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It's Always Sunny in Surgery - Back Int' Day

Back Int' Day

11/12/23 β€’ 45 min

It's Always Sunny in Surgery

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 🧢 about what it was like 'back int' day', including:

  • What training was like and the portfolio-free life... πŸ₯Ό
  • Having your own lists and being happy-go-choppy πŸ”ͺ
  • The firm structure and the sense of belonging πŸ‘¨β€πŸ‘§β€πŸ‘¦
  • The mess life, fun and mischief 😏🍻
  • The changes, both good and bad 🎭
  • Is it better now, or have we missed out? πŸ™ƒ

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.

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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 🧢 about what it was like 'back int' day', including:

  • What training was like and the portfolio-free life... πŸ₯Ό
  • Having your own lists and being happy-go-choppy πŸ”ͺ
  • The firm structure and the sense of belonging πŸ‘¨β€πŸ‘§β€πŸ‘¦
  • The mess life, fun and mischief 😏🍻
  • The changes, both good and bad 🎭
  • Is it better now, or have we missed out? πŸ™ƒ

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

undefined - Y'alright Our Kid?

Y'alright Our Kid?

Our kid

Pronunciation: /ɑː.kΙͺd/

Noun: One's sibling or close friend

(Northern England, especially Manchester)

’You alright our kid? You sure? You look dead miserable; is there summat on your mind?’


This episode we’re just going for it. We’re gonna talk about burnout πŸ”₯πŸ”₯πŸ”₯


Surgeons have the unique honour of being amongst the most burnt out specialities in medicine. We’re 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 can’t always rely on others to protect your welfare.


We’ll give it a go though. Y’alright our kid? But seriously... are you?


β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”β€”


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 in trauma and orthopaedics: a cross-sectional study of surgeons from across the United Kingdom | The Annals of The Royal College of Surgeons of England (rcseng.ac.uk)

Burnout Within UK Surgical Specialties: a systematic review https://publishing.rcseng.ac.uk/doi/full/10.1308/rcsann.2020.7058

Supporting the wellbeing of surgeons and surgical teams during COVID-19 and beyond β€” Royal College of Surgeons (rcseng.ac.uk)


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

undefined - Make Surgery Great Again

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 ❌
  • Re-establishing the hierarchy and the firm πŸ‘¨β€πŸ‘¦β€πŸ‘¦
  • Segueing from Segways to safari-esque ward rounds πŸ¦πŸ˜πŸ¦“πŸ¦›
  • The ideal ward round πŸͺ‘πŸ‘€
  • Very Victorian Vocational Training πŸΊπŸ πŸ“
  • Restricting surgery to surgeons ⛔️
  • Rotational training 🎠

Our Reddit poll providing the basis for this episode: https://www.reddit.com/r/doctorsUK/s/Dx7WFKQARj


It’s Always Sunny in Philadelphia - The Gang Goes on Family Fight (Season 10 Episode 8): https://youtu.be/MJT_aQ5XzKg?si=wZo4EN5w9C_Gakje


Scrubs - Turk’s 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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