current events
SBAS – Sunday Series: Finding joy in the little things
by Dr. Crystal Johnson-Mann Most would agree that achieving the idyllic dream of self-care can be challenging at baseline, let alone when trying to incorporate it into a demanding surgeon schedule. The activities that fulfill one’s idea of self-care are highly variable, depending on who you ask. For some, it is a relaxing day at the spa; for others, it may be quiet and solitude in one’s “happy” place. In the current climate, self-care is of the utmost importance. But how exactly does one achieve it? This is much easier said than done, as one would presume. I’m an academic surgeon, wife, mother to 2 little boys, and a former D-I college athlete. I have repeatedly said at the start of each new year since becoming a mom almost 6 years ago that I would make a special attempt to really lean into devoting time periodically for me…to preserve my...
Performance Punishment, Perfect Punishment?
By Jenna Kwon I heard about it for the first time during a recent meeting with my mentor from the AWS Mentoring Program. As I was telling her I wanted to dedicate more time to research, she advised me to ask my current research mentor if there were additional projects I could join, saying, “since good work gets rewarded with more work.” My immediate reaction during the meeting was, “I hope he thinks I did a good job so I can get more work.” After all, I both wanted and needed research opportunities. After the meeting, as I looked through my notes on a Post-it, I noticed that the phrase about good work being rewarded with more work was circled several times with a small, sloppy “??” scribbled next to it. How lucky would it be to get involved in a research project you are passionate about—and to keep getting...
Sci-Fi to Surgery: The life story of a Latin American surgeon
By: Alix Yurany Baez Ramirez, MD In an operating room, under a mask, you don't know the life story on the other side. What decision has made the person in front of him decide to enter the world of medicine? After all, we are all stories, the sum of our experiences, the sum of the dreams we had as children, the construction of longings or whims in adolescence, and the social and cultural realities that surround us to become and build those adults that we visualized as children. This is mine. To better understand the context of my story, it is important to consider higher education statistics in our region. According to UNESCO-IESALC (2020), higher education in Latin America and the Caribbean has experienced an acceleration in the enrollment process, going from 23% in 2000 to 52% in 2018. This expansion is attributed to three main factors: an increase in...
From Sci-Fi to Surgery: Exploring Neuro-Enhancement Technologies
By Larissa Werneck For centuries, the idea of enhancing human cognition has captivated scientists and thinkers alike. Early experiments in brain augmentation, such as Roberts Bartholow’s 1874 electrical brain stimulation, laid the foundation for further exploration (Patra et al., 2019). Today, rapid technological advancements and increasing scientific curiosity have led to a surge in neuro-enhancement research (Clark et al., 2014). These innovations are revolutionizing healthcare, particularly in surgery, where they are used therapeutically (Giordano, 2012) and to enhance surgical performance (Patel et al., 2020). As research in this area expands, neuro-enhancement technologies hold the potential to revolutionize surgical practice, pushing the limits of precision, stamina, and ethics. How will this rapidly evolving field reshape the future of surgery? Neuro-enhancement technologies are various tools aimed at optimizing cognitive and neurological functions, either by enhancing existing abilities or compensating for deficits (Giordano, 2012). Examples of these technologies include brain-computer interfaces (BCIs), neurofeedback...
Sustainability, and Beyond…Another Case for the Resurgence of Private Practices
By… Erin King-Mullins, MD Sustainability has become a critical concern across all sectors, and the healthcare industry is no exception. While large hospital systems often grab headlines for their sustainability initiatives, private medical practices are emerging as unsung heroes in the quest for a more environmentally friendly and sustainable healthcare system. Physicians and trainees are grappling with tough decisions regarding the type of employment. One of the many concerns pertains to sustainability (including self-preservation). Let's explore how smaller, more agile entities are making a significant impact in this arena. Reduced Energy Consumption Private practices typically operate in smaller spaces compared to sprawling hospital complexes. Whether by using smaller office spaces and on site staff, or performing operations in ambulatory surgical centers, this inherently leads to lower energy consumption for heating, cooling, and lighting. In my practice, I utilize a virtual medical assistant to help with patient callbacks, scheduling and many...
