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November 2, 2022
Tessa J. J.Lamberton,MD1; SharmilaDissanaike,MD2; Christiande Virgilio,MD1
Author Affiliations Article Information
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1Department of Surgery, Harbor-UCLA Medical Center, Torrance, California
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2Department of Surgery, Texas Tech University Health Sciences Center, Lubbock
JAMA Surg. 2023;158(2):112-114. doi:10.1001/jamasurg.2022.3953
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AngelosMantelakis,BSc, MBBS, MRCS; Hugo LayardHorsfall,MRCS
JAMA Surgery
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Growing up in the 1970s, the senior (read: old) authors of this piece were raised watching “The Flintstones.” Juxtaposing modern-day concerns in a Neolithic setting, each episode would begin with the foreman at a mining quarry tugging on the tail of a feathered dinosaur; the bird would then let out a piercing shriek, thus signaling the end of the workday. This sound would trigger our hero, the titular caveman Fred Flintstone, to exultantly shout his catchphrase “yabba dabba doo!” with his face wreathed in pure joy. As Fred rapidly peddled home from the quarry, it was clear to us viewers that the little cave he called home, which he shared with his wife Wilma, a precocious toddler Pebbles, and adorable pet Dino, was his sanctuary. Here, Fred could forget about the stresses of work and rest, recover, and spend time with family and friends without unwanted interruption.
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February 22, 2023
Consider using Reboot-C to restore some yabba dabba doo
Chandra Biyani |
Tmam Al-Ghunaim1, Chandra Shekhar Biyani2, Judith Johnson 1 1 School of Psychology University of Leeds, Leeds LS2 9JT, UK We read with interest the article by Lamberton et al1 which highlighted once again the issue of burnout in surgery and suggested measures to address the issue. We agree that it is an important issue, and a survey by the General Medical Council demonstrated that the proportion of doctors at a high risk of burnout has increased from 10% in 2020 to 17% in 2021.2 While Reboot (Recovery Boosting Training) is one possibly useful technique that aids in preparing physicians for stressful healthcare events4. Two, two-hour small-group workshops and a one-hour, one-to-one coaching phone call make up the typical Reboot format5, which some may find to be too time- or resource-demanding to deliver to surgical trainees. We redesigned the Reboot program to address the needs of urology trainees and to be feasible to deliver in training settings by removing the one-to-one coaching component and including only the two group workshops. The redesigned version of Reboot (Reboot-C (Reboot-Coaching Workshops)) was attended by 21 urology residents, who also completed the pre-and-post-intervention surveys. Participation in Reboot-C was linked to marked increases in resiliency and confidence as well as a noticeable decrease in burnout. Depression did not, however, significantly decline. Most participants completed the two workshops and the follow-up questionnaires, demonstrating the strong retention of the intervention components. Considering written feedback, most trainees said Reboot-C was interesting, practical, and related to their line of work. Some participants said they desired additional breakout sessions to work through the situations, more breakout spaces, and practical advice. Based on the analysis of interview data, Reboot-C gave surgeons a toolset of abilities for boosting resilience and helped them have a deeper understanding of their mental health. The sessions left them wanting more because they were helpful in fostering peer participation and interaction. According to qualitative data, the reboot was acceptable and assisted participants to learn useful skills. We believe Reboot-C could be one intervention for future, controlled evaluations to focus upon and may bring back some yabba dabba doo to our hearts. References 1.Lamberton TJJ, Dissanaike S, de Virgilio C. Addressing Burnout in Surgery-Where Did the Yabba Dabba Doo Go? JAMA Surg. 2023 Feb 1;158(2):112-114.
2 Department of Urology, St. James’s University Hospital, Leeds, UK
2.General Medical Council: The state of medical education and practice in the UK 2021. https://www.gmc-uk.org/-/media/documents/somep-2021-full-report_pdf-88509460.pdf [Accessed on 19th February 2023]
3.Panagioti M, Panagopoulou E, Bower P, Lewith G, Kontopantelis E, Chew-Graham C, et a
CONFLICT OF INTEREST: None Reported
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Lamberton TJJ, Dissanaike S, de Virgilio C. Addressing Burnout in Surgery—Where Did the Yabba Dabba Doo Go? JAMA Surg. 2023;158(2):112–114. doi:10.1001/jamasurg.2022.3953
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