> ## 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. # πŸ’Œ WALANT bros, Interview Prep, Hand Anatomy & more. - URL: https://www.theplasticsfella.com/october-8th/ - Published: 2023-10-08T14:46:13.000Z - Updated: 2023-10-08T14:49:07.000Z - Description: Tailored insights for 2023-2043 Plastic Surgery interviews. Also, reproducibility in surgical outcomes, Sunday quiz on "Intrinsic Plus," and an AI-crafted eyelid tumour image! - Author: PlasticsFella - Tags: thePlasticsPaper #### In this week's edition 1. ****✍️** [****Letter from P'Fella**](https://www.theplasticsfella.com/october-8th/#a-letter-from-pfella) Reproducibility > surgical outcomes? 2. ****πŸ€“** [****The Sunday Quiz**](https://www.theplasticsfella.com/october-8th/#the-sunday-quiz) Intrinsic tightness is confusing +++ 3. πŸ”¦ [****Spotlight**](https://www.theplasticsfella.com/october-8th/#spotlight) Updated Interview Prep for the new season. 4. πŸ“Έ [****Image of the Week**](https://www.theplasticsfella.com/october-8th/#image-of-the-week) AI-generated eyelid tumour. 5. ****🐣** [****Tweets of the Week**](https://www.theplasticsfella.com/october-8th/#tweets-of-the-week) WALANT bro memes & more. 6. πŸ€” [****Ask P'Fella**](https://www.theplasticsfella.com/october-8th/#ask-pfella) Best prep for the interviews? 7. ****πŸ“** [****Articles of the Week**](https://www.theplasticsfella.com/october-8th/#articles-of-the-week) 3 hot reads on interview success! 8. πŸ’• [****Feedback**](https://www.theplasticsfella.com/october-8th/#feedback) Suggest ideas & give feedback! ****PS -** If you have an upcoming interview, these [answer templates](https://www.theplasticsfella.com/theplasticsinterviews/#answer-templates) will help you. ## A Letter from P'Fella ### Reproducibility > Outcomes πŸ‘‹ ****Hey team!** Picture this: you're sipping your morning brew, scrolling through the Twitter universe, and suddenly you tumble down a rabbit hole of surgical wisdom and debate. So, grab your mug (maybe make it a double) and let’s dissect this together, shall we? ****πŸ‘‡** The [dialogue](https://x.com/georgetolisjr/status/1708902370443235512?s=20&ref=theplasticsfella.com) started with a striking observation: numerous promising s**urgical techniques don't get the widespread acceptance they deserve because they aren't universally reproducible**. The assumption, for a procedure to gain widespread acceptance, reproducibility is paramount. ![Image](https://media.discordapp.net/attachments/1098313749074554930/1159926709345329233/tpfeducation_surgical_decision_making_and_teaching_juniors_surg_2081249b-e676-4816-96a2-5c101f772784.png?ex=6532cced&is=652057ed&hm=8c321d69bc2194f46060c668fedfb102b56bc0bb8cf8f9c327b1898193c20c24&=&width=1028&height=1028) When diving deep into a topic like reproducibility in surgery, the terrain is multi-faceted and ever-evolving. Here are some key takeaways that emerged: - **Selection Bias:** Are we inadvertently favoring certain surgeries or surgeons, leaving others overlooked? - **The Training Timeline:** The timing of exposure during training can significantly shape a surgeon's journey. Early introductions to innovative procedures can set emerging surgeons on a transformative path. - **Navigating the Politics:** Tightening referral guidelines and stringent credentialing can cause shifts in our medical community. This approach might lead to a scenario where a select few become guardians of their domains, potentially inhibiting broader progress. - **Teachability, Reproducibility, and Equality:** A surgical procedure's success hinges on its teachability and reproducibility. Moreover, it's essential to address any lurking biases or monopolies in the medical world. Ensuring that all voices are equally represented and respected is vital for the collective growth of the medical community. **A Side Note on Publications:** Interestingly, while there's a plethora of publications discussing [reproducibility](https://pubmed.ncbi.nlm.nih.gov/7065877/?ref=theplasticsfella.com) in research, there seems to be a notable gap when it comes to reproducibility in surgery. It's an area demanding more spotlight and scholarly attention. Reproducibility isn't solely about mastering a technique; it encapsulates training, exposure, politics, and beyond. As we march forward in the surgical domain, our compass should always point towards patient well-being. Till our next tΓͺte-Γ -tΓͺte, P'Fella ❀️ ## The Sunday Quiz ### [Intrinsic Muscle](https://www.theplasticsfella.com/intrinsic-plus/) Anatomy "[Intrinsic Plus](https://www.theplasticsfella.com/intrinsic-plus/)" is the ****tightness** of the interossei & lumbricals. This results in an imbalance of forces that presents as ****MCPJ** ****hyperflexion** and ****PIPJ hyperextension.** Chronic tightness can result in [intrinsic contractures](https://www.theplasticsfella.com/intrinsic-plus/) and swan-neck deformities. It was described by Finochietto in [1920](https://p3.usal.edu.ar/index.php/signos/article/view/2712/3334?ref=theplasticsfella.com) and later expanded upon by Bunnell in [1946](https://pubmed.ncbi.nlm.nih.gov/18874816/?ref=theplasticsfella.com). ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2023/10/Bunnells-Test-for-Intrinsic-Tightness-1.png) Reveal this week's question Which statement correctly describes the "Intrinsic Plus" condition in the hand? - It is a condition caused by the imbalance between the interossei & lumbricals, leading to MCPJ hyperextension and PIPJ hyperflexion. - It was first identified and completely described by Bunnell in 1946. - "Intrinsic Plus" is marked by tightness in the interossei and lumbricals causing MCPJ hyperflexion and PIPJ hyperextension, first identified by Finochietto in 1920. - Intrinsic tightness in the hand is primarily a result of injuries like high median nerve palsy and doesn't involve issues like fractures or Rheumatoid Arthritis. Name: Email: ## Spotlight ### Updated Interview Prep for 2023-2024 In this section, you'll discover noteworthy events, must-attend webinars, and curated courses tailored just for you. Plus, get exclusive first looks at our latest features. ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2023/10/2-10.png) #### Interview prep Tailored for 2023-2043 Plastic Surgery interviews, diving into past questions & successful candidate experiences. πŸš€ Mock interviews, making prep feel more like the real deal. 🎯 Answer Templates: basically, your interview cheat sheets. 🧠 Academic: Get "fluent" in Plastic Surgery lingo πŸ€— Personal Skills: Learn to hype yourself up – in the right way! βœ… Probity & Integrity: guaranteed interview stations. πŸ”₯ Commitment & Development: Show 'em you're in it for the long haul. 🩺 Clinical Knowledge: real scenarios on hot plastic surgery topics. πŸ’Ό Real-time practice with feedback as an option. It's pretty popular every year! πŸš€ [Check it out! ](https://www.theplasticsfella.com/theplasticsinterviews/) ## ## Image of the Week ### AI-generated clinical images ![](https://storage.ghost.io/c/a0/9f/a09fd7b4-d396-4b28-aed3-b87e20483292/content/images/2023/10/cyst-eyelid.png) AI-generated Upper Eyelid Lesion ## Tweets of the Week ### Don't forget to follow [P'Fella](http://twitter.com/plasticsfella?ref=theplasticsfella.com)! > WALANT bros be like… [pic.twitter.com/bPiaPhESqN](https://t.co/bPiaPhESqN?ref=theplasticsfella.com) > > β€” thePlasticsFella (@PlasticsFella) [September 23, 2023](https://twitter.com/PlasticsFella/status/1705650416485101780?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) > Insane. [#GPT4](https://twitter.com/hashtag/GPT4?src=hash&ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) Vision can even read doctor's notes! [pic.twitter.com/ZZy4nmvL32](https://t.co/ZZy4nmvL32?ref=theplasticsfella.com) > > β€” DataChazGPT 🀯 (not a bot) (@DataChaz) [October 2, 2023](https://twitter.com/DataChaz/status/1708859825562546408?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) > One view is NO view [pic.twitter.com/OxUS0jQ0dE](https://t.co/OxUS0jQ0dE?ref=theplasticsfella.com) > > β€” Sameer Raniga (@samrad77) [October 1, 2023](https://twitter.com/samrad77/status/1708447232192638991?ref%5Fsrc=twsrc%5Etfw&ref=theplasticsfella.com) [](https://x.com/OBandarchi/status/1708214418998468789?s=20&ref=theplasticsfella.com) ## Ask P'Fella ### You ask, I'll answer 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. ❓ ****Suzanne's Question** I’ve found P’Fella’s ****interview section** extremely helpful for interview practice. With an interview looming do you have any advice on what to focus on the day before? Thanks and good luck to everyone with interviews coming up! Hey! First off, thanks for the kind words about the [interview section](https://www.theplasticsfella.com/theplasticsinterviews/)! πŸ™Œ Seems to have helped a lot of **successful candidates**. Alright, so here's my two cents for the day before: 1. **Chill Mode On**: Seriously, just take a breather. Whether that's jamming to your favourite tunes, meditating, or taking a stroll – just do you and relax. 2. **Quick Glance**: Dive into those [Answer Templates](https://www.theplasticsfella.com/theplasticsinterviews/#answer-templates) – SCALPEL!, ACED!, SCARRED!, and IDEA!. They're like the **cheat codes** for your interview game. 3. **Daydream a Bit**: Picture yourself nailing that interview. Sounds silly, but trust me, it helps. 4. **Hit the Hay Early**: Nothing beats being fresh. So, get some solid Zzz's. I personally believe in the "less is more" philosophy, especially the day before a big event. A clear, uncluttered mind works wonders. P'Fella ❀️ --- Ask P'Fella Now 4 questions submitted in the last 7 days... ## Articles of the Week ### 3 must-read articles on [interviews](https://www.theplasticsfella.com/theplasticsinterviews/)! πŸ“š #### 3 Must-reads 1. [****Does the interview affect your ranking?** ](https://pubmed.ncbi.nlm.nih.gov/37301643/?ref=theplasticsfella.com) De May H, Marquez JL, Scott K, Pires G, Crombie C. The Association Between Interview Day and Rank Order in Plastic Surgery Match: Is Recency Effect to Blame? J Surg Educ. 2023 Aug;80(8):1172-1178\. 2. [****How the virtual interview changes things**](https://pubmed.ncbi.nlm.nih.gov/35819981/?ref=theplasticsfella.com) Ferry AM, Asaad M, Elmorsi R, Rajesh A, Williams EM, Wolf SE, Rohrich RJ, Pederson WC, Maricevich RS. Impact of the Virtual Format on Plastic Surgery Residency and Fellowship Interviews: A National Cross-Sectional Study. Plast Reconstr Surg. 2022 Sep 1;150(3):684e-690e. 3. [****Plastic Surgery Interview Optimisation** ](https://pubmed.ncbi.nlm.nih.gov/34699504/?ref=theplasticsfella.com) Rohrich RJ, Rodriguez ED, Unger JG. How to Put Your Best Self Forward in Plastic Surgery Residency Interviews. Plast Reconstr Surg. 2021 Nov 1;148(5S):97S-100S. doi: 10.1097/01.prs.0000794904.88349.7e. PMID: 34699504. ## Feedback ### P'Fella is trying out a new format, spotlighting one major topic each week. Do you prefer this focused approach?