Current Trauma Reports最新文献

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The Trauma Fellow's Perspective on Grit and Resilience and Its Role in Wellness. 创伤研究员对砂砾和韧性的看法及其在健康中的作用。
IF 0.7
Current Trauma Reports Pub Date : 2023-03-30 DOI: 10.1007/s40719-023-00255-7
Julia R Coleman
{"title":"The Trauma Fellow's Perspective on Grit and Resilience and Its Role in Wellness.","authors":"Julia R Coleman","doi":"10.1007/s40719-023-00255-7","DOIUrl":"10.1007/s40719-023-00255-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>To describe the unique stressors of surgical training and fellowship and how grit and resilience influence trainee wellness.</p><p><strong>Recent findings: </strong>Surgical training is an intense, high-stress experience. For fellows-in-training, unique stressors are associated with this chapter of training, from financial pressors to the stress of job acquisition. Wellness is essential for surgical fellows, not just for the critical need for quality mental health of providers, but also for the patients who are also affected by provider burnout. There are various wellness programs that can be instituted nationally and institutionally to optimize fellow wellness, but one of the most high-yield foci for fellow wellness is focused mentorship, the key to assuring wellness and harnessing grit.</p><p><strong>Summary: </strong>Surgical residency and fellowship are prodigiously demanding experiences, which mandate grit and resilience. It is imperative that widespread cultural and institutional changes take place to best support surgical trainees.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":" ","pages":"1-6"},"PeriodicalIF":0.7,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10061407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052385","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}
引用次数: 0
From Trauma to Transformation: the Role of the Trauma Surgeon in the Care of Black Transgender Women 从创伤到转变:创伤外科医生在黑人变性妇女护理中的作用
IF 0.7
Current Trauma Reports Pub Date : 2023-02-15 DOI: 10.1007/s40719-023-00254-8
D. Motley, Peter L. Forberg, Jade Pagkas-Bather, A. Bouris, J. Schneider
{"title":"From Trauma to Transformation: the Role of the Trauma Surgeon in the Care of Black Transgender Women","authors":"D. Motley, Peter L. Forberg, Jade Pagkas-Bather, A. Bouris, J. Schneider","doi":"10.1007/s40719-023-00254-8","DOIUrl":"https://doi.org/10.1007/s40719-023-00254-8","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 1","pages":"66-75"},"PeriodicalIF":0.7,"publicationDate":"2023-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41738171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Establishing Pediatric Trauma Programs in Low- and Middle-Income Countries 在低收入和中等收入国家建立儿科创伤项目
IF 0.7
Current Trauma Reports Pub Date : 2023-02-01 DOI: 10.1007/s40719-023-00252-w
C. Muenyi, Sandra K. Kabagambe, Rika Ichinose, V. Duron, Denis A. Foretia
{"title":"Establishing Pediatric Trauma Programs in Low- and Middle-Income Countries","authors":"C. Muenyi, Sandra K. Kabagambe, Rika Ichinose, V. Duron, Denis A. Foretia","doi":"10.1007/s40719-023-00252-w","DOIUrl":"https://doi.org/10.1007/s40719-023-00252-w","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 1","pages":"56-65"},"PeriodicalIF":0.7,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43960111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Burnout Continuum, Recognizing Burnout in the Trauma Provider, Staging It, Intervening Early: Applying ATLS Principles to the Trauma Provider 倦怠连续体,认识创伤提供者的倦怠,分期,早期干预:ATLS原则在创伤提供者中的应用
IF 0.7
Current Trauma Reports Pub Date : 2023-01-10 DOI: 10.1007/s40719-022-00248-y
Ragavan Narayanan, Ihab El Hassan, H. Santry
{"title":"Burnout Continuum, Recognizing Burnout in the Trauma Provider, Staging It, Intervening Early: Applying ATLS Principles to the Trauma Provider","authors":"Ragavan Narayanan, Ihab El Hassan, H. Santry","doi":"10.1007/s40719-022-00248-y","DOIUrl":"https://doi.org/10.1007/s40719-022-00248-y","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"1 1","pages":"1-4"},"PeriodicalIF":0.7,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49050670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are We There Yet? No. Gender Disparities Still Exist and Affect Surgeon Burnout 我们到了吗?不。性别差异仍然存在并影响外科医生的倦怠
IF 0.7
Current Trauma Reports Pub Date : 2023-01-06 DOI: 10.1007/s40719-022-00250-4
Zoe Lake, Gretchen Dunford, Jocelyn Hunter, Stepheny Berry
{"title":"Are We There Yet? No. Gender Disparities Still Exist and Affect Surgeon Burnout","authors":"Zoe Lake, Gretchen Dunford, Jocelyn Hunter, Stepheny Berry","doi":"10.1007/s40719-022-00250-4","DOIUrl":"https://doi.org/10.1007/s40719-022-00250-4","url":null,"abstract":"","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"1 1","pages":"1-5"},"PeriodicalIF":0.7,"publicationDate":"2023-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47123932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action. 通过多层次的方法解决外科医生的职业倦怠:全国行动呼吁。
