EPA Playbook: Benign or Malignant Colon

EPA Playbook: Benign or Malignant Colon

Join Drs. Steele, Burke, & Premkumar in this episode of EPA Playbook, where we tackle a core general surgery EPA: the evaluation and management of benign and malignant colon disease. From common presentations like diverticulitis and lower GI bleeding to the diagnosis and workup of colon cancer, this episode provides a structured framework you can use on the wards, in clinic, and on call. Using case-based discussions, we walk through how to distinguishing benign from malignant processes, selecting appropriate imaging and endoscopy, and recognizing when a patient needs urgent intervention versus outpatient workup. We also cover key principles of colon cancer management, including staging, surgical planning, and multidisciplinary care, alongside high-yield management of benign conditions.

***FREE EPA COURSE: https://behindtheknife.org/premium/epa-playbook
Simply create an account on behindtheknife.org or our app and you the course will automatically show up in your Library.

For additional information on EPAs, visit the American Board of Surgery EPA webpage: https://www.absurgery.org/get-certified/epas/.

Cited Studies:

Gustafsson, U.O., Scott, M.J., Hubner, M. et al. Guidelines for Perioperative Care in Elective Colorectal Surgery: Enhanced Recovery After Surgery (ERAS®) Society Recommendations: 2018. World J Surg 43, 659–695 (2019). https://doi.org/10.1007/s00268-018-4844-y

BTK Resources:

Ostomy Marking Video
https://behindtheknife.org/video/behind-the-knife-ostomy-marking

How to Change an Ostomy Appliance Video
https://behindtheknife.org/video/behind-the-knife-how-to-change-an-ostomy-appliance

How to Manage a Challenging Ostomy Video
https://behindtheknife.org/video/behind-the-knife-how-to-manage-a-challenging-ostomy

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EPA Playbook: Small Bowel Obstruction

EPA Playbook: Small Bowel Obstruction

Join Drs. Georgoff, Burke, and Premkumar in this episode of EPA Playbook, where we tackle the evaluation and management of small bowel obstruction. Through a realistic series of scenarios, we walk ste...

6 Juli 24min

EPA Playbook: Inguinal Hernia

EPA Playbook: Inguinal Hernia

In this episode of EPA Playbook, Drs. Jason Bingham, Emma Burke, and Agnes Premkumar discuss the evaluation and management of inguinal hernias through a case-based approach that reinforces key EPA con...

5 Juli 21min

EPA Playbook: Perioperative Care of Critically Ill Patient

EPA Playbook: Perioperative Care of Critically Ill Patient

In this episode of EPA Playbook, Drs. Kevin Kniery, Emma Burke, and Agnes Premkumar discuss management of critically ill surgical patients, using case-based discussions to reinforce core principles of...

4 Juli 24min

Are EPAs Actually Working? An Honest Look at Competency-Based Surgical Training

Are EPAs Actually Working? An Honest Look at Competency-Based Surgical Training

Two years into the EPA era — are we actually training surgeons differently, or just checking new boxes? In this episode, Behind the Knife co-director and Duke Trauma Surgeon Dr. Patrick Georgoff and B...

2 Juli 37min

Intraoperative Cholangiography Guidelines: Routine, Selective, or Never?

Intraoperative Cholangiography Guidelines: Routine, Selective, or Never?

In this episode, we use the recent SAGES guidelines to tackle one of the most common and controversial questions in general surgery. Through a case-based discussion, our experts review the evidence fo...

29 Juni 34min

Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

Clinical Challenges in Hernia Surgery: Is Optimization Still Necessary for Hernia Surgery?

Join our Hernia Team for a review of the current controversy around preoperative optimization and the practical implications.Hosts: Dr. Maggie Bosley - @MBosleyMD Dr. Sean Orenstein - @OrensteinSean D...

25 Juni 34min

Rectal Cancer in the Young and Pregnant: Fertility and Management Considerations

Rectal Cancer in the Young and Pregnant: Fertility and Management Considerations

As colorectal cancer rates rise among younger adults, surgeons are increasingly caring for patients with rectal cancer who are pregnant or hoping to preserve future fertility. With more individuals de...

22 Juni 27min

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