surgical education

Kash and Pete are back with a new episode!

This time they are interviewing Dr Bryan Kelly (aka Mr Hip Arthroscopy) who is a pioneering sports medicine surgeon and also President, CEO and Surgeon-In-Chief Emeritus of the world-renowned Hospital for Special Surgery in New York.

In this wide-ranging and fun conversation we discuss his jouney into orthopaedics, sports medicine, and shaping the emerging field of a new type of minimally invasive surgery that has transformed the landscape of orthopaedics.

Bryan shares insights into the Hospital for Special Surgery's commitment to excellence, innovation, and compassionate care. Learn about the cutting-edge technologies, pioneering research initiatives, patient-centric approaches, and the collaborative spirit that sets this institution apart as one of the leaders in world orthopaedics.

Explore the unique journey of a surgeon ascending to the roles of President and CEO. 

The trio discuss the challenges and rewards of balancing the responsibilities of a surgical innovator with the leadership demands of a top-tier medical institution.

Understand how Bryan and HSS are shaping the future of orthopaedic medicine on an increasingly global scale. Discover the stories behind the breakthroughs, the challenges faced, and the unwavering commitment to advancing patient care.

All done in a light-hearted and entertaining manner that is uniqely orthohub!

Please subscribe on your podcast player and please leave us a rating and a review.

 You can also find us on YouTube, LinkedIn,  Facebook, Instagram
and at www.orthohub.xyz

Watch the full video for added content on our YouTube channel.

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@orthohubxyz
@_kashakhtar

On this episode, Kash and Pete are joined by Marc Swiontkowski, editor of the JBJS and legend of orthopaedics!

0:00 intro
5:22 Chip Routt
14:20 Marc's Residency
17:30 Common Operations During Residency 
22:05 Problem Factors
24:35 Memorable Operations
26:30 JBJS
48:15 Pay to Publish
53:00 What do you value?
56:00 Delivering Trials
59:00 Predictions 
1:09:50 Rehab 
1:11:01 Mohit Bhandari
1:13:20 Leadership 
1:20:00 Mentors 
1:22:00 What's Next?

Dr. Swiontkowski is a professor in the Department of Orthopedic Surgery. He specialises in trauma, fractures, non-unions, malunions, children's fractures, osteomyelitis, and leg length inequality.

Dr. Swiontkowski received his medical degree from the University of Southern California School of Medicine. He completed his internship and residency training at the University of Washington, then went to Davos, Switzerland where he completed a research fellowship at the Laboratory for Experimental Surgery.

He began his work as Associate Professor at the Vanderbilt University where he helped establish the state of Tennesee’s first level one trauma centre. Dr. Swiontkowski then moved to the University of Washington as Professor of Orthopaedic Surgery and Chief of Orthopaedic Surgery, Harborview Medical Center in Seattle, Washington from 1988-1997. From September 1997 through October 2007, he held the position of Professor and Chairman of the Department of Orthopaedic Surgery at the University of Minnesota.

Since then, Dr. Swiontkowski has held the position of Professor in the Department of Orthopaedic Surgery at the University of Minnesota and was CEO of TRIA Orthopaedic Center in Bloomington, MN from 2007- 2015. He now holds the roles of Editor-in-Chief of the Journal of Bone and Joint Surgery (JBJS) and continues as a Professor at the University of Minnesota.

He has received many honours nationally and internationally throughout his celebrated career, especially for his research and clinical achievements. Some of these include:

Board of Directors Mid America Orthopaedic Association
Past president of the American Orthopaedic Association and Orthopaedic Trauma Association
Director Emeritus of the American Board of Orthopaedic Surgery and American Board of Medical Specialties
Editor-in-Chief of the Journal of Bone and Joint Surgery

This is a very informative and enjoyable podcast for all who are fans of Marc's work, as well as for those who are discovering him for the first time.

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#orthopaedicsurgeons #orthopedics #health #orthopedic

The see one / do one podcast is back with our second episode of Season 2 – and it’s a cracker!

In this episode we speak with Tommaso Falcone, outgoing CEO of Cleveland Clinic London.

