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Behind The Knife: The Surgery Podcast

Behind The Knife: The Surgery Podcast

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Behind the Knife is the world’s #1 surgery podcast. From high-yield educational topics to interviews with leaders in the field, Behind the Knife delivers the information you need to know. Tune in for timely, relevant, and engaging content designed to help you DOMINATE THE DAY!

Behind the Knife is more than a podcast. Visit www.behindtheknife.org to learn more. Ciencia Enfermedades Físicas Higiene y Vida Saludable
Episodios
  • Artificial Intelligence for the Clinician Episode 3: Basics of Machine Learning Statistics

    Artificial Intelligence for the Clinician Episode 3: Basics of Machine Learning Statistics
    Sep 4 2025
    Welcome back our series on AI for the clinician! In this episode, we go over some basics of machine learning statistics with the goal to help you read and analyze contemporary studies. Some of this will be a review, and parts will be technical, but by the end we hope reading these studies is less daunting.
    Hosts:
    Ayman Ali, MD
    Ayman Ali is a Behind the Knife fellow and general surgery PGY-4 at Duke Hospital in his academic development time where he focuses on data science, artificial intelligence, and surgery.
    Julie Doberne, MD, PhD: @juliedoberne
    Julie Doberne is an Assistant Professor of Surgery, Assistant Professor of Medical Informatics and Clinical Epidemiology, cardiothoracic surgeon, and faculty member of the Surgical Data and Decision Sciences Lab at Oregon Health and Science University.
    Phillip Jenkins, MD: @PhilJenkinsMD
    Phil Jenkins is a general surgery PGY-4 at Oregon Health and Science University and a National Library of Medicine Post-Doctoral fellow pursuing a master’s in clinical informatics.
    Steven Bedrick, PhD: @stevenbedrick

    Steven Bedrick is a machine learning researcher and an Associate Professor in Oregon Health and Science University’s Department of Medical Informatics and Clinical Epidemiology.
    Shelby Willis, MD
    Shelby Willis is a general surgery PGY-4 at Oregon Health and Science University. She is currently in her research time in the Surgical Data and Decision Sciences lab at OHSU pursuing advanced training in informatics.

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
    If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
    BTK Fan Favorites:
    General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
    Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
    Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
    Download our App:
    Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
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    25 m
  • Hot Topics from the Annals of Surgery Ep. 2: Academic Surgery

    Hot Topics from the Annals of Surgery Ep. 2: Academic Surgery
    Sep 1 2025
    In the second episode of this new collaboration between BTK and Annals of surgery, we discuss another hot topic: academic surgery. Specifically, we discuss dedicated research time for residents and how surgical leaders think about building the academic surgery enterprise. This discussion was inspired by a couple of recent papers in Annals of Surgery that stirred up a lot of conversation on social media which can be found below.

    Host: Cody Mullens, MD MPH — general surgery resident at University of Michigan current BTK Surgery Education Fellow (@Cody_Mullens)

    Guest: Justin Dimick, MD MPH — Fredrick A Coller Distinguished Professor and Chair of Surgery at the University of you Michigan and Editor in Chief at Annals of Surgery (@jdimick1)

    Papers:
    Career Trajectory After General Surgery Residency Do Academic Program Graduates Pursue Academic Surgery?
    https://journals.lww.com/annalsofsurgery/abstract/2025/05000/career_trajectory_after_general_surgery_residency_.10.aspx

    Training the Surgeon-scientist: Time (and Money) Well Spent?
    https://journals.lww.com/annalsofsurgery/citation/9900/training_the_surgeon_scientist__time__and_money_.1318.aspx

    Introducing a New Annals of Surgery Section Professional Development for the Contemporary Surgeon
    https://journals.lww.com/annalsofsurgery/fulltext/2025/08000/introducing_a_new_annals_of_surgery_section_.8.aspx

    Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
    If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen
    BTK Fan Favorites:
    General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review
    Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas
    Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship
    Download our App:
    Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049
    Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
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    16 m
  • I’ve Got 99 Problems, and a G Tube is One

