> ## Content Index
> Fetch the complete content index at: https://www.theplasticsfella.com/llms.txt
> Use this file to discover other available public pages before exploring further.

# P'Fella's First Live Event, 3 Truths About Surgical Training, & Foundations.
- URL: https://www.theplasticsfella.com/july-20th/
- Published: 2025-07-18T19:41:12.000Z
- Updated: 2025-07-19T17:17:43.000Z
- Description: Also: Why journals are falling behind, the Sunday quiz, & journal club feature.
- Author: PlasticsFella
- Tags: thePlasticsPaper

#### In this week's edition

1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/july-20th/#a-letter-from-pfella)  
The future won’t be peer-reviewed.
2. ****🤓** [****The Sunday Quiz**](https://www.theplasticsfella.com/july-20th/#the-sunday-quiz)  
Paused this week — we were polishing **Foundations*.
3. 🖼️ [****Image of the Week**](https://www.theplasticsfella.com/july-20th/#image-of-the-week)  
Traditional OR: How far we have come.
4. 🎓 [****JPRAS Journal Club**](https://www.theplasticsfella.com/july-20th/#jpras-journal-club)  
When to start mobilisation after ORIF of hand fractures.
5. ****🎈** [****Upcoming Events**](https://www.theplasticsfella.com/july-20th/#upcoming-events)  
You’re On Call Now: Live event.
6. 📘 [****Foundations Textbook**](https://www.theplasticsfella.com/july-20th/#foundations-textbook)  
Officially in pre-sale, and open to the public soon!
7. ****🔥** [****Articles of the Week**](https://www.theplasticsfella.com/july-20th/#articles-of-the-week)  
We need more exposure, AI obviously, & Grassroot programs: With 1-sentence summaries.
8. 💕 [****Feedback**](https://www.theplasticsfella.com/july-20th/#feedback)  
Suggest ideas & give feedback!

## A Letter from P'Fella

**The Future Won’t Be Peer-Reviewed*

👋

Let’s stop pretending: journals aren’t where the action is anymore.

Plastic surgery has always evolved on the margins — inside the OR, not inside the abstract. And now? We’re going live.

Next week, we’re running our **first-ever live event.** Not AI-written. Not AI-proofread. Definitely not AI-reviewed.

**Just humans, live, and unfiltered. Exactly how surgical education should be.**

**Why Live Matters**

We’re building something that can’t be faked or filtered:

- Real conversations from real surgeons actually doing the work.
- Direct takeaways, not summaries.
- No edits, no do-overs, and no time delay on what’s changing in the field.

If AI is flooding the journals, live events are how we take education back.

This is the format we believe in, and it's just the beginning.

**So What’s Happening?**

- 🔴 **Event:** You’re On Call Now.
- 📅 **Date:** Saturday, 26 July.
- 🎙️ **Guests:** You’ll see. But we’re not starting small.

![You’re On Call Now: Live Event](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--10--1.png)

You’re On Call Now: Live Event

This isn’t just an experiment. It’s a shift. The kind you feel. The kind you remember.

Less AI noise. More human signal.

You in?

With love,  
P Fella ❤️

## The Sunday Quiz

Too busy prepping **Foundations* this week — back next Sunday!

---

## Image of the Week

**Traditional OR: How Far We Have Come*

🖼️

****Image of the Week**   
  
This week’s image reflects how far surgery has come — a striking view of the traditional operating theatre setup. The elevated amphitheatres, antiseptic protocols, and aseptic technique are a reminder of the roots of modern surgery and how the theatre, quite literally, used to be one.

![Traditional Operating Theatre](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/CARNEGIE_4040003-600x420--1-.jpg)

Traditional Operating Theatre

## JPRAS Journal Club

**When to Start Mobilisation After ORIF of Hand Fractures*

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/Journal-Club-Images--19-.png) 

#### In this Journal Club

A systematic review (53 studies, 1,822 hand fractures) examined the timing of mobilisation post-ORIF. Immediate mobilisation showed faster healing but higher adverse events. Delayed mobilisation had fewer complications. Heterogeneity and lack of standardised PROMs limit conclusions.  
  
