- Diversity and Career in Medicine
- Cardiac, Anesthesia and Surgical Outcomes
- Global Health Workforce Issues
- Hospital Admissions and Outcomes
- Maternal and Perinatal Health Interventions
- Healthcare professionals’ stress and burnout
- Medical Education and Admissions
- Nutrition and Health in Aging
- Hip and Femur Fractures
- Trauma and Emergency Care Studies
- Healthcare Policy and Management
- Innovations in Medical Education
- Frailty in Older Adults
- Cardiovascular Issues in Pregnancy
- Pelvic and Acetabular Injuries
- Maternal and fetal healthcare
- Child Abuse and Related Trauma
- Healthcare cost, quality, practices
- Dental Education, Practice, Research
- Emergency and Acute Care Studies
- Reproductive Health and Contraception
- Assisted Reproductive Technology and Twin Pregnancy
- Gastrointestinal disorders and treatments
- Healthcare Quality and Management
- Abdominal Trauma and Injuries
Harvard University
2015-2025
Massachusetts General Hospital
2023-2025
University of Michigan
2024
Brigham and Women's Hospital
2015-2023
University of Rochester Medical Center
2023
Northwestern University
2022
Lurie Children's Hospital
2022
Le Bonheur Children's Hospital
2022
University of Tennessee Health Science Center
2022
Children's Hospital of Los Angeles
2022
Although family priorities influence specialty selection and resident attrition, few studies describe perspectives on pregnancy during surgical training.
While surgeons often delay pregnancy and childbearing because of training establishing early careers, little is known about risks infertility complications among female surgeons.To describe the incidence in US to identify workplace factors associated with increased risk compared a sociodemographically similar nonsurgeon population.This self-administered survey questionnaire was electronically distributed collected from November 2020 January 2021 through multiple surgical societies social...
<h3>Importance</h3> Previous work shows women who have children during surgical residency face difficulty balancing childbearing with training, which negatively affects and career satisfaction. Little is known about the factors that drive professional discontent. <h3>Objective</h3> To determine associated dissatisfaction for residents. <h3>Design, Setting, Participants</h3> Self-administered survey questionnaire electronically distributed through Association of Program Directors in Surgery,...
Frailty is associated with poor surgical outcomes in elderly patients but difficult to measure the emergency setting. Sarcopenia, or loss of lean muscle mass, a surrogate for frailty and can be measured using cross-sectional imaging. We sought determine impact sarcopenia on 1-year mortality after abdominal surgery patients.Sarcopenia was assessed 70 years older who underwent at single hospital from 2006 2011. Average bilateral psoas area L3, normalized height (Total Psoas Index [TPI]),...
This cross-sectional study identifies surgical specialties with the greatest gender inequities among resident physicians and examines how long it will take for women in these to reach parity overall US population.
Venous thromboembolism (VTE) is a potential sequela of injury, surgery, and critical illness. Patients in the Trauma Intensive Care Unit are at risk for this condition, prompting daily discussions during patient care rounds routine use mechanical and/or pharmacologic prophylaxis measures. While VTE rightfully garners much attention clinical medical literature, optimal strategies prevention still evolving. Furthermore, trauma surgical patients often have real or perceived contraindications to...
This survey study aims to determine the prevalence of pregnancy complications and infertility in female physicians comparison general population. Risk factors, workplace environment, education are also examined.Physicians undertake long training have stressful work environments during optimal childbearing years. While growing literature indicates increased rates surgeons, all specialties is unknown.An anonymous, voluntary was distributed via private physician social media groups. It queried...
Although pregnancy during surgical residency is increasingly common, studies of residents have identified challenges associated with and motherhood. These include perceptions different maternity leave policies among institutions, lack mentorship, stigma, desire for greater lactation support.To describe the perspective experience US program directors regarding postpartum support residents.This qualitative study included general surgery programs who were selected using purposive-stratified,...
Vascular surgery training poses unique risks to pregnancy, including long hours, physically demanding work, and radiation exposure. Our objectives were (1) understand pregnancy parenthood experiences among vascular trainees, (2) assess the rate of obstetric complications trainees (3) evaluate factors associated with trainee-parent wellness. A survey was administered after 2021 Surgery In-Training Examination. Residents fellows who (or whose partners) experienced pregnancies during their...
Background: While disparities in abuse-related mortality between minority and white infants have been reported, the influence of socioeconomic status on outcome has not evaluated. The goal this study was to determine impact race outcomes for abused using multiinstitutional data. Methods: Data (<12 months old) with abusive injuries over a 5-year period were obtained from nine U.S. pediatric trauma centers. Demographics, insurance status, Injury Severity Scores, Glasgow Coma Scale scores,...
It is known that emergency surgery in the elderly associated with high short-term mortality, but longer-term outcomes are not well described. We hypothesized 30-day mortality may underestimate true operative experienced this cohort. The purposes of study were to characterize postoperative rates extending 1 year and identify preoperative predictors after abdominal surgery.We retrospectively reviewed records all patients older than 70 years who underwent at a major teaching hospital between...
Although men are increasingly involved in childrearing, little is known about paternity leave surgical residency. Conflict between professional and family duties contribute to burnout decreased career satisfaction for surgeons of both sexes. With more likely than women have children during their clinical years training, understanding the issues surrounding imperative ensuring longevity our workforce.
Objective: We sought to characterize demographics, costs, and workplace support for surgeons using assisted reproductive technology (ART), adoption, surrogacy build their families. Summary Background Data: As the surgical workforce diversifies, needs of building a family are changing. ART, may be used with greater frequency among female who delay childbearing in same-sex relationships. Little is known about costs these endeavors. Methods: An electronic survey was distributed through...
This study assesses how member boards of the American Board Medical Specialties (ABMS) have adhered to a 2021 ABMS policy change allowing residents minimum 6 weeks parental, caregiver, and medical leave.
Timely transfer of injured children to pediatric trauma centers (PTCs) that can address their unique needs is important. This study was designed understand the characteristics transferred children.Data from our level I PTC over 5 years (2002-2006) were reviewed. Transferred patients divided based on time injury arrival at PTC: early (<2 hours) and late (>2 hours). Data collected included demographics, Injury Severity Scale score, Glasgow Coma mode transportation, referring hospital...
Objective: We sought to assess whether lack of workplace support for clinical work reductions during pregnancy was associated with major complications. Background: Surgeons are at high risk Although rigorous operative schedules pose increased risk, few reduce their duties pregnancy. Methods: An electronic survey distributed US surgeons who had least 1 live birth. Lack defined as: (1) desiring but feeling unable due failure the workplace/training program accommodate and/or concerns about...