know

Third podcast in the ECG series this is an easy to follow, step by step way to recognise and interpret ECGs (EKGs) in acute coronary syndromes, ST-elevation myocardial infarction, and non ST-elevation myocardial infarction. Dr. Julia Baron's legendary teaching captured in a podcast

All you need to know about the treatment of haemorrhoids with Professor Steve Brown, the brains behind the HubBLe trail.Definitions, conservative, outpatient and operative treatments in standard and special situations are covered, and the evidence for each. Steve also tells us why we should use the same outcome parameters in future trials in haemorrhoids

Helen Mercer shows Jon Lund how to scrub and put on gloves and a gown for an operation.Essential viewing for medical students and nursing students

Learn the basics of the ECG - why it looks like it does, how each of the chest and limb leads "look at" the heart, what the P, Q R, S and T waves represent in the heart itself and how to work out the axis of the ECG amongst a load of other essential basics you need to know before you can begin to interpret an ECG further.Hannah Phillips talks to Julia Baron, Consultant Cardiologist at the Royal Derby Hospital, UK

Recorded at the International Conference of Anal Fistula Treatment in Rome 2018, Techniques in Coloproctology interview Phil Tozer, a consultant at the world famous St Mark's Hospital, UK about current treatments for anal fistula. Phil takes us through why not to place a seton in the acute setting, the 5 factors preventing healing of fistulas, and the pros and cons of the whole range of fistula treatment including plugs, fibrin glue, permacol, LIFT, the place of sphincter repair, restoring the contour of the anus, VAAFT (including "palliative VAAFT and delta VAAFT"), FiLAC and finally the promise of stem cells in fistula. Essential listening for anyone who treats anal fistula.

Professor Susan Anderson helps you recognise and understand the similarities and differences between the microscopic appearances of skeletal, cardiac and smooth muscle. All you need to know.Susan Anderson is Professor of Pathology at the University of Nottingham, UK

Professor Susan Anderson shows you the microscopic structure of the largest organ in the body - the skin.All you need to know about the structure and the cells of the skin and associated glands and hairs.Great for learning, revising for exams or if you're just interested to see what you look like down the microscope

Professor Susan Anderson shows us what the layers of cells that cover our outsides and our insides look like down the microscope. Learn how to recognise each type of epithelium and why they need to be different. Also learn the suprising meaning of the word epithelium...

Take a microscopic tour down the urinary tract from the kidney to the bladder with Professor Susan Anderson. See the unique transitional cell epithelium and the muscular arrangement of the organs. All you need to know for exams or to amaze your friends.

Susan Anderson shows you the layers of the kidney, and how the function of the kidney depends on its microscopic anatomy. SHe takes you on a tour of the glomerulus, Bowman's capsule, the juxtaglomerular apparatus, loop of Henle and the collecting ducts, telling you all you need to know about the structure and cell types involved.Susan Anderson is Professor of Pathology at the University of Nottingham

The management of early rectal cancer is becoming increasingly complex.Find out all you need to know about diagnosis, staging, treatment, follow up and prognosis in this podcast.Steve Schlichtemeier is the colorectal robotic surgical fellow at the Royal Derby Hospital, UK and Bill Speake is a consultant colorectal surgeon and recent past ECAG lead for the East Midlands of the UK

In the second podcast on radiotherapy, Sindu Vivekanandan explains to Keaton Jones what is meant by the terms adjuvant and neoadjuvant, what the 3 main ways of delivering radiotherapy are, in which tumour radiotherapy is effective and in which it isn't, and the limiting factors and side effects associated with radiotherapy.Essential listening for anyone who's patients receive radiotherapy as part of their treatment.Keaton Jones is an academic surgeon at the University of Oxford, UK and Sindu Vivekanandan is a consultant oncologist.

Keaton Jones asks Sindu Vivekanandan what is radiotherapy, how it works and why we use it. Dose and fractionation are explained along with the '4Rs' of radiobiology: repair, reassortment, repopulation and reoxygenation. Toxicity is discussed as well as methods for increasing the effect of treatment on target tissues.Essential listening for surgeons and anyone who's patients receives radiotherapy as part of their treatment.Keaton Jones is an academic surgeon at the University of Oxford, UK and Sindu Vivekanandan is a consultant oncologist.

Rick Nelson knows more about anal fissure than almost anyone in the world and has recently published a comprehensive meta-analysis of the evidence supporting treatment for anal fissure in the leading journal, Techniques in Coloproctology.There are some surprises that will challenge what you think you know about efficacy of topical treatments, anal stretch, and the much lower than previously thought incidence of impairment of continence after sphincterotomy.Invaluable listening for updating knowledge or revising for an exam.You can read the full paper at http://bit.ly/2yeyCEZ A systematic review and meta-analysis of the treatment of anal fissure. Techniques in ColoproctologyAugust 2017, Volume 21, Issue 8, pp 605–625

How to recognise and immediately manage complications of sleeve gastrectomy and gastric bypass are discussed in the second part of this podcast. Understand why bariatric patients clinical examination might be unreliable, why vomiting or jaundice are danger symptoms which may need emergency intervention, why NSAIDs and smoking are very dangerous in bypass patients and many more things you're going to find very useful when on call or in an exam!Mapped to the 2016 General Surgery syllabus.Cat Boereboom is a trainee in surgery in the East Midlands, UK and Sherif Awad is a consultant in bariatric surgery at the East Midlands Bariatric Institute, based at the Royal Derby Hospital, UK

You're not a bariatric surgeon, but you need to know how the immediate management of complications of bariatric surgery because they might well come in to your hospital, even if its not a bariatric surgical centre.In the first of 2 podcasts, Cat Boereboom talks to Sherif Awad about recognition of complications of gastric band and what to do when you see them. You'll also be able to recognise when a band is in the right place and when it has slipped, what a Huber needle is and what to do with it and what to do if you don't have one, port infection and lots more.Part 2 covers sleeve gastrectomy and gastric bypass.Mapped to the General Surgery 2016 syllabus.Cat Boereboom is a trainee in the East Midlands, UK and Sherif Awad is a consultant bariatric surgeon at the East Midlands Bariatric Institute based at the Royal Derby Hospital, UK

For decades the only real option for perforated diverticular disease was a Hartmann's procedure, but there has been a lot of interest in the less invasive and stoma saving laparoscopic lavage and drainage procedure as an alternative. But is it effective? Jon Lund talks to David Humes about the background and the evidence for and against peritoneal lavage as a treatment for this common colorectal emergency. David Humes is Associate Professor of Surgery at the University of Nottingham, UK and an NIHR Postdoctoral Fellow. Get the meta-analysis referred to in the podcast here (http://bit.ly/2peBO1J)

A host of practical tips on difficult urethral catheter insertion, changing a suprapubic catheter, managing a 3-way catheter, what to do when you're called about testicular pain, paraphimosis or a nephrostomy.When you have listened to this podcast by Philly Horner and Suzie Hall you will be much more confident about how to manage these common problems yourself and be able to do it safely, knowing when you should ask for help. Essential listening for all foundation doctors, interns, and medical students, whatever your speciality

Dr Ruediger Prosst, Director of The Proctological Institute in Stuttgart, Germany, tells Jon Lund about his experience in treating the often challenging problem of high and complex anal fistula using a novel, sphincter sparing clipping device. This podcast links to Tech Coloproctol (2016) 20: 753. doi:10.1007/s10151-016-1537-0

