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Thanks for joining the #RASJACS journal club discussion on resident burnout detection by domestic partners and program directors! Let's start with a quick poll... Does your residency program have an effective mechanism to identify burnout?

Wow! These poll results are pretty impressive and may explain why burnout often goes undetected! Next up, question #2... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD American College of Surgeons Journal of the American College of Surgeons (JACS)

Brett Tracy, MD RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Michael Carr American College of Surgeons Journal of the American College of Surgeons (JACS) Anghela Z. Paredes, MD MPH MS Carrie Sims, MD PhD☮️ Julia R Coleman, MD MPH Jeff Nahmias MD MHPE FACS FCCM Shruthi Srinivas, MD, MPH Katie Bergus, MD Kejal Shah, MD I believe that burnout is pervasive among residents. Even though it impacts most, if not all residents, the rate of burnout probably differs in resident communities of color, women residents, lgbtqia residents & in gen surg/surg subspecialities likely 2/2 cultural dissonance.

RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr American College of Surgeons Journal of the American College of Surgeons (JACS) I used to think that being in a relationship might be protective against burn out but I’m wondering more and more if it hastens burn out because you feel like you’re missing out on life lived with your loved one when you live in the hospital

Such a GREAT discussion so far. Let's take a look at one of the major findings in the paper... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD

RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr I think we can all put our head down at work and power through the workw…. But once you get home the shell we put up must come down- our loved ones are the first to see it

We're on our best behavior at work - if you can believe it 😁- our spouses/gf/bf/partners see the "real" us 😒 What if programs asked THEM how we're doing?? Novel way to intercept physician burnout perhaps? ❤️@DissanaikeMD Adam B. Hill, M.D. Melissa Red Hoffman, MD, ND, FACS Michael Villarreal

RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr I’m surprised the domestic partner sensitivity isn’t higher and I wonder if part of it is that residents who are overworked are more likely to be burned out and are probably less likely to want to spend the few hours they are home talking about feeling burned out

RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr I feel like sometimes there may also be a misconception that burnout = weakness and that makes residents feel uncomfortable talking about it at work, where as surgeons, they are supposed to be strong and confident

Time for another poll! In this study, the overall self-reported rate of burnout was 51%. How often do you feel burned out from work? Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD #MedTwitter #surgtwitter

RAS-ACS It’s alarming that almost 90% are responding no right now - seems a call to action to APDS surgery American College of Surgeons #RASJACS

It looks like most respondents feel burned out a few times a month - yikes! Check out question #5.... Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Erin White, MD

RAS-ACS Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr This ? speaks to figuring out what is the best system to allow partners to speak up and PDs/APDs to reach out

Jennifer Knight (she/her) RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Jonathan Vacek Brett Tracy, MD Michael Carr Charlotte R Spear Rachel Warner Jamie Coleman, MD FACS Jen Turner, MD Hmm...interesting question. And I would have to say "no". There are boundaries in a relationship that are precious. Unless I am in danger, I would feel threatened by a third party checking in. It's a setup for loss of trust all around. Jobs are temporary, families are forever.

Thank you all for a great #RASJACS discussion! A special thanks to Andrew Esposito Peter Yoo Nathan Coppersmith Erin White, MD Erin White, MD Yale Surgical Residency for their fantastic paper! Please keep the conversation going! journals.lww.com/journalacs/Abs… Brett Tracy, MD

Grace F. Chao, MD MSc Claire Morton Erin White, MD RAS-ACS Andrew Esposito Peter Yoo Nathan Coppersmith Jonathan Vacek Brett Tracy, MD Michael Carr One idea Shruthi Srinivas, MD, MPH and I love is to do a Family Day where we give them a glimpse into our work lives; bring them on a hospital tour, show them how to scrub, play with a lap trainer, and talk to other residents and their support people

I’m so excited I had the opportunity to share our health outcomes research on our rural acute abdomen patients. I wanted to thank my co-authors (Sara Scarlet MD, MPH Shruthi Srinivas, MD, MPH Sienna Wong & Alex Helkin) for turning this into a reality. 🙂 #APHA2022

Fantastic presentation by Katie Bergus, MD on the effect of frailty on managing common bile duct stones The Ohio State University Wexner Medical Center Ohio State Wexner Medical Center Surgery Dept. Timothy M. Pawlik Carrie Sims, MD PhD☮️ #SESC2023

Great presentation by Whit on ADI and sepsis in critically ill patients #SIS2023 Ohio State Wexner Medical Center Surgery Dept. Anahita Jalilvand MD PhD Carrie Sims, MD PhD☮️ Surgical Infection Society Surgical_Infections_Jrnl The Ohio State University Wexner Medical Center

Didn’t make it to the #TaylorSwiftErasTour in Cincinnati this weekend but thank you #ForeverAndAlways Jennifer Knight (she/her) for still keeping me #Bejeweled!! Taylor Swift Ohio State Wexner Medical Center Surgery Dept. #ORjams #surgtwitter