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Episode 182: Med Student Concerns and PD Responses for the COVID Interview Season

In this 182nd episode I welcome the president of the ASA medical student component, Stacia Griebahn, and the president-elect, Abigail Schirmer to the show to discuss what medical students applying in anesthesiology are concerned about this year and the responses that PDs have to those concerns.

ASA medical student component webpage: https://www.asahq.org/education-and-career/asa-medical-student-component

Abigail is on twitter: @abigailschirmer

Stacia is on twitter: @StaciaGriebahn

Random recs:

Do no harm: Link

War Doctor: Surgery on the front line: Link

Zwift: https://zwift.com

Give Back Yoga Foundation: https://givebackyoga.org

The Drive Podcast: https://peterattiamd.com/podcast/

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Episode 181: Evidence-based perioperative teaching with Dave Berman.

In this 181st episode I welcome Dr. Dave Berman back to the show to discuss what the evidence tells us about how to effectively teach in the perioperative arena.

References:

Chickering AW, Gamson ZF. Seven principles for good practice in undergraduate education. Biochem Educ 1989;17(3):140–1.

Knowles MS. The modern practice of adult education. New York: Cambridge, The Adult Education Company; 1980.

Carraccio CL, Benson BJ, James Nixon L, Derstine PL. From the Educational Bench to the Clinical Bedside: Translating the Dreyfus Developmental Model to the Learning of Clinical Skills [Internet]. Academic Medicine. 2008;83(8):761–7. Available from: http://dx.doi.org/10.1097/acm.0b013e31817eb632

Brzezinski M, Mitchell J. Advanced Teaching Skills for the Fast-paced OR. ASA Refresher Courses in Anesthesiology 2015;43(1):49–57.

Back AL, Arnold RM, Baile WF, Tulsky JA, Fryer-Edwards K. Approaching Difficult Communication Tasks in Oncology [Internet]. CA: A Cancer Journal for Clinicians. 2005;55(3):164–77. Available from: http://dx.doi.org/10.3322/canjclin.55.3.164

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Episode 180: Keywords part 12 with Gillian Isaac: Local Anesthetics

In this 180th episode I welcome back Dr. Gillian Isaac for another ABA keyword episode. We review local anesthetics.

Also check out Episode 41 for an in-depth episode on local anesthetics

CORRECTION: At 28:58 I state that hyperventilation increases the seizure threshold. This is incorrect, it DECREASES the seizure threshold.

Reference: Barash Clinical Anesthesia 8th edition: Chapter on Local Anesthetics
Outline by Brian Park, MD

Local anesthetics block nerve conduction by?
a. Closing calcium channels
b. Decreasing intracellular sodium concentration
c. Decreasing K conductance
d. Causing extrusion of intracellular K
e. Inhibiting cellular influx of sodium

Discussion (4:44)

See full interactive post
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Episode 179: Ambulating While Intubated with Kali Dayton

In this 179th episode I welcome Kali Dayton, an ICU NP, to the show to discuss a major area of interest for her, getting intubated patients up and walking. Kali has a podcast dedicated to the topic called Walking Home from the ICU where she interviews patients about their experiences.

ReferencesDownload

Links:

🎧Anchor: https://anchor.fm/restoringlife

🎧iTunes: https://podcasts.apple.com/us/podcast/walking-home-from-the-icu/id1497431005

🎧Spotify: https://open.spotify.com/show/61pYjGvlyitt3sgALgHYBg

🎧Google: https://podcasts.google.com/?feed=aHR0cHM6Ly9hbmNob3IuZm0vcy8xMmU1NWRhMC9wb2RjYXN0L3Jzcw&ved=2ahUKEwjFudzsof_pAhWNaM0KHRLrBLIQ4aUDegQIARAC&hl=en 

Twitter: @HomeICU 

Medium: https://medium.com/@kalidaytonpodcast

Facebook Page: https://www.facebook.com/Walking-Home-From-The-ICU-101365674929712/

Facebook Discussion Group: https://www.facebook.com/groups/1164667727204560/

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Episode 178: The Post-Bypass Period with Steve Freiberg

In this 178th episode I welcome back Dr. Stephen Freiberg to discuss how to manage the patient in the post cardiopulmonary bypass period.

