Achieving balance in a surgical life: A personal perspective on a Sisyphean task

American Journal of Surgery

Volumn 195, Issue 5, 2008, Pages 557-564

  Orrom, William J ^a  

^a VANCOUVER ISLAND HEALTH AUTHORITY   (Canada)

Author keywords

Exercise; Family; Intimate relationships; Life Balance; Sleep deprivation; Surgical career

Indexed keywords

ARTICLE; EXERCISE; FAMILY LIFE; HUMAN RELATION; LIFE EVENT; MENTAL HEALTH; PRIORITY JOURNAL; SLEEP DEPRIVATION; SURGEON;

BURNOUT, PROFESSIONAL; CAREER CHOICE; DIVORCE; EXERCISE; FAMILY; HUMANS; INTERPERSONAL RELATIONS; LIFE STYLE; NUTRITION ASSESSMENT; OCCUPATIONAL DISEASES; PHYSICIANS; SLEEP DEPRIVATION; STRESS, PSYCHOLOGICAL; SURGERY;

EID: 42049110304     PISSN: 00029610     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.amjsurg.2007.12.030     Document Type: Article

References (48)

1. Hamilton E. Mythology (1969), Signet Classics, New York
2. Camus A. The myth of Sisyphus and other essays (1991), Vintage International Edition, New York
3. Eliot T. The four quartets (1970), Faber and Faber, London
4. Kofodimos J. Balancing act: how managers can integrate successful careers and fulfilling personal lives. The Jossey-Bass management series (1993), Jossey-Bass Inc, New York
5. CMA Guide to Physician Health and Well-Being. Facts, advice and resources for Canadian Physicians (2003). http://www.cma.ca/multimedia/staticContent/HTML/N0/l2/PhysicianHealth/resources/guide-PHWB.pdf Accessed: September 24, 2007
6. Australian Medical Workforce Advisory Committee. Career decision making by doctors in vocational training (2003), AMWAC, Sydney. http://www.health.nsw.gov.au/amwac/amwac/pdf/career_making_20032.pdf
7. Skinner C. Re-inventing medical work and training: a view from generation X. Med J Aust 185 (2006) 35-36
8. Plato. The last days of Socrates (1993), Penguin Books, London
9. The Oxford Dictionary of Quotations (2001), Oxford University Press, New York
10. Porter G. Organizational impact of workaholism: suggestions for researching the negative outcomes of excessive work. J Occup Health Psychol 1 (1996) 70-84
11. Robinson B. Work addiction: hidden legacies of adult children (1989), Health Communications Inc, Deerfield Beach, FL
12. Frank E., Biola H., and Burnett C.A. Mortality rates and causes among U.S. physicians. Am J Prev Med 19 (2000) 155-159
13. Rollman B.L., Mead L.A., Wang N., and Klag M.J. Medical specialty and the incidence of divorce. N Engl J Med 336 (1997) 800-803
14. Eisenberg L. Marriage: if it lasts, does that mean it's good?. JAMA 261 (1989) 2401
15. Doherty W.J., and Burge S.K. Divorce among physicians. Comparisons with other occupational groups. JAMA 261 (1989) 2374-2377
16. Wallot H., and Lambert J. Drug addiction among Quebec physicians. CMAJ 126 (1982) 927-930
17. Mcauliffe W.E., Rohman M., and Breer P. Alcohol use and abuse in random samples of physicians and medical students. Am J Public Health 81 (1991) 177-182
18. Maslach C., and Leither M.P. The truth about burnout (1997), Jossey-Bass Publishers, San Francisco 13-15
19. Campbell Jr. D.A., Sonnad S.S., Eckhauser F.E., et al. Burnout among American surgeons. Surgery 130 (2001) 696
20. Parshuram C.S. The impact of fatigue on patient safety. Pediatr Clin North Am 53 (2006) 1135-1153
21. Belenky G., Wesensten N.J., Thorne D.R., et al. Patterns of performance degradation and restoration during sleep restriction and subsequent recovery: a sleep dose-response study. J Sleep Res 12 (2003) 1-12
22. Wolk R., Gami A.S., Garcia-Touchard A., and Somers V.K. Sleep and cardiovascular disease. Curr Probl Cardiol 30 (2005) 625-662
23. Furlan R., Barbic F., Piazza S., et al. Modifications of cardiac autonomic profile associated with a shift schedule of work. Circulation 102 (2000) 1912-1916
