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Negotiation and Career Advancement: How Can We Continue to Advance Women in Academic Surgery, What Are the Barriers They Are Facing, and What Can We Do to Overcome Them?
This article explores how to continue to advance women in academic surgery, first by considering the barriers women surgeons face, then offering actionable steps—on the individual, interpersonal, and systems levels—to overcome these barriers and work toward gender equity. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Turfah, Mary Kwakye, Gifty Tags: Review Article Source Type: research

Career Transitions: What Are Other Options to Clinical Practice That May Align with New or Evolving Priorities/Goals?
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1764237Career transitions are an essential part of the evolution of one's professional life. Transitions can take place at any time and for a variety of reasons. In this article, I review career transitions in the context of my own experiences and offer some advice and guidelines for making a career transition. The article also reviews what opportunities exist for career development and how that can lead to new and future prospects. Finally, achieving work–life balance can be difficult in today's health care landscape. Setting priorities and revisiting one's life plan on a regul...
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Ramamoorthy, Sonia L. Tags: Review Article Source Type: research

Impact of Gender Inequity on Women Surgeons in the Professional Setting
This article will identify key barriers to equity that women surgeons face within the professional setting. More specifically, inadequate female representation, discrimination in the form of unconscious gender bias and microaggressions, and sexual harassment will be explored regarding their continued threats to gender equity, as well as constructive ways to mitigate these effects. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Onyiego, Alexandra Davids, Jennifer S. Tags: Review Article Source Type: research

Cancer in the Anal Transition Zone and Ileoanal Pouch following Surgery for Ulcerative Colitis
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1762562Restorative proctocolectomy with ileal pouch-anal anastomosis remains the gold standard treatment for patients with ulcerative colitis who desire restoration of intestinal continuity. Despite a significant cancer risk reduction after surgical removal of the colon and rectum, dysplasia and cancers of the ileal pouch or anal transition zone still occur and are a risk even if an anal canal mucosectomy is performed. Surgical care and maintenance after ileoanal anastomosis must include consideration of malignant potential along with other commonly monitored variables such as bow...
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Miller-Ocuin, Jennifer L. Ashburn, Jean H. Tags: Review Article Source Type: research

Toward Allyship and Mentorship: Recognition, Relatability, and Respect
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1764344Allyship and mentorship are two critical aspects needed not only to promote the growth of success of people around us, but also to advocate for those that are not as fortunate and are often excluded or marginalized. Understanding the distinctions and commonalities between the two, as well as the required interdependence, will go a long way toward ensuring that an impact toward positive change is made in the future. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |...
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Mahmoud, Najjia N. Tags: Review Article Source Type: research

Measuring Quality at the Surgeon Level
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1761421Patients expect high-quality surgical care and increasingly are looking for ways to assess the quality of the surgeon they are seeing, but quality measurement is often more complicated than one might expect. Measurement of individual surgeon quality in a manner that allows for comparison among surgeons is particularly difficult. While the concept of measuring individual surgeon quality has a long history, technology now allows for new and innovative ways to measure and achieve surgical excellence. However, some recent efforts to make surgeon-level quality data publicly avai...
Source: Clinics in Colon and Rectal Surgery - March 24, 2023 Category: Surgery Authors: Chamely, Elias A. Stulberg, Jonah J. Tags: Review Article Source Type: research

Qualitative Research and Applications in Colorectal Surgery
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1762927Traditionally employed in medical anthropologic and sociologic literature, qualitative methods are emerging as an essential component of clinical research as surgeons and researchers strive to optimize care informed by patient perspectives. Qualitative methods in health care–related research may be used to understand subjective experiences, beliefs, and concepts that are not captured using quantitative analyses and to gain in-depth knowledge of a specific context or culture. A qualitative approach may also be employed to explore under-researched problems and generate new ...
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Vitous, C. Ann Suwanabol, Pasithorn A. Tags: Review Article Source Type: research

Focal Cancer in Colitis
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1762560Colorectal cancer (CRC) is a known complication of inflammatory bowel disease (IBD). Widely accepted guidelines recommend that patients with ulcerative colitis diagnosed with CRC undergo total proctocolectomy with or without ileal pouch-anal anastomosis, and that patients with Crohn's disease and CRC undergo either total colectomy or proctocolectomy. These approaches are ideal for preventing synchronous and metachronous cancer, minimizing risk of refractory colitis requiring reoperation, and is the appropriate treatment for the vast majority of patients with IBD who are dia...
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Lam, Cyrena C. Kethman, William Tags: Review Article Source Type: research