All you need to know about the classification, presentation, diagnosis, investigation and treatment of causes of haematuria: Philly Horner talks to Simon Williams, Consultant Urological Surgeon

"Doctor, Mrs Smith's calcium is 2.9, what do you want me to do?"Cat Boereboom talks to Roger Stanworth about all aspects of the presentation, diagnosis and treatment of both high and low calcium. Once you've listened to this podcast you will know how to manage any calcium disorder. Mapped to the General Surgery 2016 curriculum, this podcast is also very useful listening to those taking MRCS or FRCS, as well as medical school finals.Cat Boereboom is a trainee in General Surgery, and Roger Stanworth is Clinical Lead for Diabetes and Endocrinology at the Royal Derby Hospital, UK

Philly Horner talks to Gill Tierney about the presentation, diagnosis and treatment of small bowel obstruction, a very common condition presenting as an emergency. This podcast contains all you need to know if you're a medical student, foundation doctor (intern), or early years trainee in surgery.Sorry about the sound in places, this was recorded on location without our usual high quality mic. Best on headphones.

All you need to know about how to interpret the results of a meta analysis in 14 minutes and 15 seconds.If you find yourself in an exam and asked to review a meta analysis in an interview or an exam, or even if you're reading one in a journal to inform your clinical practice, this will be the best 1/4 hour you have spent in ages.If you want a more detailed explanation and to properly understand the process, then download our other podcast about meta analysis, which gives the background to all you see here. With Brett Doleman and Jon Lund

When you are doing surgery you need to know what the instruments are called and what they are used for. In this easy to follow guide, Jon Lund and June Brown take you through the instruments you will find on a basic surgical tray, the most common tray you will use when you are starting surgery. You'll learn the names of the instruments, why there are that shape, what they are used for, and some top tips on how to use them.Essential for medical students, people starting surgical training and student nurses on theatre placement.

A is the first letter of ABC and is the first thing to get right when managing a trauma patient. It can be very challenging and time is pressured. In this advanced level podcast for anaesthetists and surgeons involved in trauma management, Andrew Deytrikh talks to Craig Morris about how to manage the airway in critically ill and unstable patients, those with unstable cervical spines, patients with severe facial injury, burns and other injuries with airway implications. What to do when standard measures fail is also discussed, including the when, who and how of surgical airway formation.Listen now, so that you know what to do when you're in this situation.

Meta analysis is a very common way of bringing together data to help us decide which treatments might be best. BUT, you have to take care when interpreting them - there's a lot more to it than just looking which side of the line the little black diamond is on! How do you construct a search for a systematic review?Can you trust the result of a meta analysis? How do you know if it has been done well? How to recognise different kinds of bias, how to interpret a forest plot, and funnel plot and a bubble plot. What is the I squared statistic and what does it tell you about the data and how much to trust the result?These and many more things to do with these common but complex analyses is explained by Brett Doleman, statistical guru!Star in national selection academic station and FRCS academic viva

Knowing how to chose the correct statistical test is essential if you're analysing data, reading a paper or sitting in the academic stations of the FRCS or National Selection. Watch this podcast by statistical guru Brett Doleman and you'll know how to chose the right test or know if the right one has been chosen. Using a step by step, easy to follow decision tree, Brett takes you to the correct test for the type of data you have. Statistical tests demystified forever!

Functional Constipation is a really challenging condition to treat in gastroenterology and surgery. In this podcast Jon Lund asks Robin Spiller about the condition, the underlying physiology, how to differentiate from IBS constipation and the range of treatments for FC. This podcast will tell you all you need to know and more.Robin Spiller is Professor of Gastroenterology at the University of Nottingham, UK, former editor of GUT, author of the Rome III criteria and world leading expert in this field

See if you can get to the correct answers before James Cassidy does in the third and final part of Naomi Laskar's interactive teaching video on causes of chest pain you might see when covering the wards.Really useful things to know in the middle of the night when there's no-one else around!

Naomi Laskar puts James Cassidy through his paces again in the second case of chest pain you are likely to come across as an F1/intern on a surgical or other ward.See if you can get the right answers before James in this interactive teaching video.All the benefits of small group teaching without the pain!

Naomi Laskar teaches James Cassidy in an interactive video on chest pain on the surgical ward. Using a series of cases common causes of chest pain are discussed and the video will help you to develop a structured approach to reviewing chest pain and understand the basic management of chest pain. Common life threatening and non life threatening causes are covered, with important points in the history, examination, investigation, treatment and prognosis explained, with plenty of acronyms to help you remember. Pause the video as you go to write down what you think are the correct answers. All the benefits of small group teaching without any of the pain!

Its never too early to think about getting yourself ready for successful application to core surgical training, be you medical student or foundation doctor.In this podcast Ricky Ellis and Susan Hall explain the process and give their tips for success.Good luck!

It is not uncommon to be called to see a patient who has experienced a sudden change in their mental state. The patient is often suffering from one of the forms of delirium, and puts them at increased risk of complication, injury and death.In this podcast Ricky Ellis and Christine Taylor discuss what delirium is, why it is important, how to recognise it, who is at risk, how we can prevent it and how we can treat it

Assessing the capacity of patients is an essential skill for all doctors, not least surgeons, as it is intimately related to taking consent and treating any patient correctly.In one of the most important podcasts from the School of Surgery, Ricky Ellis and Christine Taylor discuss capacity, the Mental Capacity Act, how to assess and enhance capacity and how to care for patients without capacity. The 5 key principles of the Mental Capacity Act are clearly explained as is how to act in the best interest of patients without capacity - for example, the unconscious patient who requires life threatening surgery, with a best interests checklist to help you do thing correctly. How to deal with Advanced Directives or advanced decisions to refuse treatment is clearly explained here too.Its a long podcast but not knowing about issues related to capacity can lead to charges of assault being brought or omission of care leading to charges of negligence. This may be one of the most important 20 minutes you can spend, whether you are a medical student, doctor or anyone else involved in the treatment of patients.

Every surgeon needs to obtain informed consent before proceeding with any procedure. Ricky Ellis talks to Daniel Couch about consent, how best to take it and the framework around consent. Essential listening for any medical student and surgeon in training.Ricky Ellis and Daniel Couch are both training in Surgery in the East Midlands of the UK at the Royal Derby Hospital

Funnel plots are a central part of how the results of a meta analysis are presented. Learn what they are, what they mean and how to interpret them with Rob Radcliffe.

In the third and final episode of this series, Phil Herrod talks to Mark Sibbering about how to treat breast cancer with surgical and hormonal, chemo and radiotherapies, discussing the indications for each.

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

TO VIEW PLEASE DOWNLOADRisk factors, history, signs, X-ray appearances and classification of fractured neck of femur are all covered in this video podcast aimed at medical students and interns/foundation/core doctors in training.Next time you see someone on a trolley in the ER with a shortened externally rotated leg you'll know exactly what to do. Naomi Laskar and Pete Legg are trainees in Surgery in the East Midlands, UK

TO VIEW PLEASE DOWNLOADThe CT scan has become central in the management of abdominal conditions, especially emergencies. But how do you interpret a CT when theres no radiologist around or you can't wait for the report? Pete Thurley tells Jon Lund the secrets of radiology and gives a structure to looking at CTs so that you never miss anything again. Essential viewing for all for both exams and real life!Pete Thurley is a Consultant Radiologist at the Royal Derby Hospital, UK and Jon Lund is Clinical Associate Professor of Surgery at the University of Nottingham,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.

