Always Keep Your Clothes in the Car
AbstractIn helping to organize many different educational environments in the School of Medicine and the Department of Surgery at the University of Virginia over the last 30 years, my colleagues and I have long recognized that our students and trainees, while uniformly well prepared academically for their respective missions, often take inadequate care of themselves. Everyone who has flown on a plane will recall that the flight attendants always tell passengers that, if oxygen is needed, one must put one’s own mask on first, before helping others put their masks on. And the obvious reason for that admonition is that you cannot help others if you, yourself, are impaired. This admonition applies equally to those who have committed their lives to helping others, which, in the case of our protÃ©gÃ©s and ourselves, is through medicine and surgery.
Park A, Zahiri H, Hallbeck M, et al. 2016. Intraoperative “micro breaks” with targeted stretching enhance surgeon physical function and mental focus: a multicenter cohort study. Annals of Surgery doi: 10.1097/SLA.0000000000001665 [In press].
Mann GV. 1977. Diet-heart: End of an era. N Engl J Med 297:644-50. doi: 10.1056/NEJM197709222971206.
Malhotra A. 2013. Saturated fat is not the major issue. BMJ 347:f6340. doi: 10.1136/bmj.f6340.
O’Connor A. Making a case for eating fat. http://well.blogs.nytimes.com/2016/03/04/making-the-case-for-eating-fat.
Ellman P, Tribble C, Kron I, et al. 2004. Sleep deprivation does not affect operative results in cardiac surgery. Ann Thorac Surg 78:906-11.
Ellman P, Tribble C, Kron I, et al. 2005. Acute sleep deprivation in the thoracic surgical resident does not affect operative outcomes. Ann Thorac Surg 80:60-5.
Ding M, Bhupathiraju SN, Satija A, van Dam RM, Hu FB. 2014. Long-term coffee consumption and risk of cardiovascular disease: a systematic review and a dose–response meta-analysis of prospective cohort studies. Circulation 129:643-59.
Menard D, Stanish WD. 1989. The Aging Athlete. Am J Sports Med 17:187-96. http://europepmc.org/abstract/med/2667376.
The Endurance Predator. 2004. Outside Magazine. http://www.outsideonline.com/1886466/endurance-predator.
Jeff Rouse. https://www.youtube.com/watch?v=1McbcibbJ44.
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