Cold Steel: Canadian Journal of Surgery Podcast

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/izHOSh38J7ULinks: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 podcast.cjs@gmail.com. Feel free to leave us a voicemail, and we might play your response on our next episode. Campbell Roxburgh on X: @C_RoxburghLinks: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 podcast.cjs@gmail.com.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

It’s hard to describe exactly what Dr. Stephen Foster is. Dr. Foster is a general surgeon, urologist, infectious disease doctor, entrepreneur, and missionary who has spent his career working in Angola. We caught up with Dr. Foster to talk about his life working in Angola and really to explore his thoughts on empowering non-MD providers to provide life-saving care. Dr. Foster has a fascinating biography called “The Benefit of Steel: The Life and Times of Steve Foster.” For us, the conversation with Dr. Foster has reminded us of the huge inequities that exist in the world, but also the tremendous effort of folks like Dr. Foster to make the world a better, more humane place.If you want to get in contact with Dr. Foster to support his foundation, you can find his email in our show notes.Links:Stephen Foster Email: stephen@fosterangola.ca https://www.amazon.ca/Benefit-Steel-Times-Steve-Foster/dp/B07Y4K7CM4https://www.nytimes.com/2015/03/29/opinion/sunday/nicholas-kristof-a-little-respect-for-dr-foster.html

Clip of Senate hearing with Robert F. Kennedy Jr.That was a clip from a Senate hearing with  Robert F Kennedy Jr, who, as many listeners will know, is the current US Secretary of Health and Human Services. In 2025, many folks around the world have become interested in the way that science currently works, particularly around the process of peer review. Peer review is a process where scientific journals ask experts in the field to evaluate the validity and accuracy of articles that are submitted to the journal. There are many challenges around peer review in the modern era, and one particularly thorny one is finding reviewers who have the time and expertise to provide high-quality reviews.David Maslove is a Clinician Scientist in the Departments of Medicine and Critical Care Medicine at Queen’s University. He, along with economist Chris Cotton and a team of other researchers, recently published an article in the Journal of Critical Care Medicine entitled “Effect of Monetary Incentives on Peer Review Acceptance and Completion: A Quasi-Randomized Interventional Trial”. Dr. Maslove performed what is, in some ways, a very simple study conceptually – does paying reviewers increase the rate at which reviewers complete their reviews? We delve into this study in depth and hear Dr. Maslove’s thoughts on this really important topic.What do you think? Do you think peer reviewers should be paid? Send us your thoughts via email at podcast.cjs@gmail.com or on X @coldsteelpod.Links:Cotton CS, Alam A, Tosta S, Buchman TG, Maslove DM. Effect of Monetary Incentives on Peer Review Acceptance and Completion: A Quasi-Randomized Interventional Trial. Crit Care Med. 2025 Mar 6. doi: 10.1097/CCM.0000000000006637. Epub ahead of print. PMID: 40047491.Maslove DM, Tang B, Shankar-Hari M, Lawler PR, Angus DC, Baillie JK, Baron RM, Bauer M, Buchman TG, Calfee CS, Dos Santos CC, Giamarellos-Bourboulis EJ, Gordon AC, Kellum JA, Knight JC, Leligdowicz A, McAuley DF, McLean AS, Menon DK, Meyer NJ, Moldawer LL, Reddy K, Reilly JP, Russell JA, Sevransky JE, Seymour CW, Shapiro NI, Singer M, Summers C, Sweeney TE, Thompson BT, van der Poll T, Venkatesh B, Walley KR, Walsh TS, Ware LB, Wong HR, Zador ZE, Marshall JC. Redefining critical illness. Nat Med. 2022 Jun;28(6):1141-1148. doi: 10.1038/s41591-022-01843-x. Epub 2022 Jun 17. PMID: 35715504.Maslove DM, Badawi O. The Many Faces of Prediction Modeling in Critical Care. Crit Care Med. 2022 Apr 1;50(4):687-689. doi: 10.1097/CCM.0000000000005409. PMID: 35311775.https://med.stanford.edu/master-clinical-informatics-management/stanford-clinical-informatics/ms-phd-in-biomedical-informatics.html

