The Cutting Edge: An AAST Podcast

In this special collaboration episode of the Cutting Edge and Frontline Surgery podcasts, host Dr. Caroline Park is joined by co-hosts Dr. Joshua Dilday and Dr. Rachel Russo, along with national trauma leader Dr. Mary Margaret Knudson, to discuss surge capacity and workforce continuity in military-civilian partnerships. Dr. Knudson traces the history of mil-civ partnerships from World War II through the National Defense Authorization Acts of 2017 and 2018, and examines whether the current 25 Mission Zero-funded partnerships are truly preparing the trauma system for large-scale combat operations (LISCO).The panel confronts a sobering reality: in a major conflict, military treatment facilities and embedded military personnel will all be deployed — leaving civilian trauma centers to receive combat casualties while already operating at capacity with reduced staffing. The episode explores what individual trauma centers and the national system must do now to prepare, including patient redistribution agreements, OR and ICU surge planning, and practicing combat casualty reception protocols well before they are needed.The panel confronts a sobering reality: in a major conflict, military treatment facilities and embedded military personnel will all be deployed — leaving civilian trauma centers to receive combat casualties while already operating at capacity with reduced staffing. The episode explores what individual trauma centers and the national system must do now to prepare, including patient redistribution agreements, OR and ICU surge planning, and practicing combat casualty reception protocols well before they are needed.

In this episode of the AAST Cutting Edge Podcast, host Dr. Caroline Park and co-host Dr. Susan Kartiko are joined by Shira Rothberg, licensed clinical social worker and Trauma Survivors Network Coordinator at Inova Fairfax Hospital, to discuss Critical Incident Stress Management (CISM) and its role in supporting trauma and emergency department staff after high-impact cases. Drawing on her training through the International Critical Incident Stress Foundation (ICISF), Shira breaks down how structured debriefs help providers normalize acute stress responses, reconnect with their teams, and access further support when needed.The conversation explores what CISM looks like in practice — from leadership recognition that a debrief is needed, to hybrid in-person and virtual formats, to the important distinction between something that is therapeutic and formal therapy. For trauma programs looking to implement CISM, the takeaway is clear: it starts with one or two trained facilitators and leadership buy-in — and once staff experience it, they keep coming back.

 Injury Prevention Month: Advancing Trauma Prevention Beyond the HospitalIn recognition of Injury Prevention Month, the Cutting Edge Podcast features a timely conversation highlighting the critical work of the AAST Prevention Committee and its impact on patients, trauma systems, and the communities we serve. The discussion explores how trauma surgeons and acute care providers can lead prevention initiatives that address violence intervention, firearm injury prevention, falls, motor vehicle safety, and community-based outreach. Panelists emphasize that prevention is a systems-level responsibility, requiring collaboration across hospitals, public health partners, policymakers, and local organizations. By integrating prevention into trauma program infrastructure, advocacy efforts, and education, surgeons can move upstream—reducing injury burden before patients ever arrive in the trauma bay.As Injury Prevention Month reminds us, the work of trauma professionals extends far beyond operative care and resuscitation. Prevention is trauma care, and this episode highlights actionable ways AAST members can strengthen their role as leaders in community health and injury reduction.

In this episode of the AAST Cutting Edge Podcast, hosts Dr. Caroline Park and Dr. Susan Kartiko are joined by members of the AAST DEI Committee to tackle a timely and increasingly relevant topic in surgical education: intergenerational communication in trauma and acute care surgery. As today’s surgical teams span Baby Boomers, Gen X, Millennials, Gen Z—and soon Gen Alpha—the conversation explores how differences in communication style, feedback expectations, technology use, and learning preferences impact the operating room, trauma bay, research mentorship, and professional development.The panel discusses practical strategies for high-acuity environments, including expectation-setting during trauma laparotomy, delivering actionable and psychologically safe feedback, structured debriefing, boundary-setting in digital communication, and adapting teaching methods to modern adult learning science. Rather than framing generational differences as barriers, this episode highlights how intentional leadership, emotional intelligence, and inclusive teaching practices can strengthen surgical training, improve team dynamics, and enhance patient care outcomes.Whether you are a trauma surgeon, surgical educator, residency leader, or trainee, this episode offers actionable insights into mentorship, professionalism, and building high-performing, multigenerational surgical teams.

