119 episodes

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

First Incision Amanda Nikolic

    • Health & Fitness
    • 5.0 • 5 Ratings

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

    Guest Episode on Chest Trauma with James McKay

    Guest Episode on Chest Trauma with James McKay

    This episode covers the topic of chest trauma, with the James Mckay, an incredible general surgeon, trauma surgeon, and dual trained intensive care physician.

    Topics covered include:
    - rib fractures
    - flail chest
    - blunt cardiac injury
    - chest drains
    - resuscitative thoracotomy
    And more!   
     
    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 the information in this document.
    The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 38 min
    Guest Episode on Familial Cancer Syndromes with Chris Wakeman

    Guest Episode on Familial Cancer Syndromes with Chris Wakeman

    This guest episode with colorectal surgeon Chris Wakeman focuses on the common familial cancer syndromes. For each we go through diagnosis, genetics, surveillance, management, decision making and more. Topics include:
    - Familial Adenomatous Polyposis (FAP)
    - Lynch Syndrome
    - Serrated Polyposis Syndrome
    - Oligopolyposis
    Here are some resources Dr Wakeman suggested might be helpful when covering this topic:
    Lynch syndrome - InSiGHT (insight-group.org)
     Adenomatous polyposis syndromes - InSiGHT (insight-group.org)
     Serrated polyposis syndrome - InSiGHT (insight-group.org)
     Chris Wakeman is also happy for e-mails with any questions at: Christopher.Wakeman@cdhb.health.nz

    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 the information in this document.
    The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 33 min
    Guest Episode on Malignant Colorectal Polyps with Henry Drysdale

    Guest Episode on Malignant Colorectal Polyps with Henry Drysdale

    This episode is the first  part of a series that has been produced in collaboration with the Australian and New Zealand Training Board in Colon and Rectal Surgery (ANZTBCRS). It has come out of work prepared for the Colorectal Fellow's Training Weekend held in Adelaide in August 2023.

    Henry Drysdale won the Phillip Douglas Prize for his presentation on malignant colorectal polyps and is our guest for this episode.
    We cover:
    - definition
    - endoscopic features correlated with malignant polyps
    - endoscopic management
    - staging
    - histopathological classification and risk factors
    - determining the risk of residual local or nodal disease
    - definitive management 

    For images discussed in this episode please check out our Instagram page @first_incision

    Disclaimer
    The information in this podcast is intended as a revision aid for the purposes of the General Surgery Fellowship Exam and as educational material for doctors.
    This information is not to be considered to include any recommendations or medical advice by the author, ANZTBCRS, publisher or any other person. The listener should conduct and rely upon their own independent analysis of the information in this podcast.
    The author and ANZTBCRS provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam or other examinations.  No responsibility or liability is accepted by the author or ANZTBCRS in relation to the performance of any person in examination.  This podcast is not a substitute for candidates undertaking their own preparations for the exam or other clinical roles.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author, publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 38 min
    Guest Episode on Total Neoadjuvant Therapy (TNT) for Rectal Cancer with Simon Richards

    Guest Episode on Total Neoadjuvant Therapy (TNT) for Rectal Cancer with Simon Richards

    For this guest episode we are joined by Dr Simon Richards, as colorectal surgeon from Christchurch New Zealand.

    This episode is a masterclass in Total Neoadjuvant Therapy (TNT) for Rectal Cancer. We cover:
    - the traditional paradigm of rectal cancer management and how it's progressed to where we are now
    - what is TNT
    - what is 'watch and wait' and 'organ preservation'
    - the main three trials you need to know!
    - some cases and why you might consider different approaches for different patients
    AND MORE!

    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 the information in this document.
    The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 44 min
    Guest Episode on Bariatric Surgery with Carla Gillespie

    Guest Episode on Bariatric Surgery with Carla Gillespie

    On this guest episode we are joined by Dr Carla Gillespie, an UGI, bariatric and general surgeon from Sydney to cover the topic of bariatric surgery.

    We cover:
    - pathophysiology
    - types of operations
    - considerations when deciding what operation
    - complications - immediate and late
    - how to remove a lap band
    - and some general exam and career advice!

    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 the information in this document.
    The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 48 min
    Intestinal Failure

    Intestinal Failure

    From the vault (courtesy of Tara who found it).

    This episode covers the topic of intestinal failure. It includes:
    - definition
    - classification
    - pathophysiology
    - prevention
    - the three phases
    - intestinal adaptation
    - management
    - complications (short and long term)

    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 the information in this document.
    The author provides no guarantees or assurances in relation to any connection between the content of this podcast and the general surgical fellowship exam.  No responsibility or liability is accepted by the author in relation to the performance of any person in the exam.  This podcast is not a substitute for candidates undertaking their own preparations for the exam.
    To the maximum extent permitted by law, no responsibility or liability is accepted by the author or publisher or any other person as to the adequacy, accuracy, correctness, completeness or reasonableness of this information, including any statements or information provided by third parties and reproduced or referred to in this document. 
    To the maximum extent permitted by law, no responsibility for any errors in or omissions from this document, whether arising out of negligence or otherwise, is accepted.
    The information contained in this podcast has not been independently verified.

    © Amanda Nikolic 2024

    • 29 min

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