The Intentional Surgeon with Sharon L. Stein, MD – Détails, épisodes et analyse

In this episode of The Intentional Surgeon, we are going to talk about what happens when your values conflict with the profession of medicine. We are going to talk about how we, as surgeons, became indoctrinated into the profession of medicine. How we were rewarded for our service and the price we paid to belong. And we are going to talk about why, when we begin to feel that our values might conflict with the system, it is so difficult to call that out.

So many of us have had a patient who needed something, and the hospital, the insurance company, someone told us that we couldn't do that for our patient. We talk about the rituals, the gatekeepers, the traditions, the jargon that tie our identity to our role as physicians, and how when or if we doubt the profession, we are also questioning why we sacrificed so much to become a surgeon.

Lastly, we talk about ways to move forward. To label the conflict, to create areas of belonging, and to realize that we are more than just our profession.

I'd love to hear your comments and your thoughts about this - whether you agree or disagree. Reach out to me at theintentionalsurgeon.com

In this enlightening episode of The Intentional Surgeon Podcast, we welcome Dr. Carla Pugh.

Dr. Pugh's research in technology-driven training has made it clear that we are not measuring what matters most... we are not measuring the outcomes of surgery that matter. Why? Because we don't have the ability to do so safely. "No one wants a bronze medalist surgeon - we all want the gold medal surgeon. So what ability does a surgeon have to improve if they are not the best." Until we bravely move forward and insist that we need data that truly measures quality outcomes, we won't have the information we need to improve our craft. You can't run an Olympics, or baseball without metrics, so why shouldn't we have metrics that matter for surgical outcomes? She also explains that our human capital - the people we recruit to surgery is one of our most precious resources.

Join us as we explore how Dr. Pugh is reshaping the landscape of surgical education, surgical metrics, and the future of competency-based training in the medical field.

Dr. Pugh is a Professor of Surgery at Stanford University School of Medicine and Director of the Technology Enabled Clinical Improvement (T.E.C.I.) Center. Dr. Pugh is a trailblazer in the field of surgical education, leveraging advanced technology to assess and enhance clinical procedural skills. Her prestigious accolades include the Presidential Early Career Award for Scientists and Engineers, awarded to her by President Barack Obama in 2011, and her TEDMED talk on technology-driven medical training.

• BISA Study

Welcome back to The Intentional Surgeon with Dr. Sharon Stein - the podcast where we talk about the people, the institutions, and the ideas that are changing the culture of surgery. Today, we are joined by Dr. Rachel Pope. Rachel is a gynecologist who specializes in women's reconstructive surgery, concentrating on vesico-vaginal and recto-vaginal surgery. Rachel's passion for this particular corner of surgery didn't quite fit into any of the established tracks, so she shares her path to following her passion, serving women, and keeping her skills marketable. She has some great tips including "cyberstalking" her role model's CVs, talking to everyone and anyone, and, perhaps most importantly being willing to know where you are willing to compromise. But despite it all, she has found a way to pursue her passion!

Dr. Rachel Pope is a board-certified obstetrician and gynecologist. After completing her residency, she pursued a fellowship in global women’s health, in Malawi, and served as the medical director of the Fistula Care Center before returning to Cleveland, Ohio. She currently serves as the chief of the Female Sexual Health division and is part of the Gender Care program in the Urology Institute at University Hospitals Cleveland Medical Center. She also leads the global health program in the Institute where there is an international collaboration between Urologists and Gynecologists in the US and three centers in West and East Africa. She also is a podcast host and leader of OurWomanity.com as well.

In this episode:

• Taking your own path to pursue your passions
• Cyberstalking your role models to figure out next steps
• Thinking about side the box about your career
• Using a coach to help you meet your goals

Loving The Intentional Surgeon Podcast? Make sure to like us on Spotify Apple, or wherever you listen to podcasts. Better yet, sign up at intentionalsurgeon.com and have the podcast come directly to your inbox each time we launch a new episode. Receive Sharon's thoughts and pointers each time a new guest comes on.