The only thing that can save us from our irascibly self-centered existence is to make sure that our existence is in the service of othersMark Shrime, ENT surgeon, global surgery researcher and now career coach is our guest on this episode. The quote I read was from his wonderful book, “Solving for Why: A Surgeon’s Journey to Discover the Transformative Power of Purpose”. It’s important to understand just how much of a fascinating person Mark Shrime is to get a context for this conversation. Dr. Shrime was the International Chief Medical Officer at Mercy Ships, an international NGO that operates hospital ships. Mark is also one of the major figures in the global surgery space, and was part of the 2015 Lancet Commission on Global Surgery. If that were not enough, he is also an American Ninja Warrior! We explored why Mark felt the need to write a book on purpose as well as his insights on global surgery, amongst many other topics. This was such an important conversation not just for surgeons but for anyone trying discover meaning and purpose in their life. Links:https://www.markshrime.com/ https://www.hachettebookgroup.com/titles/dr-mark-shrime/solving-for-why/9781538734162/?lens=twelvehttps://www.thelancet.com/commissions/global-surgeryShrime MG, Alkire BC, Grimes C, Chao TE, Poenaru D, Verguet S. Cost-Effectiveness in Global Surgery: Pearls, Pitfalls, and a Checklist. World J Surg. 2017 Jun;41(6):1401-1413. doi: 10.1007/s00268-017-3875-0. PMID: 28105528.Smith ER, Kapoor P, Concepcion T, Ramirez T, Mohamed M, Dahir S, Cotache-Condor C, Adan Ismail E, Rice HE, Shrime MG. Does reducing out-of-pocket costs for children's surgical care protect families from poverty in Somaliland? A cross-sectional, national, economic evaluation modelling study. BMJ Open. 2023 May 2;13(5):e069572. doi: 10.1136/bmjopen-2022-069572. PMID: 37130683; PMCID: PMC10163539

Tsuyoshi Konishi Dr. Tsuyoshi Konishi is an associate professor of Colon and Rectal Surgery at the University of Texas M.D. Anderson Cancer Center, in Houston, USA. We again got a chance to hear several of his talks at the COLOSOS conference in Toronto in Oct 2024. Dr. Konishi is really helping to bridge the gap between “Eastern” and “Western” approaches to colorectal cancer. In this episode, Dr. Konishi really broke down the sometimes nebulous concept of complete mesocolic excision in right sided colon cancers. We’d really encourage you to head over to our YouTube channel www.youtube.com/@coldsteelsurgery to check out the accompanying video and slides. One of the really enjoyable parts of this conversation was discussing some of the differences between Japanese and North American training – there’s lots we can learn! Maybe we should incorporate the Japanese system of having everyone upload their operative video prior to board certification?? What do you think? Send us an email at podcast.cjs@gmail.com.Check out YouTube version with Dr. Konishi's slides here: https://youtu.be/PGIBtYyBAxU Bio:After completion of advanced training in the field of Surgical Oncology and Colorectal Minimally Invasive Surgery at top institutions including the University of Tokyo, Cancer Institute Hospital of the JFCR and Memorial Sloan-Kettering Cancer Center, Dr. Konishi served as an attending colorectal surgeons since 2010, and Head Attending since 2017, at Cancer Institute Hospital of the Japanese Foundation for Cancer Research in Tokyo, Japan. He took a leadership in advancing a minimally invasive surgery program for complex colorectal cancer.Dr. Konishi’s research interest includes combining multidisciplinary approaches for complex colorectal cancer, including neoadjuvant therapy, extended surgical resection and a minimally invasive surgery. Particularly, he has been taking an international leadership in studying lateral pelvic lymph node dissection for rectal cancer.Dr. Tsuyoshi Konishi is currently an associate professor of Colon and Rectal Surgery at the University of Texas M.D. Anderson Cancer Center, in Houston, USA. Links:Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation--technical notes and outcome. Colorectal Dis. 2009 May;11(4):354-64; discussion 364-5. doi: 10.1111/j.1463-1318.2008.01735.x. Epub 2009 Nov 5. PMID: 19016817.Konishi T, You YN. Complete Mesocolic Excision and Extent of Lymphadenectomy for the Treatment of Colon Cancer. Surg Oncol Clin N Am. 2022 Apr;31(2):293-306. doi: 10.1016/j.soc.2021.11.009. Epub 2022 Mar 5. PMID: 35351279.RELARC trial: Lu J, Xing J, Zang L, Zhang C, Xu L, Zhang G, He Z, Sun Y, Feng Y, Du X, Hu S, Chi P, Huang Y, Wang Z, Zhong M, Wu A, Zhu A, Li F, Xu J, Kang L, Suo J, Deng H, Ye Y, Ding K, Xu T, Zhang Y, Zhang Z, Zheng M, Su X, Xiao Y; RELARC study group. Extent of Lymphadenectomy for Surgical Management of Right-Sided Colon Cancer: The Randomized Phase III RELARC Trial. J Clin Oncol. 2024 Nov 20;42(33):3957-3966. doi: 10.1200/JCO.24.00393. Epub 2024 Aug 27. PMID: 39190853.Motoyama S, Yamamoto H, Miyata H, Yano M, Yasuda T, Ohira M, Kajiyama Y, Toh Y, Watanabe M, Kakeji Y, Seto Y, Doki Y, Matsubara H. Impact of certification status of the institute and surgeon on short-term outcomes after surgery for thoracic esophageal cancer: evaluation using data on 16,752 patients from the National Clinical Database in Japan. Esophagus. 2020 Jan;17(1):41-49. doi: 10.1007/s10388-019-00694-9. Epub 2019 Oct 3. PMID: 31583502; PMCID: PMC6976551.

