View from the coffee room…LARPing ChatGPT

I maintain a shortlist of stupid or dare I say idiotic statements given by hospitals top administration to the newspapers. A decade ago, we were in a similar situation as today: a lack of nurses. The solution to this shortage was to bring in nurses from other countries. So far this sounds great, but there is more to this. In the newspapers I learned that the nurses were to be placed in the OR. Again fine, we need to do operations and operate more. The next sentence blew my mind: these nurses were placed in the OR since they did not have to learn Finnish, because no one talks in the OR.

So, basically everyone in the OR, surgeons, anesthetists, nurses and orderlies, work in total silence; maybe listen to radio, but no talking. We don't say a word. Maybe we communicate with hand gestures or perform pantomime. To me, this shows that the hospital administration does not understand what kind of work is done in the OR and especially how the work is actually done. Communication is of the utmost importance in the OR. One of the first things I learned in OR about communication, was that anyone can and should speak out if they notice shortcomings in sterility. This is really, really important.

Now really personal stuff: I am very reluctant to talk about me. I am more into talking about factual professional stuff. Nonetheless I was asked by BJS Academy to write about my path from there to here. How to solve this problem? I solved this by making a very boring bullet point list of turning points in my life. Then I entered this list into the AI podcast generator.

Hear, Hear, a lot of wows, ooohhs, love its and I like that’s, with an American accent. Not exactly what we call European mentality and certainly not Scandinavian or Finnish. Listening to this was balancing between embarrassment and proud - in the beginning. The further the podcast got, the better I felt. Actually, it is quite good to hear voices talk about you enthusiastically.

Residency, and especially surgical residency is hard1. Burnout, depression, harassment, emotional exhaustion, and stress are way too familiar with current surgery residents2-7. Unfortunately, the situation has not changed much since I was resident8, 9. But what has changed is that we acknowledge this now. I have to say though, it is good that I did not read these articles before I started my surgical career about 27 years ago.

Surgery residency and residency in general changes previous personal relationships and this is tied to evolving professional identity10. Strange working hours, and patient-doctor relationship confidentiality may lead to fewer talking points with non-medical friends and family11. Further, these relationships with non-medical friends and family may not thus provide the support they used to,11, 12 especially when dealing with work-life and residency.