Becoming part of the pathway
By Shaidy Moronta, DO I march along to different appointments with my elderly grandparents—a normal routine for first-generation non-English speaking immigrants. We prefer to serve as the primary interpreters for our family. In many cases, this is our first introduction to the medical field. In other cases, it is where we find our life’s calling. I recall a particular appointment with my Abuelita for a colonoscopy screening. The doctor, an African American man who led a very pleasant appointment, tried to explain the plan in Spanish as best he could. My Abuelita began to weep immediately. She was in this country for less than a year and was navigating the foreign world of medicine in a language she could not comprehend. This was the first physician who tried to speak to her in her language. At that moment I realized just how important it was to feel seen, to be...
All the things I do for free (Women do more “non-promotable work”)
By Carmen Fong, MD, FACS I always said yes. That’s what you’re supposed to do, right? Always say yes because you don’t know which opportunity is going to be “the one” that launches your career into orbit. So I said yes to organizing the lunch orders when the drug reps came; I said yes to an extra teaching session about bowel obstructions for the PAs; I said yes to Saturday morning medical school interviews, and Friday afternoon laparoscopic workshops, and joining XYZ committees on which I was the token Asian lesbian. I thought, someday, all this hard work, all this extra time I’m putting in, will get recognized. Little did I know that none of these things counted toward the most important benchmarks of productivity and publication. At the end of the year, when the hospital administrators have you justify your bonus, they ask you what your relative value units...
Bienvenidos, Hispanic Heritage Month is here!
By Susana Vargas Pinto, MD September 15 to October 15 is a significant period dedicated to recognizing and honoring the contributions, history, and culture of Hispanic and Latino Americans. This observance was officially established in 1988 by President Ronald Reagan, though its roots stretch back to the 1960s. The celebration offers an opportunity to reflect on the diverse heritage of Spanish-speaking countries and the impact these communities have had on the fabric of American society. The timing of Hispanic Heritage Month is symbolic: September 15 marks the anniversary of independence for several Latin American countries, including Costa Rica, El Salvador, Guatemala, Honduras, and Nicaragua. The choice of this date as the beginning of Hispanic Heritage Month serves as a reminder of the historical and cultural significance of Latin American independence movements. Additionally, Mexico and Chile celebrate their independence days on September 16 and September 18, respectively, further anchoring this period...
Trauma: The Hidden Dimensions of a Universal Struggle and Strategies for Overcoming It
By Barbara Buccilli MD Trauma is an omnipresent force in our lives, manifesting in various forms and degrees of severity. We encounter it in our patients, our neighbors, sometimes within our own families, and we can also experience it first hand. As a medical professional, I am acutely aware of the diverse nature of trauma, raging from physical injuries to the psychological wounds inflicted by life’s hardships. Neurosurgical trauma is a field characterized by its fast pace, high stakes, and the necessity for precise decision-making under pressure. When I’m working with one of the most delicate organs in the body, in which every nucleus and every fiber has its precise and often irreplaceable function, my actions can have an immediate and tangible impact on a patient's survival and quality of life. Trauma to the brain and nervous system is multifaceted, and despite advances in medical science, we often lack definitive...
Need extra board exam preparation? Try Chat GPT…
By Alicia Podwojniak M4 Everyone has mixed opinions about Chat GPT and other forms of artificial intelligence. When the concept began to gain traction last year, I found myself viewing it in a negative light. I distinctly remember a friend teasing me about how Chat GPT would soon take away all our jobs. She even pointed out that it had passed the USMLE Step exams, which triggered a defensive response from me. The idea of a robot passing an exam that I, and many others, had stressed over for years made me quickly dismiss the notion. A few months later, I had a change of heart. I realized that AI was not just a passing trend but rather, becoming a substantial presence in our lives. I felt like I was being stubborn and resistant to change, much like my parents during the tech boom of the early 2000s. I understood...
