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Mixed double
25 November 2011

hewtorrancewebHew Torrance split his elective with visits to renowned burns and plastics centres in the US and the UK

When organising my elective, I decided that I wanted to experience burns and plastic surgery from a first-world perspective. I had been fortunate to work on the Amazon Hope – a mercy ship in Peru – prior to commencing my clinical years, and in Mumbai and Cape Town in forth-year at GKT. This gave me significant clinical exposure to developing world medicine, however it made me reluctant to work again in such a setting prior to the attainment of membership examinations. At that stage I could honestly feel I was helping.

On arrival in Baltimore I was immediately struck by the humid temperatures and sheer size of the hospital. The main hospital is based in one of the most deprived areas of Baltimore, and the Bayview Medical Centre, where the Burns Centre and some plastic surgery services are located, is a short journey through this deprived area on the staff bus. There are only 120 students per year so elective students are spoilt, being virtually the only student in each department – something almost unheard of in a busy London teaching hospital.

I was welcomed at the Burns Centre by the nursing staff and sent to meet the Chief of the Burns Centre, Dr Stephen Milner, a dual-qualified graduate of Guy’s Hospital Medical and Dental school. He was very enthusiastic and within half an hour I was in the ‘OR’ scrubbed, assisting in a burns case. This was a prominent feature of my experience at Johns Hopkins, being fortunate enough to assist in almost all the cases.

 
Picture of precision
19 August 2011

dragonAn encounter with a fearsome tattoo helps Victor Kong appreciate the artistic side of surgery

‘Surgery is not a perfect science, but an imperfect art.’ Taking the first steps on my journey to becoming a surgeon, I often struggled to fully understand my consultant's words. My naïve surgical mind was frequently fixed on battling the complexities of human pathology, with the daily struggle to perfectly restore the diseased body overtaking my entire field of vision.

 
Redrawing the training template
26 May 2011

trainingThere are a number of reasons behind the current systemic failings in the delivery of Trauma and Orthopaedics (T&O) and it sometimes seems easy to blame everyone involved, from the British Orthopaedic Association (BOA) and the Joint Committee of Surgical Training (JCST), through to the Department of Health.

Wasim Khan sets out BOTA's vision for trauma and orthopaedic training

 
Getting to grips with trauma
26 May 2011

trauma_confOver 120 students from across the UK were at Edinburgh Royal Infirmary on 2-3 April for the second Edinburgh National Student Trauma Conference

The major aim of this year’s conference was to give students a basis of knowledge and skills that they could use to instigate life-saving measures in the trauma patient. The programme included lectures and tutorials covering initial management of the trauma patient through an ATLS style of teaching. 

 
Front-line trauma management
25 May 2011

trauma-unitGeneral Surgical Registrar Andrea Warwick took six months out of programme to work in the renowned trauma unit at the Alfred Hospital in Melbourne, Australia

 The Alfred Trauma Service is the largest of two Level-1 trauma centres in the state of Victoria, serving a population of over 4 million. Each year the unit sees around 1100 seriously injured patients (those with an Injury Severity Score above 15), and about 4000 who are less seriously injured. Many bypass their local hospitals and because of the distances involved, a lot arrive by helicopter.

 
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