IF 0.7
Current Trauma Reports Pub Date : 2023-01-01 DOI: 10.1007/s40719-022-00249-x
Kimberly B Golisch, Jes M Sanders, Anna Rzhetsky, Leah C Tatebe
{"title":"Addressing Surgeon Burnout Through a Multi-level Approach: A National Call to Action.","authors":"Kimberly B Golisch,&nbsp;Jes M Sanders,&nbsp;Anna Rzhetsky,&nbsp;Leah C Tatebe","doi":"10.1007/s40719-022-00249-x","DOIUrl":"https://doi.org/10.1007/s40719-022-00249-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>Physician burnout is an epidemic and there are unique aspects of surgery that dictate rates of burnout among general surgeons and surgical trainees. This review characterizes the scope of burnout and its drivers within the field of surgery and advocates for strategies to address burnout at the individual, institutional, and national levels.</p><p><strong>Recent findings: </strong>Rates of burnout in surgery are increasing with higher numbers of young and female surgeons affected. Contributing factors are generally related to work-life balance, longer hours, and mistreatment in the workplace. Attempts have been made at implementing structured initiatives in an effort to combat work dissatisfaction and emotional exhaustion. Still, rates of burnout continue to increase.</p><p><strong>Summary: </strong>General surgeons and trainees are at high risk for burnout with resulting attrition, depression, and suicidal ideation. The solution to burnout must be addressed at individual, institutional, and national levels. Further research into the factors leading to surgeon burnout and enactment of effective strategies to mitigate burnout must be pursued.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 2","pages":"28-39"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9843106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295257","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}
引用次数: 3
Burnout in Trauma Surgeons During the COVID-19 Pandemic: a Long-standing Problem Worsens. COVID-19大流行期间创伤外科医生的职业倦怠:一个长期存在的问题恶化。
IF 0.7
Current Trauma Reports Pub Date : 2023-01-01 DOI: 10.1007/s40719-022-00247-z
Prerna Ladha, Alaina M Lasinski, Ali M Kara, Theresa Relation, Esther S Tseng
{"title":"Burnout in Trauma Surgeons During the COVID-19 Pandemic: a Long-standing Problem Worsens.","authors":"Prerna Ladha,&nbsp;Alaina M Lasinski,&nbsp;Ali M Kara,&nbsp;Theresa Relation,&nbsp;Esther S Tseng","doi":"10.1007/s40719-022-00247-z","DOIUrl":"https://doi.org/10.1007/s40719-022-00247-z","url":null,"abstract":"<p><strong>Purpose of review: </strong>Physician burnout is well-described in the literature. We analyze the effects of the COVID-19 pandemic on burnout in trauma and acute care surgeons (TACS).</p><p><strong>Recent findings: </strong>Along with other healthcare workers and trainees, TACS faced unprecedented clinical, personal, and professional challenges in treating a novel pathogen and were uniquely affected due to their skillset as surgeons, intensivists, and leaders. The pandemic and its consequences have increased burnout and are suspected to have worsened PTSD and moral injury among TACS. The healthcare system is just beginning to grapple with these problems.</p><p><strong>Summary: </strong>COVID-19 significantly added to the pre-existing burden of burnout among TACS. We offer prevention and mitigation strategies. Furthermore, to build upon the work done by individuals and organizations, we urge that national institutions address burnout from a regulatory standpoint.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 1","pages":"1-9"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9793372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10688566","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}
引用次数: 0
Environmental Factors Impacting Wellness in the Trauma Provider. 影响创伤提供者健康的环境因素。
IF 0.7
Current Trauma Reports Pub Date : 2023-01-01 DOI: 10.1007/s40719-022-00246-0
Alexis Hess, Maddison Porter, Saskya Byerly
{"title":"Environmental Factors Impacting Wellness in the Trauma Provider.","authors":"Alexis Hess,&nbsp;Maddison Porter,&nbsp;Saskya Byerly","doi":"10.1007/s40719-022-00246-0","DOIUrl":"https://doi.org/10.1007/s40719-022-00246-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>The purpose of this review is to evaluate the recent literature on environmental factors impacting wellness for the acute care surgeon. This includes factors influencing physical, mental, and emotional well-being.</p><p><strong>Recent findings: </strong>Recent studies have identified challenges to surgeon wellness including increased incidence of sleep deprivation, musculoskeletal pain and injuries, pregnancy complications, moral injury, posttraumatic stress disorder (PTSD), and burnout. Qualitative studies have characterized the surgeon's emotional response to occupational stress, adverse events, and surgical complications. Further descriptive studies offer interventions to prevent moral injury after adverse events and to improve surgeon work environment.