AWS
Structural Inclusion in Surgery: Above Visibility, Beyond Pride
David S. Shapiro, MD, MPH, CPHQ, MEd, FACS, FCCM Chair, Connecticut Committee on Trauma; Chair, ACS Stop the Bleed Program Chair This is a special edition blog post presented in partnership with the Association of Out Surgeons & Allies (AOSA) in celebration of Pride Month. Being a gay surgeon during Pride Month is no different than any other month. Surrounded by chaos is the ordinary, and let's face it: the first "pride" was just as chaotic. It was a well-intentioned riot. When inclusivity is treated as a seasonal calendar event, it becomes a cliché. True inclusion isn't a mini-celebration or a morning email observing Pride, Juneteenth, or Eid al-Fitr just to make leadership feel compliant. It must be a permanent, structural component integrated into governance, workforce strategy, and daily culture; and this is not just in your hospitals, but in your departments, sections, and partnerships. At our local American College...
Yes, I Want to Be a Surgeon and No, I Don’t Need to Be Talked Out of It
By Lilah Kahloon Halfway through my third year of medical school, I began feeling the urge to lie whenever someone asked me what specialty I was considering. Going into rotations, I never fell prey to the urge some students have to say they are interested in whatever specialty they are on. When I walked into my first day of internal medicine and was asked what I wanted to do, I was honest. I was eager to learn about everything the internists had to teach me but I was interested in being a surgeon, and I didn’t see a reason to hide that. However, I quickly realized that there was often subtext to the reactions people had when I used the words “general surgery”. Sometimes there were looks of discomfort: the questioner scrunching up their nose as if there was a freshly opened box of blue cheese close by. Other times...
Scrubbed in for the ABSITE: Webinar Highlights
Authors: Natalia Correa MD, Alizeh Abbas MD, Camila R. Guetter MD MPH, Nensi Ruzgar MD This blog summarizes key advice, tools, and resources discussed in the AWS Resident & Fellow Committee webinar “Scrubbed for the ABSITE”. What is the ABSITE? The American Board of Surgery In-Training Examination (ABSITE) is an annual test taken by all general surgery residents across the United States. It is a four-hour, computer-based exam of approximately 250 multiple-choice questions spanning the breadth of general surgery. Recent change to ABSITE Score Reports Historically, ABSITE scores were reported percentiles; however, recently, the ABSITE has shifted to reporting only raw scores, expressed as the percentage of questions answered correctly. This change encourages emphasis on personal improvement rather than comparison and competition. While this may decrease anxiety around small fluctuations, longitudinal performance still matters. Programs expect residents to maintain or improve their score percentage over time and programs set certain...
How the Joy of Volunteering Molds the Student Doctor
By Isabelle Casado Christmastime came around—I must have been about 8-years-old. My father had been collecting toys throughout the year. I remember watching him, month after month, quietly putting aside a little something here and a little something there. You can only imagine my excitement as an 8-year-old who thought she hit the ultimate gift lotto. Except—something better was soon about to happen. One evening, my father sat me down and said, ‘’Today, I am Santa’s helper. We’re going to an orphanage to deliver these gifts.” A few days before Christmas, we arrived at the orphanage. I remember seeing so many children around my age. We played, we danced, and we opened presents together. It wasn’t until years later that I truly understood the gift my father gave me that day: the joy of volunteering. Every year afterward, we volunteered together—at children’s hospitals, veteran centers, orphanages, and in various efforts...
Navigating the Transition from Residency to Fellowship
By Brienne Ryan You think one would be used to this by now. As medical professionals, we transition frequently into new environments, new roles with new responsibilities. It is the dogma of medical training that we gain graduated autonomy with each step we advance and the closer to attendingship we become. So, what makes fellowship different and why do some struggle? If you are one of the hundreds of fellows in the early months of fellowship who find yourself uneasy about your performance, uncertain about your decision, or just plain overwhelmed with your new position, please know that you are not alone. Struggling during fellowship is commonplace and these might be a few reasons why. Fellowship is an entirely different beast from residency. First and foremost, it is a much smaller cohort of peers. When I graduated from surgical residency, a friend and prior senior co-resident said something that I,...
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...
Operating Through Loss
By: Wissam Benhami Content Note: This post contains discussion of pregnancy loss, a topic that may be difficult for some readers. It was a Thursday afternoon when I walked out of the OR and drove straight to my gynecologist. The room was quiet and I let myself believe this was just another routine visit. My mind was already on the weekend ahead. He shifted the probe once, twice, and finally stopped. His voice was quiet, almost apologetic. There was no heartbeat. I nodded as he spoke, but his words dissolved before they reached me. I left the office with the image burned into my mind, a still, motionless curve on the screen and a weight in my body that felt both heavy and hollow. The next morning was Friday. A patient we had operated on the day before needed her discharge. I hadn’t slept a single hour. My eyes were...
To Come Out (Again) or Not? A Surgeon’s Reflections on Identity in the Workplace
This is a special edition blog post presented in partnership with the Association of Out Surgeons and Allies in celebration of Pride Month.By Dr. Kayleigh M. Herrick-Reynolds As I am speed-rounding to get to the OR on time, my patient catches a glimpse of my wedding ring and asks, “Is your husband a doctor too?” This question—a genuine interest in my life and a plea for the normalcy of casual conversation as I wake them at 6:00 a.m—is also just the first of many times that day I will have to choose how to answer.Surgical training requires intense focus, commitment, resilience, and sacrifice. For anyone who does not fit the stereotype of “surgeon” or who holds a non-traditional identity, the mental choreography of deciding how much of ourselves to share in the workplace adds a layer of stress to an already high-stakes job. Particularly as a trainee, the rigid hierarchy...
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...
First-Generation Immigrants in Medicine: Overcoming the Challenges
By Juliana Ampadu Otiwaah My Journey As a first-generation immigrant, my path to becoming a doctor was far from straightforward. My family immigrated from Ghana to Canada nearly 30 years ago. My father arrived first, working tirelessly to create a foundation for us. Three years later, my mother, brother, and I joined him. My parents, both blue-collar workers, did their best to support me, but they weren’t familiar with the complexities of higher education. When making decisions about my future, I had to rely on teachers and school staff for guidance—many of whom underestimated my potential based on early academic performance. Growing up in a French-speaking region and learning English presented additional challenges, as did navigating schoolwork without my parents’ ability to assist. By high school, I had unlocked my potential and excelled academically, but understanding how to pursue a career in medicine remained a mystery. Nursing became a practical...