[****5-Point Summary**](https://www.theplasticsfella.com/journal-hand-fractures/#5-point-summary)  
 A systematic review (53 studies) assessed when to start moving post-ORIF. Immediate mobilisation sped up healing; delayed reduced adverse events. PROMs varied. Heterogeneity limits conclusions.  
  
[****4-Key Findings**](https://www.theplasticsfella.com/journal-hand-fractures/#4-key-findings)  
Immediate mobilisation healed in 38.7 days. Early mobilisation had 25% adverse events; delayed had 9.3%. PROMs were inconsistent, limiting data synthesis.  
  
[****3-Critiques**](https://www.theplasticsfella.com/journal-hand-fractures/#3-critiques)  
Most studies were retrospective and biased. PROMs and adverse events were inconsistently defined and reported across studies.  
  
[****2-Practical Takeaways** ](https://www.theplasticsfella.com/journal-hand-fractures/#2-practical-takeaways)  
Delayed mobilisation may lower complications. Earlier movement may boost early function. RCTs needed for clarity.  
  
[****1-Recommended Reading**](https://www.theplasticsfella.com/journal-hand-fractures/#1-recommended-reading)  
Feehan & Bassett (2004) found early motion (<21 days) improved recovery and return to work without loss of alignment.

[Read the Article](https://www.theplasticsfella.com/journal-hand-fractures/)

## Upcoming Events

**You’re On Call Now: Live Event*

📅

Saturday 26 July | 🕛 12:00pm UTC | 📍 Zoom Webinar  
  
You're invited to '***You’re On Call Now** *'* — real-life on-call insights packed into one afternoon.   
  
On the agenda:  
\- Red flags you can’t miss in trauma, burns & infections.  
\- Upskilling sessions on sutures, research, and microsurgery.  
\- Real stories from fellows, consultants, and top trainees.  
\- Sneak peeks from [**Foundations*](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com).  
\- Networking and live Q&A.  
  
🎟️ Spots are free but limited, so ****register now** to secure yours!

![You’re On Call Now: Live Event](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--9-.png)

You’re On Call Now: Live Event

## Foundations Textbook

**Officially in Pre-Sale, and Open to the Public Soon!*

📘

The [**Foundations*](https://foundations.theplasticsfella.com/?ref=theplasticsfella.com) pre-sale opened on Friday, and the response has been incredible.  
  
👉 If you’re on the waitlist, check your inbox for your one-click access.  
  
After months of development, feedback, and fine-tuning, Foundations is finally here for the pre-sale.  
🔓 4 bundles to choose from  
🔓 500 copies only  
  
If you missed the chance to join the waitlist, no stress — the full launch opens to the public very soon. Stay tuned!

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--16-.png)

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--13-.png)

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--17-.png)

![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2025/07/-WYMW-and--IOTW--18-.png)

Foundations - Educational Bundles

## Articles of the Week

**3 Interesting Articles with One-Sentence Summaries*

✅

****How Training Programs Affect Med Student Plastic Surgery Knowledge** ([Ford](https://pubmed.ncbi.nlm.nih.gov/38984639/?ref=theplasticsfella.com), 2024)  
  
In this survey of 306 students, lack of plastic surgery exposure was widespread, but having a home training program didn’t significantly improve students' ability to identify appropriate referrals.

✅

****Can AI Keep Up with Plastic Surgery Residents?** ([Duran](https://pubmed.ncbi.nlm.nih.gov/39862057/?ref=theplasticsfella.com), 2025)  
  
In a CME test of plastic surgery knowledge, ChatGPT-4o and Gemini outperformed residents before and after article review, though only Gemini improved with continued education.

✅

****Can a Single Event Bridge the Gap for ‘Orphaned’ Med Students?** ([Friedman](https://pubmed.ncbi.nlm.nih.gov/38725106/?ref=theplasticsfella.com), 2024)  
  
After attending the "Explore Plastic Surgery" program, students without home residencies showed increased confidence and decreased concern about their chances of entering the specialty.

## Feedback

### I hope you enjoyed it 😄

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