Paid mentorship is a sin, new community platform & Tinel's sign (my fave).

In this week's edition, P'Fella shares his opinion on mentorships, launches the new community platform, answer questions on 3D printing & much more.
Paid mentorship is a sin, new community platform & Tinel's sign (my fave).

In this week's edition

  1. ✍️ Letter from P'Fella
    Don't pay for mentorship. Please.
  2. πŸ€“ The Sunday Quiz
    Steps to a Finger replant.
  3. πŸ”¦ Spotlight
    'Community' - a new venture.
  4. πŸ“Έ Image of the Week
    AI-generated thumb replant.
  5. 🐣 Tweets of the Week
    What was hot on Twitter this week.
  6. πŸ€” Ask P'Fella
    3D printing - watch this space.
  7. πŸ“ Articles of the Week
    Eponymous publications! Love them.
  8. πŸ’• Feedback
    Suggest ideas & give feedback!

PS - updated the landing page this week too.

A Letter from P'Fella

Please do not pay for a 'mentor'.

Hey team!

Hey Fam,

I wanted to chat about something that's been bugging me lately: this new trend of paid mentorship. But I think I have a solution.


Mentorship is supposed to be about sharing experiences and wisdom, right? It's a bit off-putting to see it turning into a business transaction. I stumbled upon a Twitter thread that really put things into perspective. It seems I'm not the only one who feels that mentorship is losing its true meaning in the rush to make a buck.

I kinda get it, though. Finding a mentor in our field can be like looking for a needle in a haystack. It's tough, and that's probably why some folks think it's okay to charge for mentorship.

Here's what people want in an educational community πŸ‘‡

Original Article

So, here's what I'm thinking: let's start "Community" – a totally free mentorship platform. It's P'Fella's way of saying no to turning mentorship into a marketplace. We're talking about a place for open, honest sharing, where we all can learn and grow together. P'Fella is all about making connections easier and keeping the spirit of helping each other out alive.

Remember how our mentors were there for us, asking nothing in return? That's the vibe we're aiming for. It's our turn to pass on the torch and keep the real essence of mentorship going strong in plastic surgery.

So, what do you say? Let's team up and make mentorship in our field something truly special and accessible for everyone. The goal is to build a comprehensive platform where we can exchange insights on exams, delve into the latest research, share practical surgical tips, and guide each other through fellowships and more.

P'Fella ❀️

The Sunday Quiz

Steps to a Finger Replant

Finger replantation - its time to get comfortable!

The process involves using equipment like a microscope and microsurgical instruments, along with radiography.

It's recommended to have two teams, each preparing one of the two segments. The bone is treated with open reduction and internal fixation (ORIF), possibly involving shortening with K-wires. Both flexor and extensor tendons undergo repair, followed by epineural repair of nerves. Arterial anastomosis may include a vein graft if needed. Vein anastomosis is a strong predictor of survival, emphasizing its importance. Additionally, skin plays a role in venous drainage.

While there is no "perfect order" for these procedures, there's a general consensus to address bone and tendons first, with some surgeons preferring to do arterial and venous work before nerve repair to minimize ischemia time.

Finger Replant

Multiple Choice Question

What are the "absolute" indications for replantation?

  • Zone III
  • Index Finger
  • Little Finger
  • Single-digit distal to FDS
  • Single-digit proximal to FDS


Key events, select webinars, tailored courses & new features!

Launching Community!

Mentorship is losing its essence to commercialization, so P'Fella is launching 'Community,' a free platform for genuine sharing and growth in plastic surgery, covering everything from exams and research to surgical tips and fellowships

Community Features:

  • πŸ” Search: Find topics and resources fast.
  • πŸ“° Latest Discussions: Catch up with recent talks.
  • πŸ†• New Topics: Explore fresh content.
  • 🌟 Top Categories: Dive into popular areas.

Suggested Topics:

  • πŸ§ͺ Research: Latest findings and methods.
  • πŸŽ“ Fellowships: Opportunities and advice.
  • πŸ› οΈ Surgical Tips: Practical techniques shared.
  • πŸ“š Exams: Strategies and resources.
  • πŸ—£οΈ Interviews: Tips for success.
  • πŸ’¬ General Chit-Chat: Casual conversations and stories.
Check out Community

Image of the Week

AI-generated clinical images

Patient awaiting thumb reconstruction

Tweets of the Week

Don't forget to follow P'Fella!

Ask P'Fella

You ask, P'Fella answers.

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. 

Msry's Question

Any advice for 3rd year medical students who want to apply to plastics with average clerkship scores and a few publications to their name? How can we make it work? Thanks!

11 questions submitted in the last 30 days...

Articles of the Week

3 must-read articles!

3 Must-reads

  1. Eponymous Names In Surgical Approaches
    Moses MJ, Cheng C, Styron JF. Eponyms of Upper Extremity Surgical Approaches: A Historical Perspective. J Hand Surg Am.
  2. Eponymous instruments in plastic surgery
    Harijan A, Halvorson EG. Eponymous instruments in plastic surgery. Plast Reconstr Surg. 2011 Jan;127(1):456-465.
  3. Anatomical Eponyms of the Ulnar Nerve
    Bi AS, Qiu CS, Dellon AL, Rettig ME. A History of Anatomical Eponyms of the Ulnar Nerve. J Hand Surg Am. 2022

Tinel's Signs - The Original 

The legendary Tinel's Test. This original 1915 case series explores the efficacy in assessing peripheral nerve damage. The study presents Tinel's Sign as a potentially valuable component in the nerve injury diagnostic process.

Tinel's signs - Original Publication


Any suggestions, ideas and even negative feedback is appreciated!

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