Seminars in Colon and Rectal Surgery最新文献

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Cultivating diversity and inclusion in surgical leadership 培养外科领导的多样性和包容性

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-20 DOI: 10.1016/j.scrs.2025.101102

Kristen M. Westfall MD, MPH , Karri E. Hester MD, MS , Erin King-Mullins MD , Melissa I. Chang MD, MSE

Diverse leadership within healthcare enhances decision-making, fosters innovation, and improves patient outcomes. This chapter advocates for a shift from traditional diversity, equity, and inclusion (DEI) frameworks to the concept of inclusive excellence, embedding diversity as a core component of organizational success. Inclusive excellence emphasizes intersectionality, recognizing the unique value of individuals’ varied identities, including race, gender, socioeconomic background, and professional experiences.

Inclusive leadership addresses the underrepresentation of marginalized groups in surgical leadership by transforming organizational culture, revamping recruitment processes, and creating pathways for aspiring leaders. Lessons from industries outside healthcare offer actionable strategies to embed intersectionality as a foundation for leadership development. While these efforts are essential to reducing health disparities and improving systems, political and legal challenges to diversity initiatives pose significant threats. Strong institutional support is critical to safeguarding progress. By fostering inclusive leadership, surgery can better reflect and serve diverse populations, ensuring compassionate, equitable, and innovative care for all patients.

医疗保健领域的多元化领导可以增强决策、促进创新并改善患者的治疗效果。本章倡导从传统的多样性、公平和包容性（DEI）框架转向包容性卓越的概念，将多样性作为组织成功的核心组成部分。包容性卓越强调交叉性，承认个人不同身份的独特价值，包括种族、性别、社会经济背景和专业经验。包容性领导通过改变组织文化、改革招聘流程和为有抱负的领导者创造途径，解决了边缘化群体在外科手术式领导中的代表性不足问题。医疗保健以外行业的经验教训提供了可操作的策略，将交叉性作为领导力发展的基础。虽然这些努力对于减少卫生差距和改善系统至关重要，但多样性倡议面临的政治和法律挑战构成了重大威胁。强有力的体制支持对保障进步至关重要。通过培养包容性的领导，外科可以更好地反映和服务于不同的人群，确保为所有患者提供富有同情心、公平和创新的护理。

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引用次数: 0

Strategies for balancing clinical and administrative responsibilities in surgical leadership 外科领导中平衡临床和行政责任的策略

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-20 DOI: 10.1016/j.scrs.2025.101105

Izi Obokhare MD , Jonathan Laryea MD

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.

外科领导是一个多方面的角色，需要平衡临床、行政和个人责任。本文探讨了外科医生领导者所面临的挑战，包括时间管理、情绪和认知超载，以及实现工作与生活平衡的努力。它强调有意领导力发展的重要性，将熟练的专业人士转变为能够处理复杂情况的弹性领导者。作者强调了诸如优先级、授权、时间限制和使用技术来有效管理责任等策略。此外，该文件强调了情商、解决冲突和自我照顾在防止倦怠和保持个人健康方面的重要性。通过采用这些策略，外科领导者可以创造一个平衡的专业和个人承诺组合，确保他们在职业生涯中的长期成功和实现。

引用次数: 0

Thriving through career challenges: Building and maintaining resilience 在职业挑战中茁壮成长：建立并保持适应力

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101082

Najjia N. Mahmoud MD

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.

在过去的五年里，预防职业倦怠的干预措施的重点已经从专门针对外科医生和其他医护人员的个人情况和个性，转变为影响我们工作的系统的方法。造成心理压力、焦虑、无助感和道德伤害的系统因素已被证明是严重的倦怠的煽动者和复合体。此外，有助于增强参与和建立弹性的策略被广泛认为是创造一个环境的必要条件，在这个环境中，医生不仅可以茁壮成长，而且可以在不可避免的个人和专业挑战中生存下来。本章探讨了如何最好地支持复原力，使其不仅能在造成道德伤害和倦怠的严重系统问题中幸存下来，还能在可能对美好职业产生负面影响的个人问题中幸存下来。旨在提高参与度和促进复原力的干预措施包括考虑个人、医疗机构和国家组织战略的干预措施。回顾支持一系列干预措施的信息对于理解如何有意义地实施变革非常重要。通过建模和导师的信息传递，预防倦怠和识别增强恢复力的因素应该在培训的早期就开始，并应纳入个性化的压力管理策略。然而，至关重要的是，建立韧性最令人信服的数据需要对机构进行结构重组，使其价值观和流程与医生和相关提供者的价值观和流程保持一致。倡导机构和国家层面的变革，以维护我们与患者和同事的关系，为反思和外部利益提供时间，让他们充电和恢复，这应该是医疗改革的共同目标和当务之急。