</p><p><strong>Summary: </strong>Acute care surgeons are at increased risk of sleep deprivation, musculoskeletal pain and injury, pregnancy complications, moral injury, PTSD, and burnout. Surgeons experience feelings of isolation and personal devaluation after adverse events or complications, and this may lead to practice limitation and progression to PTSD and/or burnout. Interventions to provide mentorship, peer support, and education may help surgeons recover after adverse events. Further study is necessary to evaluate institution-driven interventional opportunities to improve surgeon well-being and to foster an inclusive and supportive environment.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 1","pages":"10-17"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9791636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10688563","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}
引用次数: 2
Sleep Deprivation, Burnout, and Acute Care Surgery. 睡眠剥夺,倦怠和急症护理外科。
IF 0.7
Current Trauma Reports Pub Date : 2023-01-01 DOI: 10.1007/s40719-023-00253-9
Hermona Abera, Maya Hunt, Jeremy H Levin
{"title":"Sleep Deprivation, Burnout, and Acute Care Surgery.","authors":"Hermona Abera,&nbsp;Maya Hunt,&nbsp;Jeremy H Levin","doi":"10.1007/s40719-023-00253-9","DOIUrl":"https://doi.org/10.1007/s40719-023-00253-9","url":null,"abstract":"<p><strong>Purpose of review: </strong>To define what sleep deprivation is, how it relates to the growing problem of burnout within surgeons, and what can be done to mitigate its effects.</p><p><strong>Recent findings: </strong>There is a growing awareness that sleep deprivation, in both its acute and chronic manifestations, plays an immense role in burnout. The physical and mental manifestations of sleep deprivation are manifold, effecting nearly every physiologic system. Studies evaluating strategies at mitigating the effects of sleep deprivation are promising, including work done with napping, stimulant use, and service restructuring, but are fundamentally limited by generalizability, scale, and scope.</p><p><strong>Summary: </strong>The overwhelming majority of data published on sleep deprivation is limited by size, scope, and generalizability. Within acute care surgery, there is a dearth of studies that adequately define and describe sleep deprivation as it pertains to high-performance professions. Given the growing issue of burnout amongst surgeons paired with a growing patient population that is older and more complex, strategies to combat sleep deprivation are paramount for surgeon retention and wellbeing.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 2","pages":"40-46"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9880369/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10295261","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}
引用次数: 0
Socioeconomic Factors and Pediatric Injury. 社会经济因素与儿童伤害。
IF 0.7
Current Trauma Reports Pub Date : 2023-01-01 Epub Date: 2023-01-23 DOI: 10.1007/s40719-023-00251-x
Stephen Trinidad, Meera Kotagal
{"title":"Socioeconomic Factors and Pediatric Injury.","authors":"Stephen Trinidad,&nbsp;Meera Kotagal","doi":"10.1007/s40719-023-00251-x","DOIUrl":"10.1007/s40719-023-00251-x","url":null,"abstract":"<p><strong>Purpose of review: </strong>The goal of this review is to describe how socioeconomic status (SES) is evaluated in the pediatric trauma literature and further consider how differences in SES can lead to inequities in pediatric injury.</p><p><strong>Recent findings: </strong>Insurance status, area-level income, and indices of socioeconomic deprivation are the most common assessments of socioeconomic status. Children from socioeconomically disadvantaged backgrounds experience higher rates of firearm-related injuries, motor vehicle-related injuries, and violence-related injuries, contributing to inequities in morbidity and mortality after pediatric injury. Differences in SES may also lead to inequities in post-injury care and recovery, with higher rates of readmission, recidivism, and PTSD for children from socioeconomically disadvantaged backgrounds.</p><p><strong>Summary: </strong>Additional research looking at family-level measures of SES and more granular measures of neighborhood deprivation are needed. SES can serve as an upstream target for interventions to reduce pediatric injury and narrow the equity gap.</p>","PeriodicalId":43614,"journal":{"name":"Current Trauma Reports","volume":"9 2","pages":"47-55"},"PeriodicalIF":0.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9868497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10287563","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}
引用次数: 5
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