Imagine how freeing it would be to be intentional. Imagine walking into and out of the hospital in control each day, choosing what matters and knowing how to show up for what matters, being recognized for the value that you bring. Imagine what you could achieve if you weren’t afraid of failure. If you are ready to stop imagining, and starting doing, Sharon can help. An experienced academic surgeon and leadership coach, Sharon can help you take control of your dreams and make them into your next steps. Schedule a discovery call today.

As academic institutions, we often find ourselves frustrated by the complexities of care transfer processes and the challenges of working with referring hospitals. It's easy to forget that everyone involved is striving to do their best under difficult circumstances. In this episode, I'm joined by Dr. Angela Ingraham, who encourages us to stay curious and open-minded in the face of these challenges.

Dr. Angela (Angie) Ingraham, MD, MS, currently serves as Associate Vice President of Member Networks at Vizient, Inc. In her role, she leads and oversees the development of networks for Chief Medical Executives and Chief Data and Informatics Executives. Before joining Vizient, Dr. Ingraham was an Assistant Professor of Surgery at the University of Wisconsin-Madison, where she practiced as an acute care surgeon, staffing trauma, burn, surgical critical care, and emergency general surgery service lines.

Additionally, Dr. Ingraham led a health services research program with over $1.1 million in funding from the National Institute on Aging and the Agency for Healthcare Research and Quality. Her work focused on improving communication and coordination in interhospital transfers for emergency general surgery patients. At UWHealth, she also served as the Associate Medical Director for the Emergency General Surgery Service, driving quality and performance improvement initiatives.

Dr. Ingraham holds a medical degree from Loyola University Chicago Stritch School of Medicine and a Master of Science in Clinical Investigation from Northwestern University. She completed her general surgery residency at the University of Cincinnati and an acute care surgery fellowship at the University of Pittsburgh. She is board certified in both general surgery and surgical critical care through the American College of Surgeons.

Featured in this episode:

• Patient advocacy & patient-centric care in trauma
• Trauma care, transition, and patience
• Giving each other grace in transfer care
• Health Advocate X
• Center for Patient Partnerships
• SEAK Conference

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Want to create a curious and empathetic workplace for your residents? Sharon, a surgeon, coach, and speaker, can help you define and refine your unique leadership qualities. Whether you’re seeking personal coaching, professional development for your team, or a refresher on seizing opportunities, Sharon has the expertise to guide you. Contact Sharon for more information.

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Surgeons often have an A+ mindset, but too frequently, we tie our self-worth to our job titles. This fixation on continuous achievements and accolades can lead to burnout and an unbalanced life. This cycle needs to change.

This week, I’m joined by Dr. Jennifer F. Tseng to discuss how our identity shouldn't be defined by our job titles, why working longer hours doesn’t necessarily make us better surgeons, and how outdated expectations impact our residents.

Dr. Jennifer F. Tseng, MD, MPH, is currently a Professor of Surgery Emerita at Boston University. A distinguished leader in several key surgical societies, Dr. Tseng also serves as a core advisor to various philanthropic, research, and corporate organizations. She is a deputy editor of JAMA Surgery and a councilor for the American Board of Surgery. Until January 1, 2024, Dr. Tseng held the prestigious positions of Utley Endowed Professor and Chair of the Department of Surgery at the Chobanian and Avedisian School of Medicine at Boston University, as well as Surgeon-in-Chief at Boston Medical Center.

Dr. Tseng’s career includes her role as the founding Chief of the Division of Surgical Oncology and Clinical Co-Director of the Cancer Center at Beth Israel Deaconess Medical Center, along with a professorship in surgery at Harvard Medical School. As a surgical oncologist and gastrointestinal surgeon, Dr. Tseng’s practice focuses on the upper GI tract, including hepato-pancreato-biliary, gastric, and upper intestinal surgery. Her groundbreaking research has significantly influenced cancer diagnosis and detection, pancreatic disease management, and the pursuit of health equity, particularly in eradicating disparities in cancer care.

