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This Evidence Based Reviews in Surgery (EBRS) webinar was filmed July 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. Bourke Tillmann and Dr. Emilie Joos. In this EBRS webinar, we discussed Getting out of the bay faster: Assessing trauma team performance using trauma video review" (Maiga et al., 2024). Links: Maiga AW, Vella MA, Appelbaum RD, et al. Getting out of the bay faster: Assessing trauma team performance using trauma video review. J Trauma Acute Care Surg. 2024;96(1):76-84. doi:10.1097/TA.0000000000004168

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed November 2025. This webinar was moderated by Dr. Alison Laws and Dr. Ameer Farooq, and featured panelists Dr. Nicole Culos-Reed, Dr. Christopher Booth and Dr. Bishal Gyawali. In this EBRS webinar, we discussed Structured Exercise after Adjuvant Chemotherapy for Colon Cancer (Courneya et al., 2025). Links: Courneya KS, Vardy JL, O’Callaghan CJ, et al. Structured Exercise after Adjuvant Chemotherapy for Colon Cancer. N Engl J Med. 2025;393(1):13-25. doi:10.1056/NEJMoa2502760

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed May 2025. This webinar was moderated by Dr. Alison Laws and Dr. Kerollos Wanis, and featured panelists Dr. Stephanie Wong, Dr. Sarah Knowles and Dr. Rebecca Warburton. In this EBRS webinar, we discussed Axillary Surgery in Breast Cancer--Primary Results of the INSEMA Trial (Reimer et al., 2024) & Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes (Gentilini et al., 2023). Links: Gentilini, O. D., Botteri, E., Sangalli, C., Galimberti, V., Porpiglia, M., Agresti, R., Luini, A., Viale, G., Cassano, E., Peradze, N., Toesca, A., Massari, G., Sacchini, V., Munzone, E., Leonardi, M. C., Cattadori, F., Di Micco, R., Esposito, E., Sgarella, A., Cattaneo, S., … SOUND Trial Group (2023). Sentinel Lymph Node Biopsy vs No Axillary Surgery in Patients With Small Breast Cancer and Negative Results on Ultrasonography of Axillary Lymph Nodes: The SOUND Randomized Clinical Trial. JAMA oncology, 9(11), 1557–1564. https://doi.org/10.1001/jamaoncol.2023.3759Reimer, T., Stachs, A., Veselinovic, K., Kühn, T., Heil, J., Polata, S., Marmé, F., Müller, T., Hildebrandt, G., Krug, D., Ataseven, B., Reitsamer, R., Ruth, S., Denkert, C., Bekes, I., Zahm, D. M., Thill, M., Golatta, M., Holtschmidt, J., Knauer, M., … Gerber, B. (2025). Axillary Surgery in Breast Cancer – Primary Results of the INSEMA Trial. The New England journal of medicine, 392(11), 1051–1064. https://doi.org/10.1056/NEJMoa2412063

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed February 2025. This webinar was moderated by Dr. Kelly Vogt and Dr. Chad Ball, and featured panelists Dr. James Byrne, Dr. Kimberly Bertens and Dr. Sean Gregg. In this EBRS webinar, we discussed Restrictive Strategy vs Usual Care for Cholecystectomy in Patients with Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial (Comes et al., 2024). Links: Comes DJ, Wennmacker SZ, Latenstein CSS, et al. Restrictive Strategy vs Usual Care for Cholecystectomy in Patients With Abdominal Pain and Gallstones: 5-Year Follow-Up of the SECURE Randomized Clinical Trial. JAMA Surg. 2024;159(11):1235-1243. doi:10.1001/jamasurg.2024.3080

This Evidence Based Reviews in Surgery (EBRS) webinar was filmed January 2022, in collaboration with UNITAR. This webinar was moderated by Dr. Chad Ball and Dr. Neel Detta, and featured panelists Dr. Keith Lillemoe, Dr. Majella Doyle and Dr. Jeff Barkun. In this EBRS webinar, we discussed Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy (Brunt et al., 2020). Links: Brunt LM, Deziel DJ, Telem DA, et al. Safe Cholecystectomy Multi-society Practice Guideline and State of the Art Consensus Conference on Prevention of Bile Duct Injury During Cholecystectomy. Ann Surg. 2020;272(1):3-23. doi:10.1097/SLA.0000000000003791

