advocacy
A Common Silence: Perspectives on Pregnancy Loss During General Surgery Residency
by Cleo Siderides, MD and Caitlin J. Cain-Trivette, MD Pregnancy loss is a painfully common experience among surgical trainees, yet our institutions remain poorly equipped to respond with support and compassion. Surgical trainees are more than twice as likely to experience pregnancy loss than the general population,1 yet no formal safeguards exist to protect trainees enduring these sentinel events. Cleo’s first pregnancy ended in a missed miscarriage at 9 weeks, followed by six weeks of medical and surgical management amidst the relentless pace of residency. The day after I took medication to induce a miscarriage I was on a 24-hour trauma call, bleeding through my scrubs to the point that I tied a jacket around my waist between cases. I emphatically stated that no, I did not feel like I needed to step away from work. I saw the hardship as a way to prove my grit and worth as...
Bridging the Gap: Female Surgeons in Malawi and the Power of Representation
By Dr. Sharon Cheryl Bonya Female surgical trainees face structural and cultural barriers that extend far beyond the operating room. They are not just training to master technical skills, they are also navigating expectations, isolation, and leadership in spaces where their presence still surprises many. In Malawi and across much of Sub-Saharan Africa (SSA), female surgeons face a double burden: under-representation within the surgical workforce and the cultural headwinds that make leadership, mentorship, and progression more difficult. Despite recent gains in training capacity in East, Central and Southern Africa, women surgeons remain a minority with implications for patient trust, communication, and equitable access to surgical care. According to the NHS workforce data, women make up about 17% of general surgery consultants in the United Kingdom. In the United States, women account for roughly 22.6% of general surgeons, based on figures from the Association of American Medical Colleges (AAMC). These numbers...
Show Up for Yourself: A Message to Women Surgeons Living with Disability
By Dr. Elizabeth Perazza Imagine ringing in the New Year, celebrating 25 years as a successful surgeon. You place a ruby-studded tiara on your head, proud to be 55 years old, 30 pounds lighter, and stepping into your power as Queen Bee—the new sheriff in town. Among over 100 surgeons, OR nurses, and technicians, you stand tall as the next Chief of Surgery. Then, six months later, everything changes. You begin to feel as though you’re slipping away—paralyzed, bedridden, and mentally foggy. You’re dizzy even while lying down. A tingling sensation creeps from your mouth to your toes. Your eyes hurt to open, and you feel exhausted just from breathing. You’re disoriented whether your eyes are open or closed. You undergo a spinal tap, waiting anxiously for results. Then the diagnosis comes: Multiple Sclerosis. Positive oligoclonal bands confirm it. That day, I became another name on the list of those...
Finding My Flow: My Pursuit of Vascular Surgery in a Country Without Dedicated Vascular Surgery Training
By Dr. Swechha Bhatt My love for vascular surgery began in the very first year of medical school, when I studied hemodynamics. The intricate balance of pressure, flow, and resistance fascinated me, and somehow it all made sense. I carried this love with me into my clinical years, where the subject transformed from textbook diagrams into real patients and real problems. In clinics, every vascular case felt like a puzzle waiting to be solved. I often describe vascular surgery as “plumbing: it’s pipes, and you connect pipes.” Yet behind that simple analogy, I began to see the enormous gaps in access and awareness that patients in my country face. Patients with peripheral arterial disease (PAD) would walk into our hospital with critically cold limbs, many at the point of requiring an amputation. I often wondered how different their lives could have been if they had recognized claudication earlier, or if...
The Six Percent Club
By Dr. Susana Vargas Pinto This is a special edition blog post presented in partnership with the Latino Surgical Society in celebration of Hispanic Heritage Month. For 57 years, Latino heritage has been officially recognized in the United States. What began as a week-long celebration in 1968 under President Lyndon B. Johnson was expanded to a month-long observance by President Ronald Reagan in 1988. Hispanic Heritage Month offers an opportunity to honor the significant role the Latino community has played in shaping and strengthening our nation. Although the terms “Latino” and “Hispanic” are often used interchangeably, they have distinct meanings. “Hispanic” typically refers to people with a connection to Spain or the Spanish language, while “Latino” encompasses individuals of Latin American or Caribbean descent, regardless of their proficiency in Spanish. The term also creates space for diverse ethnic and ancestral backgrounds, including those of European descent, to be acknowledged within...
