It's Always Sunny in Surgery

This episode brings the true heavyweights into the arena; we are joined by Zak Cole-Healey and Basim Dawoud (Health Education North West) as we get our teeth into maxfax! There's lots to unpick; what is it that compels a person to do both dentistry AND medicine?! 🎓 How do you afford it?! 💸 So do maxfax deal with teeth or not? 🦷 (tbh we're still not quite sure...) How do they pick up their skills?🧐 As for who they could take in a fight? Soft tissue, orthopaedics 🦴, vascular 🩸 and plastics 🔬 skills, plus the stamina for two degrees?! These guys are truly capable of bringing the pain, and also dealing with the aftermath! Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

And now, a brief pause in our ongoing specialty series. We bring you our halftime show! Well not really, we have some bits left over from other episodes we want to bring you. Unfortunately, life gets in the way sometimes and whilst we deal with the realities of training and living, sometimes scheduling, recording and editing has to take a backseat. This is still stuff we haven't released, and we will be back to bring the smacketh down in the coming weeks... Edit: To those that brought this to our attention, thank you and sorry ... Some things are better left unsaid. Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

This time it's personal: today its the turn of vascular, and Assad has roped in a formidable tag-team: Stacie Hodge (who is legitimately solid) and Mo Elkawafi (both Health Education North West) are in the vascular corner. Are vascular just angry psychopaths? Do they just direct all their wrath from blocked bypasses and failed operations at everyone else? What about those IVDUs? We chat about the good bits, the bad bits, and the bits that get thrown in the amputation bin. What do they wish they knew before starting? What are the biggest misconceptions, and finally, who could they take in a fight? Probably anyone if you take an arteriotomy knife to the right spot.... Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Today we welcome plastics into the fray, and we're joined by Dan Lazenby and Henry de Berker (Health Education North West). We try and get to the bottom of what makes plastics plastics: are they biding their time to make a fortune in private practice? Are they low-key obsessive compulsive about the things that the rest of us don't care about? Is this an inherent or learned trait? We've heard they're a flamboyant bunch, but are the rumours true?! Do they in fact possess surgical superpowers? We delve into this and more, as we aim to scratch beneath the surface. As for who they could beat in a scrap, they maintain they're lovers not fighters, but their strategy is credible and they're not afraid of taking on multiple specialties! Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Cock rings and banjo strings.... This episode has it all! Probably our most NSFW episode to date, but what were you expecting from urologists?! Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Happy first birthday to us! 🥳 And as a little birthday present to you all, we are releasing probably the funniest episode(s) we've done. This episode heralds the entrance of urology into the arena, and we're joined by some friends across the country! Today we have our guests formed entirely from listeners; Mahmoud Nosseir and Michael Ahn (Health Education West Midlands) are gonna talk to us about the highs and lows of urology, the best bits, the worst bits, and the dirty bits. Very quickly we descend into puerile penile jokes, and the humour goes straight into the toilet... And, as urologists are all too aware of, the stories are the only thing flowing freely! We talk about the things they wish they'd known, which specialty they could cheat on their own with, and who they could take in a fight? To be honest, with these stories, they could take everyone; the rest of us would be collapsed in a heap, incapacitated with laughter... Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Today is the day we welcome orthopaedics into the ring! And just like John Cena, they're hench, well-dressed and look good behind the camera. Plus, you can't see them (out of hours anyway!) We're joined by orthopods extraordinaire (and returning guest) Rich Unsworth and Azhar Din (Health Education North West) who started out from the same humble beginnings but fought tooth and nail (pun intended) to get into specialty training, and make it through to the end. We find out from them about the best and worst things in orthopaedics and if orthopods truly misunderstood? We also discuss the things they wish knew before starting, like the grind, the bottlenecking and the fellowships. Lastly we find out how they fancy their chances against everyone else in a hypothetical brawl...all that limb traction gotta come in handy some time right?! Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Loud, angry, trash-talking, on the warpath. Not to be messed with. That’s how many have described Steve Austin (the namesake of this episode) but it also seemed quite fitting for general surgery. ‘And that’s the bottom line, cuz Stone Cold said so!’ We’re joined by Caitlin Jordan and Adeeb Rehman (Health Education North West- Mersey) as we talk about: the best bits of general surgery; the worst bits; the things they wish they knew before, and crucially for this Smackdown….who they could take in a fight… ——————————————— RCS England - General Surgery https://www.rcseng.ac.uk/careers-in-surgery/trainees/foundation-and-core-trainees/surgical-specialties/general-surgery/ BMJ - The complete guide to becoming a general surgeon https://www.bmj.com/careers/article/the-complete-guide-to-becoming-a-general-surgeon- Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Loud, angry, trash-talking, on the warpath. Not to be messed with. That’s how many have described Steve Austin (the namesake of this episode) but it also seemed quite fitting for general surgery. ‘And that’s the bottom line, cuz Stone Cold said so!’ We’re joined by Caitlin Jordan and Adeeb Rehman (Health Education North West- Mersey) as we talk about: the best bits of general surgery; the worst bits; the things they wish they knew before, and crucially for this Smackdown….who they could take in a fight… ——————————————— RCS England - General Surgery https://www.rcseng.ac.uk/careers-in-surgery/trainees/foundation-and-core-trainees/surgical-specialties/general-surgery/ BMJ - The complete guide to becoming a general surgeon https://www.bmj.com/careers/article/the-complete-guide-to-becoming-a-general-surgeon- Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

