Combating Stress and Burnout in Surgical Practice: A Review
Johns Hopkins Medical Institutions, Department of Surgery, 1515 Orleans St. Cancer Research Building II, Room 507, Baltimore, MD 21231, USA.Advances in Surgery 09/2010; 44(1):29-47. DOI: 10.1016/j.yasu.2010.05.018
The practice of surgery offers the potential for tremendous personal and professional satisfaction. Few careers provide the opportunity to have such a profound effect on the lives of others and to derive meaning from work. Surgeons choose this arduous task to change the lives of individuals facing serious health problems, to experience the joy of facilitating healing, and to help support those patients for whom medicine does not yet have curative treatments. Despite its virtues, a career in surgery brings with it significant challenges, which can lead to substantial personal distress for the individual surgeons and their family. By identifying the priorities of their personal and professional life, surgeons can identify values, choose the optimal practice type, manage the stressors unique to that career path, determine the optimal personal work-life balance, and nurture their personal wellness. Being proactive is better than reacting to burnout after it has damaged one's professional life or personal wellness. Studies like the ACS survey can benefit surgeons going through a personal crisis by helping them to know that they are not alone and that many of their colleagues face similar issues. It is important that surgeons do not make the mistake of thinking: "I must not be tough enough," or "no one could possibly experience what I am going through." The available evidence suggests that those surgeons most dedicated to their profession and their patient may very well be most susceptible to burnout. Silence on career distress, as a strategy, simply does not work among professionals whose careers, well-being, and level of patient care may be in jeopardy. Additional research in these areas is needed to elucidate evidence-based interventions to address physician distress at both the individual and organizational level to benefit the individual surgeon and the patient they care for. Surgeons must also be able to recognize how and when their personal distress affects the quality of care they provide (both in the delivery of care and in the emotional support of patients and their families). There is no single formula for achieving a satisfying career in surgery. All surgeons deal with stressful times in their personal and professional life and must cultivate habits of personal renewal, emotional self-awareness, connection with colleagues, adequate support systems, and the ability to find meaning in work to combat these challenges. As surgeons, we also need to set an example of good health to our patients and future generations of surgeons. To provide the best care for our patients, we need to be alert, interested in our work, and ready to provide for our patient's needs. Maintaining these values and healthy habits is the work of a lifetime.
Conference Paper: Laser produced silicon field emission arrays[Show abstract] [Hide abstract]
ABSTRACT: Summary form only given. Commonly the Si tips of electron emitters are manufactured using the wet or dry etching formation routes. The aim of this work is to create Si field emitters without lithography by using new laser technology. Monocrystalline Si wafers were processed on air by YAG:Nd<sup>3+</sup> laser irradiation with energy density that overstepped the melting threshold with following stain etch. When the laser beam scanned the wafer in the continuous regime, we obtained a strongly macrorough surface without single tips. Under the influence of one by one laser pulses, the single conical tips were formed. The distances between tips were 50 μm, their heights were 50-100 μm, as the SEM micrographs showed. In both cases the surfaces are very developed with many protuberances on themPlasma Science, 1997. IEEE Conference Record - Abstracts., 1997 IEEE International Conference on; 06/1997
Article: Volume dictates outcomes.Bulletin of the American College of Surgeons 08/2011; 96(8):48-9.
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ABSTRACT: This manuscript evaluates how substantial improvement in quality and outcomes can be achieved by attention to intra and interpersonal factors that influence learning, growth, innovation and team function. It is difficult to quantify the improvement in outcome in terms of lives saved, errors prevented, morbidity reduced, but the literature on this topic as well as the experience of numerous providers suggests that it will be real and substantial. The recommendations in this manuscript will help you improve your practice.Progress in Pediatric Cardiology 12/2011; DOI:10.1016/j.ppedcard.2011.10.004
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