Publications by authors named "Michael Berler"
Regret is ubiquitous in surgical practice and emphasizes the nature and breadth of surgeons' responsibilities to patients and colleagues. Expressing regret to patients requires transparent and honest communication but can leave surgeons vulnerable. This article recommends strategies for communicating regret to patients and suggests how organizations and colleagues can help surgeons trying to cope with regret experiences continue their professional growth.
View Article and Find Full Text PDFObjective: To explore residents' perceptions of workplace support inhibitors and their relationship to resident wellbeing. We aim to provide evidence-based targets to inform future work operationalizing support in surgical training.
Design: This is a 2-part mixed-methods cross-sectional study.
Objective: Workplace interventions that increase support can mitigate burnout, improve workplace satisfaction, and increase well-being. Our aim is to provide evidence-based targets to inform future work for operationalizing support in general surgery residency.
Design: This is a 2-part mixed-methods cross-sectional study.
Objective: To review the evidence on mindfulness-based interventions (MBIs) for surgeons.
Background: Health care professionals have alarmingly high rates of burnout, yet little is known about psychological factors that support resilience. MBIs, which involve codified training in specific skills such as self-awareness, emotional regulation, and perspective-taking, have shown benefit to professionals in high-stress environments but have had limited implementation in the health care workplace and in surgery.
Article Synopsis
- Burnout and depression in General Surgery residents negatively impact patient care and contribute to high turnover rates.
- A study involving 300 residents identified workplace demand and mindfulness as key factors influencing depressive symptoms and emotional exhaustion, with perceived stress acting as a mediator.
- The findings suggest that addressing workplace stress and promoting mindfulness could be effective strategies to reduce burnout and improve well-being among surgical residents.
Introduction: To explore and begin to operationalize workplace elements that influence general surgery (GS) resident wellbeing. Tailoring workplace wellbeing interventions is critical to their success. Occupational science has revealed that a person-centered approach to identifying positive and negative workplace influences can inform tailoring while accounting for individual differences.
View Article and Find Full Text PDFBackground: Value congruence (VC) is the degree of alignment between worker and workplace values and is strongly associated with reduced job strain and retention. Within general surgery residency, the impact of VC and how to operationalize it to improve workplace well-being remain unclear.
Study Design: This 2-part mixed-methods study comprised 2 surveys of US general surgery residents and qualitative interviews with program directors.
Background: Physician well-being is critical for optimal care, but rates of psychological distress among surgical trainees are rising. Although numerous efforts have been made, the perceived efficacy of well-being interventions is not well understood.
Study Design: This qualitative thematic study included online questionnaires to Program Directors (PDs) and residents at 16 ACGME-accredited General Surgery residency programs.