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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast physician and physician coach, Scott Markowitz, MD.

When working in the OR, situations sometimes arise that activate the people in the room (whether it be surgeons, nurses, anesthesiologists, or others). That activation can be caused by a variety of issues from inefficiencies, to scheduling conflicts. Once activated, people often carry that with them into the next experience.

The same thing happens on the other side of the drape which can cause situations to become increasingly tense. When that happens it’s important to take a step back and realize that everyone ultimately has the same goal - to provide excellent care to the patient.

What steps does Scott suggest we take to improve the environment in the operating room when it feels like parties are at odds with one another?

• Step 1 - Take a Moment. Step back from the situation and try to evaluate it objectively. Recognize if you or the other party is being negatively impacted by outside forces (perhaps you didn’t sleep well the night before), and understand that you both ultimately want what’s best for the patient.
• Step 2 - Build Relationships. This doesn’t happen overnight, but if you build up good professional relationships with your team, there will likely be less friction in the room. When you have a long-standing rapport, you can recognize when your colleague is being sarcastic or when they’re having a bad day.
• Step 3 - Communicate Openly & Effectively. Honest communication among colleagues is also key inside and outside the OR. If something happens that activates you, don’t let it fester. Communicate your concerns in a professional manner.

Most importantly, PRACTICE understanding the other side of the drape!

BIO:

Scott D. Markowitz, MD, MSOL, FAAP, BCC (he, him, his) is the Chief Executive Officer of Physician Leadership, LLC, and serves as a Leadership Coach with the Chimera Leadership Group. In his clinical career, Dr. Markowitz held the position of Professor of Anesthesiology and Vice-Chair for Professional Development and Diversity, Equity, and Inclusion at Washington University in St. Louis. There, he spearheaded the establishment of an office dedicated to measuring departmental culture, engagement, and wellbeing. Dr. Markowitz has been instrumental in producing and sponsoring programs aimed at fostering engagement, resilience, professional development, and a more diverse and inclusive leadership environment. He co-chairs the subcommittee on harassment, incivility, and disrespect for the American Society of Anesthesiologists, and serves on the advisory board for the Women’s Empowerment and Leadership Initiative of the Society for Pediatric Anesthesia. In this role, he co-developed their leadership curriculum and chairs the curriculum Committee.

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast board-certified orthopedic surgeon and chief medical officer at Connecticut Orthopedics, Dr. Alan Reznik.

In the field of surgery, introverts and extroverts behave differently in situations where communication is important. Introverts tend to need more time to formulate answers and might agree with an extrovert who has taken the lead in a situation. Extroverts, on the other hand, tend to formulate answers more quickly and jump in with ideas.

If you want a good opinion from an introvert, you may need to tip them off ahead of time that a question will come up in a meeting. This gives them some lead time to process and hopefully share their opinions before the meeting. Conversely, it’s often good to couch their answers with a perspective and agree with them that they’re providing valuable information when dealing with an extrovert.

In the operating room, the surgeon is likely extroverted, even if they don’t know it. This can deters others in the room from speaking up. It’s important to know that you are open to hearing ideas from everyone in the operating room - especially the introverts.

What steps does Alan suggest we take to manage introverts and extroverts inside and outside the OR?

• Step 1 - Understand the power you hold in the room as a surgeon.
• Step 2 - Foster an environment where introverts and extroverts feel comfortable speaking up.

Most importantly, PRACTICE awareness of personality types!

Guest Bio: Alan Reznik, MD, MBA

Dr. Reznik is a practicing orthopaedic surgeon and involved in medical teaching for over 30 years. He is recognized as one of “America’s Top Physicians” by Consumers Research Council of America and named “Top Doc” in Connecticut over 20 times by his orthopaedic surgeon peers, physicians, nurses and patients. He has served on many committees for the American Academy of Orthopaedic Surgeons including editorial board of AAOS Now. He has written "The Knee and Shoulder Handbook, the keys to a pain-free and active life" and "I have fallen and I can get up"on fall risks and prevention. An inventor, he holds 8 patents. He has lectured on patient safety, surgical risk reduction and AI development, liability and ethical use.

"It is with the understanding of differing perspectives, combining disciplines, constant collaboration, and an open mind that one achieves the best path forward." Dr. Alan Reznik

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

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Jeff welcomes to the podcast cardiothoracic anesthesiologist, executive coach, and advocate for those affected by Long Covid, Dr. Zeest Khan.

In 2020, Dr. Khan contracted Covid and her health deteriorated to such an extent that she was no longer able to work. Eventually, she was diagnosed with Long Covid and on the long road to recovery. As a result of this experience, Dr. Khan has pivoted her career to helping others with complex illnesses safely navigate the healthcare system.

As surgeons, we deal with crises all the time. In training, we learn skills to get us through scary and dangerous situations. We’re not just on salvage missions. Rather, we’re trying to optimize for good outcomes for our patients. These crisis management skills can be used to deal with situations in both our professional and personal lives.

What steps does Dr. Khan suggest we do to manage crises and optimize outcomes?

