Surgery 101

The objectives of this two-part podcast are to: Discuss the prevalence, current trends, and motivations behind FGC Describe the different types of FGC Detail the legality of FGC in Canada Discuss the immediate and long term consequences of FGC Discuss the clinical management of women with FGC with respect to gynecologic and  obstetric care Develop an approach for the provision of culturally competent and trauma informed care for adolescents and women with FGC

By the end of today’s episode, the learner will be able to: Describe Surgical approaches used for male gender affirming surgery, including metoidioplasty, phalloplasty and testicular and penile implants Outline complications commonly seen after male gender affirming surgery

By the end of today’s episode, the learner will be able to: Describe the pre-operative considerations relating to gender affirming surgery Outline the embryological origins of the external genitalia Describe the common surgical techniques used in female gender affirming surgery List complications commonly encountered after female gender affirming surgery

By the end of today’s episode, the learner will be able to: Describe basic terms relating to about the transgender community Comfortably use inclusive language and pronouns Describe the DSM-IV diagnosis of gender dysphoria, and Recognize the elements of the pathway to receiving gender affirming surgery in Canada

In recent times, the terms “equity, diversity, and inclusion” or “EDI” have become buzzwords for academic institutions to demonstrate their commitment to social accountability. Although incredible work is being done, it is important to remember why it was necessary in the first place and what the ultimate goals are. Today, as I discuss EDI in surgical education, I’d like to highlight these are my own thoughts at this stage in my training as I continue to learn and unlearn, and also thank you, the listener, for engaging in what can often be a difficult discussion. There are no formal “learning objectives” for this episode, but I hope you will be able to reflect on the following ideas: The role of Equity, Diversity, and Inclusion (EDI) in surgical education regarding what is taught, why, and by whom. How to reflect on and grow your own EDI understanding as you go through your medical training.

After listening to this episode, learners should be able to: Describe the typical clinical presentation of De Quervain's tenosynovitis Explain the pathophysiology for De Quervain's tenosynovitis Outline the diagnosis and management of the patient with De Quervain's tenosynovitis.

 After listening to this episode, learners should be able to: Describe the typical clinical presentation of mallet finger Explain the pathophysiology for mallet finger Outline the diagnosis and management of the patient with mallet finger.

 After listening to this episode, learners should be able to: Describe the typical clinical presentation of Dupuytren’s contracture Explain the pathophysiology and list common risk factors for Dupuytren’s contracture Outline the diagnosis and management of the patient with Dupuytren’s contracture.

After listening to this episode, learners should be able to: Describe the typical clinical presentation of trigger finger Explain the pathophysiology and list common risk factors for trigger finger Outline the diagnosis and management of the patient with trigger finger.

By the end of this episode, you will be able to: Recognize the clinical presentation of meniscal injury on history and physical exam. Describe the anatomy of the menisci and classification of tears. Describe operative and non-operative management options for meniscal tears, including the indications, risks, and benefits of each.

At the end of this episode, learners will be able to: Define Degenerative Cervical Myelopathy Understand why it’s important The relevant pathophysiology of DCM and how patients present The prognosis of DCM

In this podcast, listeners will learn about Giant Cell Arteritis, specifically with regards to: Exactly what giant cell arteritis is, and its pathophysiology Factors that are associated with its occurrence How it clinically manifests in patients, and how you can recognise it Other common differentials What urgent management is required, as well as considerations for longer-term management    

After this episode, listeners should be able to: Understand the basic anatomy of the esophagus Recognize the causes of an esophageal perforation Identify the locations and clinical presentations of an esophageal perforation List a differential diagnosis Understand the preoperative work up for diagnosing an esophageal perforation Describe the treatment Describe the major steps in the surgical repair of an esophageal perforation

After listening to this episode, learners will be able to: Define necrotizing enterocolitis and understand its importance as one of the most common gastrointestinal emergencies Describe the pathophysiology and potential risk factors Identify common clinical features and physical exam findings Outline appropriate investigations and treatment options

After listening to this episode, learners will be able to: Define tracheoesophageal fistulas and esophageal atresias and understand their importance Describe the pathophysiology and potential associated anomalies Identify common clinical features and physical exam findings Outline appropriate treatment options and potential complications

After listening to this episode, learners will be able to: Define an intestinal atresia and understand its importance Describe the pathophysiological processes leading to this condition Identify common clinical features and physical exam findings Outline appropriate investigations and treatment options Outline the prognosis and potential complications

After listening to this episode, learners will be able to: Define Congenital Talipes Equinovarus (CTE) and understand the importance of treating this deformity quickly Describe the pathophysiology and relevant anatomy Identify common clinical features and physical exam findings Outline appropriate treatment options and potential complications

After listening to this episode, learners will be able to: Define congenital diaphragmatic hernias and recognize the two common types Identify common clinical features, and physical exam findings List appropriate investigations and treatment options Describe the prognosis and potential complications

By the end of this episode learners will be able to: Describe the pathophysiology of diabetic retinopathy Recognize the clinical presentation of diabetic retinopathy including history and physical findings List and describe various related treatment options including the risks and benefits, effectivity, and common complications Describe management and routine screening for diabetic retinopathy

After listening to this episode, learners will be able to: Define Lumbar Hernia Describe the anatomy of Lumbar Hernias Outline the clinical presentation of Lumbar Hernias Describe the diagnosis and treatment of patients with Lumbar Hernias