The William Ersil Research day invited guest and moderator for 2025 was Dr. Krista Goulding.  Dr. Goulding is an Orthopedic Surgeon at Mayo Clinic Arizona, where she specializes in caring for patients with sarcomas and other cancerous and non-cancerous tumors of the musculoskeletal system.  Dr. Goulding’s expertise is in limb preservation surgery using innovative techniques (synthetic and bone transplants, 3D printed and patient-specific implants, joint replacement). Her goal is to cure cancer while preserving function and quality of life. She is involved in research on a national and international scale, and is currently researching ways to improving surgical, oncologic and health-related quality of life outcomes for patients with malignant bone and soft tissue cancers. In this “How I Built This” segment of the research day, we explored Dr. Goulding’s career. Links: What are the 2-year survivorship outcomes of custom hemipelvis reconstruction after hemipelvectomy and revision arthroplasty? The evolution of a custom ilium "monoflange". https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/36255157/Košir U, Denis-Larocque G, Tsimicalis A, Freeman C, Turcotte RE, Cury F, Alcindor T, Goulding K. Psychological functioning, coping styles and their relationship to appraisal of physical limitations following invasive surgical procedures for soft-tissue sarcoma: A qualitative study. J Surg Oncol. 2020 Jun;121(8):1266-1275. doi: 10.1002/jso.25915. Epub 2020 Mar 27. PMID: 32221986.

Surgery has never been more complicated. The variety of surgical approaches and the complexity of treatment continue to grow exponentially, yet in many institutions, surgical training has not really changed. Dr. Adnan Alseidi, our guest for this episode, is trying to change that.  Dr. Adnan Alseidi is a liver and pancreas surgeon at UCSF and is the associate dean of assessment, improvement, and accreditation. He recently gave the Langer lecture at the Canadian Surgical Forum in Montreal this year about surgical education and the path from novice to master. This episode was really a moment for us to ask all our burning questions about surgical education. What are the phases of mastery? Should we really be aiming for mastery? And how do we create trust between attending and trainees? We’d love to hear your thoughts and comments, so email us at [email protected]. Links: Medical school accreditation is outdated. WSJ. https://www.wsj.com/opinion/medical-school-accreditation-is-outdated-holds-back-innovation-nyu-98fe80bdhttps://www.canadiansurgeryforum.com/biographiesAn Integrative Model of Organizational Trust. Roger C. Mayer, James H. Davis, F. David Schoorman. The Academy of Management Review, Vol. 20, No. 3 (Jul., 1995), pp. 709-734 (26 pages). https://www.jstor.org/stable/258792Ericsson. https://share.google/bRhcSSC7sKKp9bX9bThe Five-Stage Model of Adult Skill Acquisition. Dreyfus model. https://share.google/2GSuypiGKExQMeMPXWicked problems! Horst W. J. Rittel & Melvin M. Webber . Dilemmas in a general theory of planningThe Book Of Joy: Lasting Happiness In A Changing World. Dalai Lama,Desmond Tutu,Douglas Carlton Abrams

Dr. Teresa Purzner MD PhD FRCSC is a clinician scientist neurosurgeon with a special interest in neuroncology and general neurosurgery.  She completed her residency training at the University of Toronto, and her PhD training at Stanford University.  Her lab, run jointly with her husband Dr. James Purzner, is focused on interdisciplinary approaches to identifying novel drug targets for brain cancer as well as the translation of promising new drug targets into human-ready therapeutics.  Her work has led to the identification of a critical new drug target in the brain tumor medulloblastoma – a discovery that she has since translated into a novel drug for both brain cancer and skin cancer, currently being tested in phase 1 and phase 2 clinical trials.  This work has resulted in her being named a Stanford Interdisciplinary Graduate fellow, Biox fellow and SPARK fellow, and has earned her both national and international recognition including the Annual Award of the American Academy of Neurological Surgery, the K.G. McKenzie prize for Basic Science Research, AANS Louise Eisenhardt Award and the Neurosurgery Research and Education Fellowship. She is a mom, an entrepreneur, and design-thinker, having created her own baby food company as well as redesigned the Integrated Brain Tumor Program.  Links: Integrated Brain Tumor Program: https://surgery.queensu.ca/administration/announcements/integrative-brain-tumor-program-achieving-best-class-patient-outcomeshttps://www.ibtp.ca/purzner-labhttps://www.theglobeandmail.com/business/economy/article-how-a-neurosurgeon-used-her-entrepreneurial-background-to-revamp-a/