This week we were joined by Dr. Jenny Seligmann. Dr. Seligmann is a Professor of Gastrointestinal and Translational Oncology and Honorary Consultant in Medical Oncology at the University of Leeds. Dr. Seligmann is one of the authors of the seminal FOxTROT trial, which investigated the use of neoadjuvant chemotherapy in advanced colon cancers. Dr. Seligmann is the lead investigator on the FOxTROT platform, the ARIEL trial, and continues to be on the leading edge of trials for colorectal cancer. In this episode, we explored neoadjuvant chemotherapy for colon cancer specifically. There's lots to take away from this conversation, but one of the things that stood out for us was some of the differences in the structure of the multidisciplinary tumor boards in Dr. Seligmann’s centre versus many centres in Canada. Perhaps in the future, all colorectal cancers will get discussed at tumor boards! What do you think? We’d love to hear your thoughts – email us at podcast.cjs@gmail.com.Bio:Dr Jenny Seligmann is Professor of Gastrointestinal and Translational Oncology and Honorary Consultant in Medical Oncology at the University of Leeds, UK. She is the Chief Investigator of the FOxTROT Platform and the ARIEL trial, and has a programme of translational research. She is a member of the ESMO Lower Gastrointestinal Faculty and the UK NCRI Colorectal Cancer Executive Group.x/twitter: @jenseligmannLinks:Preoperative Chemotherapy for Operable Colon Cancer: Mature Results of an International Randomized Controlled Trial. https://ascopubs.org/doi/10.1200/JCO.22.00046Professor Dion Morton: https://www.birmingham.ac.uk/staff/profiles/applied-health/morton-dionProfessor Phil Quirke: https://medicinehealth.leeds.ac.uk/medicine/staff/700/professor-philip-quirkeARIEL trial: https://fundingawards.nihr.ac.uk/award/NIHR129268FOCUS4 trial: http://www.focus4trial.org/FOxTROT platform website: https://ctru.leeds.ac.uk/foxtrot/COLOSOS trial: https://mycs-cdn.myconferencesuite.com/other/Project/3222/91/c0/PRELIM%20PROGRAM_COLOSOS%20CANADA_DL.pdf 

This episode is an edited version of a talk I gave to our first years during their Surgical Foundations course. It’s mainly a reminder to myself: this too shall pass.Links:Steven Covey 7 Habits of Highly Effective People: https://www.amazon.ca/Habits-Highly-Effective-People-Powerful/dp/0743269519“Memento Mori”: https://dailystoic.com/memento-mori/Hans Zimmer soundtracks: https://www.youtube.com/channel/UCJeBQabyLa_FvMxb6G67lkw

