Surgery is a state of mind. The brain controls the hands. As a result, "technical skills" are more mental than technical. In fact, physician burnout and poor well-being are independent predictors of major medical errors. Part of becoming a better surgeon is caring for one's mind, and making sure one's brain is healthy and happy. Therefore, the reader of this mini-series should read every article with the perspective that it can (and will) make them a better physician and surgeon. In this mini-series, 45 unique authors and 2 expert discussants compiled a comprehensive, evidence-based resource on physician wellness, including topics such as wellness during residency, oral board examination and every other career stage, the interface between work life and home life, physical well-being, self-awareness, mindfulness, mentorship, and dealing with aging parents and microaggressions. This mini-series truly covers the entire spectrum of physician wellness. In this article, I will provide a brief introduction to some important concepts, and the subsequent articles in the mini-series will go into much more practical detail.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11778070 | PMC |
http://dx.doi.org/10.1097/GOX.0000000000006437 | DOI Listing |
J Am Assoc Nurse Pract
January 2025
Division of Cardiology, Department of Medicine, Duke Health Integrated Practice, Duke University Health System, Durham, North Carolina.
Background: Increasing patient demand and clinician burnout in rheumatology practices have highlighted the need for more efficient models of care (MOC). Interprofessional collaboration is essential for improving patient outcomes and clinician satisfaction.
Local Problem: Our current MOC lacks standardization and formal integration of Nurse Practitioners (NPs) and Physician Assistants (PAs), resulting in reduced clinician satisfaction and limited patient access.
JAMA Health Forum
January 2025
Hoover Institution, Stanford University, Stanford, California.
JAMA Netw Open
January 2025
Ronald O. Perelman Department of Emergency Medicine, New York University Langone Health, New York.
Importance: Increasing underrepresented in medicine (URIM) physicians among historically underserved communities helps reduce health disparities. The concordance of URIM physicians with their communities improves access to care, particularly for American Indian and Alaska Native, Black, and Hispanic or Latinx individuals.
Objectives: To explore county-level racial and ethnic representation of US internal medicine (IM) residents, examine racial and ethnic concordance between residents and their communities, and assess whether representation varies by presence of academic institutions or underserved settings.
J Prim Care Community Health
January 2025
Instituto de Investigación Biomédica de Málaga, Málaga, Spain.
Aim: To investigate the detection and initial management of first psychotic episodes, as well as established schizophrenia, within the primary care of the Andalusian Health System.
Background: Delay in detecting and treating psychosis is associated with slower recovery, higher relapse risk, and poorer long-term outcomes. Often, psychotic episodes go unnoticed for years before a diagnosis is established.
JAMA
January 2025
Departments of Family Medicine and Community Health and Psychiatry and Behavioral Sciences, Duke University Hospital, Durham, North Carolina.
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