In this episode, Lillian Erdahl, MD, FACS, is joined by Fatemeh Shojaeian, MD, MPH, from the Johns Hopkins University School of Medicine. They discuss Dr Shojaeian’s recent article, “Refractory and Recurrent Idiopathic Granulomatous Mastitis Treatment: Adaptive, Randomized Clinical Trial,” in which the authors found that, for resistant or relapsing patients with idiopathic granulomatous mastitis, combining methotrexate and corticosteroids offers a promising strategy. This integration of disease-modifying antirheumatic drugs with corticosteroids not only reduces the necessity for high steroid doses but also effectively alleviates associated side effects.

Disclosure Information: Drs Erdahl and Shojaeian have nothing to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Shojaeian, Fatemeh MD, MPH; Haghighat, Shahpar MD; Abbasvandi, Fereshteh MD; Houshdar Tehrani, Alireza MD; Najar Najafi, Niki BSc; Zandi, Ashkan PhD; Olfatbakhsh, Asiie MD; Sharifi, Maryam MD; Hashemi, Esmat MD; Nafissi, Nahid MD; Najafi, Safa MD. Refractory and Recurrent Idiopathic Granulomatous Mastitis Treatment: Adaptive, Randomized Clinical Trial. Journal of the American College of Surgeons 238(6):p 1153-1165, June 2024. | DOI: 10.1097/XCS.0000000000001046 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Lillian Erdahl, MD, FACS, is joined by Jessica Ching, MD, from the Baylor College of Medicine. They discuss Dr Ching’s recent article, “Protective Effects of Authenticity Against Depression, Suicide, and Burnout among Surgeons,” in which the authors found that authenticity may protect against burnout, depression, and suicide, pointing to a vital intervention opportunity. This research highlights the importance of cultivating a culture that prioritizes mental health to foster a resilient, fulfilled surgical community.

Ockerman, Kyle M BS; Mardourian, Markos MD; Han, Sabrina H MD; Sorice-Virk, Sarah MD; Ching, Jessica MD. Protective Effects of Authenticity Against Depression, Suicide, and Burnout among Surgeons. Journal of the American College of Surgeons 239(5):p 485-493, November 2024. | DOI: 10.1097/XCS.0000000000001128 

In this episode, Tom Varghese, MD, MS, MBA, FACS, is joined by Lauren M Janczewski, MD, MS, from Northwestern University, and Yue-Yung Hu, MD, MPH, FACS, from the Ann & Robert H. Lurie Children’s Hospital and Northwestern Quality Improvement, Research, and Education in Surgery (NQUIRES). They discuss their recent article, “Contemporary Evaluation of Work-Life Integration and Well-being in US Surgical Residents: A National Mixed-Methods Study,” in which the authors found that parents and female residents were more likely to report work-life conflicts, which were associated with career dissatisfaction, burnout, thoughts of attrition, and suicidality. Qualitative data revealed work-life integration interventions: protecting health-maintenance time, supporting life outside of work, and allowing meaningful autonomy in scheduling.

Janczewski, Lauren M MD, MS; Buchheit, Joanna T MD, MS; Golisch, Kimberly B MD, MS; Amortegui, Daniela MA; Mackiewicz, Natalia BA; Eng, Joshua S PhD; Turner, Patricia L MD, FACS; Johnson, Julie K MPH, PhD; Bilimoria, Karl Y MD, MS, FACS; Hu, Yue-Yung MD, MPH, FACS. Contemporary Evaluation of Work-Life Integration and Well-Being in US Surgical Residents: A National Mixed-Methods Study. Journal of the American College of Surgeons 239(6):p 515-526, December 2024. | DOI: 10.1097/XCS.0000000000001135 

In this episode, Tom Varghese, MD, FACS is joined by Calista M Harbaugh, MD, MSc, from the University of Michigan. They discuss Dr Harbaugh’s recent study, “Association of National Accreditation Program for Rectal Cancer Accreditation with Outcomes after Rectal Cancer Surgery,” in which the authors found that hospitals accredited by the National Accreditation Program for Rectal Cancer are associated with lower short- and long-term morbidity and mortality, but few programs achieve accreditation status.

Disclosure Information: Drs Varghese and Harbaugh have nothing to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Harbaugh, Calista M MD, MSc; Kunnath, Nicholas J MS; Suwanabol, Pasithorn A MD, MS, FACS; Dimick, Justin B MD, MPH, FACS; Hendren, Samantha K MD, MPH, FACS; Ibrahim, Andrew M MD, MSc, FACS. Association of National Accreditation Program for Rectal Cancer Accreditation with Outcomes after Rectal Cancer Surgery. Journal of the American College of Surgeons 239(2):p 98-105, August 2024. | DOI: 10.1097/XCS.0000000000001064 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Lillian Erdahl, MD, FACS is joined by Todd Rosengart, MD, FACS, from the Baylor College of Medicine. They discuss Dr Rosengart’s recent article, “Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy,” which focuses on maintaining and ensuring the competency of an aging surgeon workforce. The study provides evidence-based guiding principles as part of a comprehensive “whole of career” strategy that can be adopted at a personal, institutional, and national level.