We navigate this intersection of two distinct healthcare systems across the Atlantic that offers a fascinating topic for discussion and exploration. This thought-provoking podcast delves into the implications, challenges, and potential benefits of US healthcare coming to the UK.

By bringing together knowledgeable guests, compelling personal stories, and in-depth analysis, this podcast seeks to shed light on this potentially significant shift in the British healthcare landscape.
 
 In this wide-ranging and fun conversation we cover many different topics:

·       why did Cleveland Clinic come to London

·       the differences (and similarities) between US and UK healthcare

·       the relationship between Cleveland Clinic London and the NHS

·       the challenges and advantages of robotic surgery

·       innovating new surgeries such as uterus transplants and what it entails

·       making the most of “your moment in time”

·       managing the transition from a successful clinician to a leader and manager

·       addressing concerns people may have around US healthcare 

·       the Cleveland Clinic secret sauce

·       the future for Cleveland Clinic London, and for Tommaso personally 

·       Pete’s testosterone levels

·       and we also clear up some burning issues that Kash had to get off his chest…

·       and much more!

Please subscribe on your podcast player and please leave us a rating and a review.

 You can also find us on YouTube, LinkedIn,  Facebook, Instagram
and at www.orthohub.xyz

Watch the full video for added content on our YouTube channel.

Twitter:
@orthohubxyz
@kashakhtar
@petebates

It's been a long time  (we shouldn't have left you...)  but the see one / do one podcast is back with Season 2 after a summer hiatus - and how!

In this episode we speak with Sanj Kakar, an orthopaedic hand and wrist surgeon and a Professor of Orthopaedic Surgery at the Mayo Clinic.

But Sanj has a secret, he is in fact British! 

Furthermore, he actually went to medical school with our very own Pete Bates and knows one or two stories about the antics of a young Master Bates in his formative years, as we discover!

In this wide-ranging and fun conversation we cover many different aspects of Sanj’s life and career including:

• growing up in West London
• medical school and early years surgical training in London
• how he ended up going to the US initially 
• and the decision to stay there for residency training and beyond
• why he chose Boston
• highlights from his time as an ABC Fellow and returning to London
• how he survived the endurance test that is the ABC Fellowship
• the logistics and challenges of "The Match"
• how he ended up at the Mayo Clinic
• and the Mayo secret sauce
• Kash's experiences of visiting Mayo as a Winston Churchill Fellow
• why the USA is the land of opportunity
• but not all that glitters is gold
• life in the USA for a Brit
• key mentors and people in his journey
• his plans for the future
• and much more!

Welcome to the latest episode of the see one / do one podcast.

In this episode we speak with Heather Vallier, an orthopaedic trauma surgeon and Medical Director at MetroHealth in Cleveland, and a Professor of Orthopaedics at Case Weston Reserve University.

She is a colossus of research output around orthopaedic trauma and popularised the concept of “Early Appropriate Care” - her name is mentioned in every lecture, discussion and journal club around the world when discussing the topic of orthopaedic polytrauma.

Heather is the 36th President of the Orthopaedic Trauma Association (OTA), and the first ever female president.

She is also one of Pete’s orthopaedic heroes, as he reveals!

In this wide-ranging and fun conversation we cover many different aspects of Heather’s life and career including:

• how to pronounce her surname properly!
• her time at medical school and how she chose orthopaedics as a career
• how she ended up in orthopaedic trauma and the support / challenges she encountered
• residency training and fellowship
• how she thrived as a woman in a traditionally male-orientated specialty
• the value of allies and mentorship and key mentors in her own journey
• having children as a medical student and intern
• and how she balances work and home-life
• some background on how “early appropriate care” came to be
• how it defines a proportion of her career
• and where the future lies in the field of orthopaedic polytrauma
• the difference between self-efficacy and recidivism
• recovery after trauma and breaking the cycle of trauma and repeated harm
• violence prevention and key initiatives she is involved with
• her relationship with the OTA and becoming President
• will there ever be a national US trauma system and registry and where the challenges lie
• and why Kash has to go to the next OTA meeting...
• her time as fitness instructor
• and much more!