Selwyn O. Rogers Jr., MD, MPH, FACS, is a widely respected surgeon and public health expert. As founding director of the University of Chicago Medicine Trauma Center, Dr. Rogers is building an interdisciplinary team of specialists to treat patients who suffer injury from life-threatening events, such as car crashes, serious falls and gun violence. His team works with leaders in the city's trauma network to expand trauma care on the South Side.Dr. Rogers has served in leadership capacities at health centers across the country, including most recently as vice president and chief medical officer for the University of Texas Medical Branch at Galveston. Dr. Rogers has also served as the chair of surgery at Temple University School of Medicine and as the division chief of trauma, burns and surgical critical care at Harvard Medical School. While at Brigham and Women's Hospital (BWH), he helped launch the Center for Surgery and Public Health to understand the nature, quality and utilization of surgical care nationally and internationally.Additionally, as executive vice president for community health engagement, Dr. Rogers works with faculty across the University of Chicago as well as members of the community to develop a multidisciplinary approach to trauma care and health disparities. His work will help enhance the understanding of social factors that affect victims of violence and underserved populations, in addition to identifying approaches necessary to achieve better outcomes for trauma victims.Dr. Rogers' clinical and research interests focus on understanding the healthcare needs of underserved populations. He has published numerous articles relating to health disparities and the impact of race and ethnicity on surgical outcomes.Twitter: https://x.com/selwyn_rogers Links:Ann Surg. 2024 Jul 1;280(1):29-31. doi: 10.1097/SLA.0000000000006258. Epub 2024 Mar 5.When Equality Is Not Equity: The Ethics of Access to Trauma Care: A Surgical Perspective. Bethany L Strong 1, Franklin Cosey-Gay 2, Kenneth L Wilson 2, Selwyn O Rogers Jr 2Scarlet S, Rogers SO Jr. What Is the Institutional Duty of Trauma Systems to Respond to Gun Violence? AMA J Ethics. 2018 May 1;20(5):483-491. doi: 10.1001/journalofethics.2018.20.5.msoc2-1805. PMID: 29763395.Chang DC, Oseni TO, Strong BL, Molina G, Ortega G, Chen H, Rogers SO Jr. The Other Global Pandemic: Scientific Racism and the Normality Bias. Ann Surg. 2021 Dec 1;274(6):e646-e648. doi: 10.1097/SLA.0000000000005168. PMID: 34387208.

This episode is a recording of the Queen’s Department of Surgery William Ersil Research Day. This year our invited speaker was Dr. Thomas Forbes, chief of surgery at University Health Network in Toronto and Editor-in-Chief of the Journal of Vascular Surgery.In this “How I Built This” style episode in front of a live audience, we explored Dr. Forbes background, his training, the future of residency/fellowship training, his approach to leadership and how he goes “all in” for both work and his family life. Thanks again to the Department of Surgery at Queen’s for allowing us to record this and to all those in attendance for being such a wonderful audience.Bio: Dr. Forbes is Professor of Surgery and Chair of the Division of Vascular Surgery at the University of Toronto, a position he has held since 2014. He obtained his medical degree in 1990 from the University of Toronto and completed his general surgery and vascular surgery training at the University of Western Ontario. He is the co-Program Director of the Advanced Aortic Surgery Fellowship at the University of Toronto, a collaborative fellowship between vascular and cardiac surgery in open and endovascular therapies for thoracoabdominal aortic pathologies. Previously he was Chair/Chief of the Division of Vascular Surgery at the University of Western Ontario (2005-2014) and the inaugural Graduate Program Chair of the Masters of Science in Surgery program. He has published over 200 peer-reviewed papers, editorials and book chapters and given over 100 invited lectures or guest professorships. He is currently an Associate Editor of the Journal of Vascular Surgery and the Canadian Journal of Surgery and a member of several editorial boards. He is the Past-President of the Canadian Society for Vascular Surgery, Section Editor of Rutherford’s Textbook of Vascular Surgery and the Chair of the Vascular Care Working Group of the Cardiac Care Network in Ontario. He is also a former Program Director and vice-Chair of the Vascular Surgery Specialty Committee of the Royal College of Physicians and Surgeons of Canada.Links:https://surgery.queensu.ca/research/william-ersil-resident-research-dayProviding high-quality open aortic surgical care in the endovascular era. https://www-sciencedirect-com.proxy.queensu.ca/science/article/pii/S074152142200427X?via%3DihubAdvanced Aortic fellowship: https://surgery.utoronto.ca/sites/default/files/inline-files/2025%20Fellowship%20in%20Advanced%20Aortic%20Surgery.pdfhttps://www.audiblebleeding.com/forbes/