Greg McMahon shows James Blackwell how to find and examine the aorta and peripheral pulses by hand and using the Doppler probe.Have a look at our podcast on ABPI as well and you'll pass that OSCE station with no problem at all!Greg McMahon is a consultant vascular surgeon and James Blackwell is a research fellow in Surgery at the Royal Derby Hospital, UK

If you think that relative risk is worrying that Uncle Brian will start dancing at the wedding, then you need to watch this podcast by Rob Radcliffe. Rob explains and helps you define, recognise and avoid bias in trials and explains what relative risk and odds ratio are, and the difference between them.Essential listening if you want to be able to read and interpret others research, or design your own.Also very useful for those pesky exams and academic stations in selection processes.Rob Radliffe is a former maths teacher and current Urology Registrar in the East Midlands, 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 and Dr Denise Best is Clinical Academic Careers Manager at the Oxford University Clinical Academic Graduate School.

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

ABPI is not a credit card interest rate, but just about the most important measurement you can make in vascular surgery.Find out what it is, what it means, who not to do it on, and a video on how to perform it quickly and efficiently using our point of view technique (like you're really there!) with James Blackwell (research fellow in surgery) and Greg McMahon (consultant in Vascular Surgery, Royal Derby Hospital, UK).This comes up in OSCEs a lot and so is essential knowledge for exams, both undergraduate and postgraduate, and you never know, might actually be useful when you're treating patients!If you just want to watch how to do the ABPI and not hear the what and why, skip to 6:30 in the video

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

Nissen's fundoplication is probably the most common procedure used to treat gastro-oesophageal reflux disease (GORD or GERD, depending where you live and how you feel about a dipthong). In this video Keaton Jones explains the indications, anatomy, technique and complications of this operation and you can watch the operation being performed by Mr Shaun Appleton, Consultant Upper GI Surgeon at Buckinghamshire Healthcare, UK. Watch this with our other podcast, All you need to know about antireflux surgery (https://www.youtube.com/watch?v=OWCEMXLfF1M). Keaton Jones is an academic trainee in surgery at the University of Oxford, UK

If you want to know what bone is: watch this!An essential guide to bone, its formation, remodelling and maintenance is given by Susan Anderson in this microscopic tour of the substance that holds us up and will be here long after the rest of us is gone.Underlying mechanisms are discussed as is the pathogenesis at a cellular level of osteoporosis, Paget's Disease and osteogenesis imperfecta.Susan Anderson is Associate Professor of Pathology at the University of Nottingham.

Download this for Susan Anderson to show you hyaline cartilage, and you can also find out why 18th century sailors had wobbly teeth and wounds which didn't heal well...

Susan Anderson (Associate Professor of Pathology, University of Nottingham) takes you on a microscopic tour of the structure of bone with some of the most beautiful histological images in the series yet. See the structure of bone, haversian canals, osteons, lamellae and learn how osteocytes communicate information about stresses in the bone and how to grow and maintain bone.Also, if you're stuck for naming your baby, you can decide whether Clopton is a nice name for a boy!

"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 emergencies.Andrew Deytrikh is a core trainee in surgery at Royal Derby Hospital, UK and Adam Brooks OBE is a consultant and lead for Trauma at the East Midlands Major Trauma Centre, Nottingham, UK

Can you tell the difference between a monocyte and a basophil? Would you know what an eosinophil looked like if it came up to you and introduced itself? Where do platelets come from? If I have worms, what cells are responsible for killing them?All this and much more answered as Susan Anderson takes you on a tour of blood on a microscopic scale, teaching you how to identify red cells, granulocytes, lymphocytes, platelets, monocytes, basophils, eosinophils and neutrophil polymorphs and going through what each cell type is for.Don't miss this if you are a medical student or doctor taking early postgrad exams.Susan Anderson is Associate Professor of Surgery at the University of Nottingham, UK

What's in the walls of your blood vessels? How are arteries different from veins? What is a capillary?All these questions and more and some clinical applications are explained by showing what these structures look like down the microscope in this really useful podcast from Dr Susan Anderson, Associate Professor of Pathology at the University of Nottingham, UK

"You, boy/girl! Tell me about this disease!" the consultant shouts at you in the middle of a ward round. Your eyes widen, your heart thumps, everyone looks at you, you break out into a cold sweat. You can't think of what to say! If only you'd watched this podcast on how to structure facts about any disease in a logical and easy to remember way. Exasperated the consultant moves onto your colleague who has watched this podcast, and gives a perfect answer using the In A Surgeon's Gown A Physician May Make Some Significant Progress mnemonic described here. Most med students and doctors in training know all the facts but can't get them out at important moments. Use this technique and you'll never be stuck again... Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK

The trachea, or windpipe in lay language, is a large membranous tube reinforced by rings of cartilage, extending from the larynx to the bronchi and allowing air to pass to and from the lungs. Ideal for medical students and surgeons in training, Susan Anderson takes you on a tour of the histology of this tube, including revealing its ciliated pseudo stratified mucous membrane and the C-shaped hyaline cartilages which keep the trachea open. Dr Susan Anderson is Associate Professor of Pathology at the University of Nottingham, UK

What is the Latin word for eyelash and why is this relevant to the histology of the lung? To find out you need to watch this video podcast of the histology of the lung with Susan Anderson. As well as a refresher in Latin, also covered are structure of the airways, changes in the mucous membrane cell types, alveoli, surfactant, bronchodilators and why you hear crackles when you listen to the chest of someone with fibrosing alveolitis.Dr Susan Anderson is Associate Professor of Pathology at the University of Nottingham, UK

Susan Anderson takes you through the differences between the histology of the oesophagus and the stomach. Cell types and function and Barrett's oesophagus are discussed.Susan Anderson is Associate Professor of Pathology at the University of Nottingham, UK.

You need to know what normal looks like before you can recognise what is abnormal. Susan Anderson takes you on a tour of the mucosa of the stomach and duodenum in this video podcast. You'll be able to see the different structures in the mucosa, glands and those villi which become atrophic in coeliac disease.A much more interesting way to learn about histology than looking in a textbook and quicker than sitting in a lecture.Dr Susan Anderson is Associate Professor of Surgery at the University of Nottingham, UK

Knowing the histology and embryology of the anorectal junction helps you to understand why you should band piles above the dentate line, why cancers in the region have different tissues of origin and spread to different lymph nodes. In this video podcast Susan Anderson takes you though important histological features of the large bowel and contrasts them with the different features of the anal canal. Clinical application of these features is also described Dr Susan Anderson is Associate Professor in Pathology at the University of Nottingham, UK

Part 1 of this podcast left you on the edges of your seats wondering about complications and long term follow up. In part 2 you can find out about what can go wrong after bariatric surgery and what to do about it from Eleanor Rudge and Ali Tavakkoli. Also, how to look after morbidly obese patients in the long term after surgery is discussed. Eleanor Rudge is a Speciality Registrar in the East of England and Surgical Research Fellow at Harvard and Dr Ali Tavakkoli is a Bariatric Consultant Surgeon at Brigham and Women's Hospital and Associate Professor of Surgery at Harvard Medical School, Boston, MA.