Please subscribe on your podcast player and please leave us a rating and a review!
You can also find us on YouTube, LinkedIn,  Facebook, Instagram
and at www.orthohub.xyz

Twitter:
@orthohubxyz
@kashakhtar
@petebates

Welcome to the latest episode of the see one / do one podcast. In this episode we talk all about research.

Hold on - we know this could be a somewhat dry topic, but not when done in our unique orthohub way!

Our guests are Matt Costa and Dan Perry, two TITANS of orthopaedic academia who get their message across very well, and are great value too!

Matt is a Professor of Orthopaedic Trauma at the University of Oxford and has been a leading light in the rise of the pragmatic trial - research done in the real world that directly impacts our daily work and how we actually treat patients.

Dan is an NIHR Professor of Children's Surgery and Emergency Care and leads global randomised clinical trials in paediatric orthopaedic surgery and paediatric acute care. He is also a current ABC Fellow. Dan's research focuses on epidemiology and effectiveness research. He has an interest in 'big data' and clinical trials of orthopaedic interventions.

In this wide-ranging and fun conversation we cover many different topics including:

• their very different journeys into research and the world of academia
• the problem with pragmatic trials, and why they have upset some of the orthopaedic community
• the ying and yang between academics in their "ivory towers" vs everyone else in the "real world"
• the challenges with multi-centre / international collaborations
• does being good at academia impact how good you are at operating
• how juniors undertaking research can avoid being taken for a ride
• how do we stop poor quality research
• are journals a scam
• the future of research and impact
• and much more!

Please subscribe on your podcast player and please leave us a rating and a review!
You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram
and at www.orthohub.xyz
Twitter:
@orthohubxyz
@kashakhtar
@Pete Bates

This episode continues Season 1, In Service Review, where we cover key topics in the field of Plastic & Reconstructive Surgery pertinent to the yearly Plastic Surgery In-Service exam for residents.

Your Host for this episode is Dr. Morgan Martin  @morganmartinMD ! Here she reviews in depth everything about salivary gland tumors, oral cavity and pharyngeal cancer, staging and their treatment. This should include everything that could be tested on the in-service exam.
2021 Exam concepts are reviewed. 

Co-Founder and Host Morgan Martin MD @morganmartinmd

Production, design, and editing by our Co-Founder Greta Davis MD @greta_davis 

Music was produced by Alec Fisher, MD @alechfishermd

The accompanying visual supplement for this episode can be viewed on our Instagram page:
https://linktr.ee/Theloupepodcast

Welcome to our first ever outside broadcast, "orthohub on tour", brought to you with the support of our colleagues at Clockwork Medical.

This roundtable discussion was filmed live at the Sports Knee Surgery meeting in Warwick as we bring you what's new and trending (and what's actually practical and sensible) in the world of sports knee.

We are joined by four top-notch guests with their fingers on the pulse in Tim Spalding, Pete Thompson, Sanjay Anand and Henry Bourke.

Kash is in heaven as he can finally talk about some 'PROPER' orthopaedics!

He and the other speakers discuss the latest techniques and evidence arising, but let's face it- what we really want to know is how applicable is this all really  to our daily practices, and what it is that they actually  do.

Join us for lots of practical tips and tricks, learn about any changes the guests may make to their practices based on what they heard, and find out what things they definitely will not  be adopting!

Topics discussed include:

• the latest in graft choices for ACL reconstruction
• tips and tricks for harvesting and implanting BTB grafts
• fixation options for lateral tenodesis, and how much rotatory control does it actually give you?
• patella stabilisation, MPFL reconstruction and trochleoplasty
• the evolution of tibial osteotomy
• what to actually (really) inject for early knee OA
• the role of biologics and what is the role (if any) for PRP
• managing cartilage defects
• cell based treatments vs osteochondral allografts
• the challenge of allograft supply and working with tissue banks
• meniscal repair and how to perform MCL release to obtain full access to the posterior horn and not damage cartilage
• how best to manage meniscal root tears

Please subscribe on your podcast player and leave us a rating and a review!
You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyz

Twitter:
@orthohubxyz
@kashakhtar
@clockworkmed

The clue is in the title...

