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Module: Surgical Home Unit: Introduction, Handbook and Topics

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Case Studies:

  1. Introduction and Handbook
  2. Lower limb claudication - is the clinical examination of any value?
  3. Radiological intervention in gastrointestinal haemorrhage: does it have a role?
  4. Medical litigation: how can the risk be minimised?
  5. 'Bare below the elbows' - where is the evidence for its efficacy?
  6. Does bedside teaching have a role in modern medicine?
  7. The electronic health record system - will it do all we ask of it?
  8. Achalasia: a rare disease - or one that is under-diagnosed?
  9. Abbreviations: do we make ourselves clear?
  10. Is there any relationship between volume and outcome in surgery?
  11. Malnutrition: can and should it be corrected pre-operatively?
  12. Necrotising fasciitis - does hyperbaric therapy have any useful role?
  13. Minimally invasive surgery: does it have any tangible benefits?
  14. The PET scan: has it altered the management of oesophageal cancer?
  15. Does emergency surgery need to be done at 3.00 in the morning?
  16. Are Safe Surgery Checklists of any proven worth?
  17. Is the abdominal compartment syndrome a real entity?
  18. Disseminated gastric cancer: chemotherapy or quality of life?
  19. Follow-up clinics for gastrointestinal cancer: do they have any value?
  20. The physical examination - is it of any value?
  21. Hand hygiene protocols: is there any evidence of their efficacy?
  22. Gastric balloons for weight control - a lot of hot air?
  23. Eponyms and abbreviations: clarity or confusion in today's medical practice?
  24. Climbing stairs - an effective risk-assessment tool?
  25. Is there an effective risk assessment tool for emergency laparotomy?
  26. Acute biliary problems: are they being managed appropriately?
  27. Telemedicine: should it replace the visit to the outpatient department?
  28. The electronic medical record: a waste of physician’s time?
  29. Does cancer-screening save lives?
  30. Does surgery still have a role in the management of varicose veins?
  31. Renal colic: is a CT scan always necessary?
  32. Pancreatic cancer: is chemotherapy of any value?
  33. Surveillance endoscopy in Barrett’s oesophagus - is it cost-effective?
  34. Surveillance programs in gastrointestinal malignancy - what works?
  35. Venous thromboprophylaxis: does it have a role in the preoperative setting?
  36. Are there any effective strategies for the management of bleeding diverticular disease?
  37. Upper gastrointestinal haemorrhage: are there any measurable predictors of outcome?
  38. EPAS - a move in the right direction?
  39. Genetic testing for cancers: does it improve outcomes?
  40. Diverticular disease: why are the complications now occurring in a younger age group?
  41. Is CT scanning bad for your health?
  42. Large volume specialist surgery - an overall improvement in healthcare?
  43. Appendicitis - is this best managed by out-of-hours emergency surgery?
  44. The Choosing Wisely initiative: does it have any value?
  45. How can we curb the mis-use of antibiotics in surgical practice?
  46. Does MRCP have a role in the management of acute pancreatitis?
  47. Malignant melanoma: are the current awareness campaigns working?
  48. Do all hiatus hernias need to be treated?
  49. Does surgery still have a role in the management of varicose veins?
  50. The thrombin inhibitors: are they more efficacious than warfarin?
  51. An incidental finding of hypercalcaemia - what does it mean?
  52. Rectal bleeding - CT angiography an over-used investigation?
  53. Do all thyroid cancers need to be treated?
  54. Is there still a role for the physical examination in the management of the acute abdomen?
  55. Is breast cancer over-diagnosed?
  56. Does lower limb critical ischaemia still equal surgery?
  57. Does every city need a dedicated trauma service?
  58. Pancreatic cancer: are there any effective treatment options?
  59. Screening for colorectal cancer: is it cost-effective?
  60. Are there any effective strategies for countering the obesity epidemic?
  61. The digital rectal examination - does it have any purpose?
  62. Transplantation - does it have a role in the management of hepatocellular carcinoma?
  63. The multidisciplinary team - what is its role in patient care?
  64. Screening for asymptomatic carotid stenosis: can it be justified?
  65. Recurrence diverticulitis: is there any role for surgery?
  66. Low-risk thyroid cancers: how should they be managed?
  67. Is it feasible to develop a screening program for abdominal aortic aneurysms?
  68. Groin hernias: does imaging have a role?
  69. Does appendicitis always equal surgery?
  70. Proton pump inhibitors - are they used appropriately in the hospitalised patient?
  71. Thromboprophylaxis - is it being used appropriately?
  72. What can we do about the superbugs?
  73. Renal cell carcinoma: is active intervention the only option?
  74. Are there any effective strategies to minimise the over-use of CT scanning?
  75. Imaging options in peripheral vascular insufficiency
  76. Should breast surgeons be managing appendicitis?
  77. Is bariatric surgery a wise way to spend the health dollar?
  78. The asymptomatic kidney stone - does it need treatment?
  79. Is CT an appropriate diagnostic modality in appendicitis?
  80. Appendicitis - is this best managed by out-of-hours emergency surgery?
  81. Assessment of the acute abdomen: should the CT scan replace the physical examination?
  82. Does bariatric surgery have a proven role in today's medical practice?

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