Through The Keyhole artwork

Through The Keyhole

47 episodes - English - Latest episode: 11 months ago -

Putting innovation technology and training and the heart of modern surgery. Podcast series from the Association of Laparoscopic Surgeons of Great Britain and Ireland.

Courses Education Health & Fitness Medicine laparoscopic surgery
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Episodes

Mr James Coulston - Human Factors and Patient Safety

August 22, 2023 13:00 - 39 minutes - 26.9 MB

Lucy and Lydia are joined by Mr James Coulston, consultant vascular surgeon at Musgrove Park Hospital in Taunton. James explores the role of non-technical skills and the importance of human factors, teamwork and training in successful surgical outcomes. 

Siya Lodhia - Sustainable OR

May 31, 2023 06:00 - 29 minutes - 20.1 MB

Lucy and Lydia  are joined in conversation with Siya Lodhia, a surgical registrar focused on sustainability in surgery. They explore the environmental impact of operating theatres and the challenges of implementing sustainable practices. Siya shares insights from her research project on staff attitudes and adopting a sustainability checklist in colorectal theatres. The discussion covers green practices, the Intercollegiate Green Theatre Checklist, and the importance of hospital leadership in...

Miss Siya Lodhia - Sustainable OR

May 31, 2023 06:00 - 29 minutes - 20.1 MB

Lucy and Lydia  are joined in conversation with Siya Lodhia, a surgical registrar focused on sustainability in surgery. They explore the environmental impact of operating theatres and the challenges of implementing sustainable practices. Siya shares insights from her research project on staff attitudes and adopting a sustainability checklist in colorectal theatres. The discussion covers green practices, the Intercollegiate Green Theatre Checklist, and the importance of hospital leadership in...

Miss Stella Dilke - The role of mentors and fellowships in surgical training

May 15, 2023 18:00 - 32 minutes - 22.2 MB

Lucy and Lydia catch up with Stella Dilke, a friend from medical school, and discuss what it is like to undertake a fellowship at St Marks Hospital in London, parenthood challenges, and what makes an inspiring mentor.  Stella is a general surgical registrar in London with an enthusiastic approach to all things colorectal and all things life.

Stella Dilke - The role of mentors and fellowships in surgical training

May 15, 2023 18:00 - 32 minutes - 22.2 MB

Lucy and Lydia catch up with Stella Dilke, a friend from medical school, and discuss what it is like to undertake a fellowship at St Marks Hospital in London, parenthood challenges, and what makes an inspiring mentor.  Stella is a general surgical registrar in London with an enthusiastic approach to all things colorectal and all things life.

Prof Danail Stoyanov - Robotics, Engineering and AI in Surgery

May 03, 2023 05:00 - 38 minutes - 26.4 MB

In this extended episode, Lucy and Lydia are joined by Dan Stoyanov,  Professor of Robot Vision from UCL and director of research at Medtronic. They discuss the growth of robotics within medicine, the intersection of AI, robotics and engineering and what the changing paradigm means for surgeons of the future.

Mr Matthew Doe surgery in different contexts - middle income countries

March 28, 2023 06:00 - 33 minutes - 23.3 MB

In this episode, Lucy and Lydia are joined by mr Matthew Doe who  reflects on his international surgical work in Nepal and Kenya. They discuss some of the challenges of surgery in middle income countries and the impact of ambulance services in terms of patient outcomes. 

Miss Michele Lucarotti - Breaking the mould

March 21, 2023 07:00 - 35 minutes - 24.6 MB

Lucy and Lydia catch up with consultant surgeon Michele Lucaretti from Gloucester as she approaches retirement. They reflect on her career as a female consultant general surgeon when the norm was heavily toward male surgeons . Michele maintains her enthusiasm for the profession despite the challenges and offers some fantastic tips for longevity as a surgeon in the process.

Professor Toogood - The Sunflower Clinical Study

March 16, 2023 07:00 - 32 minutes - 22 MB

Lydia and Lucy are joined by Professor Giles Toogood, Chief Investigator, Consultant Surgeon, Leeds Teaching Hospitals NHS Trust. Prof Toogood explains the goals and breadth of the Sunflower Study - a large RCT looking at the clinical and cost-effectiveness of expectant management versus preoperative imaging with magnetic resonance cholangiopancreatography in patients undergoing laparoscopic cholecystectomy at low or moderate risk of common bile duct stones.

