Surgeons with Purpose

#38 Psychological Challenges and Surgery Culture with Dr. Andrew Brunswick


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Dr. Andrew Brunswick, a neurosurgeon at Kaiser Permanente in LA, joins us on the podcast to discuss the psychological challenges and culture in surgery. In this episode, we cover:

  • The culture Andrew experienced while working on Wall Street
  • The problem with getting stuck on the hedonic treadmill
  • The power of the word "enough"
  • Why satisfaction is a decision available to all of us at every moment
  • Parallels between athletes and surgeons
  • The psychological challenges of training in neurosurgery
  • Navigating difficult conversations and the human tendency to self-blame after surgical complications
  • How surgery culture addresses complications and mistakes
  • The slippery slope of feeling like we owe our patients our lives
  • The perils of perfectionism
  • Reflecting on the kind of surgeon we would want if we were patients
  • Self-care and balance during residency and beyond
  • Making Mom proud in the OR
  • The power of being courteous, patient, respectful, and empathetic
  • How focusing on “What if?” can drain joy from the job
  • The importance of modeling emotional intelligence and resilience
  • Why protecting the asset is not the same as protecting the ego or being lazy
  • How being salaried can reduce subconscious bias in decision-making

Follow Dr. Andrew Brunswick on Instagram here and find his clinical profile here.

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