We're back, and this season we're bringing the smackdown! We're drafting our friends, colleagues and listeners to tell us why they love the job they do, and why it's the best bit of surgery. We're pitting all the different specialties against each other in a sort of Royal Rumble free-for-all to find out who reigns supreme. Which surgical specialty is the most respected? What specialty do people secretly wish they did? Which specialty could take all the others in a fight? And... like wrestling, it's scripted, it's theatrical, it's here mostly for entertainment. Also, just like John Cena, you can't see us. Surgical hunger games: https://www.reddit.com/r/doctorsUK/s/dnjQE7VjwH Plastics getting stabby: https://www.dailymail.co.uk/news/article-9158927/Top-plastic-surgeon-56-charged-attempting-murder-ex-colleague-surgeon-65.html Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

We're back, and this season we're bringing the smackdown! We're drafting our friends, colleagues and listeners to tell us why they love the job they do, and why it's the best bit of surgery. We're pitting all the different specialties against each other in a sort of Royal Rumble free-for-all to find out who reigns supreme. Which surgical specialty is the most respected? What specialty do people secretly wish they did? Which specialty could take all the others in a fight? And... like wrestling, it's scripted, it's theatrical, it's here mostly for entertainment. Also, just like John Cena, you can't see us. Surgical hunger games: https://www.reddit.com/r/doctorsUK/s/dnjQE7VjwH Plastics getting stabby: https://www.dailymail.co.uk/news/article-9158927/Top-plastic-surgeon-56-charged-attempting-murder-ex-colleague-surgeon-65.html Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

This episode brings this season to a close...just like its namesake. Get it?! Ok we'll see ourselves out. 22 episodes, 44 weeks, and over a year worth of recording to get our first season done. What a slog it’s been! But an enjoyable one at that. Today we explore: Thank you all to all of you who listen, who’ve participated and who’ve helped make Its Always Sunny in Surgery what it is. We hope you’ve enjoyed listening as much as we’ve enjoyed creating. We love to hear from you, more than reviews, likes and subscribing (but you can do those things if you fancy…) So please drop us a line on: Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Happy holidays, and see you in 2024! Jamie & Assad -------------------------------------------------------------------------------------------------------- Johnny Depp on Paul Whitehouse, and The Fast Show: https://metro.co.uk/2020/06/10/johnny-depp-paul-whitehouse-greatest-actor-12834920/ Alan Partridge being Alan Partridge: https://partridge.cloud/scene/?id=EXxDbCibsfpJ Hosted on Acast. See acast.com/privacy for more information.

🎵…Stitch don’t kill my vibe, stitch don’t kill my vibe…I'm trying to keep it alive and not compromise the feeling we love…🎵 Slightly later than normal due to a rough on-call patch, which incidentally was the reason we did this episode. If: Why are we still here? This season has taken the scenic route through some of the worst parts of training so today we are trying to claw it back. There’s gotta be summat good right? We talk about: Maybe the real training is the friends we made along the way…? Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