    I’ve Got 99 Problems, and a G Tube is One
    Aug 28 2025
    In this episode of Behind the Knife, Dr. Patrick Georgoff sits down with Dr. Keri Seymour and Dr. Joey Lew to tackle the complex world of gastrostomy tubes. What may seem like a routine and straightforward procedure is anything but—full of nuanced patient considerations, timing dilemmas, technical challenges, and potential complications that can turn a “simple” consult into a 2 a.m. call you won’t forget. From who truly needs a G tube and when to managing difficult post-op issues like dislodgement and buried bumper syndrome, this episode breaks down the practical, evidence-based approach every surgeon should know. Whether you’re managing stroke patients, trauma cases, or navigating the tricky administrative obstacles around enteral access, this episode will equip you with the insights and strategies to confidently dominate your G tube consults. Hosts: · Dr. Patrick Georgoff (Acute Care Surgeon, Duke University) · Dr. Keri Seymour (Minimally Invasive & Acute Care Surgeon, Duke Regional) · Dr. Joey Lew (Surgical Resident, BTK MIS Team) Learning Goals: By the end of this episode, listeners will be able to: · Understand the nuanced indications for gastrostomy tube (G tube) placement. · Learn which patients truly benefit from G tubes, and when enteral access is not appropriate or indicated. · Appreciate the importance of goals of care discussions, assessment of comorbidities, and decision-makers—especially in neurocritical and elderly populations. · Know evidence-based timing for gastrostomy tube placement in stroke, TBI, and other complex scenarios. · Understand guideline recommendations and the clinical reasoning behind trial periods of nasogastric feeding versus early G tube placement. · Describe technical approaches to G tube placement and how to tailor the method to patient anatomy and clinical context. · Solidify knowledge of when to choose endoscopic, laparoscopic, open, or interventional radiology-guided placement. · Recognize, manage, and strive to prevent common and serious complications of G tubes, including early and late dislodgement, buried bumper syndrome, infection, bleeding, and gastrocutaneous fistula. · Discuss perioperative considerations, including anticoagulation, patient stability, and post-procedural care. · Understand why routine suturing of the G tube or bumper is not recommended, and how administrative and facility factors can drive clinical decisions. · Gain practical pearls and quick decision trees to dominate G tube consults and troubleshooting, day or night. References: · Braun R, Han K, Arata J, Gourab K, Hearn J, Gonzalez-Fernandez M. Establishing a clinical care pathway to expedite rehabilitation transitions for stroke patients with dysphagia and enteral feeding needs. Am J Phys Med Rehabil. 2024;103(5):390-394. doi:10.1097/PHM.0000000000002387 https://pubmed.ncbi.nlm.nih.gov/36867953/ · Burgermaster M, Slattery E, Islam N, Ippolito PR, Seres DS. Regional comparison of enteral nutrition-related admission policies in skilled nursing facilities. Nutr Clin Pract. 2016;31(3):342-348. doi:10.1177/0884533616629636 https://pubmed.ncbi.nlm.nih.gov/26993318/ · Chaudhry R, Kukreja N, Tse A, Pednekar G, Mouchli A, Young L, Didyuk O, Wegner RC, Grewal N, Williams GW. Trends and outcomes of early versus late percutaneous endoscopic gastrostomy placement in patients with traumatic brain injury: Nationwide population-based study. J Neurosurg Anesthesiol. 2018;30(3):251-257. doi:10.1097/ANA.0000000000000434 https://pubmed.ncbi.nlm.nih.gov/28459729/ · Cleverdon SA, Costantini TW, McGrew TM, Santorelli JE, Berndtson AE, Haines LN. Dysphagia in patients with traumatic brain injury, how often do they really need feeding access? Presented at: Academic Surgical Congress; February 2025; Washington, DC. Abstract 92.33. · Cmorej P, Mayuiers M, Sugawa C. Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement. BMJ Case Rep. 2019;12(9):e230728. doi:10.1136/bcr-2019-230728 https://pubmed.ncbi.nlm.nih.gov/31488448/ · Galovic M, Stauber AJ, Leisi N, et al. Development and validation of a prognostic model of swallowing recovery and enteral tube feeding after ischemic stroke. JAMA Neurol. 2019;76(5):561-570. doi:10.1001/jamaneurol.2018.4858 https://pubmed.ncbi.nlm.nih.gov/30742198/ · Gallo RJ, Wang JE, Madill ES. Things we do for no reason™. J Hosp Med. 2024;19(8):728-730. doi:10.1002/jhm.13263 https://pubmed.ncbi.nlm.nih.gov/38180160/ · George BP, Hwang DY, Albert GP, Kelly AG, Holloway RG. Timing of percutaneous endoscopic gastrostomy for acute ischemic stroke. Stroke. 2017;48(2):420-427. doi:10.1161/STROKEAHA.116.015119 https://pubmed.ncbi.nlm.nih.gov/27965430/ · Goldberg LS, Altman KW. The role of gastrostomy tube ...
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    26 m
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