Join our latest orthohub see one / do one episode with our distinguished guest Professor Sithombo Maqungo, where we find out all about practicing surgery in South Africa.

Sithombo is the Head of the Orthopaedic Trauma Service at Groote Schuur Hospital and Professor at the University of Cape Town (UCT), internationally recognised for clinical excellence, research outputs, and training opportunities.

As well as being the Lead for Trauma Care and Injury Prevention at UCT, Sithombo is also President of the South African Orthopaedic Trauma Society, faculty for AO South Africa & AO Europe, the founder and Chair of Cape Town International Trauma Conference. He was previously an AO Gordon Siboto travelling fellow and has also recently been made an ABC Fellow.

His charity work includes advocating for a "Gun-free South Africa" and child safety.

In this wide-ranging conversation, we cover many different aspects of his life and career including:

• how playing tennis (and his friend's hi-fi system) was instrumental in his becoming a doctor
• his experiences of being a medical student as APARTHEID ended and Nelson Mandela became president
• what was surgical training like in Cape Town during the noughties and his medical experience as he travelled the world and how have things developed since then
• how much of trauma surgery still takes place overnight
• what does surgical training look like in South Africa
• what are the biggest challenges of practicing orthopaedics in South Africa  interfacing with bone-setters, rural practices, and state-of-the-art equipment
• and the impact of gun violence, as well as measures to try and reduce this and focusing on injury prevention

Please subscribe on your podcast player and leave us a rating and a review!

You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyz

Twitter:

@orthohubxyz
@kashakhtar
@petebates

Join our new orthohub see one do / one episode on the difference between diversity, inclusion and equity with Johnson & Johnson’s Executive Board members, Hani Abouhalka and Lucy Morrisey!

Discover what exactly is it - is it some passing fad that we need to be seen to doffing our cap at to tick a box, or is it something we should all be putting right at the core of what we do?

Our two special guests help us explore this in our own particular way!

Hani Abouhalka is the company group chairman for Johnson & Johnson medical devices in Europe, the Middle East & Africa and is responsible for J&J's medical device businesses encompassing surgical technology, orthopaedics, cardiovascular and specialty solutions. He is the executive sponsor of the Women's Leadership & Inclusion employee resource group and a board member of the Johnson & Johnson Foundation, a charity responsible for managing J&J's community impact programme.

We are also fortunate to be joined by Lucy Morrisey, who was previously blessed to have been Kash and Pete's boss at Barts as the Divisional Manager for Emergency Care and Trauma. She has previously spent time at the UCL Institute of Health Equity, as well as in senior management roles within some of London’s largest hospitals where she led large service transformation agendas. Lucy took the role of ‘Silver Command’ for the NHS cyber-attack and the London Bridge terrorist attack. She is now a director in the Strategic Capabilities team at Johnson & Johnson and the Women’s Leadership Initiative Pillar Lead for UK and Ireland. 

Lucy discusses her experiences of diversity and inclusion and brings a uniquely broad lens covering healthcare, the NHS and the corporate world. She also tells us just how much she misses working with orthopaedic surgeons…

In this wide-ranging conversation we cover many different topics including:
• what exactly are diversity, inclusion, equality and equity and why do they even matter?
• the value of role modelling, mentoring and sponsorship
• why do we need to change if everything is working fine as it is?
• is diversity and inclusion just trendy and “woke”, or does it hold real value?
• what does it look like when it’s done well?
• why would anyone ever want to become a healthcare manager?
• how orthopaedics often comes at the bottom of diversity tables and how best to address this
• are certain professions more appropriate for men and women?
• the role of unconscious bias
• what is it like being at the receiving end of dismissive behaviour and how to respond?
• stereotypes within surgery and in orthopaedics
• how diversity and inclusion vary around the world
• what can people in positions of privilege do to engage and to feel less awkward when discussions about diversity and inclusion arise
• and how can we all bake this into what we do for the benefit of ourselves, our colleagues, and our patients

Please subscribe on your podcast player and please leave us a rating and a review!