Dr. Patrick Murphy is a trauma and acute care surgeon at Medical College of Wisconsin. In this episode we discuss his recent paper, “Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study.” This conversation turned into more than just a discussion around workforce planning, but also around how surgeons are compensated and surgical culture. Links: Murphy, Patrick B. MD, MPH, MSc; Coleman, Jamie J. MD; et al; The ACS Staffing Authorship Group. Understaffed and overworked: The stark reality of acute care surgeon staffing in the United States, an Eastern Association for the Surgery of Trauma multicenter study. Journal of Trauma and Acute Care Surgery ():10.1097/TA.0000000000004700, July 4, 2025. | DOI: 10.1097/TA.0000000000004700 Murphy PB, Nahmias J, Bonne S, Coleman J, de Moya M. Defining the acute care surgeon: American Association for the Surgery of Trauma (AAST) panel discussion on full-time employment, compensation and career trajectory. Trauma Surg Acute Care Open. 2024 Sep 30;9(1):e001500. doi: 10.1136/tsaco-2024-001500. PMID: 39363886; PMCID: PMC11448165.Murphy PB, Coleman J, Karam B, Morris RS, Figueroa J, de Moya M. A national study defining 1.0 full-time employment in trauma and acute care surgery. J Trauma Acute Care Surg. 2022 Apr 1;92(4):648-655. doi: 10.1097/TA.0000000000003504. PMID: 34936589.Murphy PB, Coleman J, Maring M, Pokrzywa C, Deshpande D, Al Tannir AH, Biesboer EA, Morris RS, Figueroa J, de Moya M. Early career acute care surgeons' priorities and perspectives: A mixed-methods analysis to better understand full-time employment. J Trauma Acute Care Surg. 2023 Dec 1;95(6):935-942. doi: 10.1097/TA.0000000000004037. Epub 2023 Jun 15. PMID: 37418689.Smith RN, Freedberg M, Bailey J, DeMoya M, Goldberg A, Staudenmayer K. The importance and benefits of defining full-time equivalence in the field of acute care surgery. Trauma Surg Acute Care Open. 2024 Jul 4;9(1):e001307. doi: 10.1136/tsaco-2023-001307. PMID: 38974220; PMCID: PMC11227842.Robinson C, Lawless R, Zarzaur BL, Timsina L, Feliciano DV, Coleman JJ. Physiologic stress among surgeons who take in-house call. Am J Surg. 2019 Dec;218(6):1181-1184. doi: 10.1016/j.amjsurg.2019.08.023. Epub 2019 Sep 19. PMID: 31570199.Adi Kumar on Cold Steel: https://open.spotify.com/episode/52Hg2cCLGLZejD0QSfI9le?si=xSHFcSrPRdOOZ_RT_QWsAA 

Dr. Brian Cameron is a retired pediatric surgeon who has spent much of his life dedicated to global surgery. In this conversation, we discuss his new book Ripples from the Rupununi: Dr. Aidun’s Healing Journey. We talk about what it takes to write a book and also discuss the book itself.  Let us know in the comments or via email: Have you ever thought about writing a book?  Links: E78 Brian Cameron On Global Surgery: https://www.youtube.com/watch?v=bdetQSXBRMQRipples from the Rupununi. https://books.friesenpress.com/store/title/119734000491425890/Brian-H.-Cameron-Ripples-from-the-Rupununi Surgical training in Guyana: the next generation. Cameron BH, Martin C, Rambaran M. Can J Surg. 2015 Feb;58(1):7-9. doi: 10.1503/cjs.010414. PMID: 25621909 Free PMC article. Evaluating the long-term impact of the Trauma Team Training course in Guyana: an explanatory mixed-methods approach. Pemberton J, Rambaran M, Cameron BH. Am J Surg. 2013 Feb;205(2):119-24. doi:  10.1016/j.amjsurg.2012.08.004. Epub 2012 Dec 13. PMID: 23246285 International surgery: the development of postgraduate surgical training in Guyana. Cameron BH, Rambaran M, Sharma DP, Taylor RH. Can J Surg. 2010 Feb;53(1):11-6. PMID: 20100407 Free PMC article. Teaching in Fiji: practising medicine, coping with coups. Cameron BH. CMAJ. 1989 Apr 1;140(7):833-5. PMID: 2924235 Free PMC article. No abstract available.

