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Complications: Second Victim.

John A Herring1

  • 1Texas Scottish Rite Hospital for Children, Dallas, TX.

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|June 6, 2020
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Summary

Surgeons face significant emotional stress managing complications. Analyzing complications with colleagues and seeking support can reduce stress and aid healing, but more research and education are needed.

Area of Science:

  • Medical Education
  • Surgical Practice
  • Psychology

Background:

  • Physicians and surgeons frequently encounter surgical complications.
  • The emotional impact of managing these complications on surgeons is often overlooked.
  • This study addresses the emotional experiences of surgeons dealing with stressful events.

Purpose of the Study:

  • To review the literature on surgeon responses to stressful events.
  • To explore principles for managing surgical complications effectively.
  • To highlight the need for greater attention to surgeons' emotional well-being.

Main Methods:

  • Literature review on physician and surgeon responses to stress.
  • Analysis of 4 decades of experience in pediatric orthopedic surgery.

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  • Review of complication types and management principles.
  • Main Results:

    • Few studies address surgeon emotional responses to complications.
    • Effective complication management significantly reduces surgeon stress.
    • Colleague discussions aid in reducing guilt and preventing future events.

    Conclusions:

    • Open discussion of stress with colleagues, family, or counselors promotes emotional healing.
    • Increased focus on emotional stress in surgical education and practice is crucial.
    • Further research is needed to evaluate interventions for surgeon stress.