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Awakening the Hero Within. Sanchez Study Subjects: Subjects: 40 males/40 females 40 males/40 females 4 Phases: 4 Phases: < 20 = Phase 1 < 20 = Phase.

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Presentation on theme: "Awakening the Hero Within. Sanchez Study Subjects: Subjects: 40 males/40 females 40 males/40 females 4 Phases: 4 Phases: < 20 = Phase 1 < 20 = Phase."— Presentation transcript:

1 Awakening the Hero Within

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5 Sanchez Study Subjects: Subjects: 40 males/40 females 40 males/40 females 4 Phases: 4 Phases: < 20 = Phase 1 < 20 = Phase = Phase = Phase = Phase = Phase = Phase = Phase 4 Task: Define “hero”, name hero in each life phase and why Task: Define “hero”, name hero in each life phase and why

6 Results Phase 1 Phase 2 Phase 3 Phase 4 Relative/Friend Athlete Media Star Statesman01511 Historical/Humanitarian135 Military56 Teacher263 Other

7 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.”

8 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.”

9 Historical Evolution of Heroes in US Culture CenturyCharacteristicsHeroes Late 18 th honor, duty, patriotic virtue Washington, Jefferson, Franklin 19 th humanitarianism, economic attainment, military exploits, scientific achievement Lincoln, Tubman, Grant, Lee Carnegie, Edison 20 th humanitarian character, self- made individual of the courageous deed Lindbergh, Ruth, Earhart, Roosevelts, Jackie Robinson, MLK

10 Heroes reflect our values, ideals, dreams and making the right difference. Tony Sanchez

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13 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.

14 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.”

15 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.

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17 Stressors Interpersonal conflicts Interpersonal conflicts Fear of increasing responsibilities/consequences of bad decisions Fear of increasing responsibilities/consequences of bad decisions Death Death Chronically or terminally ill patients Chronically or terminally ill patients AIDS AIDS Discomfort with discussing personal/sexual issues Discomfort with discussing personal/sexual issues Discomfort in performing physical exams Discomfort in performing physical exams Loneliness Loneliness

18 Married to their Careers Lane Gerber Identity formation is achieved through the “Fellowship of Suffering” Identity formation is achieved through the “Fellowship of Suffering” “Members of the Club” can exert significant influence “Members of the Club” can exert significant influence

19 Preclinical Students: Who are surgeons? How are career choices formulated by preclinical students? How are career choices formulated by preclinical students? How do preclinical students develop an interest in surgery? How do preclinical students develop an interest in surgery? What is the source of negative perceptions? What is the source of negative perceptions? Kozar RA, Anderson KD, Escobar-Chaves SL, Thiel MA, Brundage SI. J Surg Rsch 2004; 119:

20 “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.”

21 Results Surgery-Bound Surgery-Bound Interests originated preclinically Interests originated preclinically Experiences with surgeons Experiences with surgeons Career Satisfaction + Family = Happiness Career Satisfaction + Family = Happiness Non-Surgery Bound Career choices based on exposure to 2 nd year preceptors Career Satisfaction independent of personal satisfaction Negative perceptions reinforced by media, preceptors & classmates

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23 Views on medical student team roles Medical Students are an inconvenience to the surgical service Medical Students are an inconvenience to the surgical service 27% of faculty agreed 27% of faculty agreed 32% of residents agreed 32% of residents agreed 51% of medical students agreed 51% of medical students agreed De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. JACS 20004: 199:

24 Views on medical student team roles Given a choice would you want a medical student on your team? Given a choice would you want a medical student on your team? 98% of faculty agreed 98% of faculty agreed 95% of residents agreed 95% of residents agreed 17% of students felt the were NOT wanted 17% of students felt the were NOT wanted De SK, Henke PK, Ailawadi G, Dimick JB, Colletti LM. JACS 20004: 199:

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26 Students Perceptions of Surgery Surgeons provide horrible mentoring Surgeons provide horrible mentoring Inhumane expectations Inhumane expectations Toxic emotional environment Toxic emotional environment I felt like I was in the way I felt like I was in the way

27 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

28 “We don’t have time to teach and we don’t get paid to teach.” Think out loud

29 “We don’t have time to teach and we don’t get paid to teach.” Think out loud Think out loud Finish your sentences Finish your sentences

30 “We don’t have time to teach and we don’t get paid to teach.” Think out loud Think out loud Finish your sentences Finish your sentences Hold students accountable Hold students accountable

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32 Spouses’ Perceptions of Work Hours Work greater than 80 hrs. per wk. (60%) Work greater than 80 hrs. per wk. (60%) Work too many hours (67%) Work too many hours (67%) Spouse would be happier if surgeon worked less (65%) Spouse would be happier if surgeon worked less (65%) Surgeon would be happier if s/he worked less (53%) Surgeon would be happier if s/he worked less (53%) Kao LS, Wilson EB, Anderson KD. JACS In press.

33 Spouses’ Perceptions: Personal & Family Issues Spouses make the majority of domestic decisions (74%) Spouses make the majority of domestic decisions (74%) Surgeons don’t: Surgeons don’t: contribute adequately to household responsibilities (52%) contribute adequately to household responsibilities (52%) contribute adequately to childcare (63%) contribute adequately to childcare (63%) spend adequate time with children (62%) spend adequate time with children (62%) Spend adequate time with spouse (62%) Spend adequate time with spouse (62%) Kao LS, Wilson EB, Anderson KD. JACS In press.

34 Spouses Perceptions: Best Aspects Personal satisfaction/love of surgery Personal satisfaction/love of surgery Challenging nature of job Challenging nature of job Altruism Altruism Security Security Life style flexibility Life style flexibility Teaching residents and medical students Teaching residents and medical students Kao LS, Wilson EB, Anderson KD. JACS In press.

35 The Best Job in the World

36 Without a sense of caring, there can be no sense of community. Anthony J. D’Angelo

37 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.

38 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 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 Admired and venerated for his achievements and noble qualities

39 Faith: Trusting Your Own Deepest Experience We need a reawakening of our intention and a willingness to recommit, to be whole hearted once again…

40 Who is in your personal Hall of Fame?

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47 Richard Andrassy, MD

48 John Potts, MD

49 Ajit Sachdeva, MD

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52 Don Jacobs, MD

53 Thank you!!


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