Morbid obesity is a significant problem for healthcare and public health around the world. Weight loss surgery, or bariatric surgery, is increasingly used to help people who cannot lose weight in other ways and who's excess weight is causing other medical problems.In this audio podcast, mapped to ISCP learning objectives, Eleanor Rudge talks to Ali Tavakkoli about surgical treatment, multidisciplinary team assessment and the importance of psychological and dietetic assessment and indications and options for surgery (BMI thresholds may be different where you live), including gastric bands, sleeve gastrectomy and gastric bypass. Part 2 will discuss early and late complications of surgery and long term management of patients following bariatric surgery.Miss Eleanor Rudge is a Speciality Registrar in the East of England and Surgical Research Fellow at Harvard and Dr Ali Tavakkoli is a Bariatric Consultant Surgeon at Brigham and Women's Hospital and Associate Professor of Surgery at Harvard Medical School, Boston, MA.

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

There are 2 test I can use to see if this patient has got cancer, which one is best? How do I know? How can I compare them?? These were just some of the thoughts going through the candidates mind as his stared at the paper in the academic viva in national selection!If only they'd listened to Rob Radcliffe, who is on hand to explain how you do just that using receiver operating characteristic curves, a really easy way to compare the performance of tests and probably the most useful to medicine thing that had its origin in WW II radar technology.Starting with a review of sensitivity and specificity (see http://schoolofsurgery.podomatic.com/entry/2014-05-02T00_31_49-07_00 for full revision) Rob shows how sensitivity and specificity vary with the cut off point for a test and demonstrates the best test you can design and the worst and shows you how to construct a ROC curve. Real life examples are discussed and how to compare test visually from their curves, and how this can be qualified (and so compared statistically to find the best performing test) using Area Under the Curve (AUC) is also explained.This is the clearest explanation you will find anywhere for this commonly used comparison (check out the Wikipedia page on this if you don't believe me). Is is essential to know as ROC curve feature often in medical literature and often in exams and academic interviews.Rob Radcliffe was a maths teacher in a former life and is now a trainee in Urology in the East Midlands, UK

"Do it fast, do it slow, talk 'em through it, let ' em go" is the mantra for teaching motor skills. We did it fast in part 1 and now Jon Lund and James Blackwell are going through the examination of the abdomen slowly and talking you through the stages, important points and things to look out for.Some of this video is shot from a "point of view" standpoint so that you can see the examination as if you were doing it and also see clearly how some parts of the examination are performed.Get this right and you'll be set for your whole career.

Whether you are a pre-clinical medical student or an elderly surgeon, you need to know how to examine the abdomen properly. In this video, produced by James Blackwell, Jon Lund takes you through abdominal examination. It is shot in real time so that you can aim to get quick, slick and accurate for undergraduate and postgraduate exams...and real life!Look out for part 2, which takes you through abdominal examination more slowly with explanatory commentary and point of view footage so that you can easily see whats going on and how to do it.Jon Lund is Associate Professor of Surgery at The University of Nottingham, and James Blackwell is an academic F2 at the Royal Derby Hospital, Uk

Right - you've got the basics covered in part 1, now we're moving on to how to interpret blood gases and put them in a clinical context.Jamie Blackwell and Tim Watkins take you through how to easily and simply interpret blood gas results whenever you need to using an easy to remember 5 step approach.The 5 step method is then used in a series of actual clinical cases so you can see it in action or try for yourself by pausing the video before the answers.Never fear blood gases again!James Blackwell is an Academic F2 doctor, and Tim Watkins is a Consultant Anaesthetist, both at the Royal Derby Hospital, UK.

You're called to see a very sick person on the ward in the middle of the night. You send off some investigations and because they are sick you take some arterial blood for blood gas analysis. You ring the boss who asks you what the blood gases indicate. A bead of sweat breaks out on your forehead as you realise that you have no idea what the numbers on the blood gas print out mean. There goes the reference......But then you realise that you can interpret blood gases after all, because you have watched these 2 podcasts where James Blackwell gets Tim Watkins to explain what's going on.In part 1 what an ABG is, why it is performed is explained and the common components of the print out are demystified.James Blackwell is an Academic F2 doctor and Tim Watkins is a Consultant Anaesthetist, both at the Royal Derby Hospital, UK

Do you have a funis? Did you ever have one? Do only boys have one? No clue?? Then listen to this podcast where David Semeraro tells Jon Lund all about acute inflammation using funisitis, meningitis, conjunctivitis, pericarditis, pneumonia and TB as examples, with clinical slides to illustrate the points made.This podcast brings together messages from the other 3 in the series to round off what you need to know about acute inflammation for undergraduate and postgraduate exams, work and life!David Semeraro is a consultant histopathologist at the Royal Derby Hospital, UK and Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK.

In part 3 of this podcast telling you all you need to know about acute inflammation, David Semeraro talks about the vascular and cellular components of acute inflammation, diapedesis, chemical mediators of acute inflammation, cytokines and much more, using clinical pictures and histological slides and conditions such as appendicitis and cellulitis as examples.David Semeraro is a consultant histopathologist at the Royal Derby Hospital, UK.

Color, Rubor, Turgor, Dolor and Functio Laesa were not the lesser known reindeer pulling Santa's sled, but are the cardinal clinical signs of acute inflammation. In part 2 of his explanation of acute inflammation, David Semeraro talks to Jon Lund about these terms, explains how neutrophils leave the blood vessels to be involved in the inflammatory process and explains what oedema and exudate are are why they're important. Even wondered about the difference between exudate and transudate? What does diapedesis mean? Wonder no more - watch this video podcast and find out!Essential for medics and biomedical scientists of all ages!David Semeraro is a consultant histopathologist at the Royal Derby Hospital, UK and Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK.

Inflammation is at the very heart of many disease processes, from infection and trauma to ageing and cancer. Split across 4 episodes, David Semeraro talks to Jon Lund about acute inflammation, covering definitions, mechanisms and progress with many examples from clinical cases, histopathological and macroscopic inflamed organ specimens.Listening to this series of podcasts will tell you all you need to know about the basics of acute inflammation, a thorough knowledge of which is essential for pre-clinical and clinical medical students and doctors in training in all specialities and at all levels.David Semeraro is a Consultant Histopathologist at the Royal Derby Hospital, UK and Jon Lund is Associate Professor of Surgery at the University of Nottingham, UK.

You're on for surgical acute admissions - you've taken a history, examined the patient and sent off some blood tests, but you still can't figure what is wrong with your patient! What next...?Help is at hand: Lee Creedon returns to continue his series on acute surgical imaging, this time all about ultrasound. When and where to use it are discussed, as well as limitations of the technique in the acute surgical patient. Lee takes you through some common clinical scenarios to illustrate and reinforce when ultrasound might be helpful.Mapped to ISCP learning outcomes, this is essential viewing for medical students, foundation doctors (Interns) and core trainees (junior residents) in surgery.Lee Creedon is a specialty registrar in surgery on the School of Surgery, Health Education East Midlands

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.

