Assessing the capacity of patients is an essential skill for all doctors, not least surgeons, as it is intimately related to taking consent and treating any patient correctly.
In one of the most important podcasts from the School of Surgery, Ricky Ellis and Christine Taylor discuss capacity, the Mental Capacity Act, how to assess and enhance capacity and how to care for patients without capacity. The 5 key principles of the Mental Capacity Act are clearly explained as is how to act in the best interest of patients without capacity - for example, the unconscious patient who requires life threatening surgery, with a best interests checklist to help you do thing correctly. How to deal with Advanced Directives or advanced decisions to refuse treatment is clearly explained here too.
Its a long podcast but not knowing about issues related to capacity can lead to charges of assault being brought or omission of care leading to charges of negligence.
This may be one of the most important 20 minutes you can spend, whether you are a medical student, doctor or anyone else involved in the treatment of patients.
Every surgeon needs to obtain informed consent before proceeding with any procedure. Ricky Ellis talks to Daniel Couch about consent, how best to take it and the framework around consent. Essential listening for any medical student and surgeon in training.
Ricky Ellis and Daniel Couch are both training in Surgery in the East Midlands of the UK at the Royal Derby Hospital
In part 2 of our 3 part series on breast cancer Phil Herrod talks to Mark Sibbering about incidence, risk factors, survival, family history and genetics, and classification of breast cancer. Also covered is the presentation of breast cancer and a quick overview of the breast cancer screening programme in the UK.
Mapped to undergraduate and postgraduate learning objectives, this podcast will provide all you need to know as a medical student or early years surgical trainee about these aspects of breast cancer.
Phil Herrod is a specialty registrar in the East Midlands, UK and Mark Sibbering is a consultant Breast Surgeon at the Royal Derby Hospital and national figure in Breast Surgery
Sorry about the sound again, sometimes doing these things on location can present a few problems.
Diseases of the breast are very common and varied, from simple cysts to cancer. All doctors need to know about breast disease and in the first of a series aimed at making you an expert, Phil Herrod asks Miss Carol-Ann Courtney about how to take a history from a patient with a problem in the breast, the gold standard "triple assessment" of breast lumps and gets an overview of benign breast disease. Essential listening for all medical students and junior doctors. Sorry about the sound quality in some places, we've tried as hard as we can to correct it, but the content is so good its worth persevering!
Philip Herrod is a Speciality Registrar in the East Midlands, UK and Miss Carol-Ann Courtney is a consultant breast and oncoplastic surgeon at the Royal Derby Hospital, UK
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Risk factors, history, signs, X-ray appearances and classification of fractured neck of femur are all covered in this video podcast aimed at medical students and interns/foundation/core doctors in training.
Next time you see someone on a trolley in the ER with a shortened externally rotated leg you'll know exactly what to do.
Naomi Laskar and Pete Legg are trainees in Surgery in the East Midlands, UK
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The CT scan has become central in the management of abdominal conditions, especially emergencies. But how do you interpret a CT when theres no radiologist around or you can't wait for the report? Pete Thurley tells Jon Lund the secrets of radiology and gives a structure to looking at CTs so that you never miss anything again. Essential viewing for all for both exams and real life!
Pete Thurley is a Consultant Radiologist at the Royal Derby Hospital, UK and Jon Lund is Clinical Associate Professor of Surgery at the University of Nottingham,UK
You're called by the Emergency Department saying that someone has crashed a car with a full bladder and they are worried about injury to the bladder and kidney. They are unstable. Do you know what to do? Well, if you have listened to this podcast by Andrew Deytrikh and Simon Williams you will know how to safely manage all kinds of urological trauma.
Penetrating and blunt trauma to bladder and kidney are covered, with classic history, presenting features, investigations to be performed, when to operate and what to do if you operate. Essential listening for medical students, doctors in the emergency department and surgeons in training.
Andrew Deytrikh is a trainee in surgery in the East Midlands, UK and Simon Williams is a Consultant Urological Surgeon at the Royal Derby Hospital, UK.
Greg McMahon shows James Blackwell how to find and examine the aorta and peripheral pulses by hand and using the Doppler probe.
Have a look at our podcast on ABPI as well and you'll pass that OSCE station with no problem at all!
Greg McMahon is a consultant vascular surgeon and James Blackwell is a research fellow in Surgery at the Royal Derby Hospital, UK