First Incision
124 episodes - English - Latest episode: 3 months ago -A podcast about preparing for the General Surgery Fellowship Exam. Each year, Australian and New Zealand surgical trainees sit this exam in order to gain a 'fellowship' in General Surgery. This podcast follows one trainee doctor on her journey towards FRACS (Fellowship Royal Australian College of Surgeons). The series correspond to the different modules from the surgical curriculum. Series 1-Breast Surgery, 2-Exam Specific Episodes; 3-Upper Gastrointestinal Surgery; 4-Colorectal Surgery; 5-Hepatobiliary Surgery; 6-Endocrine Surgery; 7-Trauma; 8-Skin and Soft Tissue; 9-Vascular; 10-Anatomy (Limb); 11-Surgical Oncology; 12-Critically Ill Surgical Patient
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Episodes
Peptic Ulcer Disease
January 13, 2021 22:00 - 41 minutes - 28.7 MBEverything you need to know about peptic ulcer disease you will find right here in this episode. We cover how to manage uncomplicated presentations, what the go is with helicobacter pylori, and how to approach complications such as perforated ulcers and bleeding. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the au...
GIST and other Gastric Tumours
January 05, 2021 02:00 - 45 minutes - 31.3 MBIn this episode, we will be covering the rest of gastric tumours. This includes: - Gastrointestinal Stroma Tumours (GIST) - Gastric Lymphoma - Gastric Neuroendocrine Tumours including Zollinger-Ellison Syndrome - and Gastric Polyps Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other per...
Guest Episode on Eosophageal and Gastric Cancer with Mary Ann Johnson
December 27, 2020 23:00 - 51 minutes - 35.5 MBOn this episode, we talk with Mary Ann Johnson, an upper gastrointestinal surgeon, about oesophageal and gastric cancer. Topics covered include - the role of EUS in the workup of eosophageal and gastric cancer? - when to use the different types of oesophagectomy - in regards to oesophageal SCC, what chemotherapy is given? - which patients with oesophageal SCC are treated with 'definitive CRTx' and who gets neoadjuvant to with an aim to subsequently resect? - ...
Guest Episode on Oesophageal and Gastric Cancer with Mary Ann Johnson
December 27, 2020 23:00 - 51 minutes - 35.5 MBOn this episode, we talk with Mary Ann Johnson, an upper gastrointestinal surgeon, about oesophageal and gastric cancer. Topics covered include - the role of EUS in the workup of eosophageal and gastric cancer? - when to use the different types of oesophagectomy - in regards to oesophageal SCC, what chemotherapy is given? - which patients with oesophageal SCC are treated with 'definitive CRTx' and who gets neoadjuvant to with an aim to subsequently resect? - ...
Oesophageal Cancer
December 14, 2020 18:00 - 43 minutes - 29.9 MBThis episode introduces us to oesophageal (or esophageal for our North American friends) cancer. We take a look at both adenocarcinoma and SCC in more detail. Including risk factors, presentation, workup, management, follow-up and prognosis. Keep an eye out for next week's episode where we will be joined by an UGI surgeon to answer some of the burning questions that come up in this episode! Disclaimer The information in this podcast is intended as a revision aid for the purposes of the G...
Gastric Cancer
December 07, 2020 19:00 - 45 minutes - 31.6 MBOn this episode, we discuss gastric cancer. Everything from workup, to risk factors, pathophysiology, and various treatments. This bigger picture episode will give you the tools you need to answer questions about gastric cancer for the exam. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or...
Deliberate Exam Practice with Alex Craven
November 30, 2020 23:00 - 38 minutes - 26.6 MBIn this episode, Dr Alex Craven takes myself and Dr Steven Kunz (SET trainee) through specific exercises and techniques focussed on deliberate practice for the VIVA exam. Be prepared for some awesome tools you can take with you and apply to your preparation and study groups to get the most out of your time preparing for the exam. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be ...
Barrett's Oesophagus, Eosinophilic Oesophagitis and Oesophageal Strictures
November 13, 2020 20:00 - 26 minutes - 18 MBIn this episode, disorders of the oesophagus (or esophagus for those Northern American listeners) takes centre stage. We talk about Barrett' Oesophagus, including the diagnosis, classification, seattle protocol of biopsies, and what to do with different histopathological types of Barrett's. Next is a quick summary of Eosinophilic Oesophagitis, before we dive into benign oesophageal strictures and talk a little more about A and B rings, Schatzki rings, and peptic strictures. Disclaimer Th...
Oesophageal Motility Disorders
November 06, 2020 20:00 - 23 minutes - 16.1 MBThis week's episode explores oesophageal motility disorders. We are covering the topics of: - Achalasia - Hypertensive lower oesophageal sphincter - Diffuse oesophageal spasm - Nutcracker oesophagus - Ineffective oesophageal motility How they present, how to diagnose them, and their different treatments. We also talk a little about POEM (per-oral endoscopic myotomy) and the surgical principles of heller's myotomy, as well as the risks and benefits of these procedures. Disclaimer The infor...
Gastro-oesophageal Reflux Disease (GORD), Hiatus Hernia and Gastric Volvulus
October 27, 2020 10:00 - 34 minutes - 23.6 MBJoin us this week for our first deep dive into upper gastrointestinal surgery and the oesophagogastric module. Everything you ever wanted to know and more about gastro-oesophageal reflux disease (GORD), hiatus hernia and gastric volvulus Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any ot...
Oesophageal and Gastric Anatomy and Embryology
October 20, 2020 07:00 - 18 minutes - 12.6 MBGet ready for a new topic on First Incision! We are going to tackle the massive topic of Upper Gastrointestinal Surgery. To kick it off, lets ease into it by going through the anatomy and embryology of the oesophagus and stomach. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other pers...