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引用次数: 0

Uncomfortably numb. The hidden pain of burnout and a failure to recognize it. What could I have done differently? 令人不安的麻木。倦怠带来的隐性痛苦和无法意识到的痛苦。我还能做些什么呢？

IF 0.4 Q4 SURGERY

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

引用次数: 0

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

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101085

Basil Karam MD, Ian Soriano MD

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.

与工作相关的肌肉骨骼疾病（WRMSDs）在外科医生中非常普遍，导致慢性疼痛、手术效率降低和过早的职业消耗。微创和机器人辅助手术技术的日益普及带来了不同的人体工程学挑战，需要有针对性的干预措施。这篇综述探讨了手术人体工程学对外科医生福祉的影响，概述了关键的危险因素、患病率数据和预防策略。提出了一种结构化的方法来优化姿势，器械处理，手术室配置和术中微断裂。将人体工程学原理整合到外科实践中，对于提高外科医生的寿命、优化表现和确保可持续的职业发展至关重要。

引用次数: 0

Returning to the operating room 返回手术室

IF 0.4 Q4 SURGERY

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

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.

对于女外科医生来说，在产假结束后重返手术室是一个巨大的挑战，她们往往要在严格的工作安排之外应对为人父母的要求。本文探讨了这些外科医生所面临的多方面障碍，包括身体、精神、经济和专业影响。手术对体力的要求，加上荷尔蒙的变化、母乳喂养的挑战和睡眠剥夺，加剧了产后恢复的困难。此外，女性外科医生患产后抑郁和焦虑的风险更高，这可能会影响她们在手术室的表现。在专业上，受训者可能会面临与实习医师关系的变化，毕业的潜在延迟，以及在平衡外科培训与家庭责任时不断变化的职业优先级。该手稿强调需要灵活的，支持性的手术方案环境，以更好地适应新妈妈。通过认识到这些挑战并采取优先考虑健康的政策，外科社区可以帮助确保女性外科医生成功地重新融入她们的职业生涯，而不会损害她们的健康或专业发展。

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引用次数: 0

The joys of a surgical career and beyond 外科手术生涯的乐趣以及其他

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101087

Patricia Roberts MD, FACS, FASCRS

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.

2017年，我在美国结肠直肠外科学会发表的总统演讲题为“外科手术生涯的乐趣”。演讲考察了长期外科手术生涯的连续性，特别是四个阶段，包括成为结肠和直肠外科医生的最初教育和培训，职业生涯早期，职业生涯中期和职业生涯晚期。本文以该地址为基础，特别着眼于如何继续茁壮成长，并在外科及其他临床实践中找到快乐。

引用次数: 0

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

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101083

Vanessa A. Hortian DO, MS, LAc

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.

外科训练需要适应力和勇气，以及牺牲精神。训练的每个阶段都有一系列独特的挑战。研究表明，训练与倦怠、减员甚至自杀有关。本文描述了与培训相关的挑战，这些挑战可能导致倦怠和损耗，并提供了一个资源指南，以帮助在外科培训的过程中保持健康和人性。

引用次数: 0

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

IF 0.4 Q4 SURGERY

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

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.

长期从事外科手术需要优先考虑外科医生的福祉。职业倦怠在外科手术中很普遍，并与工作不满意、精神疾病和不良的患者结果有关。个人和机构因素，如身份保护、边界设置、支持性的工作场所文化和社区，以及创造性地重构工作模式，可以减轻职业倦怠，优化外科医生的健康。这可以让今天的外科医生在这个行业中茁壮成长，并享受它之外的生活。

引用次数: 0

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

IF 0.4 Q4 SURGERY

Seminars in Colon and Rectal Surgery

Pub Date : 2025-03-01 DOI: 10.1016/j.scrs.2025.101086

Sharon L. Stein MD

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.

近十年来，手术指导越来越普遍。手术指导的做法多种多样，有技术指导，也有发展和补救指导。然而，指导背后的前提始终不变，即继续促进外科医生新闻技能的增长和发展。本章回顾了一些有关教练的数据以及教练类型的信息。本章还回顾了限制外科医生接受辅导的一些文化偏见。

引用次数: 0

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