We veer WILDLY off topic, but have decided to reformat it for your listening pleasure. Everyone likes a freebie right? Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Following on from last week's episode about the good old days of training, it sounds like we have lost our way... So how do we find it again? We posed the question to Reddit and asked how can we drain the proverbial swamp, channel our inner MAGA and actually Make Surgery Great Again...? We took those responses, and chat about; Our Reddit poll providing the basis for this episode: https://www.reddit.com/r/doctorsUK/s/Dx7WFKQARj It’s Always Sunny in Philadelphia - The Gang Goes on Family Fight (Season 10 Episode 8): https://youtu.be/MJT_aQ5XzKg?si=wZo4EN5w9C_Gakje Scrubs - Turk’s peak ward round efficiency: https://youtu.be/JOZK1qD9usU?si=yfDbvrRqHH2LTbRA The Cider House Rules trailer: https://youtu.be/xWpOP9NoaM8?si=SP9MfbtcFT6kJ9Nh Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Surgical trainees nowadays 'have never had it easier' apparently: back in the good old days our bosses worked 27 hrs a day, 8 days a week, scribing the ward rounds in English, Latin, and Ancient Greek, detecting electrolyte abnormalities by taste alone, whilst being paid in turnips and self-satisfaction for the privilege of being a surgeon... These days...things just seem...like we missed out...though we're not exactly sure what we missed out on...? Today, to help us fill in the blanks and tell us what it was actually like, we're joined by Mr. Mark Welch: former North West TPD for General & Vascular Surgery; the trainer who helped Assad find his mojo and all-round legend for a generation of surgeons in Manchester. We sit back and let him spin us a few yarns 🧶 about what it was like 'back int' day', including: We loved being regaled by tales from his heyday, but equally it was sobering to hear how far things have changed....and not necessarily in a good way. Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Our kid Pronunciation: /ɑː.kɪd/ Noun: One's sibling or close friend (Northern England, especially Manchester) ’You alright our kid? You sure? You look dead miserable; is there summat on your mind?’ This episode we’re just going for it. We’re gonna talk about burnout 🔥🔥🔥 Surgeons have the unique honour of being amongst the most burnt out specialities in medicine. We’re joined by Dr. Sobia Khan (Research Psychologist and Clinical Psychotherapist at the University of Manchester) as we get into it and talk about our own experiences of it. What is burnout? What does it look and feel like? Does it spread like an inferno or could be it be smouldering away in the background for some time? What are the symptoms? How does it show itself and what is the relationship with depression? Is it dangerous for us and for our patients? And how can you tackle it? Can we safely open up about it? Taking charge of it ourselves seems like a really daunting first step, but you can’t always rely on others to protect your welfare. We’ll give it a go though. Y’alright our kid? But seriously… are you? ———————————————— If this strikes a chord with you, you might be burnt out: https://imgur.com/a/YR1EdrT How it can feel being training: https://imgur.com/a/IRsFsgy Kendrick Lamar - Count Me Out: https://youtu.be/5GhhVHpPR_M?si=0333YOqYQGxkpv-- (a powerful track and music video which contains many of the aspects we touch on in the episode) RCS England Confidential Advice and Support Service: 0800 028 0199 (24hr line) BMA Confidential Counselling Line: 0330 123 1245 (24hr line) Burnout in trauma and orthopaedics: a cross-sectional study of surgeons from across the United Kingdom | The Annals of The Royal College of Surgeons of England (rcseng.ac.uk) Burnout Within UK Surgical Specialties: a systematic review https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsann.2020.7058 Supporting the wellbeing of surgeons and surgical teams during COVID-19 and beyond — Royal College of Surgeons (rcseng.ac.uk) Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

In the final part of our work-life trilogy, we ramp it up a notch. Today, we're joined by series veteran and Deputy Postgraduate Dean Nadeem Khwaja (Consultant Plastic Surgeon), and our overseer, boss and matriarch, and the reason this podcast exists Sadie Khwaja (Consultant ENT Surgeon) as Greater Manchester's premier surgical dynasty. We all know that surgery can be an all-consuming job and our chosen career frequently gets in the way of our lives.... but what if you're married to another surgeon? How does that even work?! We talk about that and: Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

Time flies when you're having fun. And in the company of friends, we rattled through the episode pretty quickly, leaving us with an opportunity to chat shit; there's always time for that! We natter about Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.

If the previous episode wasn't impetus enough for you to go out and start living your life, today will be different! We are joined by two legends right here in the North West - Mobeen Qureshi and Tom Naylor: both committed higher surgical trainees 🪚🛠️🔪; both orthopods who love dem bones 🦴🦴🦴; but both have parked their training to one side to take their passions and hobbies to the next level and ended up on the small screen for it. Mobeen took time Out Of Programme (alongside his wife Zainib, also a psychiatry trainee) to participate in season 3 of BBC's Race Across the World and spent 2 months legging it around Canada 🇨🇦 , soaking up the unparalleled natural beauty 🏕️ and receiving the warmth and kindness of strangers. Tom is a professional ice-skater ⛸️ and has been featured on ITV's Dancing on Ice 📺 . He delayed applying for ST3 to perform as a professional on the show for a season, and is married to his wife Yebin, a word-class figure skater. Both of these guys talk to us about their exploits, seeing the world through a very different lens and getting some much needed perspective. They talk about how time away from training has helped them develop as people and also as more rounded surgeons. They talk about their trepidation in asking for time away, but the reality that they have been encouraged, well-supported, and welcomed back with open arms by their supervisors and TPD. Crucially, its helped them rekindle their love of surgery again. Y'know what they say? Absence makes the heart grow fonder… So maybe it's time to pump the brakes on training, get your out of office notifications on, and have yourselves an adventure! Go on, off you trot! Zainab & Mobeen hitchhiking, relying on the kindness of strangers and making the most of Canada - https://www.youtube.com/watch?v=ExkaOH96n-Q&t=9s BBC's Race Across the World: https://www.bbc.co.uk/iplayer/episodes/m0002tvs/race-across-the-world?seriesId=p0f5x536 Tom setting impossible standards for regular trainees - https://www.youtube.com/watch?v=nlWj-1gjrFs&t=76s Tom again showing he's hench enough for orthopaedics - https://www.youtube.com/watch?v=JaWzbowbvwU&t=153s Email us: surgicalcareersnw@gmail.com Twitter: @NW_surgical (www.twitter.com/NW_surgical) Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW) Hosted on Acast. See acast.com/privacy for more information.