How confident are you with confidence intervals? Perhaps not 95%....In this podcast Rob Radcliffe explains what confidence intervals are, how to interpret them and how they provide a deeper understanding of data and the p value. Essential viewing for any student, trainee or consultant/attending reading a scientific paper and wanting to interpret the data correctly.Rob Radcliffe is a former maths teacher and is now a trainee in Urology in the East Midlands, UK

Lymphoma, teratoma, testicular tumours, fibroadenoma, phyllodes tumour, molar pregnancy, choriocarcinoma and metastasis are some of the things discussed in the fourth and final part of the introduction to tumour pathology, with David Semeraro and Jon Lund.

Prostate cancer, transitional cell carcinoma, sarcoma, liposarcoma, leiomyosarcoma, haemangiosarcoma and osteosarcoma are more of the tumours discussed by Jon Lund and David Semeraro in the third of four podcasts on the basics of pathology. Pictures of macroscopic and microscopic pathology and radiological imaging link the discussion to everyday clinical practice. David Semeraro is a consultant pathologist and Jon Lund is a surgeon at the Royal Derby Hospital, UK

What do the terms benign, malignant, histogenesis, differentiation, stage and grade mean when applied to cancer? Whats the difference between an adenoma and an an adenocarcinoma? What's the adenoma - carcinoma sequence? Without understanding these basics you'll quickly get lost when learning about cancer and treatments for cancer. All is explained in this podcast, in which Jon Lund talks to David Semeraro using examples and pictures of macroscopic and microscopic cancers including adenocarcinomas, BCCs and SCCs.

What is cancer and why do types of cancer have different names? In this podcast Jon Lund talks to David Semeraro about the origin of types of cancer, the definition of cancer and the definitions of words such as dysplasia, metaplasia, neoplasia and desmoplasia, with examples of each. Essential viewing for any medical student of trainee in surgery of pathology wanting to get to grips with the fundamentals of tumour pathology. David Semeraro is a consultant pathologist at the Royal Derby Hospital, UK and Jon Lund is Associate Professor of Surgery at the University of Nottingham

One of your colleagues has made an incision the wrong way on a limb and the patient complains the scar pulls and is wide. What are you going to do?In the fourth and final instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform a z plasty, probably the simplest but one of the most useful and versatile techniques in plastic surgery, which helps to revise unsightly scars and has many other uses.The indications, contraindications of z plasty are discussed, as well as potential complications.On a cadaveric specimen Jill shows you how to perform a z plasty, which is an essential technique for any medical student or surgeon in training. Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.

The wound is the only part of the operation a patient gets to see, so make sure you get the wound closure right!In the third instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform running mattress sutures and subcuticular sutures. Which suture to choose and why is discussed. On a cadaveric specimen Jill shows you how to perform a running mattress suture and subcuticular suture, both of which need to be in the repertoire for sutured skin closure and are essential skills for any medical student or surgeon in training. Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.

In the second instalment of probably the most important series of 4 podcasts for any aspiring surgeon to watch, Ben Baker and Jill Arrowsmith take you through how perform simple suturing.Which suture to choose and why is discussed.On a cadaveric specimen Jill shows you how to perform a simple interrupted suture and an interrupted mattress suture, the most common methods of sutured skin closure and essential knowledge for any medical student or surgeon in training.Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.

In probably the most important series of 4 podcasts for any budding surgeon to watch, Ben Baker and Jill Arrowsmith take you though how to suture, from handling instruments, through simple interrupted and mattress sutures, running sutures and finally, how to perform a z-plasty.Performed on a cadaveric specimen, these video podcasts are high fidelity and essential viewing for all medical students wanting to follow a career in surgery. They will also be useful to all foundation doctors (interns) and core trainees (residents).Made by plastic surgeons, these videos help you to get into good suturing habits from the start, rather than develop or pick up bad habits as you go along. Suture as in these videos and you'll have good technique and nice wounds for the rest of your career. Jill Arrowsmith is a consultant in plastic and hand surgery at the world famous Pulvertaft Hand Centre at the Royal Derby Hospital, UK and Ben Baker is a trainee in plastic surgery.

After blood tests, X- rays are the most commonly requested investigation in a patient presenting as a surgical emergency. In this video podcast, Lee Creedon takes you through the indications for requesting x-rays in the acutely ill surgical patient and uses examples to illustrate common pathologies.Essential viewing for medical students and foundation doctors (interns), learning objectives are mapped to undergraduate and ISCP curricula. Once you've watched this, have a look at our other radiology podcasts at http://schoolofsurgery.podomatic.com/entry/2014-02-08T01_00_00-08_00 http://schoolofsurgery.podomatic.com/entry/2013-07-12T16_00_00-07_00 and some others you can find when you search of School of Surgery in iTunes podcast store. They're all good and they're all free!Let us know what you think of the podcast and what else you want to see on School of Surgery at https://www.facebook.com/surgeryschool

National selection into higher specialist training in general and vascular surgery in the UK has just ended for 2014. This video is the pre-interview briefing for applicants, and might be useful to you if you will be applying in the UK to either of these specialities in future years.

So, you're a medical student who has just started a vascular surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means? Help is at hand: Keaton Jones explains the basics of all the common vascular operations, from anatomy, though indication to the operations themselves in this video podcast. This is essential viewing for all medical students on a surgical placement and for any students interested in a career in surgery.This is the second in the "Basics of..." series. You might want to view our other podcasts on aneurysms, amputations and varicose veins after you've seen this one, which discuss vascular surgery and pathology in more detail.Keaton Jones is an Academic Clinical Fellow at the University of Oxford, UK

The interview was going well until at the academic station the interviewer asked: "Can you tell me what you understand by the power of a trial and what was the sensitivity of the test used in this study?" A bead of sweat appeared on the forehead of the applicant. If only she'd listened to Rob Radcliffe explaining binary tests, sensitivity, specificity, positive predictive value, negative predictive value and power she wouldn't have to come back next year and try again!These terms are in regular use in medical studies, tests and trials. They are often very poorly explained and even less well understood. Rob takes you though binary tests and power in a step by step manner which is easy to understand. You will not find this more clearly explained anywhere else. This video podcast will help you to understand and critique research and help you to design your own studies. Watch this and you will need all you ever need to know.Rob Radcliffe is a former teacher of mathematics and is now a trainee in the School of Surgery in the East Midlands, 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

"Why would you do a t-test on these data and what is it?" asked the interviewer in a national selection interview. "Errrrrrr...." replied the trainee surgeon who was beginning to think they wished they had watched the video podcast on hypothesis testing using this test. Oh well - he thought, I can always try again next year....In the third podcast on hypothesis testing, Rob Radcliffe tells you all about t-test, what t is, how you use the t-test and what it actually means. This podcast is the clearest explanation of the most commonly used test in medical statistics you will find anywhere. Watch it and know all you will ever need to know

School of Surgery is 1 year old today. We would like you to get involved through our Facebook page (www.facebook.com/surgeryschool) and tell us what's good and what could be better, whether you want more interaction through Twitter or Todaysmeet.com, what you want us to produce podcasts about and any other suggestions to help us get even better in our second year. Happy Birthday School of Surgery!

