Benjamin K Stone, Theodore A Kung, Turkia Abbed, Ines Lin, Vinay Rao
{"title":"Mentorship in Plastic Surgery: A Systematic Review of the Current Literature and Elucidation of Recurring Themes.","authors":"Benjamin K Stone, Theodore A Kung, Turkia Abbed, Ines Lin, Vinay Rao","doi":"10.1097/GOX.0000000000006444","DOIUrl":"10.1097/GOX.0000000000006444","url":null,"abstract":"<p><strong>Background: </strong>Mentorship is an integral part of developing competent, passionate, and successful plastic surgeons and is an important element of surgeons' wellness. Although mentorship programs have been described in the literature, this study aimed to elucidate the specific qualities of an effective mentor in plastic surgery.</p><p><strong>Methods: </strong>Preferred Reporting Items for Systematic Reviews and Meta-analyses methodology was utilized to conduct a systematic review of the literature. A search of 3 electronic databases (PubMed including MEDLINE, Embase, and Cochrane Library) was performed for relevant studies up to June 15, 2024, using an advanced search for article titles and abstracts pertaining to plastic surgery and mentorship. Eligibility criteria included primary sources that explicitly commented on the qualities of an effective mentor in plastic surgery. A risk of bias assessment was performed using Joanna Briggs Institute critical appraisal checklists.</p><p><strong>Results: </strong>A total of 284 records were identified. After screening, the final sample contained 8 records. Conserved themes across studies included \"time investment and accessibility\" and \"shared identities.\" Effective mentors foster leadership, guide and teach mentees, and maintain accessibility. Underrepresented groups are more likely to publish with race-concordant mentors, and female mentees prioritize mentor-mentee concordance more than male mentees.</p><p><strong>Conclusions: </strong>Effective mentors are accessible to their mentees and invest time in developing their personal and professional goals. Identity concordances, such as shared values or shared life experiences, may be important in sustaining strong mentor-mentee relationships. The mentorship literature in plastic surgery would benefit from additional primary studies to better optimize mentorship programs.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6444"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Katie Egan, Zain Aryanpour, George Kokosis, Lambros K Viennas
{"title":"Career Planning and Maintaining Well-being in Academic Plastic Surgery.","authors":"Katie Egan, Zain Aryanpour, George Kokosis, Lambros K Viennas","doi":"10.1097/GOX.0000000000006441","DOIUrl":"10.1097/GOX.0000000000006441","url":null,"abstract":"<p><p>Success in academic plastic surgery is based on the traditional pillars of promotion: clinical excellence, teaching, research, leadership, and service to the university and community. The time commitment and workload for career advancement are highly demanding and, therefore, well-being is essential to avoid burnout. A congruent healthy work environment that meets institutional goals and surgeons' objectives can be established through inclusive, transparent, strategic, and operational planning. In this Special Topic article, we will review the requisites and challenges to promotion in academic plastic surgery and will discuss longitudinal strategies for well-being during the early, middle, and late academic career.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6441"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Coping With Microaggressions and Gaslighting in the Surgical Learning Environment.","authors":"Daryn Nguyen, Nikhitha Thrikutam, Christie Bialowas","doi":"10.1097/GOX.0000000000006435","DOIUrl":"10.1097/GOX.0000000000006435","url":null,"abstract":"<p><p>Plastic surgery and plastic surgical training programs are institutions rife with rewards. However, these rewards can be tempered by general physical and psychosocial stressors inherent to a surgical specialty. Although progress has been made in addressing the physical demands of training, less attention is given to the psychosocial and interpersonal challenges faced by plastic surgeons and trainees. Two key stressors are microaggressions and gaslighting. Microaggressions are generally unintentional but highly impactful expressions of bias, whereas gaslighting involves deliberate psychological manipulation. The purpose of our article is to explain the influence of microaggressions and gaslighting on plastic surgery providers. Most importantly, we aim to provide a framework for recognizing and addressing them professionally.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6435"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Discussion: Practicing Emotional Self-awareness to Build Surgeon Resilience.","authors":"Rachel Smith, Michael Bentz","doi":"10.1097/GOX.0000000000006517","DOIUrl":"10.1097/GOX.0000000000006517","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6517"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Internal Breast Lift: A New Method for Performing Internal Mastopexy.","authors":"Getulio Duarte, Fabio Coelho Duarte, Eduardo Federerigh Baisi Chagas, André Cervantes","doi":"10.1097/GOX.0000000000006489","DOIUrl":"10.1097/GOX.0000000000006489","url":null,"abstract":"<p><strong>Background: </strong>Mastopexy combined with implant placement is a complex cosmetic surgery due to the dual nature of the procedure. Various mammoplasty techniques and implant types add to its intricacy. This study aimed to evaluate the effectiveness of an internal breast lift in correcting pseudoptosis, grade 1 breast ptosis, and asymmetries, thereby offering a safer alternative with reduced morbidity and avoiding the creation of an inverted T scar.</p><p><strong>Methods: </strong>From January 2020 to January 2022, 20 female patients with pseudoptosis, grade I breast ptosis as per the Regnault classification, and a subareolar-to-mammary groove distance less than 7 cm were selected. For those with breast tissue hypertrophy, internal tissue resection maintained a minimum thickness of 3 cm. Patients with areolar asymmetries but without breast ptosis were also included. Surgical access was achieved via the mammary fold or periareolar approach. The procedure involved internal mastopexy between the mammary gland and the pectoralis major muscle's superomedial portion, coupled with polyurethane implant insertion.</p><p><strong>Results: </strong>Significant elevations in the areola and breast tissue were noted in patients with pseudoptosis and grade I breast ptosis, with a notable pre- and postoperative difference (Student <i>t</i> test, <i>P</i> ≤ 0.050). Additionally, there was an improvement in areolar and breast tissue positioning in asymmetrical cases. Patient satisfaction and a 1-year follow-up were also part of the assessment.</p><p><strong>Conclusions: </strong>The internal breast lift emerges as a safe and aesthetically pleasing alternative for patients with pseudoptosis and grade I breast ptosis. It effectively enhances areolar symmetry without the need for an inverted T scar.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6489"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hunter M Rogoff, Yasmeen M Byrnes, Christian A Kauffman