We are delighted to release our new collaborative mini-series on “Medico-legal Risks forthe Surgeon”. The Canadian Medical Protective Association and the Cold Steel podcasthave teamed up to release this mini-series exploring some common legal issues thatmight arise for surgeons.In this first episode, we explore some basic legal issues that surgeons might face. Weexplore the peer-review system, documentation, inherent risk, the role of the system inmedico-legal errors, and the impact these issues have on surgeons.Stay tuned for our other episodes!Bio:Dr. Richard Mimeault completed his medical degree at McGill University in 1982. Hewent on to do an internship at the Wellesley Hospital in Toronto, followed by a generalsurgery residency in Ottawa and then a two-year transplant fellowship at the UniversityHospital in London, Ontario. In 1989, he returned to Ottawa where he started a practiceof general and hepatobiliary surgery at the Ottawa Hospital. He was in practice for 27years during which time he was closely involved with the residency training programand undergraduate education. He was also peer assessor for the College of Physiciansand Surgeons of Ontario (CPSO) and volunteered in third-world surgery and surgicaleducation. He joined the CMPA as a physician advisor in 2017.Links:Documentation workshop. https://www.cmpa-acpm.ca/en/education-events/teaching-resources/physician-patient/documentation--principles-of-medical-record-keepingTest result workshop. https://www.cmpa-acpm.ca/en/education-events/workshops/workshop-test-results-follow-upHaytham Kaafarani on Surgeons as a Second Victim: https://open.spotify.com/episode/6MiYBhgt2k7qDMCxUZt537https://www.cmpa-acpm.ca/en/research-policy/know-your-risk/what-general-surgeons-need-to-knowReducing Diagnostic Error with Janice Kwan: https://open.spotify.com/episode/6HJjgK3756tb7NO5fFQUDY

Thank you for joining us on Cold Steel!Dr. Caprice Greenberg is a surgical oncologist at UNC School of Medicine in North Carolina. She is a preeminent health services researcher and also the founder of the Academy for Surgical Coaching. We caught up with her to do a deep dive on surgical coaching and the work that she’s done on a state-wide level to create a coaching program. Dr. Greenberg is an iconoclast and provides some really important insights on the importance on having a vision and pursuing it, no matter how off the beaten path it may be. Bio:Dr. Greenberg is a world-renowned health services researcher and surgical oncologist, and she most recently served as chair of the Department of Surgery at the Medical College of Georgia at Augusta University.She also is a leader in the study of care delivery in operating rooms and innovative approaches to collaborative learning and will bring research projects to the School of Medicine related to surgical coaching and methods to improve rural cancer care delivery.Greenberg earned her MD from the University of Chicago Pritzker School of Medicine and her Masters of Public Health from the Harvard School of Public Health. Her general surgery residency was completed at Brigham and Women’s Hospital in Boston and she completed her surgical oncology fellowship at the Dana – Farber/Partners Cancer Center in Boston.Links:https://pubmed.ncbi.nlm.nih.gov/28650360/https://pubmed.ncbi.nlm.nih.gov/28146224/https://pubmed.ncbi.nlm.nih.gov/33605579/  Academy for Surgical Coaching. https://surgicalcoaching.org/ Presidential address for AAS https://pubmed.ncbi.nlm.nih.gov/29078918/ 

Dr. Adom Bondzi-Simpson is a general surgery resident and PhD student at the University of Toronto. He’s been nationally recognized for his advocacy work and research work on social justice and social determinants of health. He is a winner of the Canadian Medical Association for Young Leaders, the 2023 winner of the Mikhael Award for Medical Education from the Resident Doctors of Canada, among other accolades. In this episode we do a very deep dive on Adom’s upbringing and background, and his thoughts on how we can make the house of surgery a more diverse and welcoming place.         Links:1.       https://temertymedicine.utoronto.ca/news/faces-temerty-medicine-adom-bondzi-simpson2.       “Where is the Black doctor!?” CMAJ piece. https://www.cmaj.ca/content/194/34/E1175 3.       https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/37640638/4.       https://pubmed-ncbi-nlm-nih-gov.proxy.queensu.ca/37063147/ 5.       CMA Award: https://www.cma.ca/get-involved/awards/awards-young-leaders/dr-adom-bondzi-simpson  

