Seminars in Colon and Rectal Surgery最新文献

Thriving through career challenges: Building and maintaining resilience

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101082

Najjia N. Mahmoud MD

{"title":"Thriving through career challenges: Building and maintaining resilience","authors":"Najjia N. Mahmoud MD","doi":"10.1016/j.scrs.2025.101082","DOIUrl":"10.1016/j.scrs.2025.101082","url":null,"abstract":"<div><div>The focus on interventions to prevent burnout has shifted over the past five years from those exclusively aimed at the personal circumstances and personalities of surgeons and other healthcare workers, to approaches that affect the systems we work within. Systemic factors that create psychological stress, anxiety, feelings of helplessness, and moral injury have proven to be serious instigators and compounders of burnout. Additionally, strategies that contribute to enhancing engagement and building resiliency are widely recognized as essential to creating an environment where a physician may not only thrive, but survive the inevitable personal and professional challenges that arise. This chapter explores how resilience is best supported to survive not only the serious systemic issues that create moral injury and burnout, but personal issues that arise that can negatively impact a wonderful career. Interventions aimed at increasing engagement and promoting resiliency include those that contemplate strategies for individuals, healthcare institutions, and national organizations. Reviewing information supporting a range of interventions is important to understanding how to implement change meaningfully. Prevention of burnout and identification of factors boosting resilience should start early in training with modeling and messaging from mentors, and should incorporate individualized stress management strategies. Critically, however, the most compelling data for building resilience requires structural re-organization of institutions to align their values and processes with those of physicians and allied providers. Advocating for changes at the institutional and national level that preserve our relationships with our patients and colleagues, provide time for reflection and for outside interests that recharge and restore, should be a common goal and imperative for healthcare reform.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101082"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529847","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}

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Uncomfortably numb. The hidden pain of burnout and a failure to recognize it. What could I have done differently?

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101081

Dan Wood PhD MB.BS FRCS Urol

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Ergonomics and body wellness during surgery: A review and practical guide 手术期间的人体工程学和身体健康：回顾与实用指南

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101085

Basil Karam MD, Ian Soriano MD

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Returning to the operating room 返回手术室

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101084

Alexis D. Desir MD, Emina H. Huang MD

{"title":"Returning to the operating room","authors":"Alexis D. Desir MD, Emina H. Huang MD","doi":"10.1016/j.scrs.2025.101084","DOIUrl":"10.1016/j.scrs.2025.101084","url":null,"abstract":"<div><div>Returning to the operating room after birth-related leave presents significant challenges for female surgeons, who are often navigating the demands of parenthood alongside rigorous work schedules. This manuscript explores the multifaceted hurdles faced by these surgeons, including physical, mental, financial, and professional impacts. The physically demanding nature of surgery, coupled with hormonal changes, breastfeeding challenges, and sleep deprivation, exacerbates the difficulties of postpartum recovery. Additionally, female surgeons are at higher risk for postpartum depression and anxiety, which can hinder their performance in the operating room. Professionally, trainees may face changes in relationships with co-residents, potential delays in graduation, and evolving career priorities as they balance surgical training with family responsibilities. The manuscript emphasizes the need for flexible, supportive environments in surgical programs to better accommodate new mothers. By recognizing these challenges and adopting policies that prioritize wellness, the surgical community can help ensure that female surgeons successfully reintegrate into their careers without compromising their health or professional development.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101084"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529851","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}

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The joys of a surgical career and beyond

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101087

Patricia Roberts MD, FACS, FASCRS

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A wellness resource guide for residents and fellows 住院医师和研究员健康资源指南

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101083

Vanessa A. Hortian DO, MS, LAc

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What it takes to be a surgeon today 今天的外科医生

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101080

Celine Soriano MD., Terrah Paul Olson MD

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Coaching as a resource for the modern surgeon 教练是现代外科医生的资源

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Seminars in Colon and Rectal Surgery Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101086

Sharon L. Stein MD

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Identifying and optimizing psychosocial frailty in surgical practice 在外科实践中识别和优化社会心理脆弱性

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Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101061

Kurt S. Schultz MD, Caroline E. Richburg MD, Emily Y. Park MD, Ira L. Leeds MD MBA ScM

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Improving surgical outcomes for older adults with adoption of technological advances in comprehensive geriatric assessment 采用先进技术进行老年综合评估，改善老年人的手术效果

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Seminars in Colon and Rectal Surgery Pub Date : 2024-11-06 DOI: 10.1016/j.scrs.2024.101060

Sydney F Tan MD, Benjamin Cher MD, Julia R Berian MD, MS

{"title":"Improving surgical outcomes for older adults with adoption of technological advances in comprehensive geriatric assessment","authors":"Sydney F Tan MD, Benjamin Cher MD, Julia R Berian MD, MS","doi":"10.1016/j.scrs.2024.101060","DOIUrl":"10.1016/j.scrs.2024.101060","url":null,"abstract":"<div><div>Frailty is a well-recognized predictor of poor surgical outcomes for older adults, yet effective measurements and interventions remain limited. Technological advances offer an opportunity to address this gap and improve surgical care for older adults. This paper reviews the background of frailty and comprehensive geriatric assessments in surgery, and how technological innovations can advance frailty measurement and intervention in surgical settings. We review two broad areas of technological advancement as applied to frailty in surgery: (1) Innovation in the use of electronic health records (EHR) using Artificial Intelligence (AI) and Machine Learning (ML), and (2) Novel uses for wearable sensors and mobile health (mHealth) applications. We explore the integration of AI and ML with EHR systems, which can surpass traditional comorbidity indices by providing comprehensive health assessments and enhancing prediction models. Innovations like the electronic Frailty Index (eFI) show promise in expanding the reach of frailty assessments and facilitating real-time screening. Additionally, wearable devices and mobile health (mHealth) applications offer new ways to monitor and improve physical activity, nutrition, and psychological well-being, supporting perioperative rehabilitation. While these technologies present challenges, such as the need for infrastructure, training, and data interoperability, they offer promising strategies to facilitate the assessment and management of frailty among surgical patients. Continued research and tailored implementation strategies will be essential to fully realize the potential of these advancements in improving surgical outcomes for frail older adults.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"35 4","pages":"Article 101060"},"PeriodicalIF":0.4,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142706140","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}

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