
Back Int' Day
11/12/23 β’ 45 min
Surgical trainees nowadays 'have never had it easier' apparently: back in the good old days our bosses worked 27 hrs a day, 8 days a week, scribing the ward rounds in English, Latin, and Ancient Greek, detecting electrolyte abnormalities by taste alone, whilst being paid in turnips and self-satisfaction for the privilege of being a surgeon...
These days...things just seem...like we missed out...though we're not exactly sure what we missed out on...?
Today, to help us fill in the blanks and tell us what it was actually like, we're joined by Mr. Mark Welch: former North West TPD for General & Vascular Surgery; the trainer who helped Assad find his mojo and all-round legend for a generation of surgeons in Manchester.
We sit back and let him spin us a few yarns π§Ά about what it was like 'back int' day', including:
- What training was like and the portfolio-free life... π₯Ό
- Having your own lists and being happy-go-choppy πͺ
- The firm structure and the sense of belonging π¨βπ§βπ¦
- The mess life, fun and mischief ππ»
- The changes, both good and bad π
- Is it better now, or have we missed out? π
We loved being regaled by tales from his heyday, but equally it was sobering to hear how far things have changed....and not necessarily in a good way.
Email us: [email protected]
Twitter: @NW_surgical (www.twitter.com/NW_surgical)
Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW)
Hosted on Acast. See acast.com/privacy for more information.
Surgical trainees nowadays 'have never had it easier' apparently: back in the good old days our bosses worked 27 hrs a day, 8 days a week, scribing the ward rounds in English, Latin, and Ancient Greek, detecting electrolyte abnormalities by taste alone, whilst being paid in turnips and self-satisfaction for the privilege of being a surgeon...
These days...things just seem...like we missed out...though we're not exactly sure what we missed out on...?
Today, to help us fill in the blanks and tell us what it was actually like, we're joined by Mr. Mark Welch: former North West TPD for General & Vascular Surgery; the trainer who helped Assad find his mojo and all-round legend for a generation of surgeons in Manchester.
We sit back and let him spin us a few yarns π§Ά about what it was like 'back int' day', including:
- What training was like and the portfolio-free life... π₯Ό
- Having your own lists and being happy-go-choppy πͺ
- The firm structure and the sense of belonging π¨βπ§βπ¦
- The mess life, fun and mischief ππ»
- The changes, both good and bad π
- Is it better now, or have we missed out? π
We loved being regaled by tales from his heyday, but equally it was sobering to hear how far things have changed....and not necessarily in a good way.
Email us: [email protected]
Twitter: @NW_surgical (www.twitter.com/NW_surgical)
Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW)
Hosted on Acast. See acast.com/privacy for more information.
Previous Episode

Y'alright Our Kid?
Our kid
Pronunciation: /ΙΛ.kΙͺd/
Noun: One's sibling or close friend
(Northern England, especially Manchester)
βYou alright our kid? You sure? You look dead miserable; is there summat on your mind?β
This episode weβre just going for it. Weβre gonna talk about burnout π₯π₯π₯
Surgeons have the unique honour of being amongst the most burnt out specialities in medicine. Weβre joined by Dr. Sobia Khan (Research Psychologist and Clinical Psychotherapist at the University of Manchester) as we get into it and talk about our own experiences of it. What is burnout? What does it look and feel like? Does it spread like an inferno or could be it be smouldering away in the background for some time?
What are the symptoms? How does it show itself and what is the relationship with depression? Is it dangerous for us and for our patients? And how can you tackle it?
Can we safely open up about it?
Taking charge of it ourselves seems like a really daunting first step, but you canβt always rely on others to protect your welfare.
Weβll give it a go though. Yβalright our kid? But seriously... are you?
ββββββββββββββββ
If this strikes a chord with you, you might be burnt out: https://imgur.com/a/YR1EdrT
How it can feel being training: https://imgur.com/a/IRsFsgy
Kendrick Lamar - Count Me Out: https://youtu.be/5GhhVHpPR_M?si=0333YOqYQGxkpv--
(a powerful track and music video which contains many of the aspects we touch on in the episode)
RCS England Confidential Advice and Support Service: 0800 028 0199 (24hr line)
BMA Confidential Counselling Line: 0330 123 1245 (24hr line)
Burnout Within UK Surgical Specialties: a systematic review https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsann.2020.7058
Email us: [email protected]
Twitter: @NW_surgical (www.twitter.com/NW_surgical)
Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW)
Hosted on Acast. See acast.com/privacy for more information.
Next Episode

Make Surgery Great Again
Following on from last week's episode about the good old days of training, it sounds like we have lost our way... So how do we find it again?
We posed the question to Reddit and asked how can we drain the proverbial swamp, channel our inner MAGA and actually Make Surgery Great Again...?
We took those responses, and chat about;
- Gameshow etiquette and meta-referencing β
- Re-establishing the hierarchy and the firm π¨βπ¦βπ¦
- Segueing from Segways to safari-esque ward rounds π¦ππ¦π¦
- The ideal ward round πͺπ
- Very Victorian Vocational Training πΊπ π
- Restricting surgery to surgeons βοΈ
- Rotational training π
Our Reddit poll providing the basis for this episode: https://www.reddit.com/r/doctorsUK/s/Dx7WFKQARj
Itβs Always Sunny in Philadelphia - The Gang Goes on Family Fight (Season 10 Episode 8): https://youtu.be/MJT_aQ5XzKg?si=wZo4EN5w9C_Gakje
Scrubs - Turkβs peak ward round efficiency: https://youtu.be/JOZK1qD9usU?si=yfDbvrRqHH2LTbRA
The Cider House Rules trailer: https://youtu.be/xWpOP9NoaM8?si=SP9MfbtcFT6kJ9Nh
Email us: [email protected]
Twitter: @NW_surgical (www.twitter.com/NW_surgical)
Reddit: u/surgicalcareersNW (www.reddit.com/u/surgicalcareersNW)
Hosted on Acast. See acast.com/privacy for more information.
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