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Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
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Mindfulness-based Interventions for Surgeons: A Scoping Review.

Ari S Coopersmith1, Yash V Shroff, George A Wen

  • 1Department of Surgery, UCSF Center of Mindfulness in Surgery, University of California San Francisco, San Francisco, CA.

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Summary
This summary is machine-generated.

Mindfulness-based interventions (MBIs) are feasible and effective for surgeons, improving well-being and performance. These programs enhance mindfulness, reduce burnout, and boost surgical and communication skills.

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Area of Science:

  • Surgical Education
  • Psychological Interventions
  • Occupational Health

Background:

  • High burnout rates among healthcare professionals, including surgeons.
  • Limited understanding of resilience factors and interventions in surgical settings.
  • Mindfulness-based interventions (MBIs) show promise for high-stress professions.

Purpose of the Study:

  • To conduct a scoping review of evidence on MBIs for surgeons.
  • To assess the feasibility and effectiveness of MBIs in surgical contexts.

Main Methods:

  • Scoping review methodology utilized.
  • Inclusion of studies on interventions explicitly training mindfulness.
  • Analysis across diverse methodologies and outcome measures.

Main Results:

  • 24 studies were included: 2 mixed-method/qualitative, 9 RCTs, 3 non-randomized, 8 single-arm.
  • MBIs are feasible in surgical settings.
  • Evidence supports improvements in mindfulness, well-being (burnout, stress), and performance (executive function, surgical skills, communication).

Conclusions:

  • MBIs are feasible and sustainable in surgical contexts.
  • MBIs effectively increase mindfulness and improve surgeon well-being and performance.
  • Future research should focus on larger, diverse populations and adaptation to other healthcare settings.