VIVA Exam Preparation with Alex Craven
October 13, 2020 07:00 - 49 minutes - 34.2 MBThe is the second episode in our series on preparing for, and sitting the fellowship exam. Dr Alex Craven tells us everything we need to know about the VIVA exam. He goes through what to expect in each of the different sections, and shares practical tips about how to get the most out of studying and preparing for this exam. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be consider...
Written Exam Tips with Alex Craven
October 05, 2020 19:00 - 39 minutes - 26.8 MBThe first in our series on preparing for, and sitting the fellowship exam. In this first of two episodes with Dr Alex Craven, he tells us everything we need to know about the written exam - covering the spots and short answer questions. But more importantly, he shares some practical tips about how to get the most out of our study. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be ...
Ductal Carcinoma in Situ (DCIS)
September 28, 2020 20:00 - 16 minutes - 11.1 MBThis weeks' episode explores everything you need to know about the subtypes, classification, workup and management of Ductal Carcinoma in Situ (DCIS). Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely upon their own independent analysis of ...
Special populations in Breast Cancer
September 21, 2020 20:00 - 23 minutes - 16.5 MBJoin us today for a discussion about special populations in breast cancer. This includes: - pregnancy associated breast cancer - considering fertility in breast cancer treatment, and - what to do if you encounter a positive axillary node but an unknown primary. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the auth...
Guest Episode on Breast Surgery and Operative Vivas with Caroline Baker
September 13, 2020 21:00 - 57 minutes - 39.6 MBCaroline Baker is the director of Breast Surgery at St Vincent's Hospital in Melbourne. She has taken the time to talk about operative breast surgery with us, going over the four core operations for the Breast Curriculum: - Wide Local Excision - Mastectomy - Axillary Lymph Node Dissection, and - Sentinel Lymph Node Biopsy We cover not only the operative steps, but key information to consider in your approach, and some common pitfalls and how to avoid them. VCCC education program menti...
Male Breast Diseases
September 07, 2020 21:00 - 21 minutes - 14.9 MBFor our lucky number SEVEN episode this week we talk about male breast diseases, including: - gynaecomastia: the various causes, who to workup, and how to treat it. - and male breast cancer Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommendations or medical advice by the author or publisher or any other person. The listener should conduct and rely...
Nipple Discharge, Breast Infections and Galactoceles
August 31, 2020 21:00 - 35 minutes - 24.5 MBThis episode covers everything you need to know about three high-yield breast topics. - Nipple Discharge - Breast Infections - Galactocele Reference: https://www.aafp.org/afp/2012/0601/p1073.html Evaluation and Management of Galactorrhea. Huang et al. Am Fam Physician. 2012. Jun 1;85(11): 1073-1080 Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommen...
Nipple Discharge, Breast Infections and Galactoceles
August 31, 2020 21:00 - 35 minutes - 24.5 MBThis episode covers everything you need to know about three high-yield breast topics. - Nipple Discharge - Breast Infections - Galactocele Reference: https://www.aafp.org/afp/2012/0601/p1073.html Evaluation and Management of Galactorrhea. Huang et al. Am Fam Physician. 2012. Jun 1;85(11): 1073-1080 Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be considered to include any recommen...
Guest Episode on Breast Cancer with Jocelyn Lippey
August 25, 2020 07:00 - 47 minutes - 32.7 MBThis guest episode with Dr Jocelyn Lippey answers all of the questions we had about breast cancer, as well as covers some practical tips for preparing for the fellowship exam. Jocelyn is an incredible breast surgeon who is passionate about providing expert care to her patients. She is also a fantastic teacher, researcher and all-around lovely person, and we are so grateful to her for giving up her time and expertise for this episode. Disclaimer The information in this podcast is intended ...
Early Breast Cancer - Treatment
August 17, 2020 21:00 - 1 hour - 42.1 MBLet's talk about the treatment of early breast cancer. This episode covers: - the importance of the MDT in breast cancer treatment - surgery - what to do with the axilla - radiotherapy - the MDT approach - chemotherapy - endocrine therapy - neoadjuvant versus adjuvant treatment And the importance of the MDT approach in breast cancer treatment This area is super complex - but this episode aims to cover the key concepts and themes, with the more complex decision making left for the specialis...
Early Breast Cancer - An Introduction
August 10, 2020 21:00 - 1 hour - 43.1 MBThis week we're staying with the theme of 'Breast Pathology' with an introduction to Early Breast Cancer. We cover the epidemiology, presentation, workup, hormone expression, classification, staging, gene expression profiling, and genetic breast cancers. This episode is content heavy for the study-lovers! And is a great introduction to the next episode where we'll delve deeper into treatment. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the...
Benign Breast Diseases
August 03, 2020 21:00 - 33 minutes - 23.4 MBContinuing the 'breast' module from the general surgical curriculum, this episode takes a deep dive into benign breast diseases. We talk about non-proliferative, proliferative and atypical proliferative lesions, exploring what they are, and what to do about them. Special mention at the end about papillomas and phyllodes tumours. Disclaimer The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam. This information is not to be c...
Breast Anatomy and Embryology
July 28, 2020 21:00 - 18 minutes - 12.7 MBWe're kicking off our study with the 'breast' module from the general surgical curriculum. Our first episode gives us an introduction to this topic by covering clinically relevant breast anatomy and embryology. This episode also introduces me, why I'm doing this podcast and what to expect in the future. References Last's Anatomy Ninth Edition. R. McMinn. Churchill Livingstone 1998. Gray's Anatomy for Students Second Edition. R Drake et al. Churchill Livingstone 2010. Disclaimer The infor...