Through The Keyhole series 3 preview

March 14, 2023 17:00 - 10 minutes - 6.99 MB

Lucy Huppler and Lydia Newton review series two of the TTK podcast and look forward to what's in store for series three of the Association of Laparoscopic Surgeons GBI podcast.  To get in touch with the show, please email [email protected] or use twitter handle @ALSGBI_podcast

Conference Conversations Part 2: ALSGBI Scientific Meeting Newcastle

November 10, 2022 15:00 - 35 minutes - 24.3 MB

Continuing the approach from previous TTK episode, Hamish Mackenzie talks with participants of the ALSGBI scientific meeting. Topics include; the power of group feedback un the form of  Schwartz rounds, the challenges of continuing training as an early years consultant, the growth of robotics and the need basic skills across the sector and a  preview of the next ALSGBI meeting in Portsmouth with Professor Jim Khan.

Conference Conversations Part 1: ALSGBI Scientific Meeting Newcastle

November 10, 2022 13:00 - 35 minutes - 24.1 MB

Hamish Mackenzie from Digital Resilience UK steps in for the normal presenting team to capture a series of conversations from around the 2022 ALSGBI scientific meeting. The focus of the conversations is surgical education and training and the role of technology in improving practice. In the initial episode, Hamish is joined by Dr Jordan Tsigarides (who delivers 2022 ALSGBI lecture on immersive education), Professor Mike Parker, Inovus Medical, Arthrex training and East of England trainee sur...

Gateshead Annual Scientific Meeting Preview

November 03, 2022 21:00 - 15 minutes - 10.4 MB

Tan is joined by Tamsin Morrison to preview the 2022 Annual Scientific Meeting of the Association of Laparoscopic Surgeons GBI

John Brunning - The Power of Music

August 08, 2022 14:00 - 30 minutes - 21.1 MB

Tan is joined by Classic FM's prime-time DJ, John Brunning. The cover the power of music and its effect on concentration, team dynamics, healing and personal relaxation. 

Prof Nadir Francis - Balancing research and surgery from a district location

August 01, 2022 14:00 - 33 minutes - 23.3 MB

Tan and Lucy are joined by Professor Nadir Francis, a consultant colorectal surgeon and with a significant body of research work. They discuss some of the challenges of continue to publish research from a regional location away from the major academic institutions and reflect on the importance of engaging with research and ongoing training throughout a surgical career. 

Prof Nader Francis - Balancing research and surgery from a district location

August 01, 2022 14:00 - 33 minutes - 23.3 MB

Tan and Lucy are joined by Professor Nader Francis, a consultant colorectal surgeon and with a significant body of research work. They discuss some of the challenges of continue to publish research from a regional location away from the major academic institutions and reflect on the importance of engaging with research and ongoing training throughout a surgical career. 

Meg Finch-Jones - Notes from a HPB consultant

July 26, 2022 20:00 - 35 minutes - 24.6 MB

Consultant Surgeon Meg Finch-Jones joins Lucy and Tan to reflect on her career in HPB surgery. They discuss her own journey into this area of surgery and some of the unique challenges of the specialism. They consider the evolution of role, the importance of coaching younger trainees, and the job satisfaction from complex surgery. 

Miss Meg Finch-Jones - Notes from a HPB consultant

July 26, 2022 20:00 - 35 minutes - 24.6 MB

Consultant Surgeon Meg Finch-Jones joins Lucy and Tan to reflect on her career in HPB surgery. They discuss her own journey into this area of surgery and some of the unique challenges of the specialism. They consider the evolution of role, the importance of coaching younger trainees, and the job satisfaction from complex surgery. 

Meg Finch-Jones - Notes from a HPV consultant

July 26, 2022 20:00 - 35 minutes - 24.6 MB

Consultant Surgeon Meg Finch-Jones joins Lucy and Tan to reflect on her career in HPV surgery. They discuss her own journey into this area of surgery and some of the unique challenges of the specialism. They consider the evolution of role, the importance of coaching younger trainees, and the job satisfaction from complex surgery. 

