Published in American Urological Association News - July 2017

Reprinted with permission from AUANews, volume 22, issue 7, 2017; © American Urological Association 2017.

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Why Surgeons should Build their Emotional IQ

 

Surgeons are smart. But what kind of “smart” are we? Too often, we focus on building academic intelligence. We zero-in on test-scores, professional distinctions, prestigious degrees, and, in the process, we forget about another kind of intelligence, "emotional intelligence," an intelligence that is critical to sustainable success. Don’t worry, this isn’t another feel-good, “get-in-touch-with-your-emotions” article. This is an article dedicated to the sharing of the real-life value of developed emotional intelligence.   

Passion for Performance Improvement

Why did you become a surgeon? What was the emotion behind that decision? Your emotional motivation is the key to overcoming frustration, exhaustion, stress, or negative emotions that keep us from reaching the heights of our professional potential. Identifying and understanding that emotional motivation is leverage to perform and improve—and positive emotions are the key to sustainable growth.

Role and Relationships

Yes, you’re a surgeon, but are you a parent? Spouse? Friend? Teacher? The roles and relationships we have in our lives come with their own unique emotional costs and benefits—anxiety, stress, overwhelm, joy, excitement, etc.

Learning how to identify when the costs become too great is essential. Any role or relationship, left unchecked, can become a leach in your life, taking and taking until you’ve got nothing left to give, and your practice suffers.

Attitude

Obviously, attitude is a byproduct of emotion. Attitude dictates our state-of-mind when we walk into (or out of) the operating room. Emotional intelligence allows surgeons to more easily shift from sadness and gravity to happiness and gratitude and helps us convey hope as well as a caring and confident attitude that resonates with patients.

Communication

Ever heard the saying, “it’s not what you say, it’s how you say it?” Tone, inflection, posture, eye-contact, and energy, are just a few of the many components that determine how effectively you communicate. And, like it or not, your emotional state weighs heavily on how you communicate. As a surgeon, having a high emotional IQ means you can recognize what you and others are feeling and keep emotions in-check, preventing them from contaminating your communication with peers, patients, family, and anyone else you encounter.

Time-Management  

Emotional intelligence is time-sensitive, balancing the emotional needs of important relationships with your personal needs. You know those mornings where you can’t get going? Or those days when you look up from your desk only to realize it’s 8 pm and you haven’t eaten, exercised, or checked-in with spouse all day?  Emotionally intelligent surgeons aim for focus and quality over quantity.  

Inspire and Influence

So much of your success is tied to your ability to inspire and influence others. How can you inspire others if you are no longer inspired? How can you successfully influence if you can’t emotionally connect to the worries, fears, and emotional drivers of others?

Complex Problem Solving

Successful surgeons have trained to solve complex problems but that ability can be compromised by the taxing emotions that commonly accompany the problem-solving process. Emotions like frustration, anger, embarrassment, disappointment, self-doubt and hopelessness. Emotional intelligence comes from small successes and knowing that failure breeds resilience, determination and useful knowledge.

Energy

It’s hard to be a great surgeon, stay healthy and lead a sustainable career if you’re running low on energy. Nothing saps energy as quickly as negative emotions. Emotional recharge and recovery restores calm, hope, joy and confidence.

When positive emotions prevail in your life, growing and maintaining a successful surgical practice is much simpler.


Published in American Urological Association News - April 2017

Reprinted with permission from AUANews, volume 22, issue 4, 2017; © American Urological Association 2017.

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Questioning Assumptions

 

The longer you have been practicing, the harder it is to question your status quo.

It is hard to rock the boat. It is especially hard to rock your own boat.

You have invested so much time into being who you are...a surgeon and much more. You’ve spent time building up your conviction in what you do, how you do it, and, the more core issue, why you do it.

But we are able to stay more current and well when we are willing to question assumptions. When we think we have all of the answers we stop asking questions. Instead we say or think things like:

  • They will never agree to that.

  • I will be mocked if I suggest this.

  • That failed last time I tried.

These are assumptions - a belief that if something happened in the past, it will happen again.  Assumptions are more likely to lead to failure. When you apply a different approach and create persistent action, you are more likely to succeed.

Take a look back into the past. Did your past successes mostly come from persistence and challenging assumptions? I’m betting they did. Ask yourself, “Just because it happened before, why does it have to happen again?”

Let’s make it even simpler.

I propose that we should be regularly asking ourselves three simple questions:

  1. Why am I doing this?

  2. What if I change how I do this?

  3. What if I change what I do?

Please keep in mind that bringing up questions does rock the boat. I don’t love encouraging pain on others, so please be prepared to ask for help from others that care about you.

When in doubt, start challenging the assumptions on how you do things first. After you practice this a little more, you can start challenging what you do.

Lastly, cautiously challenge your why.  From personal experience and with many hours of working with other surgeons, I’ve noticed that energy expended tends to be reversely proportional. That includes physical, mental and emotional energy. If you are not challenging your “core WHY” or your purpose, it is not as stressful.

