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The stresses of modern medicine place neurosurgeons at substantial risk of emotional and psychological distress. The function in a high-end, high stakes, rapidly changing, multi-tasked environment, fraught with inescapably poor outcomes, human tragedies, risk of litigation, unrelenting demands, and so much more. Now wonder nearly one in every two neurosurgeons experiences burnout, significant work-home conflict, and other maladaptive sequelae(McAbee et al, 2015; Shanafelt et al., 2012).Neurosurgical residents are particularly vulnerable. Neurosurgical residency is a crucible from which few escape unscathed. The interplay of tremendous daily physical, intellectual, and emotional challenges with a resident's personality type and coping style determines (for better or worse) his or her functionality, fulfillment, and emotional tone; and greatly affects his or her growth and development as a physician and neurosurgeon. Coping patterns learned during residency may impact and permeate a surgeon's entire professional life (as well as personal life). Thus, the more resilient a resident is to the daily stressors of neurosurgical training, the more likely he or she will lead a happy, fulfilling and productive career.The purpose of this book is to offer insights and details from our experience, with the hope of encouraging a greater focus on the psychological well being of neurosurgical trainees. We will describe many tactics and strategies that may be employed to enhance the residents' resiliency (with respect to myriad of challenges and stressors of their daily experience). These measures may be initiated independently or, more ideally, as part of a deliberately planned and enacted framework of intervention, fully integrated into the residency program's culture.
Neurosurgical vignettes in question and answer format provide robust prep for the ABNS oral exam! Neurosurgery Case Review: Questions and Answers, 2nd Edition by Remi Nader, Abdulrahman Sabbagh, Samer Elbabaa, Hosam Al-Jehani, Jaime Gasco, and Cristian Gragnaniello provides a robust study guide for the American Board Neurological Surgery and the Royal College of Physicians and Surgeons of Canada oral board examinations. The second edition expands on the highly successful first edition, presenting 148 cases commonly encountered by neurosurgeons in clinical practice. The cases are broadly divided into seven sections—tumor, vascular intracranial pathology, trauma, pediatric, functional, spine, and peripheral nerves. The chapters are arranged in a manner that mirrors the oral board exam. Each case includes a brief clinical scenario followed by questions on presentation, diagnosis, imaging, management, surgical detail, complications, and outcome. The presented information is backed by the latest available evidence-based references and data. Key Features: Contributions from internationally renowned neurosurgical educators Detailed answers enhance readers' knowledge and provide guidance on how to respond to questions asked in the oral board exams More than 750 high-quality images, many in full color, ensure visual understanding of key concepts Suggested readings at the end of cases offer additional study resources This is an indispensable, one-stop resource for neurosurgical residents and fellows prepping for the ABNS and Royal College oral board examinations. Neurosurgeons studying for recertification will also find this book an invaluable reference for rapid review.
"Not only can you survive with heart disease, you can actually thrive with it for many, many years. If you cope well and follow the advice I give you in this book, you can live as long as you would if you didn't have the illness." -- from Chapter One, "Begin the Journey" In this landmark volume, Wayne M. Sotile, Ph.D., breaks the story that every heart patient needs to know: In many cases, it's how you deal with the illness and not the condition of your heart that will determine how completely you recover, or if you recover at all. If you're one of the 61 million Americans diagnosed with heart illness -- whether you've had a heart attack, high blood pressure, angina, or surgery -- the program in this book can extend your life and might even save it. Many books have dealt with the physical aspects of cardiovascular illness, but Thriving with Heart Disease is the first to offer patients and their loved ones a program for coping with the emotional and psychological side effects that can ravage relationships and throw families into disarray. Dr. Sotile's extraordinary success with cardiac patients attests to his belief that living with heart disease is not a temporary adjustment but a journey you take one moment at a time toward the healthy life you were meant to live, surrounded by the people you love. Based on the experiences of thousands of patients at Wake Forest University's Cardiac Rehabilitation Program -- the nation's first mind-body center for living well with heart illness -- Dr. Sotile's program provides step-by-step instructions on how to establish a robust, new normal life for you and the people you care about, whether you're a parent with young children, a mature adult with grandchildren, or a single man or woman whose family is a devoted network of friends. Written with warmth and humor and filled with news of the latest research into the links between heart and brain, body and soul, Thriving with Heart Disease is the book that every heart patient needs to read. It's not a diet book, an exercise book, or a cookbook. It is the first self-help manual to guide heart patients and their loved ones through the psychological side effects they're likely to experience and onto the path to vibrant, new normal lives.
Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the United States and most westernized nations. Both CVDs and their risk factors confer substantial risk for stroke and dementia, but are also associated with more subtle changes in brain structure and function and cognitive performance prior to such devastating clinical outcomes. It has been suggested that there exists a continuum of brain abnormalities and cognitive difficulties associated with increasingly severe manifestations of cardiovascular risk factors and diseases that precede vascular cognitive impairment and may ultimately culminate in stroke or dementia. This second edition examines the relations of a host of behavioral and biomedical risk factors, in addition to subclinical and clinical CVDs, to brain and cognitive function. Associations with dementia and pre-dementia cognitive performance are reported, described, and discussed with a focus on underlying brain mechanisms. Future research agendas are suggested, and clinical implications are considered. The volume is a resource for professionals and students in neuropsychology, behavioral medicine, neurology, cardiology, cardiovascular and behavioral epidemiology, gerontology, geriatric medicine, nursing, adult developmental psychology, and for other physicians and health care professionals who work with patients with, or at risk for, CVDs.
Clinically relevant and visually accessible, Clinical Psychiatry Essentials is tailored specifically to meet the needs of today's students. Easy to read and use, it provides an introduction to the field of psychiatry and features a wealth of learning tools to maximize comprehension. Each chapter integrates clinical case scenarios, clinical pearls, and study questions, making this an excellent resource for course study and exam preparation. The book addresses core competency issues, including communication skills, system-based aspects of care, and professionalism and focuses on innovative areas of psychiatry including patient-centered care practices and new therapies. A companion Website provides access to the fully searchable text.
A happy, long-lasting career in healthcare requires more than just mental fortitude.Far too often, you hear of colleagues leaving healthcare; they're burnt out, their work stress has crept into their home life, and they just need some respite. Meanwhile, their responsibilities are dispersed amongst the remaining team, and the cycle is perpetuated by the added work, lack of resources, and feelings of inadequacy. In Thriving in Healthcare, Drs. Simonds and Sotile provide a "survival guide for the psyche," packed with insights and strategies to help you develop the resilience needed to succeed and grow-both personally and professionally-in the modern healthcare industry. Based on their decades of experience coaching healthcare professionals, and building upon their findings from a five-year resilience development program at Virginia Tech Carilion School of Medicine, Simonds and Sotile bring solutions to the top barriers healthcare professionals face, including:¿Debunking the myth of work-life balance and, rather, finding the blend that works for you¿Hardwiring healthy coping mechanisms for dealing with on-the-job stressors ¿Fostering a collaborative and joyful workplace culture that encourages teamworkHealthcare is one of the hardest-and most rewarding-professions. However, you can't help others if you don't take care of yourself. It's time to take charge of your path and own your future career, happiness, and results.
This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.