"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

So, you're a medical student who has just started a surgical attachment. You have no idea what the surgeons are talking about when they are discussing the operations on the list tomorrow. How are you going to find out what it all means?Help is at hand: Keaton Jones explains the basics of all the common colorectal operations, from anatomy, though indication to the operations themselves in this video podcast.This is essential viewing for all medical students on a surgical placement and for any students interested in a career in surgery.Once you have mastered this podcast, you might want to check out our other podcasts from School of Surgery in the "Explained" series and the "How to" series, as well as the podcasts explaining stomas and wounds.Keaton Jones is an Academic Clinical Fellow in Surgery at the University of Oxford, UK

"What suture would you like to close with, Doctor?" asked the scrub nurse. "Errrr....Dunno, what do they normally use?" replied the surgical trainee who hadn't taken a few minutes to watch this week's podcast from Lee Creedon, all about sutures.In this podcast, mapped to ISCP and basic surgical skills course objectives, Lee takes you though different kinds of sutures, needles, nomenclature and the indications for using each particular type of suture. So, when the scrub nurse asks you which suture you want you will be able to make the correct choice with confidence.Essential viewing for all medical students interested in surgery and all trainees at the start of a surgical career.Lee Creedon is a Clinical Research Fellow in General Surgery at the University of Leicester.

Eponymously named operations give you little clue as to what they are or what they're for. One of the most commonly performed eponymous procedures is Hartmann's procedure.Jon Lund takes you though the background, indications, preparation and performance of this operation in a video podcast, latest in the "operation explained" series.Essential viewing for medical students on a surgical attachment and core trainees (junior residents).Jon Lund is Associate Professor of Surgery at the University of Nottingham and Consultant Colorectal Surgeon at the Royal Derby Hospital, UK

What's a population? Easy question? Or not? What's a representative sample? What's a random sample from the population and how do you decide if the set of data you have is the same or different from your population. How many samples do you need to take to be representative of the whole population?Rob Radcliffe explains these concepts and much more, passing through central limit theorem - the very core of medical statistics - to explain all of these easy sounding but difficult concepts in a clear and easy to understand video podcast. Biased and unbiased estimators, sampling distribution of the mean, the difference between standard deviation and standard error and the key principles underlying the statistical tests we all use all the time are explained. See this podcast and you will understand what you are doing when you are looking at the results of a paper, be able to answer questions in exams with more confidence and be on the way to designing your own study and the analysis of the data.Essential viewing for medical students, core trainees (junior residents) and higher trainees (senior residents) as exams approach, and also fro anyone starting or in the middle of a research project. There are lots of books on statistics out there, but none as clear as these vodcasts.Next time: statistical testing

There are many ways to skin cat and many ways to image the colon. Barium enema is quickly becoming a thing of the past and being replaced by CT colonography, also called virtual colonoscopy. In this video podcast Jon Lund talks to Dr Rajeev Singh about this increasingly common imaging technique, its advantages and disadvantages, its sensitivity and specificity for detecting lesions in the colon and its future. The discussion is illustrated with images taken from CT colonography investigations. This podcast will be useful to medical students and trainees in surgery or radiology, as well as long in the tooth surgeons wanting an update on newer techniques.Dr Rajeev Singh is a consultant radiologist at the Royal Derby Hospital, UK, with a special interest in gastrointestinal imaging. Jn Lund is Associate Professor of Surgery at the University of Nottingham, 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

Statistics is a bit of a mystery to most of us. Help is here from former maths teacher and current surgical trainee, Rob Radcliffe. In the third in this series explaining medical statistics, Rob explains hypothesis testing. This is fundamental to just about all we do when cam paring data in trials. The null hypothesis is explained and when it is safe to reject it (how to tell if 2 distributions are the same or different and by how much). This podcast also makes it clear where the "magic" p<0.05 comes from and what it actually means.Understand the content of this podcast and you will be 95% (p<0.05) of the way there to understanding medical statistics!

Susan Clayton shows you how to do a laparoscopic renal pyeloplasty for pelviureteric junction (PUJ) obstruction.In this step by step video you will be taken though the stages of this key operation in urology. Essential viewing for any core trainee or resident, or anyone interested in or already pursuing a career in surgery or urology.Susan Clayton is a trainee in the East Midlands School of Surgery. The procedure was performed by Mr Simon Williams, Consultant Urologic Surgeon, Royal Derby Hospital, 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

How do wounds heal? What stitch would you use to close a wound and why? When would you not close a wound? What do you do when a wound looks infected? Seem like easy questions but would you be able to answer them??In the first of a series of podcasts on plastic surgery, Benjamin Baker talks to Jill Arrowsmith about aspects of wound healing. Types of wounds healing are discussed. Primary closure, delayed primary closure healing by secondary intention are explained as well as granulation tissue, types of suture and what suture to use and why. How wounds heal is explained as well as hypertrophic scars and keloid formation. How to recognise and manage wound infection is also covered in this podcast. Mapped to medical finals and ISCP curriculum this podcast is essential listening for medical students and trainees in surgery.Benjamin Baker is an Academic Foundation Doctor at the University of Nottingham, Royal Derby Hospital. Jill Arrowsmith is a Consultant Plastic and Reconstructive Surgeon at the renowned Pulvertaft Hand Centre, Royal Derby Hospital, UK

Happy Holidays from all at School of Surgery

You're standing in your surgical examination looking at a patient's abdomen. The examiner asks you to comment on the scars you can see. What are you going to say? Help is at hand...Keaton Jones takes you though positions of scars on the abdomen, how old they are and what the operation might have been. Kochers, roof top, mercedes benz and Rutherford- Morrison incisions are covered amongst all the other incisions and combinations of scars from open and laparoscopic operations which will give you clues to previous procedures and diagnosis.Essential viewing for surgical finals and good revision for MRCS vivaKeaton Jones is an academic clinical fellow in surgery at the University of Oxford, UK

"Doctor, Mr Jones's urine output has been low for the last 3 hours, can you come to review him please?" This is a common call to trainees on surgical wards. But what is a low urine output, why is is low and what are you going to do?In the second in their series on common problems on the ward facing FY1/2 and core trainees (interns and junior residents), Jennifer Murphy and Daniel Couch take you through definitions of adequate and poor urine output, causes and management of the problem so that you'll know what to do when you're called. Essential listening for medical students and trainees in surgery alike, this will be one of the most useful 10 minutes you can spend listening.Jennifer Murphy and Daniel Couch are trainees in Surgery in the East Midlands School of Surgery, UK

In a previous podcast you've seen how to to a laparoscopic nephrouterectomy for TCC. Now you can learn about transitional cell carcinoma itself. Susan Clayton discusses epidemiology, aetiology, presentation, investigation, treatment options and prognosis of TCC with Simon Williams.The podcast is mapped to learning outcomes from ISCP and covers all you need to know as a medical student and core surgical trainee (junior resident) about this common urological cancer. Listening to this is a few minutes well spent on the way to urology clinic or theatre where you might see a patient with TCC and be asked equations on it. Impress the consultant with your knowledge and structured presentation! Its also useful as a quick revision aid for more senior trainees, especially in the run up to an exam.Dr Susan Clayton is a core surgical trainee in the East Midlands School of Surgery UK, and Simon Williams is a Consultant Urological Surgeon at the Royal Derby Hospital, UK.