ReferencesDownload

Dr. Freiberg’s social media:

thedadesthesiologist.com
Instagram: @thedadesthesiologist
Twitter: @dadesthesia
Tik Tok: @thedadesthesiologist

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Episode 177: How To Be a Star Resident

In this 177th episode I discuss a survey of Anesthesiology program directors where I asked them both what makes a great resident great and what red flags make them worry about a resident. I go through the responses and lay out key points about how to earn the reputation of being a star resident.

A listener recommended the book Extreme Ownership by Jocko Willinck and Lief Babbin about what makes Navy Seal teams successful. There are lots of parallels with what I discussed on this episode.

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Episode 176: Keywords Part 11: Barbiturates and Bier Blocks

In this 176th episode I welcome Dr. Gillian Isaac back to the show to discuss another 2 ABA key words. This time we discuss Barbiturates and Bier Blocks. I also take a moment up front to share some thoughts on the horrible tragedy of George Floyd’s death at the hands of the police and the importance of acknowledging white privilege and fighting for the fact that Black Lives Matter.

Reference: Clinical Anesthesia. Publication Year: 2017. Edition: 8th Ed. Authors/Editor: Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael K.; et al.
Outline by Brian Park, MD

Awakening after a single dose of thiopental is caused by redistribution from the brain primarily to which of the following sites?
(A) Fat
(B) Heart
(C) Liver
(D) Lung

Discussion (11:00)

See full interactive episode
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Episode 175: Financial Planning in the Time of COVID with Justin Harvey

In this 175th episode I welcome Justin Harvey back to the show to discuss the financial implications of COVID-19 for medical students, residents, fellows and attending physicians. Justin is a fee-only financial advisor and CFP (Certified Financial Planner).

References:

Recommended student loan consulting company: www.studentloanplanner.com

Anesthesiologist-founded physician-specific lending: https://www.doc2doclending.com/

A great flow chart for how to think about student loan strategies: https://www.whitecoatinvestor.com/wp-content/uploads/2018/11/Screen-Shot-2018-11-03-at-3.06.44-PM-640×772.png 

Article associated with the above for good student loan intel: https://www.whitecoatinvestor.com/ultimate-guide-to-student-loan-debt-management-for-doctors/

A place to find fee-only financial planners: https://www.napfa.org/ or http://xyplanningnetwork.com/

Justin’s podcast: http://anesthesiasuccess.com/

Justin’s company: www.apm-wealth.com

Justin’s email: justin@apm-wealth.com

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Episode 174: Keywords Part 10: OR Fires and Electrical Safety

In this 174th episode I welcome back Dr. Gillian Isaac to discuss another 2 highly tested ABA keywords, OR fires and electrical safety in the OR.

OR Fires

Fire Triangle (2:52)
Most important aspect of OR fire management? (3:22)

Risk for airway fire during laser resection of tracheal tumor DECREASED in
A. CO2 rather than GAD laser
B. Helium > 60%
C. N2O > 60%
D. PVC ETT
E. Halothane in mixture

Discussion (5:24)

View full interactive post
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Episode 173: Innovation In The Time of Covid: The MasksOn.org story with Drs. Sanjay Vakil, Jackie Boehme and Alex Stone

In this episode I welcome Sanjay Vakil, Jackie Boehme and Alex Stone to the show. Jackie and Alex are two of the co-founders of MasksOn.org and Sanjay is the Executive Director. We discuss the story of their company that provides free masks to healthcare workers and how people can go about innovating to help others dealing with COVID-19.

Their website to get masks and/or donate: MasksOn.org

A map of where they’ve sent masks so far:

Random Recs:

The Sculptor: https://www.amazon.com/Sculptor-Scott-McCloud/dp/1596435739

Scriblio: https://skribbl.io

Avatar the last air bender: https://en.wikipedia.org/wiki/Avatar:_The_Last_Airbender

Outlander: https://www.starz.com/us/en/series/21796/episodes?season=1