• Step 1 - Use reliable processes. When presented with a stressful situation, even as physicians our senses and executive functioning can fail us. Approaching an emergency with a reliable process that you’ve used before is a great way to handle a crisis.
• Step 2 - Use reliable procedures. Don’t reinvent the wheel if you don’t need to. When you’re in a difficult situation, ask yourself - “what works for you?” Focus on these approaches that have worked in the past.
• Step 3 - Use your team and available resources. In operating rooms specifically, it’s essential that everyone in the room is helping in a specific way. Each one of us can’t do everything, so it’s important to rely on our team and available resources.

Most importantly, prepare and PRACTICE crisis management!

BIO:

Dr. Zeest Khan is a cardiothoracic anesthesiologist, executive coach, and advocate for those affected by Long Covid. Disabled by the disease herself, Dr. Khan uses her unique perspective to bridge the divide between medical and patient communities. She is the creator and host of *LongCovidMD*, a podcast where she shares her journey, delves into the medical science behind Long Covid, and offers an inside look at the healthcare system. Through her work, Dr. Khan offers valuable insights and support for those navigating complex health challenges. Find her work at LongCovidMD.substack.com

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

Join your colleagues online at SurgeonMasters.com for events, resources, and more.

PRACTICE Your Best!

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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast orthopaedic surgeon and educator, Alan Reznik, MD.

It’s a simple fact in the medical industry that everything works better when goals are aligned. Aligning your goals with the goals of your team members is a great way to better optimize your practice. Goals can vary widely between different employees - from improving patient outcomes, to simply going home at a certain time of day.

When goals are at odds with each other, things can get out of balance pretty quickly and lead to poor outcomes for both patients and medical staff.

What steps does Alan suggest we do to align our goals?

• Step 1 - Think about what makes you happy and why you’re doing the things you’re doing during your daily work routine.
• Step 2 - Check to see if those around you are thinking and acting the same way you are, making sure goals are aligned.
• Step 3 - If they’re not, try to realign things (financially, emotionally, mentally, etc.) so that everyone is on the same page and working toward the same ultimate goals.

Most importantly, PRACTICE goal alignment to experience professional wellness!

BIO - Alan Reznik, MD, MBA

Dr. Reznik is a practicing orthopaedic surgeon and involved in medical teaching for over 30 years. He is recognized as one of “America’s Top Physicians” by Consumers Research Council of America and named “Top Doc” in Connecticut over 20 times by his orthopaedic surgeon peers, physicians, nurses and patients. He has served on many committees for the American Academy of Orthopaedic Surgeons including editorial board of AAOS Now. He has written "The Knee and Shoulder Handbook, the keys to a pain-free and active life" and "I have fallen and I can get up" on fall risks and prevention. An inventor, he holds 8 patents. He has lectured on patient safety, surgical risk reduction and AI development, liability and ethical use.

"It is with the understanding of differing perspectives, combining disciplines, constant collaboration, and an open mind that one achieves the best path forward." Dr. Alan Reznik

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

Join your colleagues online at SurgeonMasters.com for events, resources, and more.

PRACTICE Your Best!

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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast Chief Medical Officer of the Lorna Breen Foundation, Emergency Medicine Physician, and physician coach, Stefanie Simmons.

On this episode, Jeff and Stefanie discuss the need for better support for physician mental health in the healthcare system. In training, residents and fellows are often in vulnerable situations, as they do everything they can to succeed while dealing with stress and other factors like medical school debt. Faced with these challenges and more, many residents simply put their heads down and grind it out, rather than getting the help they need to succeed.

Then in practice, many physicians are hesitant to seek mental health services for themselves because they’re afraid it may impact their ability to get licensed, credentialed, or employed. Almost everywhere, simply having therapy is not going to require disclosure if there isn’t an impairing diagnosis. We need to make it easier and less taboo for physicians in all stages of their careers to seek mental health when necessary.

What steps does Stefanie suggest we take to address mental health concerns?

• Step 1 - Seek Counseling when you need it. Don’t assume that it’s not safe to receive mental healthcare if you need it. Check with your specific hospital or system to see what their practices are and don’t sacrifice your mental health.
• Step 2 - Consider Coaching. Speaking with a like-minded colleague in a coaching capacity is another excellent option for dealing with stressors.

Most importantly, PRACTICE seeking mental health resources to experience well-being!


Guest Bio: Stefanie Simmons, MD, FACEP

Stefanie is the Chief Medical Officer at the Dr. Lorna Breen Heroes’ Foundation and a board-certified emergency medicine physician. She was the primary advisor to NIOSH for the Impact WellbeingTM guide for healthcare leaders, leads multi-state programs to improve the operational environment of care and remove barriers to mental health care, and serves as a national thought leader in healthcare worker well-being. Stefanie served as the Vice President of Patient and Clinician Experience for Envision over 7 years, serving 26,000 physicians and advanced practice providers with a focus on professional well-being, including translational research and programs designed to bring well-being best practices to clinical environments. She served as lead clinical faculty for the Clinician Experience Project Wellbeing program.