Intersectionality: Understanding the Interdependent Systems of Discrimination and Disadvantage
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1764343The fight for gender equity in surgery extends well beyond the simplistic binary construct of man versus woman. Professor Kimberlé Crenshaw coined the term “intersectionality,” which is used to describe the dynamic associations between the concepts of race, class, gender, and other individualized characteristics and their real-time interaction with one another in our society. Our review of intersectional identities among medical professionals attempts to examine the trends of difficulties at the intersections of an individual's identity within academic surgery, leaders...
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: King-Mullins, Erin Maccou, Elana Miller, Pringl Tags: Review Article Source Type: research

Epidemiology of Stage IV Colorectal Cancer: Trends in the Incidence, Prevalence, Age Distribution, and Impact on Life Span
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1761447Colorectal cancer is a common malignancy in men and women. Historically, stage IV colorectal cancer has 10 to 15% five-year survival. Developments in the management of colorectal metastatic disease have helped improve the overall survival of stage IV colorectal cancers from 12 to 30 months with some patients achieving disease-free survival. [...] Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Abstract  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Ilyas, Mohammed Iyoob Mohammed Tags: Review Article Source Type: research

Effectiveness of Standard Treatment for Stage 4 Colorectal Cancer: Traditional Management with Surgery, Radiation, and Chemotherapy
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1761420Colorectal cancer (CRC) is the second most common cause of cancer-related death in the United States comprising 7.9% of all new cancer diagnoses and 8.6% of all cancer deaths. The combined 5-year relative survival rate for all stages is 65.1% but in its most aggressive form, stage 4 CRC has a 5-year relative survival rate of just 15.1%. For most with stage 4 CRC, treatment is palliative not curative, with the goal to prolong overall survival and maintain an acceptable quality of life.The identification of unique cancer genomic and biologic markers allows patient-specific tr...
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Feria, Alejandro Times, Melissa Tags: Review Article Source Type: research

Small Bowel Carcinoma in the Setting of Inflammatory Bowel Disease
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1762929Small bowel carcinomas are rare in the general population, but the incidence is increasing. Patients with inflammatory bowel diseases (IBDs) are at significantly higher risk of small bowel adenocarcinomas than their non-IBD counterparts, with Crohn's patients having at least a 12-fold increased risk and ulcerative colitis patients with a more controversial and modest 2-fold increased risk compared with the general population. IBD patients with small bowel carcinomas present with nonspecific symptoms that overlap with typical IBD symptoms, and this results in difficulty maki...
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Bhatt, Himani Mathis, Kellie L. Tags: Review Article Source Type: research

Cancer in Inflammatory Bowel Disease
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1762556 Thieme Medical Publishers, Inc. 333 Seventh Avenue, 18th Floor, New York, NY 10001, USAArticle in Thieme eJournals: Table of contents  |  Full text (Source: Clinics in Colon and Rectal Surgery)
Source: Clinics in Colon and Rectal Surgery - March 15, 2023 Category: Surgery Authors: Steinhagen, Emily Tags: Preface Source Type: research

Role of Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy in the Management of Colorectal Peritoneal Metastases
Clin Colon Rectal Surg DOI: 10.1055/s-0042-1758759Peritoneal metastases from colon cancer are a particularly challenging disease process given the limited response to systemic chemotherapy. In patients with isolated peritoneal metastases, cytoreductive surgery with hyperthermic intraperitoneal chemotherapy offers a potential treatment option to these patients with limited peritoneal metastases as long as a complete cytoreduction is achieved. Decision about a patient's candidacy for this treatment modality should be undertaken by a multidisciplinary group at expert centers. [...] Thieme Medical Publishers, Inc. 333 Seventh ...
Source: Clinics in Colon and Rectal Surgery - March 13, 2023 Category: Surgery Authors: Shah, Rupen Gangi, Alexandra Tags: Review Article Source Type: research

History and Role of Quality Accreditation
Clin Colon Rectal Surg DOI: 10.1055/s-0043-1761592Accreditation has played a major role in the evolution of health care quality as well as the structure and organization of American medicine. In its earliest iterations, accreditation aimed to set a minimum standard of care, and now more prominently sets standards for high quality, optimal patient care. There are several institutions that provide accreditations that are relevant to colorectal surgery including the American College of Surgeons (ACS) Commission on Cancer, National Cancer Institute Cancer Center Designation, National Accreditation Program for Rectal Cancer, an...
Source: Clinics in Colon and Rectal Surgery - March 13, 2023 Category: Surgery Authors: Russell, Tara A. Ko, Clifford Tags: Review Article Source Type: research