{"title":"Importance of Exercise for Career Longevity: Maintaining Fitness, Strength, and Flexibility as a Plastic Surgeon.","authors":"Hunter M Rogoff, Yasmeen M Byrnes, Christian A Kauffman","doi":"10.1097/GOX.0000000000006439","DOIUrl":"10.1097/GOX.0000000000006439","url":null,"abstract":"<p><p>The benefits of exercise for the general population are well established, although there is limited information focusing on its importance for plastic surgeons. Plastic surgery is arguably one of the most physically taxing fields within medicine due to lengthy operations that often require putting oneself in uncomfortable positions for the majority of the case, all while maintaining mental focus and discipline. It is essential to incorporate regular routines that can optimize a plastic surgeon's mental and physical capacity both short- and long-term. Exercise provides multiple physical benefits and simultaneously contributes to better mental and emotional health. Unfortunately, it is rather uncommon for those within our profession to exercise on a regular basis, with lack of available time being a major contributor. Considering the physical nature of our specialty, plastic surgeons are susceptible to and frequently have debilitating musculoskeletal pain and injuries. In this article, we discuss the benefits of exercise on mental health and physician burnout, its potential for injury prevention, and strategies for implementing physical activity on a regular basis to sustain long and fulfilling careers as plastic surgeons.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6439"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction to the Wellness Mini-series. Burnout, Disengagement, and Other Psychological Quagmires: It's Not All in Your Head.","authors":"Ibrahim Khansa","doi":"10.1097/GOX.0000000000006437","DOIUrl":"10.1097/GOX.0000000000006437","url":null,"abstract":"<p><p>Surgery is a state of mind. The brain controls the hands. As a result, \"technical skills\" are more mental than technical. In fact, physician burnout and poor well-being are independent predictors of major medical errors. Part of becoming a better surgeon is caring for one's mind, and making sure one's brain is healthy and happy. Therefore, the reader of this mini-series should read every article with the perspective that it can (and will) make them a better physician and surgeon. In this mini-series, 45 unique authors and 2 expert discussants compiled a comprehensive, evidence-based resource on physician wellness, including topics such as wellness during residency, oral board examination and every other career stage, the interface between work life and home life, physical well-being, self-awareness, mindfulness, mentorship, and dealing with aging parents and microaggressions. This mini-series truly covers the entire spectrum of physician wellness. In this article, I will provide a brief introduction to some important concepts, and the subsequent articles in the mini-series will go into much more practical detail.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6437"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mentorship in Plastic Surgery: A Systematic Review of the Current Literature and Elucidation of Recurring Themes.","authors":"Layne Raborn Macdonald, Jeffrey E Janis","doi":"10.1097/GOX.0000000000006483","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006483","url":null,"abstract":"","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6483"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067163","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Damini Tandon, Ruby L Taylor, Christie Bialowas, Anna Rose Johnson, Jonah Orr, Abdullah Said, Kelly Currie, Marcie Feinmann, Clare H Ridley, Susan E Mackinnon
{"title":"Practicing Emotional Self-awareness to Build Surgeon Resilience.","authors":"Damini Tandon, Ruby L Taylor, Christie Bialowas, Anna Rose Johnson, Jonah Orr, Abdullah Said, Kelly Currie, Marcie Feinmann, Clare H Ridley, Susan E Mackinnon","doi":"10.1097/GOX.0000000000006462","DOIUrl":"https://doi.org/10.1097/GOX.0000000000006462","url":null,"abstract":"<p><p>As surgeons, we work in a high-stress, high-stakes environment to take care of our patients. In this setting, it is not uncommon for us to experience microaggressions-subtle or indirect actions or statements that communicate a demeaning or exclusionary message, often unintentionally. Microaggressions can bring us down, taking away from the fulfillment that attracted many of us to this profession. In this article, we introduce the Institute for Professional Excellence in Coaching energy leadership framework as a tool to understand and address microaggressions. We then apply it to real-life scenarios surgeons may encounter, demonstrating how this framework can help us to build resilience and recover our joy for our profession.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6462"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rachel Guest, Kailash Kapadia, Kelly Ledbetter, Carlos Martinez, Ines C Lin
{"title":"The Intersection of a Life Partner and Professional Wellness for the Plastic Surgeon.","authors":"Rachel Guest, Kailash Kapadia, Kelly Ledbetter, Carlos Martinez, Ines C Lin","doi":"10.1097/GOX.0000000000006438","DOIUrl":"10.1097/GOX.0000000000006438","url":null,"abstract":"<p><p>Our literature review describes the complicated intersection of the physician/surgeon's professional practice and their spouse/domestic partner, acknowledging that the existing literature specific to plastic surgeons is limited. Nevertheless, the broader research of physicians and other surgical fields identifies many risk factors for work-home conflicts, which can negatively impact the surgeon and the spouse. Furthermore, certain studied groups have other unique challenges and considerations, such as women surgeons, residents, and dual-physician couples. Fortunately, the presence of a domestic partner has been shown to benefit the surgeon in multiple ways. Finally, we summarize some strategies to support and maintain this important relationship.</p>","PeriodicalId":20149,"journal":{"name":"Plastic and Reconstructive Surgery Global Open","volume":"13 1","pages":"e6438"},"PeriodicalIF":1.5,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}