Stefanie earned her Bachelor of Science and Medical Doctor degrees from University of Michigan and completed residency training at the University of Michigan/St. Joseph Mercy emergency medicine residency. She has completed additional training in medical education, research methods, coaching, and positive organizational psychology.

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast CEO of Vital WorkLife, Mitch Best.

Burnout in the healthcare industry is prevalent among physicians and healthcare executives, driven by an inefficient system where critical decisions are made daily. These decisions often carry an immense emotional toll, including grief.

For the system to function at its best, everyone involved must experience wellness. Achieving this requires two key steps: 1) changing the system, and 2) cultivating healthy wellness habits. Reaching this goal will take a collective effort. It’s essential to continue identifying meaningful support resources to help physicians and healthcare executives mitigate burnout and stress.

What steps does Mitch suggest we take to mitigate burnout and stress among healthcare leaders?

• Step 1 - Talk About It. Speaking with a peer about the things that are causing burnout and stress can go a long way towards mitigation.
• Step 2 - Create a Culture of Optimism. This is one of the key components of combating burnout among leaders and their medical staff.
• Step 3 - Seek Help When Needed. Holding a healthcare leadership role can be quite isolating. Building relationships (whether formal or informal) with like-minded professionals can go a long way in alleviating burnout.

Most importantly, practice techniques to mitigate burnout!

About Mitch Best

As the CEO of VITAL WorkLife for over a decade, Mitch guides the company's vision, directs the senior leadership team, and works towards achieving organizational objectives. His focus extends to empowering hundreds of thousands of physicians and APPs, enabling them to reach their full potential, all while fostering a vibrant and celebrated company culture.

He began with the company in 2001 as Director of Business Development, moved up to Vice President in 2004, became COO in 2008, and eventually acquired the company in 2013.

With a background in behavioral health consulting and diverse industry expertise, Mitch infuses his work with passion and enthusiasm, offering a quick start nature, servant leadership and diligent oversight. He has also been actively engaged in executive and mental health & well-being industry groups for more than 15 years.

Mitch, a Minnesota native, resides in the Twin Cities with his wife and four children, emphasizing work-life balance through family time and an active lifestyle. He holds a BA in psychology from the University of Minnesota.

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

Join your colleagues online at SurgeonMasters.com for events, resources, and more.

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Pump the brakes on your week and take 10 minutes to make your life as a surgeon just a little better…

Jeff welcomes to the podcast, hip & knee arthroplasty surgeon, Dr. Peter Gold.

Out of all surgical subspecialties, orthopedic surgeons have the highest rate of suicide. Rates of burnout and depression are similarly bad among orthopedic surgeons. Too often, we get caught up in these numbers and can’t see the forest for the trees.

The qualities required to become a great surgeon set us up for both success and failure. In general, we have stressful jobs; we’re perfectionists; and we have bad self-care habits. Additionally, we like quick fixes. But taking care of yourself is not a quick fix.

What steps does Peter suggest we do to practice better self-care as surgeons?

• Step 1 - Forget the numbers. It’s easy to get wrapped up in statistics surrounding burnout, depression, and suicide. We need to look past these numbers and accept that these issues impact surgeons.
• Step 2 - Recognize the effects. Once you accept the fact that burnout and depression are prevalent in our profession, the next step is to start recognizing their effects. Start to notice when these things impact you and how.
• Step 3 - Return to your source of joy. Think about the things that bring you joy in life. Maybe you love playing golf or cooking food for your family. Whatever your source of joy, return to it when you’re feeling stressed out.

Most importantly, PRACTICE self care for improved well-being!

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

Join your colleagues online at SurgeonMasters.com for events, resources, and more.

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Jeff welcomes to the podcast Bradley Block, otolaryngologist and host of the podcast, the Physician’s Guide to Doctoring.

Brad started his podcast because he was looking for resources to help him communicate better with his patients. He covers a variety of topics that are geared towards assisting physicians to be the best version of themselves in and out of the exam room.

In any doctor-patient encounter, both parties want the same thing: to move in the direction of better health. To make this happen during the encounter, there’s what the physician needs and what the patient wants. The physician needs to acquire the information to arrive at a diagnosis, and the patient wants to be heard.

How can we accomplish both?

What steps does Brad suggest we take to meet the needs of the doctor and the patient more effectively and efficiently?

• Step 1 - Look the patient in the eye long enough to note the color of their eyes. Often when we enter the exam room, we are reviewing notes or charts and may not proactively address the patient. This only takes a few extra seconds, but goes a long way to making the patient feel seen.
• Step 2 - Notice something about the patient. This can be something as trivial as what the patient is wearing, or asking if they have any upcoming plans. This makes it obvious that you are recognizing the patient as more than just the sum of their symptoms.
• Step 3 - Ask the patient what worries them about their symptoms. This is called asking the question behind the question. It’s one thing to ask a patient about their symptoms, but asking them what worries them about those symptoms takes things to another level.

Most importantly, practice improving patient interactions!

SurgeonMasters is a physician peer community dedicated to improving the personal and professional well-being of physicians.

Join your colleagues online at SurgeonMasters.com for events, resources, and more.

PRACTICE Your Best!