Surgeon Wellness
Surgeon wellness is crucial for delivering high-quality patient care and maintaining the overall health of the profession. The American Board of Surgery recognizes that the high-stakes, high-demand work of surgeons is both extremely rewarding and extremely stressful. It is not surprising that in this profession burnout is prevalent, with over 50% of surgeons experiencing burnout symptoms.
The American Board of Surgery is committed to promoting surgeon well-being through action.
A commitment to surgeon wellness
Promoting surgeon well-being
The ABS is committed to promoting surgeon well-being by:
- Evaluating existing and proposed ABS procedures for potential risks to surgeon well-being.
- Reducing the certification-related administrative demands on trainees and diplomates.
- Studying the effectiveness of ABS actions on surgeon well-being.
Wellness for Diplomates
Streamlining processes to ease administrative burden
The ABS continues to streamline processes and make changes to ease the burden of diplomates. Learn more about some of the changes that have already been enacted and those that are planned.
Continuous Certification Assessment
Elimination of self-assessment CME requirement and reduction in credit requirements following first successful attempt at the
Continuous Certification Assessment
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Assessment registration and all requirements 100% online
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More flexible, two-week window for assessment rather than evaluating performance based on a single exam day
Automatic Transfer of CME
CME is now automatically transferred to the ABS through the ABS collaboration with the Accreditation Council for Continuing Medical Education (ACCME®).
Multiple ABS Certifications
No need to duplicate most requirements if a diplomate holds multiple certificates from the ABS
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Discounted annual fee for second specialty
Removal of Burdensome Requirements
Operative experience report requirement eliminated in 2022
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Professional reference form requirement eliminated in 2024
New ABS Code of Ethics and Professionalism
Diplomates are responsible for reviewing the ABS Code of Ethics and Professionalism and signing corresponding attestation
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Enhanced attestation replaces the previous requirement for reference letters completed by institutional leaders
Multiple ABMS Board Certifications
The ABS is currently working on ways to ease the burden of diplomates who hold certifications from multiple ABMS boards by collaborating with other ABMS boards to reduce the amount of duplicate reporting.
Wellness for residents & trainees
How the ABS is working to improve resident/trainee well-being
Online applications for all examinations
There is no need to mail in application materials for any ABS examinations.
Virtual certifying examinations (oral exams)
The ABS has made certifying examinations virtual, eliminating the disruption and expense of travel for exam candidates.
Medical license no longer required to apply for GSQE or VSQE
A full and unrestricted license to practice medicine in the U.S. or Canada is not required to register for or take the GSQE or the VSQE. A full and unrestricted state medical license is still required for Certifying Examination registration.
Support for The Surgical Education Numbered Trials (SENT)
The ABS has provided extensive support to the FIRST Trial, which analyzed resident duty hour policies, and the SECOND Trial, which studied resident burnout and well-being, as well as co-authored the resulting publications.
Updated leave policies
All ABS leave policies have been revised to include additional time for trainees to handle personal matters such as a new child or a personal illness.
Entrustable Professional Activities (EPAs)
EPAs are being introduced for all specialties. These structured observations by faculty provide more guidance and feedback to trainees, with clearer objectives for end of training - senior trainees who are entrusted for multiple procedures may enter the workforce with more confidence for independent practice.
Resources
Resources to support surgeon wellness
Click the tile to view the resources available from each organization. Please be advised that the ABS shares these resources as a service to diplomates; it assumes no responsibility for the content of these websites. Posting of resources is at the discretion of the ABS.
Mayo Clinic Proceedings
Striving for Well-being 2.0
The article Physician Well-being 2.0: Where Are We and Where Are We Going? by Dr. Tait Shanafelt discusses the evolution of physician well-being from the “era of distress” to the current state known as “Well-being 1.0” and proposes steps toward achieving “Well-being 2.0.”
Dr. Shanafelt identifies three phases of the physician workforce’s well-being journey:
Era of Distress
This phase was marked by a lack of awareness regarding physician well-being and a focus primarily on institutional needs, often neglecting the personal well-being of healthcare professionals.
Well-being 1.0
In this phase, there is an increased awareness of the importance of physician well-being, with a focus on creating resources to help individual physicians cope with stress and burnout.
Well-being 2.0
This next phase emphasizes action and systemic changes to address the root causes of occupational distress and improve professional fulfillment. It involves leadership commitment to redesigning systems to support sustainable workloads, flexible leave policies, and adequate time for rest and recovery.
The article underscores the need for leadership to acknowledge physicians as humans and actively involve them in the process of system redesign. It also highlights the importance of creating a culture where healthcare professionals feel safe to provide feedback, which is crucial for continuous improvement and ensuring the changes meet their needs.
