Burnout is a pervasive and alarming issue for physicians-in-training (residents), as well as practicing physicians, with significant consequences for resident well-being, care quality, and patient safety. Efforts to address burnout have emphasized both organization-level factors that create more supportive environments and individual-level factors that enhance physician resilience in the face of challenges. However, residents primarily work in teams – delivering patient care with fellow trainees, faculty and interprofessional colleagues. Team practices and behaviors have been found to impact how individuals experience their work – yet, the relationship of these team-level factors to resident burnout is still largely unknown.
Surgical culture is shifting towards a more positive and humanistic culture, in part as a response to both extreme and subtle ego driven disruptive behaviours among surgeons. Accumulating evidence from both the medical and organisational sciences shows substantial negative consequences for ego driven behaviour in complex work environments such as surgery. We need more research and systematic exploration of ways to further reduce ego driven behaviour in the practice of surgery.
Systematic discrimination against women in medicine constitutes a potential threat to patient safety and public health. Accumulating evidence shows that women deliver superior care. For example, one study of over 1.5 million Medicare patients found that those who were treated by a female physician were less likely to die or be readmitted to the hospital within 30 days than those patients treated by a male physician. A separate study of over 100,000 surgical patients found the same effect: Patients who were operated on by a female surgeon were significantly less likely to die within the next 30 days. While the underlying mechanisms driving these differences have yet to be fully explored, evidence suggests that female physicians bring unique perspectives to their practice that can improve care. Barriers restricting the access and development of women’s careers in medicine need to be removed, and the field must do a better job of promoting, supporting, and rewarding female physicians.
In response to technological advances and growing dispersion of surgical practice around the globe, social media platforms have emerged in recent years as channels for surgeons to share experiences, ask questions, and learn from one another. To better understand surgeons’ engagement with these platforms, we analyzed data from a closed-membership Facebook group for robotic surgeons. Our analysis revealed that surgeons posted more frequently on midweek days, and further that text posts received significantly more comments, and significantly fewer “likes,” than posts containing links, photos, or videos. We discuss the implications of these use and engagement patterns for the viability of social media platforms as tools for surgeons to learn vicariously from their peers’ experiences and expertise.
Increasing attention has been paid to the selection of otolaryngology residents, a highly competitive process but one with room for improvement. A recent commentary in this journal recommended that residency programs more thoroughly incorporate theory and evidence from personnel psychology (part of the broader field of organizational science) in the resident selection process. However, the focus of this recommendation was limited to applicants’ cognitive abilities and independent work-oriented traits (eg, conscientiousness). We broaden this perspective to consider critical interpersonal skills and traits that enhance resident effectiveness in interdependent health care organizations and we expand beyond the emphasis on selection to consider how these skills can be honed during residency. We advocate for greater use of standardized team-based care simulations, which can aid in assessing and developing the key interpersonal leadership skills necessary for success as an otolaryngology resident.
Citation Myers, C.G., Kudsi, O.Y., & Ghaferi, A.A. (2017, October). Surgeons are using social media to share and learn new skills. Harvard Business Review, Digital article. https://hbr.org/2017/10/surgeons-are-using-social-media-to-share-and-learn-new-skills
Translated 克里斯托弗·迈尔斯 [Myers], 优素福·库德斯 [Kudsi], 阿米尔·加佛理等 [Ghaferi]. (2017, December). 外科医生利用社交媒体学习新技能. Harvard Business Review China. http://www.hbrchina.org/2017-12-08/5715.html
Translated كريستوفر مايرز [Myers], يوسف قدسي [Kudsi], أمير غافيري [Ghaferi]. (2017, December). الجراحون يستفيدون من وسائل التواصل الاجتماعي لمشاركة وتعلّم مهارات جديدة Harvard Business Review Arabia. https://hbrarabic.
Citation Kim, S.H., Myers, C.G., & Allen, L. (2017, August). Health care providers can use design thinking to improve patient experiences. Harvard Business Review, Digital article. https://hbr.org/2017/08/health-care-providers-can-use-design-thinking-to-improve-patient-experiences/
Summary Design thinking has taken hold in health care, leading to the development of new products and improved design of spaces. Yet it remains underused in addressing other important challenges, such as patient transportation, communication issues between clinicians and patients, and differential treatment of patients due to implicit bias, to name just a few.
Citation Frimpong, J.A., Myers, C.G., Sutcliffe, K.M., & Lu-Myers, Y. (2017, June). When health care providers look at problems from multiple perspectives, patients benefit. Harvard Business Review, Digital article. https://hbr.org/2017/06/when-health-care-providers-look-at-problems-from-multiple-perspectives-patients-benefit/
Summary Health care providers have vastly different ways of seeing and treating patients, as differences in profession, specialty, experience, or background lead them to pay attention to particular signals or cues, and influence how they approach problems. While diverse perspectives and approaches to care are important, if they are not managed appropriately, they can cause misunderstandings, bias decision-making, and get in the way of the best care.
Citation Pronovost, P.J., & Myers, C.G. (2017, June). How prepared are you to lead? AM Rounds, Blog post. http://academicmedicineblog.org/how-prepared-are-you-to-lead/
Summary Physicians increasingly are being asked to lead health systems and improvement efforts, so it is important that they have the necessary skills to do so. To see why and how these leadership skills matter, we propose a quick test. Below, we present three scenarios that a health leader might need to navigate.
Citation Myers, C.G., & Pronovost, P.J. (2017). Making management skills a core component of medical education. Academic Medicine, 92(5), 582–584. https://doi.org/10.1097/ACM.0000000000001627
Author Reply to Letter Myers, C.G., & Pronovost, P.J. (2018). In reply to Khoo and Teo. Academic Medicine, 93(4), 517. https://doi.org/10.1097/ACM.0000000000002124
Abstract Physicians are being called upon to engage in greater leadership and management in increasingly complex and dynamic health care organizations. Yet, management skills are largely undeveloped in medical education.