Jennifer S. Davids, MD, FACS, FASCRS
It is more challenging than ever to be a surgeon in the current health care environment.
In the wake of declining reimbursements, pressure to increase clinical productivity,
electronic medical record requirements, and ergonomically strenuous operative platforms,
inevitably surgeons are becoming the “second victim.” If we fall prey to these mounting
physical and psychological demands, our colleagues, trainees, families, and, ultimately,
our patients may suffer.
As surgeons, often we are the last to prioritize our own physical and emotional well-being.
The culture of surgery is gradually responding to the growing body of evidence that
the wellness of surgeons matters. In fact, the Accreditation Council on Graduate Medical
Education now requires physician well-being education of all residents in response
to the rising concern, particularly among the millennials, over the alarming rates
of substance abuse and physician suicide.
The goal of this volume is to address many important aspects of surgeon health. You
will learn how to recognize burnout and build resilience, improve ergonomics, and
minimize workplace exposures. We will also discuss strategies for work–life integration
and specific considerations for the pregnant surgeon. Lastly, we address how to combat
the unique stressors of early career surgeons as well as effectively transitioning
from clinical practice to other opportunities.
While it is imperative that burnout and other threats to surgeon health are addressed
on national, regional, and local levels, we must also educate ourselves and our colleagues.
Numerous obstacles to reform exist on an organizational level, but change starts with
each and every one of us.
I extend my sincere gratitude to Editor Dr. Scott Steele for giving me the opportunity
to guest edit this volume. His enthusiasm and commitment to our specialty is infectious,
and I am so “amped up” to have had the chance to work with him. Thank you to all the
contributors who worked tirelessly to craft manuscripts that not only reflect current
data but also include their invaluable personal experiences and perspectives.
