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Awakening the Hero Within. Sanchez Study. Subjects: 40 males/40 females 4 Phases: < 20 = Phase 1 21-40 = Phase 2 41-60 = Phase 3 61-90 = Phase 4 Task: Define “hero”, name hero in each life phase and why. Results. Phase 1.
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Sanchez Study • Subjects: • 40 males/40 females • 4 Phases: • < 20 = Phase 1 • 21-40 = Phase 2 • 41-60 = Phase 3 • 61-90 = Phase 4 • Task: Define “hero”, name hero in each life phase and why
Phase 1 “Yeah, I read about a lot of people in my history class. You know, like the people who made the country great and stuff like that. I’ve forgotten who most of them are, but it’s just as well.”
Phase 4 “Times were different, sure…times were a lot tougher than today….My teachers taught us about people with fortitude, people who knew what had to be done and they did it, and others benefited from it…They set a good example of what to do. It didn’t matter if I knew ‘em or if they were dead.”
Heroes reflect our values, ideals, dreams and making the right difference. Tony Sanchez
Tilly Smith Tilly saw the signs at the Mai Khao Beach resort last Sunday. When the sea rushed out and began to bubble, she said to her mother: Mummy, we must get off the beach now! I think there's going to be a tsunami. A tidal wave. At first the adults doubted the little girl. But when they heard the words "tidal wave" they understood and responded.
Maj. PJ Schenarts, MD “I joined to serve and it looks like I'm needed. I know that as a surgeon it is both an honor and duty to take care of these young kids who get hurt.”
Harry S. Truman He stood for common sense, common decency…work hard, do your best, speak the truth, assume no airs, trust in God, have no fear.
Stressors • Interpersonal conflicts • Fear of increasing responsibilities/consequences of bad decisions • Death • Chronically or terminally ill patients • AIDS • Discomfort with discussing personal/sexual issues • Discomfort in performing physical exams • Loneliness
Married to their CareersLane Gerber • Identity formation is achieved through the “Fellowship of Suffering” • “Members of the Club” can exert significant influence
Preclinical Students: Who are surgeons? • How are career choices formulated by preclinical students? • How do preclinical students develop an interest in surgery? • What is the source of negative perceptions? Kozar RA, Anderson KD, Escobar-Chaves SL, Thiel MA, Brundage SI. J Surg Rsch 2004; 119:113-116
“People want leadership. They are so thirsty for it that they will crawl through a desert toward a mirage, and when they discover no water they will drink the sand.”
Surgery-Bound Interests originated preclinically Experiences with surgeons Career Satisfaction + Family = Happiness Non-Surgery Bound Career choices based on exposure to 2nd year preceptors Career Satisfaction independent of personal satisfaction Negative perceptions reinforced by media, preceptors & classmates Results
Views on medical student team roles • Medical Students are an inconvenience to the surgical service • 27% of faculty agreed • 32% of residents agreed • 51% of medical students agreed De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. JACS 20004: 199: 932-941.
Views on medical student team roles • Given a choice would you want a medical student on your team? • 98% of faculty agreed • 95% of residents agreed • 17% of students felt the were NOT wanted De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. JACS 20004: 199: 932-941.
Students Perceptions of Surgery • Surgeons provide horrible mentoring • Inhumane expectations • Toxic emotional environment • I felt like I was in the way
Role Modeling “In addition to modeling competent clinical practice, compassionate patient care, and professional interpersonal communication, we must find a way to send a message of balance.” Kathy Liscum, MD
“We don’t have time to teach and we don’t get paid to teach.” Think out loud
“We don’t have time to teach and we don’t get paid to teach.” • Think out loud • Finish your sentences
“We don’t have time to teach and we don’t get paid to teach.” • Think out loud • Finish your sentences • Hold students accountable
Spouses’ Perceptions of Work Hours • Work greater than 80 hrs. per wk. (60%) • Work too many hours (67%) • Spouse would be happier if surgeon worked less (65%) • Surgeon would be happier if s/he worked less (53%) Kao LS, Wilson EB, Anderson KD. JACS 2005. In press.
Spouses’ Perceptions: Personal & Family Issues • Spouses make the majority of domestic decisions (74%) • Surgeons don’t: • contribute adequately to household responsibilities (52%) • contribute adequately to childcare (63%) • spend adequate time with children (62%) • Spend adequate time with spouse (62%) Kao LS, Wilson EB, Anderson KD. JACS 2005. In press.
Spouses Perceptions: Best Aspects • Personal satisfaction/love of surgery • Challenging nature of job • Altruism • Security • Life style flexibility • Teaching residents and medical students Kao LS, Wilson EB, Anderson KD. JACS 2005. In press.
Without a sense of caring, there can be no sense of community. Anthony J. D’Angelo
Leo Buscaglia, Ph.D. Too often we underestimate the power of a touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around.
Oxford Definition • Exhibits extraordinary bravery, firmness, fortitude or greatness of soul in any course of action, or in connection with any pursuit, work or enterprise • Admired and venerated for his achievements and noble qualities
Faith: Trusting Your Own Deepest Experience We need a reawakening of our intention and a willingness to recommit, to be whole hearted once again…