Featured in this episode:

• Outdated perceptions from veteran surgeons
• The Importance of “Being”
• Salary vs value as a Surgeon
• Creating a surgical system that serves everyone
• Being a surgeon is not our identity

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Want to create a balanced workplace for your residents? Sharon, a surgeon, coach, and speaker, can help you define and refine your unique leadership qualities. Whether you’re seeking personal coaching, professional development for your team, or a refresher on seizing opportunities, Sharon has the expertise to guide you. Contact Sharon for more information.

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Do you struggle with communicating and managing expectations as a surgeon? Do you find yourself expecting your residents to instinctively know what you need from them? If so, this episode is for you.

Join Janet (Dombrowski) Pinkerton and me as we delve into how surgeons excel as problem solvers but often fall short when it comes to leadership.

Janet has over 15 years of experience as President at JCD Advisors, LLC, where she serves as an executive and physician coach, as well as a strategy and organizational development expert. Janet is dedicated to helping clients achieve their goals and transform their organizations through comprehensive assessments, strategy development and implementation, change leadership, leadership development, training, facilitation, and coaching.

She has a proven track record of delivering synergistic solutions and innovative thinking to complex situations and organizations, working closely with senior leaders and stakeholders. Janet has extensive experience in the healthcare and management consulting industries, providing culture assessments, integration planning for mergers and acquisitions, organizational design, and the development of internal coaching programs. She is passionate about empowering leaders and teams to engage in productive conversations and manage conflict effectively.

Featured in this episode:

• Insider Outsider
• Changing the Medical Education Installed Mindset
• Expectation management and closing the gap
• Coaching practices for surgeons
• “You cannot learn or teach by osmosis.”

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Want to improve your surgical teaching? Sharon, a surgeon, coach, and speaker, can help you define and refine your unique leadership qualities. Whether you’re seeking personal coaching, professional development for your team, or a refresher on seizing opportunities, Sharon has the expertise to guide you. Contact Sharon for more information.

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“We either learn or win.” - Nelson Mandela.

What are the fundamental attributes of leadership and how does mindfulness fit into them? Where is the fine line between respecting established foundations and initiating necessary change in a new role? Discover the balance in this week’s episode featuring Dr. Sharmila Dissanaike, where every situation is an opportunity to learn and grow.

Dr. Sharmila Dissanaike is a distinguished surgeon specializing in burns, trauma, and general surgical emergencies, committed to training the next generation of surgeons. With over eight years of experience as Chair of Surgery at Texas Tech, she recently transitioned to the University of New Mexico (UNM) as Chair of Surgery.

An esteemed researcher and academic, Dr. Dissanaike is recognized as a National Academic Surgeon Leader, holding multiple leadership roles in the American College of Surgeons, American Burn Association, Southwest Surgical, and various other national and regional societies. She also serves as a consultant, providing reviews and recommendations to enhance well-being, performance, and cohesion within healthcare teams operating in high-stress environments.

Dr. Dissanaike is a Board Director for a publicly listed biotechnology firm and a legal expert witness, offering impartial guidance in trauma, burns, and emergency general surgery cases in both civil and criminal law contexts.

Featured in this episode:

• Trying to change things before understanding what needs to be changed
• What attributes are vital for a new leadership role
• How we say things is more problematic than what we say as surgeons
• Inclusivity versus diversity
• AI and how it will affect the surgical landscape

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Curious about becoming an impactful leader? Sharon, a surgeon, coach, and speaker, can help you define and refine your unique leadership qualities. Whether you’re seeking personal coaching, professional development for your team, or a refresher on seizing opportunities, Sharon has the expertise to guide you. Contact Sharon for more information.

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“The only true advocate for yourself is you.” - Shannon Marie Foster, MD, FACS

This week, I'm thrilled to welcome the incredible Shannon Marie Foster. Join us as we explore the diverse career paths within the surgical field that can lead to a more joyful, balanced, and fulfilling life.

Shannon Marie Foster, MD, FACS is a highly accomplished surgeon originally from Akron, Ohio. After completing her medical degree at the Medical College of Ohio, she pursued her residency and fellowship at the Mayo Clinic in Rochester, Minnesota. Dr. Foster has extensive experience in trauma and surgical critical care, having worked at Reading Hospital Trauma Center from 2009-2020. She played a key role in developing the Acute Care Surgery line and enhancing the Trauma and Surgical Critical Care programs. In 2020, she transitioned to independent consulting in quality, peer review, and professional development while continuing to teach, mentor, and operate at trauma centers.

