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What Promotes Joy
Published in Eve Shapiro, Joy in Medicine?, 2020
As I went through the clinical subjects in medical school, I really liked the hands-on kinds of work, so the surgical specialties appealed to me. I especially liked fixing things and I was athletic, so I gravitated to orthopedics. There was a female physician in our town who was an orthopedic surgeon. I’d known her all my life and thought she was so awesome and inspiring, and I thought, I can do that. Female mentors in orthopedics remain somewhat rare. We still make up less than 10% of orthopedic surgeons.
Neurosurgery
Published in Shelly Griffiths, Surgical Interviews: The Survival Guide, 2019
Adam Williams, Laurence Glancz
Neurosurgery is one of the tougher surgical specialties to gain a national training number in, but do not be dissuaded, as there are some silver linings to the process. The biggest of these is undoubtedly that neurosurgery is run-through training from ST1! If you are put off by the published competition rates at ST1, do remember that the ‘bottleneck’ for neurosurgical national training numbers is at ST1, rather than at ST3 like other surgical specialties.
Trauma systems
Published in Ian Greaves, Keith Porter, Chris Wright, Trauma Care Pre-Hospital Manual, 2018
Ian Greaves, Keith Porter, Chris Wright
In the same typical area, more than 80% of major trauma patients had a serious injury or worse (Abbreviated Injury Scale [AIS] (15) code ≥3) to the head, limbs or spine. This suggests that neurosurgery, orthopaedics and spinal surgery are the three busiest surgical specialties delivering care. Abdominal injuries are less common, with AIS 3+ abdominal injuries occurring in 11% of these patients (just over one per week). In such a population, expertise in damage control surgery must be maintained by continually refreshing training, rather than by ongoing experience.
A lecture series – neurosurgery in an Irish Medical School without an associated neurosurgical Centre
Published in British Journal of Neurosurgery, 2022
Sean Curran, David O’Brien, Michael Kerin
Neurosurgery is a subject that is felt to have a lesser role when compared to other surgical specialties within the undergraduate curriculum within medical schools in Ireland,1 with similar sentiment echoed among studies addressing neurosurgical teaching at undergraduate level in the UK,2 United States3,4 and Canada5 alike. A lack of common pre-defined learning outcomes may be attributable to the absence of ‘specific’5 undergraduate curricula in these various nations. This may subsequently contribute toward individual neurosurgical education programmes within Europe and North America being described as ‘heterogeneous’6 beyond that of undergraduate level and extending into discrepancies seen in the professional training of neurosurgeons between these two continents.
New paradigms in minimally-invasive vascular surgery
Published in Expert Review of Cardiovascular Therapy, 2022
George Galyfos, Dimitrios Liakopoulos, Frangiska Sigala, Konstantinos Filis
Novel robot-assisted techniques have been also introduced recently for the treatment of vascular surgery patients. Although these approaches have been extensively applied for certain surgical specialties such as general surgery or urology, these have been experimentally evaluated for vascular surgery, yielding promising results. Such applications include aortic dissection/surgery, treatment of type II endoleaks after EVAR, dissection of peripheral arteries or veins and endovascular procedures as well. However, there is a need for further clinical evaluation and comparison with traditional techniques in order to establish a clear benefit to use them in everyday clinical practice. Finally, there is a major concern regarding the high cost of instruments/procedure as well as the training requirements that should be taken into consideration.
Application of the Hybrid Operating Room in Surgery: A Systematic Review
Published in Journal of Investigative Surgery, 2022
In nowadays, value of the hybrid OR has been gradually recognized by physicians and surgeons all over the world. By the hybrid OR, surgeons are allowed to image, biopsy, diagnose, and operate in the same setting [1]. Mini-invasive procedures of various surgical specialties could be performed in the hybrid OR, including procedures of cardiovascular surgery, thoracic surgery, neurosurgery, general surgery. Since in conventional ORs, lesions could only be located by preoperative examinations, while in the hybrid OR, C-arms rotating around the patient, intraoperative computed tomography (IOCT), and intraoperative three-dimensional (3 D) images could assist in the intraoperative localization of lesions, the hybrid OR with multiple interventions is especially significant for patients with complex diseases. As research showed, treatment outcomes of surgical procedure have been largely improved, and operative time has been significantly shortened in the hybrid OR [2].