This is not restricted to challenging your own assumptions. You can ask these same questions of others (your hospital administrator, your partners or colleagues etc.). When you do challenge others, try to be just as respectful. Why? What if? If it isn’t at their core, they will be more willing to explore challenging the assumption as well.

Stay Well.


 

Published in American Urological Association News - January 2017

reprinted with permission in AAOS Now - January 2017

Reprinted with permission from AUANews, volume 22, issue 1, 2017; © American Urological Association 2017.

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Less Balance! More Focus!

 

The other day I was reminded of a very important idea while I was at my yoga class:

The value is in focus, not balance.

Much of what is required in yoga and a surgical career takes balance. And on many days, I find myself pushing for more and more of that balance. Sometimes I waiver, sometimes I fall, but I am always striving for that balance.

The benefits of balance are real, and I see them in so many ways which, is why I constantly strive for it, whether I’m at home, at the office, or in the yoga studio.

Unfortunately, any time I struggle with balance, my mind has a tendency to see that struggle as failure. When I am unable to hold a pose, or my career starts to take up too much of my time, I see that absence of balance as a personal shortcoming.

But that’s not how it should be because battles with balance are really opportunities for focus which leads to rhythm which leads to good things.

One of the key practices of highly successful surgeons is rhythm.

In my experience, getting into YOUR rhythm depends upon where you feel you’re functioning.

·      Burned Out? – Learn to triage your time, especially time for yourself

·      Surviving? – Learn to adjust your priorities consistent with your values

·      Succeeding? – Learn to increase efficiency and return on investment

·      Thriving? – Enjoy the journey!

When surgeons are in rhythm, they can go from one role to the next and one patient to the other, with the focus and mindfulness that leads to quality treatment and care.

And how do we define quality?

When our patients say we seem to “really care” or that we “listen well,” those moments are a reflection of quality derived from focus.

When our kids or spouse feels we are less distracted by work or enjoying our time with them, then we are injecting quality drawn directly from the purposeful focus of our attention into these relationships.

Are you battling for balance?

How can you use that battle as an opportunity to channel focus?

Remember--focus will bring you to rhythm, and rhythm will bring you to some fantastic spaces.

Stay Well.


Published in American Urological Association News - October 2016

reprinted with permission in AAOS Now - September 2016

Reprinted with permission from AUANews, volume 21, issue 10, 2016; © American Urological Association 2016.

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The Need for Surgeons to Have Flexibility

As surgeons, we know the importance of precision.

We are exact.

We are meticulous.

And we are this way because a misstep could cause serious, irreversible injury.

But that obsessive compulsiveness does not need to permeate every aspect of our world.

By learning to master the art of mental and emotional flexibility, we can receive more happiness and joy from our normally rigid practices and lives.

The palm tree and the surgeon

I live in San Diego, your host city for the Annual Meeting AUA 2016, where the streets are littered with palm trees—a universal beacon of ocean-side tranquility. Most of the time, these trees stand firm and tall, unwilling to waiver to light breezes coming in off the Pacific.

However, when a storm hits, the palm tree ceases being rigid—it flexes in strong winds to avoid being uprooted or splintered. After the storm, the palm stands tall again.

Surgeons are rooted in rigid principles that allow them to stand tall in the operating room. But like the palm tree, we must learn to practice flexibility when the situation calls for it in order to avoid becoming uprooted or damaged.

Surgeons thrive in the routine, in the regimented.

But life is neither routine nor regimented, and when something challenges our routine, it’s easy for us to become angry or frustrated.

That’s what makes flexibility so important.

Flexibility is the mechanism that allows us to weather storms of the unexpected, whether they arise in the workplace or elsewhere. Flexibility lets us bend with the wind like a palm tree, instead of standing rigidly and dangerously in opposition to it.

To help you become more comfortable with mental and emotional flexibility, try practicing some of these strategies:

Stray from your daily routine on your downtime

If you always go to Starbucks on the way to the hospital, take yourself to a different java house. Always go to the gym on your way home? – skip the treadmill and go see a movie.

Is your workout routine perhaps boring?  Change it up. Start intentionally injecting variety into your life and see how good it feels to stray from the norm.

Practice an open mind

Start being more aware of your thoughts and feelings. Avoid a rigid, one-sided thought process.

Embrace the random

When something unexpected emerges in your day, don’t stew over it. Embrace it as a unique opportunity.

Incorporate movement and exercise

Feeling stressed or worn out? – get out of the office and go for a brief walk. Doing so will help you cultivate clearer, more positive thought patterns.[1]

Learn to embrace and practice flexibility. You’ll bend rather than break beneath the pressure that is a surgeon’s life.  

Stay Well!

 

              [1] Bartels, L.: “10 Brain Tips to Teach and Learn.” SharpBrains. Web. Accessed 4 June 2016. Available at                                http://sharpbrains.com/blog/2010/12/08/10-brain-tips-to-teach-and-learn-ideas-for-new-year-resolutions/.

 


Guest Speaker at American Urological Association - Plenary Session I

May 8, 2016

 

Presentation At 2016 Orthopaedic Trauma & Fracture Care: Pushing the Envelope Conference