You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram 

and at www.orthohub.xyz

 Twitter:

@orthohubxyz
@kashakhtar

Join one of the most successful people in medicine as you have never heard him before in our latest orthohub see one / do one podcast!

Our special guest for this episode is Paul Tornetta III, MD - one of most well-known and respected orthopaedic surgeons in the world (and someone we thought would be far too sensible to actually come on our podcast!)

Paul is Chief and Chair, Professor and Residency Program Director in the Department of Orthopaedic Surgery at Boston, as well as the Director of Orthopaedic Trauma for the Boston Medical Center.

Paul has served on the executive committees of the SPRINT, FAITH, TRUST, and FLOW trials, as well as on the Department of Defense funded METRC consortium. He leads the Orthopaedic Trauma Research Consortium and has extensive experience as faculty on the AAOS / OTA, has over 250 peer-reviewed publications, and is a lead editor for Rockwood and Green’s textbook on fracture care.

He is a past president of the Orthopaedic Trauma Association and was an ABC (American British Canadian) traveling fellow. He is the incoming chair of the Council on Education for the AAOS and has won numerous prestigious prizes and awards.

In this wide-ranging conversation we discuss:

• mentoring & how can you spot the winners
• the struggling trainee - and the struggling trainer
• attitudes and behaviours that are incompatible with the practice of medicine 
• his theory on the 3 types of residents 
• what are the biggest challenges to orthopaedics 
• how he would bring the FDA into the 21st century via real-time registries & constant monitoring of outcomes 
• how to improve functional outcomes in trauma patients 
• are we training too many orthopaedic trauma surgeons?
• he explains why he doesn’t have a fellow and reveals time management tips and tricks to do it the Tornetta way
• we discover his plans to revolutionise surgical education by working with the AAOS to create a new Resident’s curriculum as a “living document”
• he addresses some of the biggest myths in orthopaedics
• and eventually professes his secret love of sports medicine!

We really take a good look under the hood at what makes him tick, and learn key tips and tricks that we can all use in our daily practices.

Please subscribe on your podcast player and please leave us a rating and a review!

You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram
and at www.orthohub.xyz

Twitter:
@orthohubxyz
@kashakhtar
@petebates

We are joined in the studio by 2 special guests for this fun episode.

Virtually all of us have had an idea for an app or a company at some point in our lives (and not always healthcare-related), but it very rarely goes any further- until we see someone else getting millions in investment a few years later and we are left kicking ourselves at what might have been!

Well if you have ever had an idea for a product or a business, this is the podcast for you!

In this episode we talk about how to take an idea and develop it, who to approach and when, how to bring in the right people to grow your company, when and how to bring in investment, and how to protect your interests.

We use a healthcare business as a basis for our discussion, but the principles, lessons and tips are applicable to any start-up in any field.

Our special guests are Ash Kalraiya and Anton Lin.

Ash is an orthopaedic resident (surgical trainee) and the founder and CEO of Medishout, healthcare’s first one-stop app to help hospitals predict problems and prevent bottlenecks so that staff can focus on patient care. Medishout have been chosen to join Microsoft’s AI for Social Impact programme, which aims to develop Artificial Intelligence solutions to improve people’s lives around the world. They have recently closed a million pound funding round.

Ash describes his journey and how he went from an idea one morning when he had to cancel 3 operations due to a faulty light bulb above the operating table, to developing a company that has raised over $1.5 million dollars in investment, and is continuing to grow.

But how do you do it if you have limited money, business and IT experience?

What’s it like to then receive a million pounds in funding- and how do you spend that money??

Ash tells us about the challenges, pitfalls and some of the missteps along the way- such as what do you do when you wake up in a foreign country to a barrage of irate error messages and have no apparent way of fixing it!

He opens up about something that many medics have not experienced before and was certainly new to him- the concept of rejection. Ash tells us about the times that things didn’t work out the way he had planned, how he bounced back and succeeded, and what skills he has developed now that he didn’t possess before.

