πŸ’Œ "Open Access" fees are now removed, new podcast format, & P'Fella answers your questions.

Also this week: 3 important publications to read, AI generated images and much more. Get weekly updates on plastic surgery delivered straight to your inbox with thePlasticsPaper. This curated, evidence-based newsletter saves you time by bringing you the most important highlights this week.
πŸ’Œ "Open Access" fees are now removed, new podcast format, & P'Fella answers your questions.

In this week's edition

  1. ✍️ Letter from P'Fella
    "Open Access" fees are now removed.
  2. πŸ€“ The Sunday Quiz
    Calculate local anaesthetic (properly)
  3. 🎭 New & Upcoming
    New events and educational tools.
  4. πŸ“Έ Image of the Week
    AI-generated Keloid Scar
  5. 🐣 Tweets of the Week
    P'Fella's 3 favourite tweets
  6. πŸ€” Ask P'Fella
    Submit & I'll answer!
  7. πŸ“ Articles of the Week
    3 hot reads on nerves, bones and anatomy.
  8. πŸ’• Feedback
    Always looking to improve :)

BTW: There'll be a new episode of "Prep with P'Fella" on Spotify and Apple on Monday.

A Letter from P'Fella

"Open Access" fees are now removed (at least they should be).

Hey there,

Today, I bring exciting news on the open access publishing front.

The EU just rolled out a ruling that could be a game-changer. Here's the scoop: "Immediate and unrestricted open access should be the norm in publishing research involving public funds." In plain English? If you're a researcher funded by public sources, you should be able to publish your work in open access journals without shelling out a single dime.

Official EU Document

This is a massive victory for open access publishing. It's a nod from the EU acknowledging that open access is the key to making scholarly knowledge accessible to all. Publishers will feel the heat to offer open access options, and it'll be a smoother ride for researchers to get their work published in open access journals.

So, why am I stoked about this ruling? It's more than just a positive step for open access publishing. It's a testament to the importance of democratizing scholarly knowledge. I encourage you to hop on board this movement.

But, I am still skeptical. At the end of the day, we all know that open journals were created to make more revenue for the publishing companies.

Revenue from Journals (Source)

Do you expect some seismic shifts in the scholarly publishing landscape from this ruling? Reply to this email to let P'Fella know your thoughts.

Lots of love,

P'Fella ❀️


TL;DR:

The EU now requires publicly funded research to be published in open access journals for free. This is a step towards democratizing knowledge, but skepticism exists due to the profit-driven origins of open access journals

The Sunday Quiz

How to calculate LA doses (properly)

Local anaesthetic blocks voltage-gated sodium channels to prevent the conduction and propagation of nerve impulses.

There are two types of local anaesthetics/anaesthesia.
1. Esters: para-aminobenzoic acid (PABA)–based anaesthesia
2. Amide: non-para-aminobenzoic acid (nPABA)–based anaesthesia

An important difference is the manner in which they are metabolised
1. Esters: metabolised in plasma by pseudocholinesterase to PABA
2. Amide: metabolised in the liver, less allergy risk.

ps can you spot the original thePlasticsFella Logo?

Multiple Choice Question

Which of the following statements about local anaesthetics is incorrect?

  • A. Local anaesthetics work by blocking voltage-gated sodium channels, preventing nerve impulse generation and conduction
  • B. Amides and esters are the two main types of local anaesthetics, with amides presenting a higher risk of allergies due to their metabolism in the liver.
  • C. The calculation of local anaesthetic volumes requires knowledge of the patient's body weight, maximum dose, and maximum concentration.
  • D. Local anaesthetic toxicity, while rare, is a potentially lethal complication that requires immediate resuscitation and a lipid rescue protocol.



New and Upcoming

Features, Courses, Conferences, Webinars

P'Fella spotlights impactful events, crucial webinars, and hand-picked courses we know you'll love. Also, if there's a new feature, you'll be the first to know right here.

4 Recommendations

  1. BAAPS: Non-surgical webinar 28th June
  2. ASSH Annual Meeting - Toronto, 5th October
  3. Plastic Surgery - The Meeting: Texas, 26th Oct
  4. BAPRAS Congress - 29th Nov
"Connect" with more Events

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New Episode coming Monday on Spotify and Apple

Image of the Week

AI-generated clinical images

AI-generated image: residual keloid scar after multiple steroid injection

Tweets of the Week

Don't forget to follow P'Fella!

Ask P'Fella

You ask, I'll answer

Ask P'Fella

Every Sunday, you can ask P'Fella anything related to plastic surgery. You'll be answered the following week. Let's check out what questions came in. 

πŸ€”
JD, 4th Resident:

Still not sure exactly what I want me career to look like, other than that I want to have a broad, diverse practice. Thinking about non-traditional opportunities, such locums tenens, for my first few years out of residency while I figure it out. Would be interested to hear your thoughts.

P'Fella's Answer


In the ever-changing medical field, desiring a broad, diverse practice is understandable. Locum tenens roles can be a powerful way to explore your options post-residency. They offer exposure to various practices and patient populations, fostering a wide-ranging perspective.

These roles enable diverse experiences without long-term commitment. You'll learn new methodologies and understand different healthcare systems. But, consider the trade-offs: continuity of care is less attainable, and frequent adaptation to new environments is required.

Ultimately, the value of locum tenens depends on your personal goals, lifestyle, and professional interests. It's a time for exploration and self-discovery, and remember, it's as important to learn what you don't want as what you do. Every step contributes to your unique career path.

πŸ€”
Suzanne's Question: :

Where do you predict AI will have the biggest impact in the plastic & reconstructive surgery field? Is P’Fella as accurate as a magic 8 ball?

P'Fella's answer

In the face of the AI revolution, plastic and reconstructive surgery is poised for transformation. AI's role in enhancing surgical planning, execution, and post-surgery monitoring is emerging. I

But here's the real game-changer: Artificial General Intelligence, or AGI for short. Now, I know AGI isn't here yet, but when it arrives, it's going to be like nothing we've ever seen. We're talking about the potential to automate some of the simpler surgical tasks and maybe even whole procedures. Imagine surgical robotics with AGI on board. Human error? That could be a thing of the past.

But, no matter how flashy AGI gets, it's not going to replace us. We're surgeons, and our human judgement, critical thinking, and hands-on skills? Absolutely irreplaceable. So, as we keep our eyes on this AI-to-AGI journey, let's make sure our training keeps up with the tech, and that patient safety is always at the front of our minds.

Bottom line? Let's stay excited about the tech evolution, but remember: our humanity is our superpower, and nothing, not even AGI, can change that.


Ask

Articles of the Week

3 must-read articles, 1 deep-dive! πŸ“š

3 Must-reads

  1. Where actually is the facial nerve?
    Stuzin, James M. M.D. et al. Facial Nerve Danger Zones. Plastic and Reconstructive Surgery 145(1):p 99-102. 
  2. Metacapral fractures in Footballers
    Sharareh et al. Metacarpal Fractures in the National Football League: Injury Characteristics, Management, and Return to Play. J Hand Surg Am. 2023 
  3. Nerve Transfers after Cancer Resection
    Jawad AM et al. Resect, rewire, and restore: Nerve transfer salvage of neurological deficits associated with soft tissue tumors in a retrospective cohort series at a tertiary reconstructive center. J Plast Reconstr Aesthet Surg. 2023. 

New update coming soon!


In this upcoming new update, the focus will be more on infographics and generating discussion - so people can share their own experiences and critiques. 

Check back next week

Feedback

P'Fella is always looking to make this weekly newsletter as good as can be!

Let me know your thoughts below :) 

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