Dr. Foster is deeply involved with national specialty organizations and the American College of Surgeons. She is currently exploring consulting opportunities in peer review, quality, and clinical coverage, leveraging her expertise as a mitigator and mediator in complex professional situations.

Featured in the show:

• The benefits of setting your own surgical path
• The contagious nature of positivity
• Restoring your joy in surgery
• Accepting our role as a cog in the machine

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Wondering about how to find your own joy? Sharon is a surgeon, coach, and speaker who can help you define your own priorities and craft a path forward. Whether you are looking for coaching for yourself, professional development for your team, or just need a refresher on finding opportunity. Contact Sharon for more information.

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“Only winners have haters.” - Paula Ferrada, MD, FACS, FCCM, MAMSE

Stepping outside of one's comfort zone and embracing change can be incredibly daunting, especially in the field of surgery, where we often settle into familiar roles that can lead to dissatisfaction and a lack of fulfillment. That's why, in this week's episode, I invited Dr. Paula Ferrada to discuss how to create a more balanced and aligned life in the surgical profession.

Paula Ferrada, MD, FACS, FCCM, MAMSE, is a board-certified surgeon, mentor and educator with more than a decade of experience. She joined Inova in 2021 and is the Division Chief of Trauma and Acute Care Surgery. In addition to her leadership roles. Dr. Paula Ferrada is also the Program Director for the Surgical Critical Care Fellowship at Inova Fairfax Hospital. Dr. Ferrada has enhanced the educational curriculum, restructured some of the rotations and increased the faculty development opportunities.

Dr. Ferrada’s passion for educating and mentoring young surgeons began in residency when she became an ultrasound instructor with the American College of Surgeons (ACS). Since then, she has been honored with multiple teaching awards from various institutions and appointed to leadership roles within the ACS, the Eastern Association for the Surgery of Trauma, the Virginia chapter of the Association for Women Surgeons,and the Pan-American Trauma Society. Dr. Ferrada is an internationally recognized advocate for equity, diversity, and inclusion and an esteemed researcher. She has been published in more than peer-reviewed journals.

Featured in the show:

• Listening to our inner dialogue
• The Marshmallow experiment
• Finding alignment in surgery
• Happiness science and postponing our happiness
• Overstaying our welcome and knowing when to leave

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Are you a surgeon looking for Individual one-to-one coaching, group coaching, or organization coaching? Look no further! Dr. Sharon L. Stein will equip you with professional development, leadership development, negotiation skills, and executive presence. A skilled educator and speaker with over 200 national speaking engagements, Dr. Sharon L. Stein can cater her programming to your needs. Enquire here!

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A Private Practice is a complex and dynamic healthcare business that provides specialized surgical services within a community. It combines medical expertise with business acumen to deliver quality patient care.

So what would a Private Practice look like for you, your staff, and your patients? Find out from this week’s guest on the Intentional Surgeon, Dr. Erin King-Mullins.

A double board-certified general and colorectal surgeon, Dr. Erin King-Mullins is also a children's book author and the former Program Director for the Fellowship of Colorectal Surgery. About two years ago she created her own private practice and is the founder of the Colorectal Wellness Center in Georgia.

Featured in the show:

• Anti-white coat syndrome
• How the surgical system is institutionalized
• Patient care, feng shui, and how the physical space affects patient mentality
• Maintaining a strong level of respect for your team so they can take care of your patients
• Realizing that WE are the skillset

Are you enjoying The Intentional Surgeon podcast? Sign up for our newsletter here to receive an exclusive bi-weekly blog, offering deeper insights into each episode and additional content you won't want to miss.

Are you a surgeon looking for Individual one-to-one coaching, group coaching, or organization coaching? Look no further! Dr. Sharon L. Stein will equip you with professional development, leadership development, negotiation skills, and executive presence. A skilled educator and speaker with over 200 national speaking engagements, Dr. Sharon L. Stein can cater her programming to your needs. Enquire here!

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