Ramped-up productivity incentives and a deadly down slope

The healthcare system always conducts a “root cause” analysis when a medical error occurs. It looks for a systemic problem to address in order to prevent a recurrence. Although multidimensional, we have failed to address one of the root causes of…
How to succeed in vascular surgery: A guide for the aspiring outlier

Disclaimer: The views expressed here do not reflect those of Mayo Clinic, the Society for Vascular Surgery, Vascular Specialist, or even the author, for that matter. It’s satirical—everybody relax. Our recent paper, “Practice patterns of vascular surgery’s ‘1%’” created a…
Leadership and culture: Nurturing our immune system

Defining culture is amorphous, and mostly subjective. Being hard to define, it falls behind other measures of leadership—and team success or failure—like strategy or communication skills. Michael Watkins, PhD, professor of leadership and organizational change at the International Institute for…
A healing touch

Since March 2020, my life has literally spiraled out of control both personally and professionally. The COVID-19 pandemic shattered my life, and I am still left picking up the pieces, wondering if it will ever be put back together again.…
Present imperfect

On the morning of Nov. 9, I received a phone call from my sister. My father had been found unresponsive in his Manhattan apartment and was being taken to the hospital. Ok, I told her, call me when you know…
Give people a fair chance and watch the results

Ten years ago when we wrote a paper on diversity that was published in the Journal of Vascular Surgery (JVS), it barely caused a ripple. Entitled “Diversity in membership and leadership positions in a regional vascular society,” it was co-authored…
Science at twilight: Reasserting our democratic responsibility

Thomas Jefferson sat alone in a Philadelphia boarding house. He was nervous; much was riding on the words he would now write. The sovereignty of a nation, the coming war, and, perhaps most important to Jefferson, his own life. Ostensibly,…
Look within yourself during turbulent times

There are many strategies people have for surviving turbulent times. At times like these, I am often asked for advice by younger vascular surgeons, trainees or colleagues. Typically, I respond with a question: Are you following your personal mission statement?…
Sheahan: On professionals and professionalism

On March 19, 2019, I sat in the audience of the scientific sessions at the Annual Meeting of the Society for Clinical Vascular Surgery (SCVS). I was there with two of my trainees who were eagerly waiting to present their…
Time, money and marginal utility

Like most older surgeons, my residency and trauma fellowship years at Grady Hospital— part of Emory University School of Medicine—remain a blur. With frequent, every-other-day 24-hour call, this coincided with the first three years of my oldest child’s life. As…