Do you have an average number of legs? Most likely you have slightly more than the mean number of lower limbs if you think about it. It is important to be able to describe data properly so that we convey the correct and accurate meaning.In his second podcast on medical statistics, Rob Radcliffe takes us through descriptive statistics, central tendency and normal distribution in an accessible and painless fashion. Easy to understand explanations are supplemented with diagrams and charts so that you will know how to apply descriptive statistics to data by the end of the podcast and also how to interpret others data when you see it in publications.This podcast gives you an essential basis in medical statistics which you will need to understand before moving onto the the next in the series, which will explain hypothesis testing. It is essential viewing for all medical students, trainees in surgery and even senior surgeons who want an easy to understand refresher and were afraid to ask.A knowledge of statistics and competency in data interpretation are now integral parts of many interview, exam and selection processes.Rob Radcliffe is a former mathematics teacher and is currently a trainee in surgery in the East Midlands School of Surgery, UK

In the first of a new series on common problems seen on the surgical ward after an operation, Jennifer Murphy discusses hypotension in the post operative period with Daniel Couch. The symptoms, signs and of causes of hypotension in the post op period are discussed, as well as an algorithm for diagnosis and treatment for each cause.Essential listening for medical students coming up to finals or wanting to be well prepared for their first surgical job. Also important revision for foundation doctors (interns) and junior residents.Jennifer Murphy is a core trainee and Daniel Crouch is a speciality trainee in General Surgery, both on the East Midlands, UK training scheme.

Susan Clayton takes you through laparoscopic removal of the kidney and ureter to treat transitional cell carcinoma. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. This podcast will help you to fully understand nephroureterectomy, whether you are a medical student, core trainee (junior resident), or higher surgical trainee. Surgery perfumed by Simon Williams, Consultant Urological Surgeon, Royal Derby Hospital, UK

What are you going to do when you are asked to see a patient in pain?! What drug will you give? What if it doesn't work??! Help is at hand...Ben Baker and Tom Heinink discuss the WHO pain ladder in this audio podcast. They discuss all you'll need to know to manage post operative pain and pain in patients presenting as emergencies to surgery in a logical and stepwise manner, using the World Health Organisation ladder as a model.This podcast is essential listening for medical students coming up to finals, foundation doctors (interns) and core trainees (residents), as well as for those wanting to update their knowledge in th field which affects all patients coming to surgery.Ben Baker is a Academic Foundation Year 2 doctor at the Royal Derby Hospital, and Tom Heinink is a speciality registrar in anaesthesia in the East Midlands of the UK, currently doing research with the University of Nottingham.

In the second in the series on common emergencies in urology, Susan Clayton talks to Hari Ratan about the presentation and management of renal colic, one of the most common urological conditions presenting as an emergency. A good working knowledge of renal colic and renal calculi is essential for anyone learning urology either as a medical student, foundation year doctor (intern) or core trainee in surgery or urology (junior resident). This podcast is mapped to final year medical student learning outcomes and also to learning outcomes for ISCP. Listen to this for 8 minutes and you will know all that you need to know.Susan Clayton is a core trainee in surgery in the East Midlands School of Surgery and Hari Ratan is a consultant in Urology at Nottingham University Hospitals, UK.

In the first of a series on urological emergencies, Benjamin Baker talks to Hari Ratan about torsion of the testicle and epididymo-orchitis. The talk covers all aspects of presentation and management and is mapped to medical student finals objectives and also ISCP. It is essential listening for medical students coming up to finals or during a surgery attachment, foundation year 1 doctors (interns) and core surgical trainees (Junior residents), or anyone involved in emergency care. Benjamin Baker is an Academic foundation doctor at the Department of Surgery, Division of Medical Sciences and Graduate Entry Medicine, University of Nottingham and Hari Ratan is Consultant Urologist at University Hospitals, Nottingham.

In the first of his series on medical statistics, Rob Radcliffe, maths graduate, former maths teacher and current trainee in surgery in East Midlands School of Surgery, talks us through a way to clearly formulate clinical questions. Correct formulation of these questions is fundamental to research, the correct use of statistics in clinical settings and will help you to read, interpret and critique a scientific paper. Rob describes, using an example from his own practice, the PICO method to help with logical formulation of clinical questions each time we want to ask them. This podcast is aimed at medical students, core trainees in surgery (junior residents), trainees in higher surgical training, consultants and anyone interested in research, reading, writing or reviewing an academic paper. This, and the rest of the series, will be especially useful to trainees coming up to interview or examination where there will be an academic component with an expectation of a working knowledge of statistics.The next part of the series will cover descriptive statistics

Click on this link http://videoportal.dbh.nhs.uk:2800 or paste into your browser to access a recording of a day of the M18 colorectal masterclass. There's a whole day of presentations on common topics in proctology, including haemorrhoids, pruritus ani, fissure, MRI, endoanal ultrasound pilonidal sinus and more. The highlight is a recording of Professor Robin Phillips (St Mark's Hospital, UK) giving his excellent talk on fistula in ano, which tells you, extremely clearly, all you will ever need to know about fistula in ano and its management. Not to be missed!The site only supports internet explorer, so if you use safari on your computer, you'll have to download internet explorer (theres a link on the site) or use another computer.There's lots there and its all really useful to medical students coming up to finals, core trainees (junior residents) and higher surgical trainees alike.

Building on last week's podcast, Katherine Smith, Specialty Registrar in East Midlands School of Surgery, takes you through a laparoscopic anterior resection for a rectosigmoid cancer. There is a step by step commentary and operative footage of this commonly performed operation, with explanation of the anatomy and each step of the operation. Viewing this in conjunction with the "anterior resection explained" podcast will help you to fully understand anterior resection, whether you are a medical student, core trainee (junior resident), or higher surgical trainee.Surgery perfomed by Katherine Smith with Sam Tou, Consultant Colorectal Surgeon, Royal Derby Hospital, UK

Jon Lund continues the series on explaining the principles of operations for colorectal cancer with anterior resection. In this video podcast the underlying principles of surgery for cancer are explained, and the indications for operation, adjuvant and neoadjuvant treatment in rectal cancer are discussed. The operation is explained with the help of diagrams, as well as indications for formation of defuntioning ileostomy. This podcast will be helpful to medical students on surgical attachments and core surgical trainees (junior residents). Viewing this will help you to understand better what's going in on in a forthcoming operative video podcast of anterior resection, as well has helping in the operating theatre. If you would like to see podcasts on any particular topic, let us know by leaving a message on our Facebook page (https://www.facebook.com/surgeryschool)

Keaton Jones defines a fracture and shows you an easy method to describe any fracture, with examples from x-rays of patients. This video podcast is essential viewing for medical students or core trainees (junior residents) in the emergency department or orthopaedics who might find themselves on the spot, having to comment on a fracture to the consultant in a teaching session, or to a colleague over the phone. Never be lost for words again!

Jon Lund, Associate Professor of Surgery at University of Nottingham and Consultant Surgeon at Royal Derby Hospital takes you on a guided tour of the contents of the abdomen and shows how to do a laparoscopic appendicectomy. This video podcast will be useful to core trainees in surgery (junior residents) and medical students who are interested in surgery. Surgery performed by Ash Bhalla assisted by Chris Neophytou.

Keaton Jones, Academic Clinical Fellow at the University of Oxford, talks to Ash Bhalla, Research Fellow in Surgery at the University of Nottingham, about pancreatitis. This audio podcast is mapped to learning outcomes for medical undergraduates and core surgical trainees (junior residents), and covers presentation, diagnosis, investigations, scoring systems, prognosis and complications of pancreatitis - so all you really need to know about this common acute surgical condition!