Disclosure Information: Drs Erdahl and Rosengart have nothing to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Rosengart, Todd K MD, FACS; Chen, Jennifer H MD; Gantt, Nancy L MD, FACS; Angelos, Peter MD, FACS; Warshaw, Andrew L MD, FACS; Rosen, Jennifer E MD, FACS; Perrier, Nancy D MD, FACS; Kaups, Krista L MD, FACS; Doherty, Gerard M MD, FACS; Zoumpou, Theofano MD; Ashley, Stanley W MD, FACS; Doscher, William MD, FACS; Welsh, David MD, FACS; Savarise, Mark MD, MBA, FACS; Sutherland, Michael J MD, MBA, FACS; Sidawy, Anton N MD, MPH, FACS; Kopelan, Adam M MD, FACS. Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy. Journal of the American College of Surgeons 239(2):p 187-189, August 2024. | DOI: 10.1097/XCS.0000000000001066 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Tom Varghese, MD, FACS is joined by Jamie Coleman, MD, FACS, from the University of Louisville. They discuss Dr Coleman’s recent article, “Home Is Not Always Where the Sleep Is: The Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being”, which quantifies sleep loss and burnout associated with home call in acute care surgeons, emphasizing that there are both physical and emotional contributors to burnout. 

Disclosure Information: Drs Varghese and Coleman have nothing to disclose.  

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date. 

Coleman, Jamie J MD, FACS; Robinson, Caitlin K MA; von Hippel, William PhD; Lawless, Ryan A MD, FACS; McMasters, Kelly M MD, PhD, FACS; Cohen, Mitchell J MD, FACS. Home Is Not Always Where the Sleep Is: Effect of Home Call on Sleep, Burnout, and Surgeon Well-Being. Journal of the American College of Surgeons 238(4):p 417-422, April 2024. | DOI: 10.1097/XCS.0000000000000975 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more. 

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In this episode, Tom Varghese, MD, FACS is joined by Jeremy Cannon, MD, SM, FACS, from the University of Pennsylvania. They discuss Dr Cannon’s Excelsior Surgical Society Presidential Address, emphasizing the crucial contribution of expeditionary surgical leaders in World War II and how their legacy serves as an example for military and civilian surgeons seeking to lead in austere settings today.

Disclosure Information: Dr Varghese has nothing to disclose. Dr Cannon received royalties from UpToDate for authoring an article on an unrelated topic. Dr Cannon's institute was supported by funding from CSL Behring.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Cannon, Jeremy W MD, SM, FACS. Expeditionary Surgeons: Essential to Surgical Leadership in World War II and Today. Journal of the American College of Surgeons 238(5):p 785-793, May 2024. | DOI: 10.1097/XCS.0000000000000933 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Lillian Erdahl, MD, FACS is joined by Dai Chung, MD, FACS, from the University of Texas Southwestern Medical Center. They discuss Dr Chung’s recent study, which demonstrates that poor health outcomes among pediatric solid tumor patients are associated with minority race and residence in rural or border regions, and that the 5-year rate mortality rises with increasing area deprivation score.

Disclosure Information: Drs Erdahl and Chung have nothing to disclose.

To earn 0.25 AMA PRA Category 1 Credits™ for this episode of the JACS Operative Word Podcast, click here to register for the course and complete the evaluation. Listeners can earn CME credit for this podcast for up to 2 years after the original air date.

Cochran, Elizabeth D MD; Jacobson, Jillian C MD; Nehrubabu, Mithin BS; Qiao, Jingbo PhD; McCreery, Sullivan BA; Chung, Dai H MD, FACS. Social Determinants of Outcomes Disparity among Pediatric Patients with Solid Tumor. Journal of the American College of Surgeons 238(4):p 463-478, April 2024. | DOI: 10.1097/XCS.0000000000001010 

Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.

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In this episode, Lillian Erdahl, MD, FACS is joined by Amy Hernandez, MD, FACS, from the Department of Surgery, Naval Medical Center San Diego. They discuss Dr Hernandez’s recent study, which uses literature review, personal interviews, and correspondence with Navy Medicine administrative leaders to describe the evolution of women providing surgical care at sea.

Disclosure Information: Drs Erdahl and Hernandez have nothing to disclose.

Hernandez, Amy A MD, FACS; Sobocinski, André B MLS; Tadlock, Matthew D MD, FACS. Anchors Aweigh! The History of Women Surgeons at Sea. Journal of the American College of Surgeons 238(5):p 814-820, May 2024. | DOI: 10.1097/XCS.0000000000001038