Introduction: Surgery is an inherently high-stress profession, where complications, patient deaths, and difficult decisions can lead to burnout, moral injury, and mental health disorders. Inspired by the US Marine Corps' Combat and Operational Stress Control (COSC) program, this Perspective introduces Surgical Operational Stress Control (SOSC)—a structured framework designed to enhance surgeon resilience and sustain long-term performance.
Introduction:
Surgery is an inherently high-stress profession, where complications, patient deaths, and difficult decisions can lead to burnout, moral injury, and mental health disorders. Inspired by the US Marine Corps' Combat and Operational Stress Control (COSC) program, this Perspective introduces Surgical Operational Stress Control (SOSC)—a structured framework designed to enhance surgeon resilience and sustain long-term performance.
Key Takeaways:
Clinical Impact:
Surgeon well-being directly influences clinical performance and patient safety. By adapting battle-tested military principles, SOSC provides a practical framework to recognize stress early, support recovery, and foster a healthier surgical workforce. It shifts the focus from treating burnout to preventing it through structured organizational support.
Bottom Line:
Resilient surgeons deliver safer care. The proposed Surgical Operational Stress Control (SOSC) model offers a practical roadmap to identify, manage, and recover from occupational stress, ensuring surgeons remain healthy, effective, and "in the fight" throughout their careers.
Introduction: Chronic postoperative inguinal pain (CPIP) remains one of the most important long-term complications after laparoscopic groin hernia repair, despite lower rates than with open surgery. Whether different mesh types and fixation methods influence the...
Introduction: Venous involvement is common in locally advanced pancreatic cancer and often necessitates superior mesenteric-portal vein resection with reconstruction during pancreaticoduodenectomy. However, reconstruction may not always be feasible because of extensive venous disease or unfavorable...
Introduction: Pancreatoduodenectomy remains one of the most complex abdominal operations. Robotic pancreatoduodenectomy (RPD) has been proposed to improve postoperative recovery, but robust randomized evidence has been limited. The PORTAL trial compared robotic and open pancreatoduodenectomy...
Introduction: As surgical techniques and perioperative therapies have advanced, vascular resection during pancreatic cancer surgery has become increasingly common in selected patients with locally advanced disease. This study evaluated the long-term outcomes of venous and...
Introduction: Optimal drain management after pancreatoduodenectomy (PD) remains critical for preventing postoperative pancreatic fistula (POPF) while supporting enhanced recovery. This study proposes a dynamic, risk-adapted algorithm based on intraoperative risk and postoperative biochemical markers. Why...
Introduction: Diverticulitis is a common cause of acute abdominal hospitalization and contributes substantially to healthcare utilization worldwide. While seasonal variation has been recognized in several gastrointestinal and surgical conditions, whether diverticulitis follows a reproducible temporal...
We are pioneers in clinical intelligence, dedicated to helping gastroenterologists harness the power of artificial intelligence to drive precision, efficiency, and patient growth.