How to Be an Ally
By Cori DeLisi, DO On May 28, AWS came together with the Association of Out Surgeons and Allies in our Cutting-Edge Conversations webinar to answer the question “How can we be allies to the LGBTQ+ community as trainees and surgeons?” If you identify as an ally because you implicitly support your LGBTQ+ patients and colleagues, consider what others see of your allyship and how far your impact reaches. Here we expand on the webinar’s takeaways for AWS members with added perspectives from Dr. DeLisi, a trainee who has been on both sides of allyship around sexual and gender minority identities. I’m Cori (they/them), a general surgery intern in Pennsylvania. After coming out as non-binary in medical school, I faced this dichotomy of trying to introduce myself with my pronouns while also feeling worried about shifting the conversation away from patients, learning, or healthcare in general. After excluding my pronouns from...
Parental Leave in Surgical Training: Webinar Highlights
Authors: Kylie Dickerson, MD, MS; Nensi Ruzgar, MD; Camila R. Guetter, MD, MPH; Alizeh Abbas, MD; Maria S. Altieri, MD, MS In March 2025, the Association of Women Surgeons Resident and Fellow Committee hosted a discussion on Parental Leave in Surgical Training. The session began with a presentation by Dr. Maria Altieri, Section Chief of GI Surgery and Director of Bariatric Surgery, Pennsylvania Hospital at the University of Pennsylvania, who has published multiple papers on parental leave policies during surgical training. The presentation was followed by a Q&A session with a panel of trainees who shared their experiences related to childbearing during clinical residency or dedicated research time, being a non-birthing parent, and exploring adoption. The goals of the webinar were to discuss different pathways to childbearing and parental leave policies during surgical training. Dr. Altieri discussed her personal experiences with childbearing during different phases of training, from medical school...
What Transition Taught Me About Gender, Power, and Medicine
By Jailyn Avila, MD, FP-AEMUS, RDMS One afternoon, when I was a young attending at a large academic center, I was paged to the trauma bay to receive a patient in traumatic shock. Our team of 10-15 multidisciplinary medical professionals assembled in the trauma room as the medics wheeled our patient in, solely focused on saving the patient's life. Immediately after the medics brought the patient into our trauma area, my senior resident asked for the patient's history, after which the medic paused and stated, “You have really pretty hair.” My senior resident then politely asked the medic to continue their report, ignoring the inappropriate and unprofessional comment. After stabilization and disposition, I attempted to locate the man who had been so inappropriate with my resident, but his team had already departed. I circled back with my resident, who acknowledged the experience and how inappropriate it was, but she informed...
Beyond the Banners: The Quiet Cost of Pride
by Anthony Tannous, MD, FACS This is a special edition blog post presented in partnership with the Association of Out Surgeons and Allies in celebration of Pride Month. June bursts forth in a riot of color, a seemingly utopian vision of equality and dignity, often accompanied by a healthy dose of corporate branding. Around the Western world, joyful — and perhaps slightly inebriated — celebrants reclaim public spaces, belting pop anthems and radiating pure, unadulterated queer joy. This year, however, the glitter feels heavier, the music a little more poignant. The comfort and acceptance we’ve come to expect are under strategic, relentless attack. Bigotry has shed its hood and robe for tailored suits and eloquent speeches. It occupies podiums, commands microphones, and infiltrates mainstream podcasts. They begin, as always, with the most vulnerable: our trans siblings. But history, that unsparing teacher, reminds us that the target will inevitably widen to...
Stitch by Stitch
By Tala AbedalqaderI’ve always found a certain sense of purpose in using my hands. Whether it’s an embroidery thread sliding through fabric or suture material passing through layers of skin, I found that there’s a rhythm and purpose that drives me. Whether it’s art or surgery, my hands are driven by the same intention – to create and repair.Crocheting, embroidery, and sketching were creative outlets I picked up in medical school that gave me a sense of peace and the opportunity to relieve stress. As I grew more interested in surgery, I started to notice how these hobbies weren’t just therapeutic, but they were also shaping my skills in meaningful ways. The dexterity I harbored from manipulating threaded needles and hooks granted me with fine motor skills that I would use, first in simulation, then in the operating room. Similarly, sketching proved to be an excellent and highly useful skill...
