Emergency Care

Hand Surgeon on Call

Hand microvascular trauma call is uncomfortable.  To awaken at 1:23 am, treat hand-saw injuries until 5:08 pm, and then freshen up to start the elective hand practice at 7 am is not easy.  It’s particularly difficult when the load of trauma call falls on few.  In the typical life of a surgeon who takes call and cares for upper-extremity trauma,…
Diversity

Mindbugs In Medicine

There is a concept proposed in a book I recently read of the “mindbug,” which the authors define as “ingrained habits of thought that lead to errors in how we perceive, remember and make decisions” (Banaji, M; Greenwald, Anthony. Blindspot.  New York, Random House, 2013).   Through a series of tests that time the subject’s ability to associate different words to…
Diversity

The Power of Team Science

Science, particularly in medicine and surgery, is increasingly a team sport. In fact, both public and private funding agencies have established explicit funding avenues to promote individuals to work together across disciplines to move forward the research questions most pressing to our healthcare system. The Science of Team Science (SciTS) has now evolved as a unique discipline centered on defining…
Clinical

Reframing failure

Failure in life - no matter how great or small - can provide a transformational opportunity for growth. In fact, most if not all innovation is the result of trial and error, a consequential response or iteration, and so forth. Indeed, in medicine, progress has relied on the scientific method forever. However, our bad surgical outcomes are often stigmatized as…
Clinical

Is the Current Hand Fellowship Interview Process Broken?

Fellowship training in hand surgery has become increasingly popular, resulting in a significant number of applicants failing to obtain a fellowship position.  From 2012-2014, 25% of applicants did not match.  In 2016, there were 199 applicants for only 166 positions; this left 17% of applicants unmatched.1  This competitive environment has led to applicants applying to an increasingly larger number of…