Ash also talks about how to pitch for investment and what makes a good pitch. He speaks our language and also the language of Venture Capitalists, and so is excellent at guiding us through the maze.

Anton is the money man.

He completed a law degree at Oxford and then trained at Sandhurst and was a Captain in the British Army for 5 years. He has an MBA from Insead and is a Partner at Steed Capital, a Venture Capital Fund. Anton is also the Head of Strategy at Cognism, a Senior Fellow at the Institute for Statecraft and a mentor on the NHS Clinical Entrepreneurship Programme
He gives us a unique insight into what medics are good at and not so good at. He also talks about topics such as whether medics should leave their comfort zone and take time out of training / work to focus on the business, or to do it alongside the day job. Anton tells us what it is that investors are looking for in a business idea that will convince them to finance it. He also discusses Intellectual Property and secret recipes!

This is our most fun and wide-reaching episode yet so there really is something in it for everyone, even far beyond healthcare!

We are joined by a special guest who is dear to us and a valued friend of orthohub, Lisa Hadfield-Law. 

Lisa has worked as a surgical education consultant for over 25 years and has trained over 15,000 surgeons from 68 countries within Europe, North America, Latin America and Asia Pacific. During this time, she has been an official advisor to AO Trauma & AO Spine and has also been the education advisor to the British Orthopaedic Association and the Royal College of Surgeons for over a decade.

Lisa has a Masters in Higher Professional Education and is a Fellow of the Academy of Medical Educators.

Earlier in her career, Lisa was awarded Nurse of the Year by the Royal College of Nursing and the Department of Health, and more recently she was awarded the British Orthopaedic Association’s Presidential Merit Award in 2018.

Having been immersed in both cultures, Lisa is in a unique position to provide educational advice to surgeons.

In this wide-ranging conversation, we discuss:

·       how Lisa got into medical education

·       what the role of an educationalist actually is

·       dealing with surgeons

·       Kash and Pete’s first encounters with Lisa…

·       good and bad learning environments

·       how to make feedback useful and actionable

·       dealing with trainees in difficulty…

·       …and the concept of the “trainer in difficulty”

·       and impostor syndrome (even Pete Bates experiences it!)

 
Please subscribe on your podcast player and leave us a rating and a review!

You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram
and at www.orthohub.xyz

Twitter:
@orthohubxyz
@kashakhtar
@petebates

Drs. Mikael Petrosyan and Hans Pohl discuss undescended testes and what parents need to know

Preet & Josh are joined by two amazing female Canadian physicians, Dr. Liana Hwang and Dr. Michelle Cohen, to celebrate the first ever Canadian Women Physicians Day on March 11, 2021.

Our discussion highlights important conversations about gender inequities in medicine including the gender pay gap, women in medical leadership, and the history of women as physicians in Canada. Tune in today, then be sure to hop on twitter and check out #WomenDocsCan.

Join us as we dig into the health headlines you already know and more about the ones you don’t.

Twitter: @SickHealthShow

Instagram: @SickHealthShow

Credits

Editing and Production Assistance: Mack Britton

Logo design: Brad Hart

Music: Dark Whistle Triphop by Down 7 (thanks to RitualMusic.com)

Links:

Canadian Women In Medicine - The first ever Canadian Women Physicians Day

What the gender pay gap in medicine tells us about women’s health (Op-Ed by Dr. Michelle Cohen)

What’s driving the gender pay gap in medicine? 2020 News article by Boesveld S in The Canadian medical Association Journal (CMAJ).

https://informedopinions.org/view-expert-profile/?expert-id=45189

Sex-based disparities in the hourly earning of Surgeons in the Fee-For-Service system in Ontario 2019 Research article by Dossa F, et. al in Journal of American Medical Asscotaion (JAMA) Surgery.

Pay gaps in medicine and the impact of COVID-19 on doctors’ careers 2020 Comment article by Woodhams C, et. al in The Lancet.

A structured compensation plan improves but does not erase the sex pay gap in surgery 2018 Abstract by Morris M, et. al at the 138th Annals of Surgery Annual Meeting.