Thank you so much for joining us on Cold Steel!The tremulous surgeon seems like such an oxymoron, an impossible paradox. The reality of course, is that many surgeons have a tremor. Our discussion on this episode with Lilli Cooper on tremors was a wonderful exploration of performance anxiety in surgery. Lilli Cooper is a plastic surgeon in the UK, and produced a segment for the BBC on tremors in surgeons. We caught up with her to talk about what she’s learned about tremors and the insights she has on performance in surgery. You can check out all the work she does on her website https://lillicooper.co.uk/. Links:1.       https://lillicooper.co.uk/ 2.       https://www.bbc.co.uk/programmes/m0021j9y3.     A pilot study of performance enhancement coaching for newly appointed urology registrars. https://pubmed.ncbi.nlm.nih.gov/38767172/4.     Enhancing surgical performance by adopting expert musicians' practice and performance strategies. https://www-sciencedirect-com.proxy.queensu.ca/science/article/pii/S00396060173063235.     Romy Nitsch and Jen Mccall on Imposterism in Surgery. https://open.spotify.com/episode/3UuP5JTGuhP8J2JvycoEFh 

We’re really excited to bring you talks that we recorded as part of the CANUCS Surgical Fellows course. CANUCS is a national organization that stands for Canadian collaborative on urgent care surgery. Dr. Chad Ball and Kelly Vogt were instrumental in bringing together some really fantastic speakers  to talk about the critical knowledge and skills that surround obtaining a staff job, as well as being successful both personally and professionally in a demanding career. Dr. Morad Hameed is an innovator, leader, and trauma surgeon. He currently is the chief of acute care surgery at Stanford University and held many leadership roles within Canada. We don’t really think we can do justice to this talk. Nominally this talk was about transitions in practice during a surgical career, but really this talk was an ode to joy in surgery and how we can find fulfillment as both surgeons and human beings.  As always, we’d love to hear your thoughts and feedback, so please email us at podcast.cjs@gmail.com.Bio:Morad Hameed is a trauma surgeon, intensivist, and public health researcher. He completed medical school and surgical residency at the University of Alberta, graduate studies in public health at Harvard University, and fellowships in Trauma Surgery and Surgical Critical Care at the University of Miami. He spent 3 years on the surgical faculty at the University of Calgary, before moving to the University of British Columbia (UBC), where he spent 19 years at the Vancouver General Hospital (VGH), which is the home of province-wide centers of excellence in trauma surgery and critical care.  His clinical interests span innovations in trauma surgery and emergency general surgery (including chest wall trauma, abdominal wall reconstruction, and applications of extracorporeal life support in trauma), process and quality improvement, surgical rescue, value-based healthcare, and surgical systems. He has been a committed surgical educator who served as the director of one of Canada’s most dynamic surgical residency programs, and one of its most accomplished trauma and acute care surgery fellowship programs. He has won divisional, departmental, hospital-wide, and province-wide awards for his teaching. His main research interest is in public health aspects of trauma and emergency surgery, including social determinants of health and disparities in access to high quality emergency surgical care, and his research programs have received support from the Michael Smith Foundation and the Canadian Institutes of Health Research.  Dr. Hameed’s leadership roles have included terms as the Head of the VGH and UBC Divisions of General Surgery and President of the Canadian Association of General Surgeons. His work with these organizations has prioritized creativity, innovation, inclusive networks, and cross-disciplinary partnerships to rethink and redesign systems of surgical care.  He is excited to arrive at Stanford, where he is blessed to begin to work with another exceptionally talented group of trauma and acute care surgeons and intensivists. At Stanford, Dr. Hameed is inspired to help build surgical services that explore the intersections of surgery with data science, organizational theory, public health, global health, and sustainability, and that contribute to the pursuit of universal access to high quality surgical care and the highest standards of human health in California and around the world.Links:E141 Journal Club with Morad Hameed on Cardiac InjuriesE105 Death, Dying, and MAID in Surgery with Kelly Vogt and Morad HameedE94 Mental Health and Surgery with Rebecca Afford, JJ Sidhu and Morad HameedE28 Equity in Surgery with Julius Ebinu, Shahzeer Karmali, and Morad HameedE14 COVID19 with Neil Parry And Morad HameedE02 Morad Hameed on Process-Mapping in ACS