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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.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
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Coaching for Personal and Professional Development in Academic Surgery: A Conceptual Framework.

Abbey Fingeret1, Jayme Dowdall2, Lisa M Reid3

  • 1Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska.

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Coaching offers surgeons enhanced self-awareness, leadership, and well-being. This evidence-based approach reduces burnout and improves resilience, supporting lifelong professional growth and performance.

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Area of Science:

  • Surgical Education and Professional Development
  • Behavioral Science in Medicine
  • Healthcare Leadership

Background:

  • Modern surgical practice requires development strategies addressing technical skills and human factors.
  • Coaching is an evidence-based approach to enhance surgeon self-awareness, leadership, and well-being.
  • Coaching differs from mentorship by focusing on coachee-driven reflection and goal setting.

Purpose of the Study:

  • To explore the role and impact of coaching in surgical professional development.
  • To highlight coaching's benefits for resilience, burnout reduction, and nontechnical skills in surgeons.
  • To discuss the implementation and challenges of coaching in academic medicine.

Main Methods:

  • Review of randomized controlled trials and existing literature on coaching in surgery.
  • Analysis of coaching's impact on burnout, resilience, quality of life, and nontechnical competencies.
  • Examination of certification frameworks and coaching models (internal vs. external).

Main Results:

  • Individualized coaching significantly reduces surgeon burnout and improves resilience and quality of life.
  • Coaching enhances nontechnical skills (communication, emotional intelligence, teamwork) and leadership.
  • Evidence supports coaching as a structured method for adaptive learning and professional fulfillment.

Conclusions:

  • Coaching is a vital strategy for sustaining surgeon performance, leadership, and well-being.
  • Integrating coaching into surgical training represents a paradigm shift towards reflective, lifelong learning.
  • Addressing challenges like cultural resistance and cost is key to broader coaching adoption.