Ben Mundell

General surgeon trained @MayoClinic @PardeeRAND, Air Force Vet, and part-time adventurer. Opinions = mine, etc

[Ben Mundell @BenMundell]

@PlumbNick Med school country isn’t a great measure — likely all of these residents will remain in the US after residency and those on visas will work for at 3-5 years in rural or underserved areas. From a rural perspective this is preferable to having unfilled slots and no primary care.

[Ben Mundell @BenMundell]

@RepPeteStauber Hmm maybe advocating for mitigating root causes of these fires — fuels management, climate change, decades of poor forestry management on both sides of the boarder would be a better place to start.

[Ben Mundell @BenMundell]

@MBosleyMD @ZhiVenFongMD @VNikolian @SAGES_Updates @EricKnauerMD @EzraTeitelbaum @WashUSurgery @lpneff @wakeforestmed @IrvingJorgeMD @IrvingJorgeMD certainly isn’t letting his residents get out of the OR without doing an IOC! Definitely a skill you need especially if you have any hope of doing a Lap transcystic CBD exploration.

[Ben Mundell @BenMundell]

@houmanhemmati FOs commonly land w/ Capt monitoring. Sort of like how senior residents do a lot of the operating with attendings watching at teaching hospitals. She had an ATP and over 1500 hours — pretty good for a regional airline FO. There is nothing to suggest experience was abnormal

[Ben Mundell @BenMundell]

@RepGregMurphy @GmOrr9000 Sir this comment highlights your ignorance around medical training and makes your 60% claim doubtful. 98% of my class is clinical and the only way the govt pays tuition is HPSP and USUHS both which carry at least a four year commitment post residency for less than market wages.

[Ben Mundell @BenMundell]

@DrLindaMD @AmericanAir @saharbjones They save little money by having on board medical personnel. Airlines have ground based medical services run by ED physicians. In our unpublished research the increased likelihood of having a physician onboard doesn’t change divert decisions (a costly event for airlines)

[Eric Pauli @ericpaulimd]

Someone has been in my OR in the last 2 years.

@ToriaRendell

[Ben Mundell @BenMundell]

@RobertVaughanNP @londyloo Wanted to like this 1000 times.

[Ben Mundell @BenMundell]

@JasonHanMD Wonderful piece. I’d go further to say do what you love and what shares your talents. Make this true outside of work. I’ve attended many retirement ceremonies for lots of professions and no one ever says they wished they’d worked more.

[Ben Mundell @BenMundell]

Reading Supreme Court reporting is a wonderful distraction from daily life. And entertaining while sometimes restoring my faith in humanity. Plus this challenge to federal law is bonkers. https://t.co/uzC4cNxqM6

[Ben Mundell @BenMundell]

@cchildersmd This study leaves a lot to be desired. Focuses
on small fraction of academic institutions, small variance in compensation models, and survey based. Having finished the job search there are plenty of models that provide good compensation and lifestyle outside of academic medicine

[Ben Mundell @BenMundell]

@ZhiVenFongMD We use them for mostly routine cases to include cholecystectomies, umbilical hernias, ventral hernias, and inguinal hernias. Great learning cases!

[Ben Mundell @BenMundell]

@georgetolisjr Certainty truth to this I’m sure. Especially for folks that graduated during peak COVID. This effect fades with recent classes — largely not effected by surgery moratoriums. I’m on track to have 1500+ cases almost double the ACGME minimum but I’ve never had a case cx for COVID.

[SURGERY Journal @SurgJournal]

Do you routinely perform an intraoperative cholangiogram (IOC) during a laparoscopic cholecystectomy?

Please discuss your practice

@SWexner @juliomayol @SyedAAhmad5 @Gio_Marchegiani @jnahmias1 @PipeCabreraV @nlavellaneda @ProfDemartines @GianlucaPellino

#SoMe4Surgery

[Ben Mundell @BenMundell]

@djc795 @georgetolisjr Was just about to post this study though not quite sure it answers Dr. Tolis’s question but likely help makes his point. RCTs aren’t the be all end all especially if not we’ll designed.

[Ben Mundell @BenMundell]

@georgetolisjr I believe we can still provide good training under the duty hour requirements but trainees have to seek out cases. And we need to find the best training locations eg “community” vascular programs to develop skills not typically acquired these days in gensurg training.

[Ben Mundell @BenMundell]

@DHidlayVIR @DalyaFergusonMD Agreed we can always do better with schedules and and shifts but the alternative may be more night float or more in house call with higher frequency. I guess the question becomes what’s the best work schedule for fatigue and burnout bc our supply of surgeons is pretty fixed.

[Ben Mundell @BenMundell]

@VirajPandit @AAMCtoday @VascularSVS @VESurgery @RASACS Exactly. Physician preferences drive maldistribution per JP Newhouse et al:

https://t.co/V0X6Q3KCI6.

The degree of this maldistribution is often incorrectly stated but it also doesn’t seem to factor much into the AAMC narrative.

[Ben Mundell @BenMundell]

@AtulGroverMD @GavinPrestonMD But what’s the actual need? The vascular surgery ratio is most alarming. The other high ratio specialties in the graph not so much — likely utilized by a small portion of the population. As is, not much information in this graph and to assume anything is disengenous as best