Kicking off the 2026 season of the AAST Cutting Edge Podcast, new hosts Dr. Caroline Park and Dr. Susan Kartiko launch this inaugural episode with a timely discussion on pediatric readiness in adult trauma centers. Joined by pediatric surgery leader Dr. Barbara Gaines, they explore the Pediatric Readiness Project, trauma verification requirements, and how emergency departments can strengthen preparedness for critically ill and injured children through structured assessment, process improvement, and multidisciplinary collaboration. The episode highlights practical strategies including weight-based medication dosing in kilograms, pediatric airway and equipment readiness, imaging protocols, identification of Pediatric Emergency Care Coordinators (PECs), and partnership across trauma surgery, emergency medicine, pharmacy, and radiology—especially critical for rural and underserved hospitals where most children first present for care. Keywords:pediatric readiness, trauma care, emergency department, assessment, implementation, healthcare, children's health, trauma centers, medical education, pediatric emergency care, surgery

In this episode, AAST Disaster Committee Chair Dr. Adam Fox discusses the intersection of trauma surgery, disaster response, emergency management, and prehospital care. He outlines how trauma surgeons contribute across the continuum of care during mass casualty incidents, hurricanes, earthquakes, critical care transport operations, and austere environments. He highlights the skillset required for field trauma care, critical care stabilization, crush injury management, amputations, ICU-level transport, and providing both surgical and primary care support during large-scale disasters. 

In this episode, Dr. Mark Seamon discusses the multifaceted role of a Trauma Medical Director (TMD), emphasizing the importance of communication, leadership, and continuous improvement in clinical care. He shares insights from his own journey, the influences that shaped his career, and the challenges and rewards of the position. Dr. Seamon highlights the necessity of a growth mindset and the value of introspection in enhancing both personal and team performance in trauma care.Keywords: Trauma Medical Director, leadership, communication, medical education, performance improvement, mentorship, growth mindset, clinical care, trauma surgery, professional development

In this episode of The Cutting Edge, AAST President Dr. Ronald Stewart discusses the complexities of being a trauma surgeon, including the emotional challenges of delivering bad news, the importance of team support, and the role of forgiveness in personal and professional growth. He emphasizes the duality of the profession, where joy and sorrow coexist, and shares insights on how to navigate difficult conversations with empathy and respect. The conversation also touches on the necessity of compartmentalization and the continuous journey of performance improvement in the medical field.

In this conversation, Dr. Kimberly Davis discusses the origins and evolution of the Women in Trauma Surgery (WITS) program, highlighting its role in fostering community, mentorship, and support among women in the field of trauma surgery. The discussion covers the challenges faced during the pandemic, the importance of building relationships, and the growth of WITS into a significant network for women in surgery.

In this episode, Dr. Nicole Stassen discusses the Emergency Surgery Course, its history, target audience, and the interactive learning experience it offers. The course aims to provide a comprehensive background in emergency surgery for general surgeons, emphasizing the importance of timely and effective patient care. Dr. Stassen highlights the course's global reach, flexible structure, and the collaborative learning environment that enhances the educational experience for participants.

In this episode of The Cutting Edge, Dr. Jamie Coleman hosts Dr. Eileen Bulger, a past AAST President, to discuss the complexities of trauma surgery. They explore the importance of maintaining calm in chaotic situations, the dynamics of teamwork in the operating room, and the lessons learned from challenging cases. Dr. Bulger shares a poignant story about a young girl who was accidentally shot, highlighting the effectiveness of trauma systems and the collaborative effort required to save lives. The conversation emphasizes the significance of finding meaning in both positive and negative outcomes in the medical field.

