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How Should Senior Surgeons Help Junior Colleagues and Trainees Experiencing Regret?
Carlie Arbaugh1, Kimberly E Kopecky2
1Surgical resident at Stanford Health Care in Stanford, California.
AMA Journal of Ethics
|March 3, 2025
Summary
Unanticipated surgical outcomes are common and cause emotional distress. Mentorship and specific debriefing strategies are key to supporting surgeons and improving patient care.
Area of Science:
- Medical Education
- Surgical Training
- Psychology in Medicine
Background:
- Adverse events and unanticipated outcomes are inherent risks in surgical practice.
- These events can lead to significant emotional distress for surgeons, including regret.
- Effective coping mechanisms are crucial for surgeon well-being and patient safety.
Purpose of the Study:
- To explore the emotional impact of adverse events in surgical training.
- To identify strategies for supporting junior surgeons experiencing negative outcomes.
- To highlight the role of mentorship in managing surgical errors.
Main Methods:
- Review of literature on surgical adverse events and emotional responses.
- Discussion of established psychological models for stress management.
- Exploration of peer and mentor support systems in surgery.
Main Results:
- Unanticipated surgical outcomes frequently cause complex emotional responses.
- Mentorship and peer support are vital for navigating these challenging experiences.
- Psychological tools can aid in processing adverse events.
Conclusions:
- Supporting surgeons through adverse events is critical for individual well-being.
- A healthy surgical culture requires addressing the emotional impact of errors.
- Implementing debriefing and behavioral models enhances patient care and surgeon resilience.
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