School of Surgery are back from their summer holidays! Keaton Jones completes his multimedia explanation of lap chole with indications for on table cholangiography, a picture of a cholangiogram, with explanation of the pathology and anatomy and a video of a laparoscopic common bile duct exploration. This video podcast will be helpful to medical students and trainees in core surgery (junior residents). It will help you to understand whats going on, get the answers right when you're on the spot and ask better questions of the surgeon when you're in theatre.

Keaton Jones takes you on a multimedia journey though laparoscopic cholecystectomy. Indications, technique and complications are covered, with pictures, slides and operative videos and anatomical diagrams. If you are a medical student who wants to know about the procedure, or you are about to go to see one in the OR and want to know what you're seeing, then this is an ideal resource. If you are a core trainee (Junior resident) in surgery and want to be properly prepped for doing a laparoscopic cholecystecomy with the boss, then this resource will help you to get more out of that training opportunity and also prep you for those awkward questions fired by the surgeon.Next week: laparoscopic bile duct exploration

Jon Lund talk to Rajeev Singh, Consultant Radiologist at Royal Derby Hospital, UK about common abnormalities see on plain abdominal x-rays, using the ABC structure described in the previous video podcast on the normal plain x-ray. The video podcast covers small and large bowel obstruction and caecal and sigmoid volvulus amongst other topics. Ideal for learning or revision for medical students or foundation doctors and core trainees in surgery (interns and junior residents)

Keaton Jones, Academic trainee at University of Nottingham and Royal Derby Hospital, UK, introduces stomas. In this video podcast stoma is defined, types of stoma discussed (especially ileostomy and colostomy, loop and end stomas) and complications listed. Keaton also takes you through how to examine a patient with a stoma (these patients tend to crop up in exams!)This video podcast will be useful for medical students as learning and interns and junior residents (foundation and core trainees) as revision for exams

Jon Lund talks to Rajeev Singh, Consultant Radiologist at the Royal Derby Hospital, UK about how to structure looking at a plain abdominal x-ray. The simple structure will help you to look at abdominal films with more confidence and be more aware of the range of normal. This video podcast is aimed at medical students, foundation years doctors (Interns) and core trainees (junior residents).

Jon Lund Consultant Surgeon, Royal Derby Hospital and UNiversity of Nottingham, UK, explains the basis of left hemicolectomy for colon cancer. This video podcast should be viewed with the podcast on right hemicolectomy. It is aimed at medical students, foundation (intern) doctors and core trainees (junior residents).

Jon Lund, colorectal surgeon in DIvision of Medical Sciences, University of Nottingham, Royal Derby Hospital UK, explains in a video podcast important principles of colonic blood supply, colectomy for cancer and right hemicolectomy. Produced for medical students and core trainees (junior residents) in surgery. In association with East Midlands LETB Surgical training.

Keaton Jones talks to Daren Forward, Consultant (Attending) Trauma and Orthopaedic Surgeon at Queens Medical Centre Nottingham, Regional Trauma Centre for the East Midlands of England, about the definition, presentation and management of compartment syndrome. The podcast is useful for medical students, foundation doctors/interns, surgeons in training and any healthcare professional involved in the management of trauma.

Keaton Jones talks to Dr Tim Watkins, Consultant Anaethestist (Attending Anathesiologist) at Royal Derby Hospital, UK about epidural anaesthesia. The podcast covers definitions and explains what an epidural is, its indications, effects, complications and management of these complications. The podcast is aimed at Interns/foundation doctors, surgeons in training and final year medical students, who will find it useful when confronted with an epidural in the middle of the night!

Stuart Gold, consultant anaesthetist at Royal Derby Hospital, UK, talks to Jon Lund, Colorectal Surgeon about the basics of enhanced recovery after surgery (ERAS)

Jon Lund talks to Bill Speake, Consultant Colorectal Surgeon in Derby, UK, about the presentation, diagnosis and management of diverticular disease and its complications. Audio podcast mapped to undergraduate curricula and ISCP

Jon Lund talks about the presentation, aetiology and treatment of anal fissure, explaining the aetiology with the help of diagrams in this video podcast.Get in touch though School of Surgery at podomatic.com and request topics you'd like to have available as podcasts

A video podcast defining anal fistula and explaining, with diagrams the aetiology, presentation and treatment of this condition. Aimed at medical students and surgeons in training and mapped to undergraduate and ISCP curricula.

Jon Lund talks to Nick Hurst, consultant colorectal surgeon with a special interest in hereditary colorectal cancers, about HNPCC. Don't forget to download the accompanying podcast on FAP to complete your knowledge of familial bowel cancers This podcast is mapped to the final stage of the ISCP curriculum, and will be very helpful to trainees coming up to FRCS and beyond.

Jon Lund talks to Nick Hurst, Consultant Colorectal Surgeon, with a special interest in familial colon cancer, about FAP.

JonLund talks to Gill Tierney, Consultant colorectal surgeon, about history, examination, investigation and treatment of large bowel obstruction. Aimed at medical students and doctors in early years of surgical training.

Jon Lund talks to Paul Leeder,Consultant Upper GI surgeon at the Royal Derby Hospital, UK, about the presentation, investigation, diagnosis and treatment of obstructive jaundice. This podcast is aimed at undergraduate medical students and doctors in early years of surgical training.

Gill Tierney talks to Iain Cameron, consultant hepatobiliary surgeon, about indications, methods and outcomes of liver resection for metastatic colorectal cancer

Keaton Jones talks to Dr Adrian Jones, consultant rheumatologist, about symptoms, diagnosis and treatment of osteoarthritis. The dialogue is augmented with slides, diagrams and x-rays in this vodcast aimed at medical students and doctors in early years of training

Keaton Jones talks to Daren Forward, consultant orthopaedic and trauma surgeon, about distal radial fractures and their management. Aimed at medical students and surgeons in early years of training as well as those generally interested in the topic. Augmented with slides.

Keaton Jones talks to Daren Forward about diagnosis, treatment and outcomes for fractured neck of femur in this vodcast with dialogue, x-rays and diagrams. Aimed at medical students and doctors in core surgical training.

Keaton Jones talks to Daren Forward, Consultant Orthopaedic and Trauma Surgeon about the diagnosis, classification, treatment and outcomes of ankle fractures. The discussion is augmented with slides, diagrams and x-rays. This vodcast is aimed at clinical medical students and core surgical trainees, as well as anyone else interested in ankle fractures.

Jon Lund talks to Sam Khan, consultant vascular surgeon, about the diagnosis and range of treatments for varicose veins

Jon Lund talks to Sam Khan, consultant vascular surgeon, about diagnosis, investigation and treatment of different kinds of aneurysms - most suitable for medical students and core surgical trainees

Jon Lund talks to Sam Khan, consultant vascular surgeon, about indications and techniques for limb amputation

Colorectal Cancer Screening A podcast with Dr Bod Goddard, Lead for colorectal cancer screening in Derbyshire UK ,about colorectal cancer screening, evidence and practice.

Consultant Colorectal Surgeons, Gill Tierney and Jon Lund discuss all aspects of presentation, investigation and treatment of haemorrhoids. The podcast is aimed at medical students and doctors in training