Senior Surgeons’ Advice to Young Surgeons
by Elizabeth Hofheinz, M.P.H., M.Ed., December 31, 2019
Much like the timeless advice in Robert Fulghum’s book, All I Really Need to Know I Learned in Kindergarten, much of the wisdom that young surgeons need already lies inside of them.
But in case they need a few reminders, here are some appetizing tidbits from those who have inhabited the role of orthopedic surgeons for thousands of days.
Alan Daniels, M.D. an orthopedic spine surgeon and Chief of the Adult Spinal Deformity Service at the Warren Alpert Medical School of Brown University in Providence, Rhode Island, commented to OSN, “The best thing a young surgeon can do is be friendly and kind to everyone they interact with. The person cleaning the floors may become your next patient, or their friend or mother may need you, so be polite to everyone. Furthermore, if you are well liked it will be much easier to recruit people to help you get add-on cases done, to work efficiently, and to help you when you get in a jam.”
“Although young surgeons are valuable additions to a healthcare system, it doesn’t mean the hospitals will bend over backwards for them or purchase them new equipment after they start working. Young surgeons have their best opportunity to obtain new equipment before starting their new job, so make requests for equipment before starting. Getting on hospital committees can also be a very helpful way to show you are a team player and to meet important members of the hospital leadership.”
Frank M. Phillips, M.D. is Professor and Director in the Division of Spine Surgery, Section Head of Minimally Invasive Spine Surgery, and Fellowship Co-Director of Spine Surgery at Rush University Medical Center in Chicago. He told OSN, “Young surgeons need to educate themselves about the non-clinical aspects of providing patient care. Regardless of practice type, group size or hospital affiliations, they will be required to deal with quickly evolving practice challenges including, insurance pushback on surgical approvals, participating in bundles, hospital cost containment, need for data collection and a transition to ambulatory surgery. Young surgeons should be on the front edge of these activities rather than deferring them to administrators in their practices. At the same time, providing excellent patient care must remain at the center of these activities.”
Alan S. Hilibrand, M.D. is The Joseph and Marie Field Professor of Spinal Surgery, Vice Chairman of Academic Affairs and Faculty Development, at Jefferson Medical College / The Rothman Orthopaedic Institute in Philadelphia. Dr. Hilibrand has this bit of wisdom for those entering the field: “Strive to find a mentor who has sufficient experience to guide you. It does not have to be someone in your own subspecialty…just someone who has a strong set of principles and a track record of excellent operative experience.”
Dr. Hilibrand, also Co-Chief of Spinal Surgery and Director of Orthopaedic Medical Education, notes, “It is important to be very organized and keep close track of your surgeries, as well as what patient followup is required. In addition, do not hesitate to ask for help. We all need it at times. In fact, the wisest move is to ask for what you need BEFORE you need it!”
Be kind to all, be aware of your surroundings, ask for assistance. Oh, and it helps to do impeccable surgeries.