Graham Gooch - Latter career, training and personal development

June 27, 2022 18:00 - 22 minutes - 15.2 MB

In the second episode with Ex England Cricket Captain, Graham Gooch, Tan discusses the challenges of team management and how to get the best from others. They also discuss the transition when  senior professionals step back from front line services and the pleasure in develop the skills of coaching and training others.

Graham Gooch - The cross over between elite sport and surgical teams

June 20, 2022 17:00 - 22 minutes - 15.2 MB

In the first of two episodes, former England cricket captain Graham Gooch joins Tan to discuss elite performance and getting the best from teams.  They discuss attitude, coaching, commitment, skill, feedback, concentration and reducing complications. 

Mr Justin Morgan - From general to transplant surgery

June 07, 2022 08:00 - 29 minutes - 20.4 MB

Lucy and Lydia talk with Mr Justin Morgan, a consultant general and transplant surgeon  at  Southmead Hospital in Bristol.  Justin reflects on his early career as a general surgeon before discussing the benefits of specialism and his particular interest endocrine and transplant surgery. They also discuss his wider interest in medical education and his role as the  Dean of the North Bristol Academy for the University of Bristol. 

Ms Kat Baker - The first years of being a consultant colorectal surgeon

May 27, 2022 10:00 - 31 minutes - 21.5 MB

Kat is a Consultant  Colorectal Surgeon at  Oxford University Hospital. Lydia, Tan and Kat discuss the process of finding a first role as a consultant and the benefit experience beyond training. Kat reflects on the benefit she drew from an overseas surgical fellowship in Australia and her period in non-clinical research positions. They also discuss the balance and stamina needed to start a family whilst continuing to progress in specialist training. 

Mr Andrea Saracino - The first day as a consultant surgeon

May 09, 2022 12:00 - 27 minutes - 18.6 MB

Lydia and Lucy talk with Mr Andrea Saracino (Consultant Colorectal Surgeon Yeovil District Hospital)  as he finishes his training and begins his first day as a consultant surgeon.  They contrast training experiences in UK and Italy and the challenge of getting surgical training time and some of the cultural and language barriers. 

Mr Saxon Connor - Surgical team work in a time of crisis

May 09, 2022 10:00 - 32 minutes - 22.1 MB

In this episode Lydia and Tan talk with Mr Saxon Connor, an HPB surgeon from Christchurch, New Zealand. They discuss some of importance of team work in surgical teams before focusing specifically to the challenges surrounding crisis trauma events such as the earthquake and terrorist events that Christchurch suffered in the past decade.  

Dr Jordan Tsigarides - Virtual and Augmented Reality

May 03, 2022 16:00 - 36 minutes - 24.8 MB

Prof Tan is joined by Dr. Jordan Tsigarides, an  Academic Clinical Fellow  based at the Norfolk and Norwich University Hospital (NNUH) and Norwich Medical School. Jordan is the VR lead for the NNUH and is responsible for the development of multiple educational programmes utilising immersive technologies. They discuss the role of augmented and virtual technology in ongoing professional training and the potential of the technology for cost-effective simulation based learning.

Series 2 - Episode 3 - Professor Dr April Roslani

April 24, 2022 21:00 - 34 minutes - 23.6 MB

Tan and Lucy are joined by Professor Dr April Roslani, Dean of the University of Malaya. Professor April reflects on the her journey of training and the broader challenges of surgical training, both historically and in contemporary circumstances. She reflects on the evolving medical curricula and structure that medical trainees follow.  Lucy and April contrast the challenges of surgical training in Malaysia and the UK, with the issue of the time needed to train to a sub-speciality consultan...

Professor Dr April Roslani - The Challenge of Surgical Training

April 24, 2022 21:00 - 34 minutes - 23.6 MB

Tan and Lucy are joined by Professor Dr April Roslani, Dean of the University of Malaya. Professor April reflects on the her journey of training and the broader challenges of surgical training, both historically and in contemporary circumstances. She reflects on the evolving medical curricula and structure that medical trainees follow.  Lucy and April contrast the challenges of surgical training in Malaysia and the UK, with the issue of the time needed to train to a sub-speciality consultan...

