{"title":"Sponsorship, mentorship, and coaching: Navigating the path to surgical leadership","authors":"Sharon L. Stein MD","doi":"10.1016/j.scrs.2025.101103","DOIUrl":"10.1016/j.scrs.2025.101103","url":null,"abstract":"<div><div>Surgeons continue to acquire skills as they progress as leaders. While some skills can be achieved from practice, books, and continuing medical education, the role of sponsors, mentors, and coaching cannot be overstated in helping individuals and incorporating new skills. Sponsors are key in providing opportunities and advancement. Mentors advise from their experience, and coaches are skilled at providing perspective. Understanding the roles of sponsors, mentors, and coaches, as well as their utility in guiding a surgeon's career is discussed in the chapter.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 2","pages":"Article 101103"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869958","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}
{"title":"Strategies for balancing clinical and administrative responsibilities in surgical leadership","authors":"Izi Obokhare MD , Jonathan Laryea MD","doi":"10.1016/j.scrs.2025.101105","DOIUrl":"10.1016/j.scrs.2025.101105","url":null,"abstract":"<div><div>Surgical leadership is a multifaceted role that requires balancing clinical, administrative, and personal responsibilities. This document explores the challenges faced by surgeon leaders, including time management, emotional and cognitive overload, and the struggle to achieve work-life balance. It emphasizes the importance of intentional leadership development, transforming skilled professionals into resilient leaders capable of handling complex situations. The authors highlight strategies such as prioritization, delegation, time blocking, and using technology to manage responsibilities effectively. Additionally, the document underscores the significance of emotional intelligence, conflict resolution, and self-care in preventing burnout and maintaining personal wellness. By adopting these strategies, surgical leaders can create a balanced portfolio of professional and personal commitments, ensuring long-term success and fulfillment in their careers.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 2","pages":"Article 101105"},"PeriodicalIF":0.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143869960","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}
{"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}
{"title":"Uncomfortably numb. The hidden pain of burnout and a failure to recognize it. What could I have done differently?","authors":"Dan Wood PhD MB.BS FRCS Urol","doi":"10.1016/j.scrs.2025.101081","DOIUrl":"10.1016/j.scrs.2025.101081","url":null,"abstract":"","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101081"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529846","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}
{"title":"Ergonomics and body wellness during surgery: A review and practical guide","authors":"Basil Karam MD, Ian Soriano MD","doi":"10.1016/j.scrs.2025.101085","DOIUrl":"10.1016/j.scrs.2025.101085","url":null,"abstract":"<div><div>Work-related musculoskeletal disorders (WRMSDs) are highly prevalent among surgeons, contributing to chronic pain, reduced operative efficiency, and premature career attrition. The increasing adoption of minimally invasive and robotic-assisted surgical techniques has introduced distinct ergonomic challenges that necessitate targeted interventions. This review examines the impact of surgical ergonomics on surgeon well-being, outlining key risk factors, prevalence data, and preventive strategies. A structured approach to optimizing posture, instrument handling, operating room configuration, and intraoperative microbreaks is presented.. The integration of ergonomic principles into surgical practice is essential for enhancing surgeon longevity, optimizing performance, and ensuring sustainable career progression.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101085"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529852","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}
{"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}
{"title":"A wellness resource guide for residents and fellows","authors":"Vanessa A. Hortian DO, MS, LAc","doi":"10.1016/j.scrs.2025.101083","DOIUrl":"10.1016/j.scrs.2025.101083","url":null,"abstract":"<div><div>Surgical training requires resilience and grit, as well as sacrifice. Each stage of training presents a set of unique challenges. Studies have shown that training is associated with burnout, attrition, and even cases of suicide. This article describes training-associated challenges that can lead to burnout and attrition and provides a resource guide to aid in maintaining well-being and humanity while navigating the journey of surgical training.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101083"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529848","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":"The joys of a surgical career and beyond","authors":"Patricia Roberts MD, FACS, FASCRS","doi":"10.1016/j.scrs.2025.101087","DOIUrl":"10.1016/j.scrs.2025.101087","url":null,"abstract":"<div><div>In 2017, my Presidential address to the American Society of Colon and Rectal Surgeons was titled “the joys of a surgical career.” The address examined the continuum of a long surgical career, and particularly the four stages including the initial education and training to become a colon and rectal surgeon, early career, mid career and late career. This paper builds on that address and specifically looks at ways to continue to thrive and to find joy in the clinical practice of surgery and beyond.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101087"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529849","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}
{"title":"What it takes to be a surgeon today","authors":"Celine Soriano MD., Terrah Paul Olson MD","doi":"10.1016/j.scrs.2025.101080","DOIUrl":"10.1016/j.scrs.2025.101080","url":null,"abstract":"<div><div>A long career in surgery requires prioritizing surgeon well-being. Burnout is prevalent in surgery, and is tied to job dissatisfaction, mental illness, and adverse patient outcomes. Individual and institutional factors, such as protection of identity, boundary setting, supportive workplace culture and communities, and creative re-structuring of work models can alleviate burnout and optimize surgeon wellness. This can allow surgeons today to thrive in the profession and enjoy life outside of it.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101080"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529845","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}
{"title":"Coaching as a resource for the modern surgeon","authors":"Sharon L. Stein MD","doi":"10.1016/j.scrs.2025.101086","DOIUrl":"10.1016/j.scrs.2025.101086","url":null,"abstract":"<div><div>Surgical coaching is becoming more prevalent over the last ten years. The practice of surgical coaching is widely variant, from technical coaching to developmental and remedial coaching. However, the premise behind coaching remains the same, to continue to foster the growth and development of news skills for the surgeon. This chapter reviews some of the data on coaching, as well as information on types of coaching. It also reviews some of the cultural biases that limit the acceptance of coaching by surgeons.</div></div>","PeriodicalId":55956,"journal":{"name":"Seminars in Colon and Rectal Surgery","volume":"36 1","pages":"Article 101086"},"PeriodicalIF":0.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529853","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}