News Analysis For Professionals

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News analysis & letters to the editor

Surgical Competence, a Crisis in US Health Care?

Posted on February 20, 2014 – 12:45pm

Surgical competence requires a complex set of interdependent roles and abilities that include psychomotor, cognitive, and interpersonal abilities.[i]

A shift in surgical procedures towards minimally invasive techniques has greatly complicated surgical education with a major potential impact on emergency patient care.

Introduction

This summer a former resident of mine – now an older surgeon himself – asked me whether I’d be interested in re-activating my surgical career (not a simple thing to do). As explanation, he mentioned a critical shortage of experienced surgeons in traditional surgical techniques, as present day’s education is now mainly focused on minimally invasive procedures. During the past ten years this has become a major issue, particularly in trauma and emergency surgery, where often “open” procedures are necessary.

GI Tract Development

Posted on August 20, 2013 – 11:26pm

Surgical Anatomy Lecture, Tufts University School of Medicine

GI Tract Embryology

Joan F. Tryzelaar, MD, FACS, FACCP

1/27/2010

Body Cavities

Posted on August 20, 2013 – 11:23pm

Surgical Anatomy Lecture, Tufts University School of Medicine

Embryology of Body Cavities

Joan F. Tryzelaar, MD, FACS, FACCP

1/27/2010

Embryology

Posted on August 20, 2013 – 10:50pm

Mediastinum

Posted on August 20, 2013 – 10:29pm

Surgical Anatomy Presentation Tufts University School of Medicine:

Mediastinum

Joan F. Tryzelaar, MD, FACS, FACC

1/21/2010

Mediastinum

Posted on August 20, 2013 – 10:21pm

Thorax

Posted on August 20, 2013 – 10:18pm

Content of the Thorax:

  • Mediastinum,
  • Lungs
  • Chest wall

Mediastinum

Posted on August 20, 2013 – 10:11pm

Mediastinum

Posted on August 20, 2013 – 10:01pm

Tuft’s University School of Medicine Surgical Anatomy Lecture1/20/2010

Joan F. Tryzelaar, MD, FASCS, FACCP

Syllabus of Clinical Thoracic and Cardiac Embryologic Problems with anatomic correlations

Posted on August 20, 2013 – 6:07pm

Case studies involving the thorax, mediastinum, embryology of the heart & circulatory systems

Anatomic and clinical reviews that will include basic symptoms and findings, diagnosis & treatment

Tufts University school of Medicine

Clinical Anatomy

Joan F. Tryzelaar, M.D., F.A.C.S, F.A.C.C.P.

 January, 2011

Before we go on to congenital heart problems, it is good to review how to get into the chest:

Clinical Case:

You have just been invited to participate in an operation. The surgeon plans a posterolateral thoracotomy to enter the chest.  He will tell you that he plans entry via the 6th intercostals interspace(Pearl: found two finger widths below the tip of the scapula).

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