Monday, 31 October 2011

Top of the TOCs November 2011

Selected articles from JPRAS, PRS, J Hand Surgery and others that caught my eye. . . . 
Ball, C et al. Validation of a one-stop carpal tunnel clinic including nerve conduction studies and hand therapy. Ann R Coll Surg Engl 2011; 93(8):634-638. One example of efficiency in the NHS . . .

Shores JT et al. The current state of hand transplantation. J Hand Surg 2011; 36(11): 1862-1867.

Suissa, D et al. Negative-pressure therapy versus standard wound care: a meta-analysis of randomized trials. Plast Recontr Surg 2011; 128(5):498e–503e. doi: 10.1097/PRS.0b013e31822b675c.

Berry, MG et al. Breast augmentation: Part III–preoperative considerations and planning. J Plast Reconstr Aesthet Surg 2011; 64(11):1401-1409. See also: Berry MG, Davies DM. Breast augmentation: part I - a review of the silicone prosthesis. J Plast Reconstr Aesth Surg 2010;63:1761-1768. and Berry MG, Cucchiara V. Davies DM.Breast augmentation: part II - adverse capsular contracture. J Plast Reconstr Aesthet Surg;2010 Jun 23 [Epub ahead of print].

Friday, 28 October 2011

History of plastic surgery II

I was grilled on the history of plastic surgery in theatre last week. There was certainly room for improvement!

Online resources for the history of plastic surgery are a bit patchy. I have placed the ones I have found in the links section.

The Carl Ferdinand van Graefe Institute for the History of Plastic Surgery is slowly adding more information to the pages for various key figures in the history of plastic surgery.

"A History of Plastic Surgery" by Paolo Santoni-Rugiu and Philip J. Sykes published in 2007 by Springer had good reviews. It is a substantial text.

Image: The 'big four' - Mowlem, Kilner, Gillies and McIndoe.

Thursday, 13 October 2011

From inspiration to ink

Warning blatant plug coming up. . . .

The RSM Trainees' Committee is holding an evening meeting next Wednesday called 'From inspiration to ink'. 

The aim is to link up budding writers with medical publishers and provide some tips on how to succeed. 

The fun part should be a 'Dragon's Den' style competition when potential authors will pitch their ideas to a panel of publishers and editors. There is a prize for the best proposal.

I will be giving a short talk on 'Finding time to write as a junior doctor' based on my experience producing the Oxford Specialty Training Series. . . .

Click here to register.

Update: Khalil Secker, a medical student from Manchester, won the competition. He gave a passionate pitch on 'Beyond the Hippocratic Oath: A History of Medical Revolutionaries'. Everyone loved it. Watch out for the book deal and TV series . . .

Tuesday, 11 October 2011

Padgett dermatome

I have just moved south of the river Thames to St George's Hospital in Tooting. A few of us decided to tidy up the registrars office and came across these old dermatomes gathering dust on the top shelf.

The 'new and improved' Padgett dermatome is a museum piece. It was one of the first drum dermatomes and dates from the 1930s-40s. The beautifully illustrated manual was dated 1948.

G.W. Pierce wrote an article in 1942 commending the great advances this dermatome provided.

Must find out more about them . . .

Saturday, 8 October 2011

e-LPRAS and the Plastic Surgery Education Network

The BAPRAS Council has just agreed to fund the e-LPRAS project through to completion.

This will total around £1,000,000 over the duration of the project, which is due to be completed at the end of 2017. There is a move to speed this up so that it is completed by 2015. This will require more cash.

The sessions I have seen look good. One concern though is whether the topics will be regularly updated to take account of the most recent evidence.

In the US they are embracing online delivery of course material with the development of the Plastic Surgery Education Network (PSEN).

This project is a collaboration of the main American plastic surgery societies and provides resources both for trainees and life long learning/CME opportunities for fully qualified surgeons.

Should BAPRAS be considering the future CME requirements of consultant plastic surgeons as well?

Top of the TOCs October 2011

Selected articles from JPRAS, PRS, J Hand Surgery and others that caught my eye. . . .

Fosnot, J at al. Closer to an understanding of fate: the role of vascular complications in free flap breast reconstruction. PRS 2011; 128(4):835-843. DOI: 10.1097/PRS.0b013e318218fc95. Not sure this paper adds a huge amount to the literature. Suggests intraoperative vascular complications might predict postoperative flap complications - not surprising. None the less worth looking at for the cited literature and discussion of flap failure.

Burdette, T et al. Harmonic Scalpel versus Electrocautery in Breast Reduction Surgery: A Randomized Controlled Trial. PRS 2011; 128(4):243e-249e. DOI: 10.1097/PRS.0b013e318221da3e. Harmonic scalpel is expensive and shows no benefit over electrocautery.

Fisher D and Sommerlad, B. Cleft lip, cleft palate, and velopharyngeal insufficiency. PRS 2011; 128(4):342e-360e. DOI: 10.1097/PRS.0b013e3182268e1b. Excellent CME article. I had the privilege of working for Mr Sommerlad a few years ago. His energy and passion for cleft lip and palate surgery is infectious. He has a website and will send you a selection of educational DVDs if you ask nicely. . . 

Wednesday, 5 October 2011

Sub-specialty training posts: reconstructive cosmetic surgery and therapeutic use of lasers

There are up to 18 posts available. As always the recruitment is run by the Severn Deanery. Application forms here and contact them on 01454 252610. Further details of the posts are below.

Closing date: 13 October 2011
Invitations to interview expected: 18 October 2011
Interview dates: 31 October 2011.

There are 3 Interspecialty Fellowships in therapeutic use of lasers available at the University Hospitals of Swansea.

There are 15 Fellowships in reconstructive cosmetic surgery available in the following centres:

· Edinburgh
· Leicester
· London - Guys and Guildford
· London - Royal Marsden Hospital
· Newcastle
· Nottingham
· Salisbury and Portsmouth
· Sheffield
· Liverpool
· Birmingham - awaiting final confirmation
· Leeds - awaiting final confirmation

Each fellowship will be 4 months in duration starting:
· 1st February 2012
· 1st June 2012
· 1st October 2012

Monday, 3 October 2011

Pulvertaft Hand Centre web based mini c-arm image intensifier course

It is usually a requirement to pass this or a similar course before using a mini c-arm. The course is delivered online by The Pulvertaft Hand Centre. It was reviewed in the BMJ Careers when it was run in Derby over a single afternoon.

It costs £130. They estimate ten hours of work is required before taking the online assessment. A pass mark of 70% is required to get the certificate.

The course is delivered in five units. The course material is downloaded as PDFs and there is also some web based information.

The course satisfies the theoretical knowledge required by the legislation under the Ionising Radiations Regulations 1999 and Ionising radiation (Medical Exposure) Regulations 2000. You may need some local practical training before actually using the mini c-arm.

The Pulvertaft Hand Centre runs a number of other courses.