PRS Global Open Deep Cuts

In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. Galen Perdikis discusses the growth that Vanderbilt's plastic surgery department and residency program have experienced over the last decade, the importance of specialized service lines to achieve the best patient care as well as resident education, the benefits of advanced practice providers in creating institutional memory, how he has built cross-departmental teams at Vanderbilt, what he means by “team-based capitalism” and how this approach has created a strong sense of teamwork in his faculty. He also discusses the pyramid approach to developing surgical skill and the need for active learning to climb that pyramid, the highly structured and formal approach to resident evaluation that Vanderbilt has instituted, his controversial thoughts on competency based residency certification, how to give good feedback, his thoughts on the use of meshes in breast reconstruction, how he has improved his efficiency in DIEP flaps, why he likes exoscopes for microsurgery cases, why dog ears are the bane of his existence, and what exactly a Scouser is. Read a classic PRS Global Open article by Dr. Perdikis and his colleagues, “Acellular Dermal Matrix Performance Compared with Latissimus Dorsi Myocutaneous Flap in Expander-Based Breast Reconstruction”: https://bit.ly/ADMvsLDMF_GOX [https://bit.ly/ADMvsLDMF_GOX]  Dr. Galen Perdikis is a Professor and the G Patrick Maxwell Endowed Chair of the department of Plastic Surgery at Vanderbilt University Medical Center, and was previously the Professor and Chair of the Division of Plastic Surgery at the Mayo College of Medicine in Jacksonville Florida. He completed medical school at the University of Witwatersrand in Johannesburg, South Africa. He trained in both South Africa and England, he completed a general surgery residency and research fellowship at Creighton University Medical Center in Omaha Nebraska. He finished his training with a plastic surgery fellowship at Vanderbilt, where he has now returned for the last 8 years as Chair. He is a member of the Board of Directors of the American Board of Plastic Surgery, President-Elect of the Southeastern Society of Plastic and Reconstructive Surgeons, a member of the editorial board for the Aesthetic Surgery Journal, and a previous member of the Board of Governors for ASPS PlastyPAC. He is a visiting professor for ASPS this year. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this Leveling Up episode of the PRS Global Open Deep Cuts Podcast, Dr. James Chang discusses his path into hand surgery, his approach to various common hand conditions, his version of awake hand surgery, how he helps his residents develop confidence and competence, the importance of building rapport with patients, the change in his career path over time, his involvement in global health, and the influences of his mentors. Read a classic PRS Global Open article by Dr. Chang and his colleagues, “Modeling the Lifetime Impact of Reconstructive Plastic Surgery Training: Implications for Building Capacity in Global Surgery”: https://bit.ly/BldgGlobalCapacity_GOX [https://bit.ly/BldgGlobalCapacity_GOX]  Dr. James Chang is the Chief of the Division of Plastic and Reconstructive Surgery at Stanford University. He graduated from Yale medical school, and then completed a residency in plastic surgery at Stanford, followed by a hand fellowship at UCLA in Los Angeles. He is the past editor in chief of the yearbook of hand surgery, and an associate editor at multiple journals, including Hand, Microsurgery, the Journal of Hand Surgery, and the Annals of Plastic Surgery. He was the Royal College of Surgeons Foundation traveling fellow, and the 2006 Sterling Bunnell traveling fellow. He has been deeply involved at the American Society for Surgery of the hand, taking on the roles of research director, treasurer, and president. He has also been the vice chair of the Plastic surgery residency review committee, and the secretary and treasurer of the American Board of Plastic Surgery. He is also the CMO for Resurge International. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Christopher Attinger discusses how to build a successful wound center, the benefits of including psychiatry in a wound care service, the importance of removing all indurated tissues during a debridement, why placing a skin graft on granulation tissue is actually a bad idea, the benefits of bypass surgery over angioplasty, how to know when Integra has good take, his go-to local flaps for the foot and ankle and why he doesn't like reverse sural flaps. He also discusses the nuances of performing a TMA and a BKA, why he never uses deep sutures in any wound closure, how TMR has been a game changer in his practice, the rating system for medial arterial calcinosis that predicts the risk of complications, and how he has structured the service to maximize resident education. Read a classic PRS Global Open article by Dr. Attinger and his colleagues, “The Effect of Positive Postdebridement Cultures on Local Muscle Flap Reconstruction of the Lower Extremity”: https://bit.ly/DebridementFXLE [https://bit.ly/DebridementFXLE]  Dr. Christopher Attinger is a Professor in the Plastic and Reconstructive Surgery Department at Georgetown University Medical Center, and the Director of the Center for Wound Healing at MedStar Georgetown University Hospital. He served two tours of duty in Vietnam, as a lieutenant in the 82nd Airborne and the 101st Airborne divisions, and was honorably discharged with a Purple Heart and Bronze Star. He received his medical degree from Yale University, and then completed a residency in general surgery and fellowship in vascular surgery at Brigham and Women's Hospital in Boston, and a plastic surgery residency and hand surgery fellowship at New York University. After completing his training, he joined the faculty at Georgetown, and has been there ever since. In 2007, Dr. Attinger started an annual limb salvage conference to bring together all the members of the limb salvage community to exchange ideas and innovations.  Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. The views expressed by hosts and guests are their own and do not necessarily reflect the official policies or positions of ASPS. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. Scott Hansen talks about his new role as Chair of Plastic Surgery at UCSF, his experience as a program director, and his leadership approach to resident training. He also shares insights on performing awake hand surgeries, his role as a team hand surgeon for the San Francisco Giants, and the unique considerations when treating hand injuries in professional athletes. Dr. Hansen explores the surprising differences between college women's basketball and Major League Baseball, how his practice of hand surgery has evolved, the field of spinoplastic surgery, and why he finds treating hidradenitis rewarding. He also reflects on the lessons he's learned from Drs. Steve Mathes, Neil Ford Jones, and Prosper Benhaim. Read a recent PRS Global Open article by Dr. Hansen and his colleagues, “A Pilot Randomized Clinical Trial of Early Ambulation after Groin Reconstruction with Sartorius Muscle Flaps“: https://bit.ly/WalkingAfterGroinRecon [https://bit.ly/WalkingAfterGroinRecon]  Dr. Scott Hansen is a Professor, Chief of the Division of Plastic Surgery, and the Program Director for the Plastic Surgery Residency at the University of California San Francisco. He also serves as the Chief of Hand and Microvascular surgery and the Director of the Microsurgery fellowship. He graduated from Eastern Virginia Medical School, and then completed a Plastic Surgery residency and a post-doctoral research fellowship at UCSF followed by a Hand and Microvascular surgery fellowship at UCLA. He joined UCSF as full-time faculty, and recently became the Chief of the Division of plastic surgery there. He is the Hand and Microsurgery section editor for the Annals of Plastic Surgery. He is the team hand surgeon for the San Francisco Giants. He has remained involved in basic science research, with a focus in wound healing, hemangiomas, and limb development. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp

In this Leveling Up episode of the PRS Global Open Deep Cuts podcast, Dr. David Song discusses several key topics. He highlights the unique role that plastic surgeons can play as leaders within surgery and the broader medical system. Dr. Song emphasizes that being an excellent clinician with "street cred" is essential for effective leadership. He also talks about how to create and guide change effectively, and the importance of active listening in both surgery and patient care. Additionally, Dr. Song shares insights on preoperative and anesthetic modifications that can improve patient recovery after microsurgery. He explains why he always uses two separate venous systems in a DIEP flap and provides technical details on arterial anastomosis. He also discusses the latissimus immediate fat transfer flap for non-microsurgical autologous breast reconstruction. Finally, Dr. Song reflects on how being right and cultivating durable relationships can sometimes be at odds with each other. Read a classic PRS Global Open article by Dr. Song and Dr. James Economides, “Latissimus Dorsi and Immediate Fat Transfer (LIFT) for Complete Autologous Breast Reconstruction:”  https://bit.ly/LIFT_Breast_Recon_GOX [https://bit.ly/LIFT_Breast_Recon_GOX] Dr. David Song is the Chief Medical Officer and Vice President of Medical Affairs for MedStar Georgetown University Hospital, as well as a Professor and former Chairman of the Department of Plastic Surgery, and the former Chief of Surgery at Georgetown University School of Medicine. He completed residencies in general surgery and plastic surgery as well as a microsurgery fellowship at the University of Chicago, where he stayed on first as a faculty member, and then as the Chief of Plastic Surgery. He moved to Georgetown to become the Chair of Plastic Surgery in 2017, before recently moving into the role of Chief Medical Officer and VP of Medical Affairs. Among his many leadership roles in plastic surgery, he is a former President of the American Society of Plastic Surgeons, former Chair of the American Board of Plastic Surgery, and current chair of the ACGME Plastic Surgery Residency Review Committee. Your host, Dr. Puru Nagarkar, is a board-certified plastic and hand surgeon, and Associate Professor of Plastic Surgery at the University of Texas Southwestern Medical Center in Dallas. #PRSGlobalOpen #DeepCutsPodcast #PlasticSurgery #LevelingUp