'Buzz off, fatty'

A senior consultant colleague of mine in general surgery does a weekly full teaching ward round. This is very popular with the students and junior staff and in our hospital is perhaps the one remaining example of this genre. The first teaching round is credited to one Franciscus Sylvius in Leyden in 1660*. Does anyone else out there still do a regular teaching ward round? It seems that most of us have focussed on business orientated morning rounds to get on with the agenda for the rest of the day. Do you feel that we are short-changing our students - or our patients? Why not let me know about your practice and your opinions on this topic. It would be very interesting if there is a strong body of opinion supporting the notion that we have downgraded our teaching interaction by neglecting this once traditional practice.

It may be a surprise but there is quite a literature on this topic. The title of this section is taken from a discourse on why ward rounds aren't what they once were citing a nice example of one consultant's reality check!

Of course, an alternative these days might be to use one of the many Internet resources and have your medical education fully illustrated and delivered with added commentary to your PC. There are several examples of such sources but one very good collection can be found here or here.

*Franciscus Sylvius. Epistola Apologetica 1664. Cited by Baker F. The two Sylviuses, an historical study. Johns Hopkins Hosp Bull 1909;20: 329-39

 

Top ten software packages for surgeons.

I'm sure, like me, you will have noticed that if you buy anything online these days, not only is feedback requested pretty quickly, but the now quite sophisticated, marketing machine begins to move up through the gears. One ploy which is frequently used by Amazon is to subtly inform you about the choices and opinions of those who have made similar purchases.A common ploy is for people to list their top ten books, programs or CDs etc.

Here are the software tools which I think are indispensable.

Word. PowerPoint. Excel.

Dreamweaver. Adobe Photoshop. Adobe Premiere.

Nuance Dragon Naturally Speaking. IE or Firefox.

iTunes [more on pod casting next month]. Sonic Record Now.

Instruments of Concern: Decontamination and sterilisation of surgical instruments.

The Scottish Executive Health Department has set up a group to review the various issues relating to adequate decontamination and sterilisation of the tools we use day and daily. It is staggering to appreciate the enormous potential risk which may result from inadequately decontaminated instruments. Without doubt, our colleagues in otolaryngology have tackled this issue already. It seems very likely that more advice and possibly more regulation is on the horizon.

MRSA

Whilst on the subject of risk and hospital acquired infection you might find the following resources useful for good up-to-date information on another familiar pathogen, MRSA.

The UK Health Protection Agency has good background information on MRSA in the 'Topics A-Z' section of its website:

As you would expect the US Centers for Disease Control (CDC) website is an excellent source - (look under 'A-Z Index').

Good specialty training sites

Last month I promised to provide links for the other surgical specialties which have not already been mentioned in one of these missives. For many of the sub specialties there are excellent links on the ASIT specialties page.

Plasta the plastic surgical trainees association

More image resources.

If you need material to illustrate a presentation on a teaching session the Karolinska Institute have assembled an incredible array of valuable links.

Strongly recommended for medical images - a sample of the images and diagrams can be seen on the left but there is also a diverse array of photographs, flash animations and movies for download.

Equally good for the full range of teaching resources.

Finally - is MTAS terminally unwell? Even MMC is under threat judging by the popular press. More on this in May. Take care.