In this episode, Dr. Kristan Staudenmayer discusses the critical intersection of healthcare economics and trauma surgery. She emphasizes the need for surgeons to understand financial aspects to advocate effectively for their patients. The conversation explores the role of the Healthcare Economics Committee, the challenges posed by Relative value units (RVUs) in measuring surgical work, and the importance of building tools for advocacy in healthcare economics.TakeawaysSurgeons often lack training in healthcare economics.Understanding finance empowers better patient care.RVUs do not accurately reflect the work of acute care surgeons.Financial literacy is essential for effective advocacy.Value in healthcare is a complex and multifaceted concept.Billing practices need improvement among surgeons.The workload of trauma surgeons is often invisible to others.Advocacy tools are being developed for better communication with leadership.Research is needed to address workforce issues in acute care surgery.

In this episode, Dr. Ryan Dumas discusses his journey to becoming an Associate Member of the American Association for the Surgery of Trauma (AAST) and the benefits of involvement in the organization. He highlights the importance of engagement, networking, and leadership development for early-career surgeons. Dr. Dumas emphasizes the value of community support and the opportunities available for surgical residents, fellows, and attending surgeons within 7 years of completing training to join and contribute to the AAST.

In this episode, Dr. Marc DeMoya discusses the AAST Leadership Academy, which provides ongoing professional development for mid to senior level leaders in acute care surgery. The academy aims to enhance leadership and administrative skills through core content modules and specialized sessions. The application process requires applicants to be fellows or associate members of the AAST with at least five years of experience and a formal leadership position. The in-person session at the AAST meeting is a highlight of the academy, featuring interactive sessions and networking opportunities. Dr. DeMoya emphasizes the importance of a growth mindset, listening, and effective communication in leadership roles.TakeawaysThe AAST Leadership Academy offers ongoing professional development for mid to senior level leaders in acute care surgery.The academy focuses on enhancing leadership and administrative skills through core content modules and specialized sessions.Applicants must be fellows or associate members of the AAST with at least five years of experience and a formal leadership position.The in-person session at the AAST meeting provides interactive sessions and networking opportunities.A growth mindset, active listening, and effective communication are essential for successful leadership.

In this episode, Dr. Matt Martin discusses his passion for robotic surgery and its role in emergency general surgery. He explains the training pathway for surgeons interested in learning robotic surgery and highlights the advantages of robotic surgery in emergency general surgery cases. Dr. Martin also introduces the AAST Robo-Tracs program, a year-long training program for acute care surgeons interested in adding robotic surgery to their practice.TakeawaysRobotic surgery has a significant potential application in emergency general surgery.Surgeons interested in learning robotic surgery should start by talking to their robotic representative and going through the training pathway.Getting comfortable with robotic surgery requires regular practice and case volume.The AAST Robo-Tracs program offers a comprehensive training opportunity for acute care surgeons interested in robotic surgery.

In this episode, Dr. Stephanie Savage discusses the field of Acute Care Surgery and the advantages of pursuing a career in this field. She describes Acute Care Surgery as the special forces of general surgery, dealing with the  sickest patients. She also explains the difference between the traditional path and the AAST fellowship for aspiring acute care surgeons. The AAST fellowship offers a two-year program with a focus on operative techniques and advanced surgical problems. Dr. Savage highlights the special features and programming of the fellowship, including mentorship, academic content, and international rotations. She provides advice for applicants and junior residents interested in acute care surgery.

In this episode, Patrick M. Reilly, MD shares his expertise and experiences in trauma surgery. The conversation covers topics such as mindset and preparation in the operating room, the importance of trajectory determination in penetrating trauma cases, the use of checklists, and the mental skills of surgery. Dr. Reilly emphasizes the value of learning from challenging cases and the importance of paying attention to every detail. He also discusses the emotional aspects of surgery and the need for reflection and support when dealing with challenges.