health
Empathy in Medical Training: Lessons from Illness
By Maria Jimena Barroso Alverde When I was little, I honestly believed I had a sixth sense. I’d get this knot in my stomach, or a rush in my chest, and I was convinced something big was about to happen. I didn’t know the word for it back then, anxiety, but it has shaped the way I experience the world. It has made me sensitive, alert, and made me always pay attention to the things few people seem to notice. I didn’t know then, but those sensations were my very first lessons in empathy. Years later, during medical school, life gave me the lesson I never asked for but somehow needed. At 22, I was diagnosed with thyroid cancer. One moment I was learning to use an ultrasound; the next, I was staring at an image that changed my entire life. Suddenly, I wasn’t the student standing confidently beside the...
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...
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...
Permission to Pause
by Dr. Trisha Lal Like many general surgery residents, I’ve opted to pursue two years of academic development during my training. After two clinical years, I recently completed my first research year. It was a year of growth and learning – learning how to do research, and also, unexpectedly, learning how to rest. When I transitioned into research last July, I was genuinely elated at the idea of a slower pace. I pictured sunlit mornings with coffee and breakfast, focused work sessions, and midday walks. I told myself I would paint again. But instead, my days looked eerily familiar: I woke up early, jumped straight into work, ate lunch at my desk, and felt restless if I shut my laptop at 6 p.m. I realized, quickly and uncomfortably, that I didn’t know how to not be busy. After two years on the clinical grind, during which I spent 12-14 hours...
Training Your Subconscious Mind in Residency
By Dr. Anupama Singh This is a special edition blog post presented in partnership with the Society of Asian Academic Surgeons in celebration of Asian American and Pacific Islander Heritage Month. Training my subconscious mind and building mental fortitude is a vital skill I learned at the start of my surgical residency. It molded me into a calmer person capable of adapting to any challenging situation and instilled in me a growth mindset that benefits me in all areas of my life, not just in residency. I wasn’t always like this. In high school, my friends and family labeled me as a “high-functioning anxious person.” I remember being unbothered by it. I still got the good grades and it didn’t matter if these achievements were the result of sleepless nights and spiraling, anxious thoughts that were trying to predict every outcome. That mentality was challenged when I started surgical residency,...
As a female surgeon, can I actually have a child-and when?
by Dr. Deepa Patel This is a special edition blog post presented in partnership with the Society of Asian Academic Surgeons in celebration of Asian American and Pacific Islander Heritage Month. Female surgeons serving a dual role as mothers are no longer a rarity, as over one third of us have a child during residency. Despite these statistics, I continue to hear that many female medical students avoid careers in surgery as they think that pursuing such a career would hinder their ability to have children. Hearing these concerns surprises me. I have always considered my career a top priority but did know that at some point, I also wanted children. I never considered these goals in opposition. As a young attending about to have her first child within 2 years of finishing a colorectal fellowship, I have found that balancing pregnancy with a career is possible-but needs to be...
Dancing Into Destiny: The Unexpected Paths That Shape Us
By Dr. Chi Zhang This is a special edition blog post presented in partnership with the Society of Asian Academic Surgeons in celebration of Asian American and Pacific Islander Heritage Month. I was objectively terrible at dancing. My limbs felt too long, and my footwork betrayed even the simplest beat. My parents quickly unenrolled me from ballet. This was only partially because of my pleading, but they were probably relieved to no longer suffer second-hand embarrassment. While I thought my dancing career was over at the ripe age of 7, my dancing inabilities returned to haunt me when I was invited to be a part of my friend’s quinceañera. Out of obligation, and perhaps some curiosity, I accepted, unaware that this would be a turning point in my life. Unaware yet that a similar transformation would lead me to a life in the operating room. At rehearsal, as music pulsed...
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...
Egg-specting the Unexpected: A Medical Student’s Experience on Premature Ovarian Insufficiency and Fertility
by Meryem Guler BS The first time I witnessed a birth was in my third year of medical school on my OBGYN rotation. I found myself in the delivery room assisting the team by holding up one of the patient’s legs during her contractions and counting to ten for each push – a popular role amongst medical students. The patient’s mother was pacing the room around the team, as if walking was the only outlet for her nerves. With one final push, a baby was born screaming and crying into this world. The new grandmother rushed up to greet them, sobbing tears of joy. She kept repeating “they’re so beautiful” and “you did amazing” to her daughter and grandchild. Observing this scene, I thought of my mom and how she would react similarly if this were me. Blinking back tears, I had one final thought before I had to step...
Maximizing Time Off: My Path to Surgical Residency Preparedness
By Dr. Niosha Price As an International Medical Graduate (IMG) with aspirations of joining a general surgery residency, I have structured my time off to maximize personal growth, professional development, and well-being. This period between completing medical school in November and starting residency in July is a unique opportunity to prepare myself for the demanding yet rewarding path ahead. One of the activities that has brought balance and joy to my life is swimming. To combine this passion with meaningful work, I became a certified lifeguard at an indoor pool near my home. This role keeps me physically fit, generates income, and allows me to contribute to my community by ensuring the safety of others. Staying in shape is especially important for a surgical residency, where long hours and physical stamina are often required. Additionally, working as a lifeguard has strengthened my ability to remain calm under pressure–a skill that...
