Dynamic Tension Between Success in a Surgical Career and Personal Wellness: How Can We Succeed in a Stressful Environment and a “Culture of Bravado”?
“Many cancer surgeons are troubled by commonly occurring stressors, which may be masked by the bravado of the surgical culture…It is time to recognize and proactively address the problems of burnout and poor quality of life in physicians…. Our data show that burnout, and its associated problems, are truly widespread occupational hazards that deserve a systematic, organizational intervention… Tension exists between a culture of productivity and the need for self-care”.1
“Getting to wellness in all its dimensions and maintaining wellness throughout a career requires a mutual pact between the individual surgeon and the leadership that control their workplace environment…. Ultimately, quality outcomes for our patients may be enhanced if greater wellness can be cultivated in our surgical teams”.2
In this issue of the Annals are two valuable publications from the prestigious Memorial Sloan Kettering Cancer Center (MSKCC) in New York City.1,2 Guest and colleagues surveyed their surgical faculty ...
- Guest R, Scardino P, et al. Cancer surgeons’ distress and well-being, I: the tension between a culture of productivity and the need for self-care. Ann Surg Oncol. 2011.
- Guest R, Scardino P, et al. Cancer surgeons’ distress and well-being, II: modifiable factors and the potential for organizational interventions. Ann Surg Oncol. 2011.
- Shanafelt, T, Chung, H, White, H, Lyckholm, LJ (2006) Shaping your career to maximize personal satisfaction in the practice of oncology. J Clin Oncol 24: pp. 4020-4026 CrossRef
- Gabbard, GO, Menninger, RW (1989) The psychology of postponement in the medical marriage. JAMA 261: pp. 2378-2381 CrossRef
- Shanafelt, TD, Balch, CM, Bechamps, GJ (2009) Burnout and career satisfaction among American surgeons. Ann Surg 250: pp. 463-471
- Kuerer, HM, Breslin, T, Shanafelt, TD, Baile, WF, Crawford, W, Balch, CM (2008) Road map for maintaining career satisfaction and balance in surgical oncology. J Am Coll Surg 207: pp. 435-442 CrossRef
- Balch, CM, Shanafelt, TD, Sloan, J, Satele, DV, Kuerer, HM (2011) Burnout and career satisfaction among surgical oncologists compared with other surgical specialties. Ann Surg Oncol 18: pp. 16-25 CrossRef
- Shanafelt, TD, Balch, CM, Bechamps, G, Russell, T, Dyrbye, L, Satele, D (2010) Burnout and medical errors among American surgeons. Ann Surg 251: pp. 995-1000 CrossRef
- Campbell, DA (2010) Physician wellness and patient safety. Ann Surg 251: pp. 1001-1002 CrossRef
- West, CP, Huschka, MM, Novotny, PJ, Sloan, JA, Kolars, JC, Habermann, TM (2006) Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study. JAMA 296: pp. 1071-1078 CrossRef
- West, CP, Tan, AD, Habermann, TM, Sloan, JA, Shanafelt, TD (2009) Association of resident fatigue and distress with perceived medical errors. JAMA 302: pp. 1294-1300 CrossRef
- Balch, CM, Copeland, E (2007) Stress and burnout among surgical oncologists: a call for personal wellness and a supportive workplace environment. Ann Surg Oncol 14: pp. 3029-3032 CrossRef
- Balch, CM, Freischlag, JA, Shanafelt, TD (2009) Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg 144: pp. 371-376 CrossRef
- Shanafelt, TD, Balch, CM, Dyrbye, L, Bechamps, G, Russell, T, Satele, D (2011) Special report: suicidal ideation among American surgeons. Arch Surg 146: pp. 54-62 CrossRef
- Shanafelt, T (2008) A career in surgical oncology: finding meaning, balance, and personal satisfaction. Ann Surg Oncol 15: pp. 400-406 CrossRef
- Spickard, A, Gabbe, SG, Christensen, JF (2002) Mid-career burnout in generalist and specialist physicians. JAMA 288: pp. 1447-1450 CrossRef
- Dyrbye, LN, Shanafelt, TD, Balch, CM (2011) Relationships between work-home conflicts and burnout among American surgeons: a comparison by sex. Arch Surg 146: pp. 211-217 CrossRef
- Dyrbye, LN, Shanafelt, TD, Balch, CM (2010) Physicians married or partnered to physicians: a comparative study in the American College of Surgeons. J Am Coll Surg 211: pp. 663-671 CrossRef
- Dynamic Tension Between Success in a Surgical Career and Personal Wellness: How Can We Succeed in a Stressful Environment and a “Culture of Bravado”?
Annals of Surgical Oncology
Volume 18, Issue 5 , pp 1213-1216
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