Dr. Michael Leveridge is a urologist at Queen’s University. He specializes in urologic oncology and is the editor in chief of the Canadian Urological Association Journal. We spoke to him about his career, his role as editor in chief, and how he creates mental models in his practice. In addition, Dr. Leveridge did a masterclass with us on ureteric injuries. We also watch videos together and get his thoughts on how to avoid these injuries. Check out the YouTube masterclass here: https://youtu.be/izHOSh38J7U Links: https://cuaj.ca/index.php/journal/indexCancel half of your clinic visits* (a Halloween hot take). https://cuaj.ca/index.php/journal/article/view/8996Mental models in practice: Calculus and the future self. https://pubmed.ncbi.nlm.nih.gov/35623001/

Campbell Roxburgh is a consultant colorectal surgeon and Professor of Colorectal Surgical Oncology at University of Glasgow in Scotland. Mr. Roxburgh is a multi-faceted researcher, surgeon and academic. He has a large body of research in systemic inflammation and tumor response, as well as clinical trials. We were lucky enough to have him join us at Queen’s University for a week.  In this talk he gave to the general surgery division, he talked about the development of robotic surgery in Scotland. What stood out for us from his talk was the deliberate, systematic approach to introducing a new technology adopted by the NHS, as opposed to the way that technology is often rolled out in North America. We also had a great time asking Campbell questions at the end of his talk, and we particularly liked his response to how to find work-life balance as a surgeon and an academic. What do you think? How should something like robotics be rolled out in Canada? Email us at [email protected]. Feel free to leave us a voicemail, and we might play your response on our next episode.  Campbell Roxburgh on X: @C_Roxburgh Links: https://www.gla.ac.uk/schools/cancersciences/staff/campbellroxburgh/Ingham AR, McSorley ST, McMillan DC, Mansouri D, Chong D, MacKay GJ, Wrobel A, Kong CY, Alani A, Nicholson G, Roxburgh CSD. Does robotic assisted surgery mitigate obesity related systemic inflammatory response and clinical outcomes in left sided colorectal cancer resections? J Robot Surg. 2025 Mar 5;19(1):98. doi: 10.1007/s11701-025-02261-0. PMID: 40042780; PMCID: PMC11882609.Ingham AR, Kong CY, Wong TN, McSorley ST, McMillan DC, Nicholson GA, Alani A, Mansouri D, Chong D, MacKay GJ, Roxburgh CSD. Robotic-assisted surgery for left-sided colon and rectal resections is associated with reduction in the postoperative surgical stress response and improved short-term outcomes: a cohort study. Surg Endosc. 2024 May;38(5):2577-2592. doi: 10.1007/s00464-024-10749-3. Epub 2024 Mar 18. PMID: 38498212; PMCID: PMC11078791.

Andrea Merrill is a surgical oncologist in Charlottesville, Virginia. She is the creator of Scrubbed Out, a website dedicated to highlighting the talents and passions of surgeons and trainees outside of the operating room. As listeners will know, Chad and I have been obsessed with exploring how to be the best surgeons we can be without losing our humanity in the process. Dr. Merrill had some really important insights on how we might walk the line between being completely immersed in surgery, but also staying grounded. We also talked about several of her superb pieces of writing, including “Free Solo” and “Taylor Swift in the Operating Room”.  We’d love to hear from you – what hobbies or side hustles do you have? How do you balance them with a life in surgery? Email us at [email protected]. Links: https://www.scrubbedoutsurgeon.com/Merrill AL. Free Solo Surgery. Ann Surg. 2022 Aug 1;276(2):e77-e78. doi: 10.1097/SLA.0000000000005499. Epub 2022 Jul 6. PMID: 36036994.https://kevinmd.com/2024/02/taylor-swift-in-the-operating-room-the-surgeon-who-found-strength-in-song.htmlhttps://kevinmd.com/2015/06/why-are-women-so-underrepresented-in-surgery-leadership.html

Dr. Mohammed Bellal is a consultant urologist based out of Birmingham, UK. He specializes in complex functional reconstructive surgery. He’s also the UK’s first paralyzed surgeon. Dr. Bellal has probably one of the most powerful talks we’ve ever heard called “The Gift of Adversity”. During our conversation with him, we explore the power of fate, and how letting go of the outcomes is such a difficult but powerful life lesson we all need to learn. We also delved deeply into how Dr. Bellal has adapted to his paralysis and has come back to practice as a surgeon, and his insights on how we might design the operating rooms of the future.  Links: The Gift of Adversity: https://youtu.be/uTPVvPMod2Q?si=VTn616zCI8M7oF71https://www.bbc.com/news/uk-england-birmingham-63586045

In this second episode of our mini-series with the Canadian Medical Protective Association (CMPA), Richard Mimeault and Liisa Honey talk about the “Anatomy of a Lawsuit”. They talk about what you can expect if you are served with a College complaint or a lawsuit, what the process looks like, and how you can psychologically survive through it all. Links: https://www.cmpa-acpm.ca/en/education-events/elearning/anatomy-of-a-lawsuit