Paul Barrack: S2 Episode 2

March 29, 2022 06:00 - 30 minutes - 20.8 MB

Tan is joined by Dr Paul Barrack from Thomas Jefferson University Hospital in Philadelphia. They discuss the challenges of managing complex systems and how keeping the guiding principles of patient safety, high quality of care, staff satisfaction and financial sustainability central. They discuss the central importance of ongoing training and learning from other complex industries . The look at challenges and culture around admitting mistakes and the importance of addressing human factors in...

Dr Paul Barrack: Managing Complex Systems

March 29, 2022 06:00 - 30 minutes - 20.8 MB

Tan is joined by Dr Paul Barrack from Thomas Jefferson University Hospital in Philadelphia. They discuss the challenges of managing complex systems and how keeping the guiding principles of patient safety, high quality of care, staff satisfaction and financial sustainability central. They discuss the central importance of ongoing training and learning from other complex industries . The look at challenges and culture around admitting mistakes and the importance of addressing human factors in...

Paul Barach: Managing Complex Systems

March 29, 2022 06:00 - 30 minutes - 20.8 MB

Tan is joined by Dr Paul Barach from Thomas Jefferson University Hospital in Philadelphia. They discuss the challenges of managing complex systems and how keeping the guiding principles of patient safety, high quality of care, staff satisfaction and financial sustainability central. They discuss the central importance of ongoing training and learning from other complex industries . The look at challenges and culture around admitting mistakes and the importance of addressing human factors in ...

Lucy Huppler and Lydia Newton: S2 Episode 1

March 22, 2022 07:00 - 33 minutes - 22.9 MB

For the new series of Through the Keyhole, Prof Tan is joined by Dr Lucy Huppler and Dr Lydia Newton to consider the path of a trainee surgeon and the  challenge of life balance in the early years as a doctor . They discuss their broader interests and the impact that elective-year travel had on their training and perspective. Lucy and Lydia will be supporting series 2 as guest presenters to bring their perspective of surgery at the start of a career. 

Dr Lucy Huppler and Dr Lydia Newton: New Season TTK

March 22, 2022 07:00 - 33 minutes - 22.9 MB

For the new series of Through the Keyhole, Prof Tan is joined by Dr Lucy Huppler and Dr Lydia Newton to consider the path of a trainee surgeon and the  challenge of life balance in the early years as a doctor . They discuss their broader interests and the impact that elective-year travel had on their training and perspective. Lucy and Lydia will be supporting series 2 as guest presenters to bring their perspective of surgery at the start of a career. 

Miss Lucy Huppler and Miss Lydia Newton: New Season TTK

March 22, 2022 07:00 - 33 minutes - 22.9 MB

For the new series of Through the Keyhole, Prof Tan is joined by Miss Lucy Huppler and Miss Lydia Newton to consider the path of a trainee surgeon and the  challenge of life balance in the early years as a doctor . They discuss their broader interests and the impact that elective-year travel had on their training and perspective. Lucy and Lydia will be supporting series 2 as guest presenters to bring their perspective of surgery at the start of a career. 

#12 Neil Smart on Hernia Repair

September 16, 2021 05:00 - 25 minutes - 17.4 MB

In this episode, returning guest Neil Smart discusses some of the challenges and considerations surrounding laparoscopic hernia repair. They look at the holistic approaches, patient outcomes and some of the controversies concerning the use of surgical mesh. 

#11 Chantelle Rizan - Sustainability in Surgery

September 01, 2021 09:00 - 32 minutes - 22.4 MB

Tan is joined by Dr Chantelle Rizan from the centre of sustainable healthcare for this episode where they look at the breadth of issues when considering the environmental impact of surgery and healthcare. They look at practical steps and discuss the importance of leadership at all levels in order to increase sustainability.    Chantelle Rizan is a Surgical Research Fellow at the Royal College of Surgeons of England and Sustainable Surgery Fellow at the Centre for Sustainable Healthcare. The ...

#10 Clare Gerada - Beneath the White Coat

August 04, 2021 21:00 - 28 minutes - 19.4 MB

In this episode, Tan and Clare discuss some of the difficult issues around mental health among medical professionals, and how to navigate turbulent times in a medical career. Dr Clare Gerada has been a medical practitioner since 1982. Having first trained in psychiatry she became a GP in 1992, and has worked in the same practice ever since. She has been heading up a groundbreaking service for sick doctors (practitioner-patients) since 2008 which has rapidly become an international leader. B...

