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This commentary (5 min read) is in response to a "residents these days" discussion I read online. It summarizes my feelings about surgical residency, readiness for independent practice, and the important distinction between confidence and competence. #GiftedHands #ACSCC20

Should we consider routine use of short grit scale assessments to identify those most at risk of stress and burnout in order to introduce early targeted interventions? pmj.bmj.com/content/early/… Osian James Luke Hopkins Chris Brown @PowArG07 Tarig Abdelrahman Richard Egan Wyn Lewis

‘Strategic organisational skills predict surgical training success’ Delighted our latest paper has been published today. pmj.bmj.com/cgi/content/fu…

Are better organised surgical trainees more likely to be successful? In a word, "yes". ASiT The Royal College of Surgeons of Edinburgh pmj.bmj.com/content/early/…

So how to surgical trainee specialties compare to kindergarten children? #designchallenge Katie Mellor Oliver Luton Osian James David Robinson @PowArG07 Luke Hopkins Richard Egan @J00464268 Wyn Lewis Emma Barlow Hannah Collins authors.elsevier.com/a/1cPrc6tEErTI…

Amy Luke Hopkins Oliver Luton @nickmowbray13 Nicola Reeves Bex Barnett Andrew Beamish Paul Blake Kellie Bateman Chris Brown Osian James Azel Regan (Botes) Chris Davies Louis Flig Vicki Bevan Zoe Barber Sarah hemingtongorse @PowArG07 Emma Barlow Harriet Emma

How do you manage patients with COVID related arterial thrombosis? Vignette: acute limb thrombosis 2ndary to COVID, managed conservatively with LMWH, no other cardiac disease mandating anti coagulation. Planning for discharge. What do you give to go home with?

And how long to continue treatment for:

A surgical take on the multilingualism question - The Wittgenstein effect on consultant surgeon differential attainment David Robinson Luke Hopkins @PowArG07 Chris Brown Richard Egan Wyn Lewis Welsh Surgical Research Initiative publishing.rcseng.ac.uk/doi/full/10.13…

Appointed a new member to the Swansea Bay NHS vascular unit today. Fantastic new recruit. Welcome to the team Amy Amy 👏👏👏

Excellent thread on harnessing expert knowledge that they may not be able to access in the moment...

A nice #humanfactors and #MedEd #RCT on cognitive simulation before procedures, measured using current procedure assessment tools. Showed improvement in 11/16 performance domains. #openaccess #some4surgery ASiT doi.org/10.1093/bjsope…

Delighted our paper on surgical team dynamics, harassment and bullying has now been published The Royal College of Surgeons of England publishing.rcseng.ac.uk/doi/pdf/10.130… David Robinson Luke Hopkins @PowArG07 Wyn Lewis Richard Egan Welsh Surgical Research Initiative Oliver Luton Jody Parker Emma Barlow Tarig Abdelrahman

Pleased to see this released this week. We know stress and burnout is a huge problem but establishing causation will hopefully allow the development of countermeasures. bmjopen.bmj.com/content/11/8/e…

Congratulations David Robinson on passing your PhD viva! Very well deserved. A successful academic surgical career awaits. 👏🏻 👏🏻👏🏻Cardiff University School of Medicine @HEIW_NHS

How the man on the left saved the man on the right with cellophane. Thread.

Clinical Lecturer/Resident Surgical Officer applications now live! Three vacancies for our sought-after surgical PhD/MD programme @SwanseaMedicine. x2 positions Feb 22, x1 Aug 22. Closing date 3rd Jan. Apply here, contact for more details: swansea.ac.uk/jobs-at-swanse… Please RT!

Come join the South East Wales Vascular Network as a Clinical Fellow in Vascular Surgery, in UHW, Cardiff. 👇 nhsjobs.com/job/UK/Cardiff… Lewis Cardiff and Vale University Health Board

Want to live in a vibrant city and develop your open vascular surgery? Come join us in Cardiff!!! jobs.cardiffandvaleuhb.wales.nhs.uk/job/UK/Cardiff… #cardiff #RCSeng #RCSed #ESVS #vascularnews #vascularsurgery #ejves #BJS #NHS #NHSjobs #openvascularsurgery

Minor amputations aren't so minor. Well done Penny Birmpili for publishing this study using HES data in BJS to show us what happens in the long term to patients we take toes off🦶academic.oup.com/bjs/advance-ar… ian chetter Ellie Atkins Jonathan Boyle Arun Pherwani