24. Parshuram C.S., Dhanani S., Kirsh J.A., and Cox P.N. Fellowship training, workload, fatigue and physical stress: a prospective observational study. CMAJ 170 (2004) 965-970
25. Robbins J., and Gottlieb F. Sleep deprivation and cognitive testing in internal medicine house staff. West J Med 152 (1990) 82-86
26. Orton D.I., and Gruzelier J.H. Adverse changes in mood and cognitive performance of house officers after night duty. BMJ 298 (1989) 21-23
27. Lockley S.W., Cronin J.W., Evans E.E., et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med 351 (2004) 1829-1837
28. Steele M.T., Ma O.J., Wastson W.A., et al. The occupational risk of motor vehicle collisions for emergency medicine residents. Acad Emerg Med 6 (1999) 1050-1053
29. Barger L.K., Cade B.E., Ayas N.T., et al. Extended work shifts and the risk of motor vehicle crashes among interns. N Engl J Med 352 (2005) 125-134
30. Cohen S., Janicki-Deverts D., and Miller G.E. Psychological stress and disease. JAMA 298 (2007) 1685-1687
31. Louie A., Coverdale J., and Roberts L.W. Balancing the personal and the professional: should and can we teach this?. Acad Psychiatry 31 (2007) 129-132
32. Grossman P., Niemann L., Schmidt S., and Walach H. Mindfulness-based stress reduction and health benefits. A meta-analysis. J Psychosom Res 57 (2004) 35-43
33. Davidson R.J., Kabat-Zinn J., Schumacher J., et al. Alterations in brain and immune function produced by mindfulness meditation. Psychosom Med 65 (2003) 564-570
34. Higgins J.E., and Endler N.S. Coping, life stress, and psychological and somatic distress. Eur J Personality 9 (1995) 253-270
35. Tietzel A.J., and Lack L.C. The recuperative value of brief and ultra-brief naps on alertness and cognitive performance. J Sleep Res 11 (2002) 213-218
36. Buscemi N., Vandermeer B., Hooton N., et al. Efficacy and safety of exogenous melatonin for secondary sleep disorders and sleep disorders accompanying sleep restriction: meta-analysis. BMJ 332 (2006) 385-393
37. Gill M., Haerich P., Westcott K., et al. Cognitive performance following modafinil versus placebo in sleep-deprived emergency physicians: a double-blind randomized crossover study. Acad Emerg Med 13 (2006) 158-165
38. Cohen L. Anthem. Stranger music (1993), McClelland & Stewart, Toronto
39. Myers M.F. Medical marriages and other intimate relationships. Med J Aust 181 (2004) 392-394
40. Koehoorn M., Rondeau K.V., Schellenberg G., et al. Creating high-quality health care workplaces. Discussion paper no. W14 (2002), Canadian Policy Research Networks, Ottawa
41. Lowe G.S. What's a good job?. The importance of employment relationships. Study no. W05 (2001), Canadian Policy Research Networks, Ottawa
42. Gross C.P., Mead L.A., Ford D.E., and Klag M.J. Physician, heal thyself?. Regular source of care and use of preventive health services among physicians. Arch Intern Med 160 (2000) 3209-3214
43. Anonymous Physical activity and health: a report of the surgeon general (1996), US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center of Chronic Disease Prevention and Health Promotion, Atlanta, GA
44. Steffen P.R., Sherwood A., Gullette E.C.D., et al. Effects of exercise and weight loss on blood pressure during daily life. Med Sci Sports Exerc 33 (2001) 1635-1640
45. Donaghy M.E. Exercise can seriously improve your mental health: fact or fiction?. Adv Physiotherapy 9 (2007) 76-88
46. Eliot T. Selected poems (1972), Faber & Faber, London
47. Osler W. Aequanimitas. With other addresses to medical students, nurses, and practitioners of medicine (1922), Blakiston's, Philadelphia
48. McHenry C.R. In search of balance: a successful career, health, and family. Am J Surg 193 (2007) 293-297