#09 Life Hacks in a Surgical Career with Mr Peter Sedman

July 20, 2021 15:00 - 25 minutes - 17.3 MB

In this episode, Tan talks with Peter Sedman about the highs and lows of a surgical career and some of the lessons they have both learned. Within the conversation,  life hacks are discussed and Peter shares his tips for trainees starting out on a career in surgery.

#08 Neil Smart on Publishing Research in Medical Journals

July 12, 2021 08:00 - 17 minutes - 11.8 MB

Neil joins Tan to discuss the challenges and opportunities around publishing research in an era of Covid and digital acceleration. Neil is a Consultant Colorectal Surgeon at the Royal Devon & Exeter Hospital and Honorary Associate Professor at University of Exeter Medical School. Neil is also Editor in Chief of the Colorectal Disease Journal.

#07 Robotic Surgery with with Mr Chelliah Selvasekar

June 29, 2021 07:00 - 29 minutes - 20.2 MB

Tan discusses the development and impact of robotic-assisted surgery with Mr Chelliah Selvasekar, Consultant Colorectal and Laparoscopic Surgeon at The Christie Hospital and council member of ALSGBI. They explore some of the issues of data governance and training and suggest possible ways that current barriers may be overcome.

#06 Ian Beckingham - laparoscopic cholecystectomy

June 09, 2021 09:00 - 37 minutes - 26 MB

Mr Ian Beckingham joins Tan for a discussion on laparoscopic cholecystectomy and how to cope with the challenges of error. Ian is a consultant surgeon at Queens Medical Centre in Nottingham. 

#05 Ben Tipney - Human Factors - Performance and Error

June 02, 2021 08:00 - 52 minutes - 35.9 MB

In this extended episode, Tan is joined by Ben Tipney to discuss performance and error. Ben is a former international athlete with the Great Britain rowing team and holds a degree in Leadership & Sports Psychology.  He runs Med-Led, a company that optimises individual, team and organisational performance.

#04 Diversity in Successful Surgical Teams. Dr Tamsin Morrison

May 24, 2021 20:00 - 23 minutes - 15.9 MB

Dr. Tamsin Morrison joins Tan to discuss how diversity and inclusivity are core attributes of successful teams and how embracing a breadth of experiences improves health outcomes. They narrow the broad societal debates on diversity down to its impact within surgical teams and reflect on the value of cognitive diversity. 

#03 Education and training. Hamish Mackenzie on the growth of digital tools in education

May 17, 2021 19:00 - 28 minutes - 19.5 MB

Tan and Hamish explore some of the challenges and opportunities that have arisen in education as a result of the pandemic year. They explore how digital tools can be applied to surgical training to boost the experience of trainees. They discuss the modes of learning that can be ported between the educational and medical sectors. Dr Tamsin Morrison joins the conversation to reflect a surgical trainee's perspective on training in the lockdown year.

#02 Suviraj John - The development of laparoscopic surgeons in India

May 11, 2021 08:00 - 24 minutes - 16.9 MB

In this episode, Tan talks with Suviraj John, Senior Consultant Laparoscopic & Robotic Surgeon at Sir Ganga Ram Hospital, New Delhi. They discuss training programmes  in the UK and India, and the common challenges of training for risk management, leadership and communication skills. They consider the value of experience and how hard-won knowledge can be passed on effective. They look at the traits of successful surgical teams and what can be learned from non-medical sectors. 

#01 Don Menzies - ALS and the growth of laparoscopic surgery

April 30, 2021 08:00 - 43 minutes - 29.8 MB

Don Menzies and Tan discuss the growth of laparoscopic surgery techniques from the mid-90s and the extent to which radical approaches from 25 years ago are now common place across the world. They touch on the development of APLS as an organisation and discuss the challenges of aerosolisation in Covid19 theatre landscapes.

Through The Keyhole - Series Teaser

March 21, 2021 22:00 - 1 minute - 1.03 MB

Podcast Series from the Association of Laparoscopic Surgeons introduced by Professor Tan Arulampalan