
PDSA Cycles That Actually Finish
Most surgical improvement projects die between the first measurement and the second. The reasons are predictable — and so are the fixes.
8 min read
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Most surgical improvement projects die between the first measurement and the second. The reasons are predictable — and so are the fixes.
8 min read

Informed consent after Montgomery: disclosure is judged by the patient, not the profession. The legal test, how countries differ and how to consent well.
13 min read

Clinical governance is not a committee or training module. It is the accountability framework connecting audit, incidents, guidelines and appraisal.
7 min read

The medico-legal duties of a surgeon: negligence, consent, candour and regulation run on separate tests, and trainees have duties of their own. What applies.
11 min read

An honest, general look at what to expect from the lifestyle and earning potential of a career in orthopaedic surgery.
4 min read

What it takes to pursue orthopaedic surgery later in life as a second career, and the realities of the longer road.
5 min read

How and when to make the switch into orthopaedic surgery from another specialty, and what it takes to do it well.
4 min read

The main routes for international medical graduates into orthopaedic surgery across the major training systems.
4 min read

How you work with your bosses shapes your training. Practical ways to manage up, earn trust, and get the most from your consultants.
3 min read

Courses and conferences cost real time and money. How to choose the ones that genuinely advance your training and career.
3 min read

That quiet fear of being found out is almost universal among surgical trainees — and often most acute in the best of them. Here is how to understand it and work with it.
3 min read

The right supervisor and project make or break your research. How to choose both so your work actually finishes and counts.
3 min read

How to choose electives and placements that genuinely strengthen an orthopaedic application and your own development.
4 min read

What goes into a competitive orthopaedic portfolio and how to build the evidence steadily, years before you apply.
4 min read

Orthopaedics has work to do on diversity. Why inclusion matters for patients and the profession, and what individuals can do.
3 min read

Exams measure knowledge and technique. Careers are made and broken on the things no one examines — communication, reliability, and how you behave when it goes wrong.
3 min read

How to use your foundation or internship years to lay strong foundations for an orthopaedic surgical career.
5 min read

Mentoring those behind you sharpens your own practice. Why teaching juniors makes you a better surgeon, and how to do it well.
3 min read

A roadmap for medical students aiming at a surgical career — the experience, evidence and habits to build from year one.
5 min read

Social media for surgeons: what the GMC, AHPRA, BMA and AMA expect, patient images and consent, online reviews, and how to build a professional presence.
9 min read

Winding down a surgical career deserves as much thought as starting one. How to plan late-career transitions and retirement well.
3 min read

How to teach juniors and medical students in surgery: the one-minute preceptor, Peyton's four steps, feedback, and becoming a GMC-recognised trainer.
7 min read

Practical ways for medical students to gain orthopaedic experience early — placements, theatre, research, societies and mentors.
4 min read

Hip-spine syndrome before THA: how spinopelvic mobility changes functional cup position, why lumbar fusion matters, and how to reduce instability risk.
5 min read