grand rounds topic?

[europeman]

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For surgery grand rounds as a chief residents, anyone have any topic ideas related to Trauma or perhaps Abdominal Sepsis??

 

[balaguru]

Haha. I'm doing mine next month too. I'm doing mine on scope of practice. Going to discuss history, future, ethics, legal, policy and data. Also going to try to do a survey so look for a surveymonkey post soon.

For trauma how about TEG and coagulopathy of trauma or endovascular treatement of some classic vascular injuries. For abdominal sepsis maybe management of the open abdomen.

 

[SLUser11]

For surgery grand rounds as a chief residents, anyone have any topic ideas related to Trauma or perhaps Abdominal Sepsis??

You have frequently shown interest in topics of critical care that are not evidence based. Why not give a talk addressing these common practices?

 

[Dr.LeoSpaceman]

For surgery grand rounds as a chief residents, anyone have any topic ideas related to Trauma or perhaps Abdominal Sepsis??

There's always evidence-based review of endpoints in resuscitation, to include adjunctive means of determining fluid status (CVP, pulse pressure variation, invasive and non-invasive measures of cardiac output, bedside ultrasound, etc.).

 

[cpants]

For surgery grand rounds as a chief residents, anyone have any topic ideas related to Trauma or perhaps Abdominal Sepsis??

Re: Trauma -- One of our chiefs did a pretty good grand rounds on EAST guidelines for spinal clearance and imaging. Penetrating neck trauma is a pretty complex topic which could make for a good GR too. DVT prophylaxis in trauma and surgery patients could be a good one.

 

[europeman]

Great thoughts everyone thanks! Though I appreciate the ideas..... I was wondering if any of the other peeps here had some others?

Perhaps trauma or abdominal sepsis recent talks they really liked??

Slu.... Thank u for the comment. And I agree with u I have, knowing myself, probably made comments to that effect! But can u remind me what they were ?? Haha? Feel free to private IM me. Clearly they are enough for u to remember!

 

[SLUser11]

Slu.... Thank u for the comment. And I agree with u I have, knowing myself, probably made comments to that effect! But can u remind me what they were ?? Haha? Feel free to private IM me. Clearly they are enough for u to remember!

Search your old threads (threads you started), and you'll see several relevant clinical questions that could be incorporated into a grand rounds topic addressing the evidence (or lack thereof) behind common clinical practices.

Examples:
Narcotics in SBO patients
UTIs in the ICU
Atelectasis and fever

 

[Taciturngosamer]

Anyone feel an esoteric topic is ok? Like Surgical history? I miss using my right brain....

 

[dpmd]

Anyone feel an esoteric topic is ok? Like Surgical history? I miss using my right brain....

We used to regularly have surgical history grand rounds by one guy. Not sure why he doesn't come anymore, but I'm guessing it has to do with money. I think a chief doing a history grand rounds would have been received well at my program at least.

 

[Germanada]

If you like ICU / sepsis kinda stuff, you could maybe talk about starches (e.g. voluven ) and other colloids in resuscitation of the hemodynamically unstable patients, in the context of the 2012 studies that kind of raised some issues re ?safety. At least I see some of our GIM and ICU docs arguing about this topic fairly regularly...

If you are feeling esoterically inclined, how about something completely different, like talking about cost effectiveness analysis studies of a topic that interests you (e.g. lap vs open hernia repair). At least at my home institution people are starting to kind of get an appetite for that kind of topic, and many academic MDs I think are not quite familiar with the economics of medical practice.

 

[Dr.LeoSpaceman]

If you like ICU / sepsis kinda stuff, you could maybe talk about starches (e.g. voluven ) and other colloids in resuscitation of the hemodynamically unstable patients, in the context of the 2012 studies that kind of raised some issues re ?safety. At least I see some of our GIM and ICU docs arguing about this topic fairly regularly...

If you are feeling esoterically inclined, how about something completely different, like talking about cost effectiveness analysis studies of a topic that interests you (e.g. lap vs open hernia repair). At least at my home institution people are starting to kind of get an appetite for that kind of topic, and many academic MDs I think are not quite familiar with the economics of medical practice.

Those cost-effectiveness topics are indeed interesting, but they can be very hard to do well. Especially if what your doing has a decision analysis tree, you need to really understand what's going on and condense it into digestible bits for everyone else.

 

[Germanada]

Those cost-effectiveness topics are indeed interesting, but they can be very hard to do well. Especially if what your doing has a decision analysis tree, you need to really understand what's going on and condense it into digestible bits for everyone else.

Yes, which is (unfortunately) why you tend to need to pick a study that is relatively straight forward - which is a pity because these studies kind of misrepresent the potential complexity of health economics research, but anyway....

A good way about doing a grand rounds presentation like this I think would be to do a first part on some general concepts necessary to know to understand the paper presented, and then talk about the paper. It might actually be necessary, as a lot of med schools don't have health econ as part of the curriculum... that's I guess the downside of things.