Surgeon Heal Thyself: Optimizing Surgical Performance by Managing Stress

Surgeon Heal Thyself: Optimizing Surgical Performance by Managing Stress Occupational Medicine 2018;68:215–217 BOOK REVIEWS doi:10.1093/occmed/kqy034 effects on the surgeon through a summary of relevant referenced research. Surgeon Heal Thyself: Optimizing Within the book the author compares surgeons to Surgical Performance by Managing other disciplines such as airline pilots working within a Stress similar safety-critical field. Pilots similarly require intense Uttam Shiralkar. Published by CRC Press, Taylor and concentration with a need to act quickly under pressure. Francis Group, an Informa Business, 1st edition, 2017. The author notes that the effects of stress and error are ISBN: 978-1-4987-2403-6. Price: £25.99. 179 pp. recognized within the pilot’s training and incorporated within the work culture. It is more acceptable for a pilot to comment that they might be unfit to fly if fatigued or stressed but surgeons tend to play down their own vul- nerabilities and the effects of stress and fatigue on their performance. The author suggests specific stress manage- ment training, whether at the start of training or directed at experienced surgeons, and to help prevent burnout by recognizing the surgeon’s stress at an earlier stage. I felt the book over focused on the time spent within the operating theatre with only a short discussion regard- ing relevant factors such as shift work and the develop- ment of maladaptive coping strategies such as the misuse of drugs, caffeine and alcohol. Ultimately the book is designed to help surgeons manage their own stress and I  do feel it missed an opportunity to discuss practical strategies, such as lifestyle adjustments and to help sur- geons manage stress away from the operating theatre. I would recommend the book to the targeted audience Uttam Shiralkar is a surgeon who became interested in of surgeons as well as surgical educators but feel that the psychological medicine after working as a cancer sur- subject area is too specialized to be of interest to a wider geon and recovering from a car accident. He has sub- audience. It was an interesting read of a subject area that sequently written books on how stress impacts on the I had not considered before but for occupational health performance of surgeons and also lectures on the same practitioners, I  would only recommend anyone with a subject. The author describes the purpose of the book specialized interest in surgery to borrow a copy from a as 2-fold. Firstly, to advise surgeons regarding practical library and for reference only. stress management strategies they could consider and secondly to raise awareness of the detrimental effects Rating of stress on surgical performance. Within the 11 chap- ters, he approaches topics such as stressful environmen- ★★☆☆ (reference only) tal factors within the operating room or adverse events occurring during the surgery by considering the likely Rachel Sharp © The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com Downloaded from https://academic.oup.com/occmed/article-abstract/68/3/215/4998895 by Ed 'DeepDyve' Gillespie user on 21 June 2018 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Occupational Medicine Oxford University Press

Surgeon Heal Thyself: Optimizing Surgical Performance by Managing Stress

Occupational Medicine , Volume Advance Article (3) – May 17, 2018
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Publisher
Oxford University Press
Copyright
© The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com
ISSN
0962-7480
eISSN
1471-8405
D.O.I.
10.1093/occmed/kqy034
Publisher site
See Article on Publisher Site

Abstract

Occupational Medicine 2018;68:215–217 BOOK REVIEWS doi:10.1093/occmed/kqy034 effects on the surgeon through a summary of relevant referenced research. Surgeon Heal Thyself: Optimizing Within the book the author compares surgeons to Surgical Performance by Managing other disciplines such as airline pilots working within a Stress similar safety-critical field. Pilots similarly require intense Uttam Shiralkar. Published by CRC Press, Taylor and concentration with a need to act quickly under pressure. Francis Group, an Informa Business, 1st edition, 2017. The author notes that the effects of stress and error are ISBN: 978-1-4987-2403-6. Price: £25.99. 179 pp. recognized within the pilot’s training and incorporated within the work culture. It is more acceptable for a pilot to comment that they might be unfit to fly if fatigued or stressed but surgeons tend to play down their own vul- nerabilities and the effects of stress and fatigue on their performance. The author suggests specific stress manage- ment training, whether at the start of training or directed at experienced surgeons, and to help prevent burnout by recognizing the surgeon’s stress at an earlier stage. I felt the book over focused on the time spent within the operating theatre with only a short discussion regard- ing relevant factors such as shift work and the develop- ment of maladaptive coping strategies such as the misuse of drugs, caffeine and alcohol. Ultimately the book is designed to help surgeons manage their own stress and I  do feel it missed an opportunity to discuss practical strategies, such as lifestyle adjustments and to help sur- geons manage stress away from the operating theatre. I would recommend the book to the targeted audience Uttam Shiralkar is a surgeon who became interested in of surgeons as well as surgical educators but feel that the psychological medicine after working as a cancer sur- subject area is too specialized to be of interest to a wider geon and recovering from a car accident. He has sub- audience. It was an interesting read of a subject area that sequently written books on how stress impacts on the I had not considered before but for occupational health performance of surgeons and also lectures on the same practitioners, I  would only recommend anyone with a subject. The author describes the purpose of the book specialized interest in surgery to borrow a copy from a as 2-fold. Firstly, to advise surgeons regarding practical library and for reference only. stress management strategies they could consider and secondly to raise awareness of the detrimental effects Rating of stress on surgical performance. Within the 11 chap- ters, he approaches topics such as stressful environmen- ★★☆☆ (reference only) tal factors within the operating room or adverse events occurring during the surgery by considering the likely Rachel Sharp © The Author(s) 2018. Published by Oxford University Press on behalf of the Society of Occupational Medicine. All rights reserved. For Permissions, please email: journals.permissions@oup.com Downloaded from https://academic.oup.com/occmed/article-abstract/68/3/215/4998895 by Ed 'DeepDyve' Gillespie user on 21 June 2018

Journal

Occupational MedicineOxford University Press

Published: May 17, 2018

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