{"id":6978,"date":"2019-12-18T17:12:59","date_gmt":"2019-12-18T22:12:59","guid":{"rendered":"https:\/\/www.med.unc.edu\/urology\/?p=6978"},"modified":"2020-04-08T15:59:26","modified_gmt":"2020-04-08T19:59:26","slug":"at-suo-failure-takes-center-stage","status":"publish","type":"post","link":"https:\/\/www.med.unc.edu\/urology\/at-suo-failure-takes-center-stage\/","title":{"rendered":"At SUO, Failure Takes Center Stage"},"content":{"rendered":"<p><i>Originally published by <a href=\"https:\/\/opmed.doximity.com\/articles\/at-suo-failure-takes-center-stage?_csrf_attempted=yes\">Op-Med, a Doximity production<\/a><\/i><\/p>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#4b9cd3;\" class=\"full-width-contained whitebackground \">\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-9 col-md-8 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<blockquote style=\"border-left: 5px solid #ffffff;\">\n<p class=\"lead\" style=\"color: #ffffff;\">As a medical student, I had never considered urology as a specialty. But after a brief rotation, I was immediately drawn to the field\u2019s constant use of innovation to creatively solve problems: using robotics to perform challenging operative cases or applying statistical methodology to solve health services research questions. Thinking outside the box was the norm, and I found myself excited to approach each case and research question as unique, determining which new tool I could apply successfully to achieve the best result.<\/p>\n<h3 style=\"text-align: right; color: #ffffff; link-decoration: none;\"><a class=\"white\" href=\"https:\/\/www.med.unc.edu\/urology\/directory\/angela-smith-md-ms\/\">Angela B. Smith, MD, MS, FACS<\/a><br \/>\nDirector of Urologic Oncology<br \/>\nAssociate Professor of Urology<\/h3>\n<\/blockquote>\n<\/div>\n<div class=\"col-lg-3 col-md-4 col-xs-12 col-sm-6 oscitas-bootstrap-container\">\n<a href=\"https:\/\/www.med.unc.edu\/urology\/directory\/angela-smith-md-ms\/\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-707 aligncenter\" src=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-222x300.jpeg\" alt=\"Angela B. Smith, MD, MS\" width=\"222\" height=\"300\" srcset=\"https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-222x300.jpeg 222w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-759x1024.jpeg 759w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-768x1036.jpeg 768w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-1139x1536.jpeg 1139w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-600x809.jpeg 600w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2-560x755.jpeg 560w, https:\/\/www.med.unc.edu\/urology\/wp-content\/uploads\/sites\/637\/2018\/04\/aua-announces-dr-angela-smith-one-of-first-assistant-secretaries-image2.jpeg 1513w\" sizes=\"auto, (max-width: 222px) 100vw, 222px\" \/><\/a><\/div>\n<\/div>\n<\/div>\n<p>&nbsp;<\/p>\n<p>This year at the Society of Urologic Oncology annual meeting, innovation again took center stage. A panel on organ preservation debated the merits of focal therapy for prostate cancer while another session highlighted innovative methods to improve outcomes of muscle-invasive bladder cancer patients. Though these sessions addressed crucial areas of innovation in our field, I found myself reflecting on another session topic entirely: failure. <\/p>\n<p>On Thursday night, the SUO Young Urologic Oncologists forum discussed failure \u2013 failure as a surgeon, failure as an educator, failure as a researcher. In a surgical culture where stoicism reigns supreme, this event starkly contrasted with our day-to-day reality as surgeons. We expect perfection of ourselves \u2013 and we believe our patients expect it as well. For years, I felt that this was appropriate. After all, if you don\u2019t aim for perfection, aren\u2019t you selling yourself short?<\/p>\n<h2>The SUO YUO theme was Resilience: The Art of Failing Forward.<\/h2>\n<p>Four speakers shared personal stories of their failures. We\u2019ve all been there. However, as I listened to each, I realized how little we speak about them. A failed but well-intentioned educational endeavor. A postoperative death. Countless grant rejections. The evening culminated in a poignant presentation by Dr. Sasha Shillcutt of Brave Enough. Tears welled in my eyes as she retold the story of a death of a child: how she lost its airway during a procedure, how she planned to quit medicine forever, how for years she lived in shame of that event. It resonated with me, because I\u2019ve felt that shame \u2013 and I\u2019d be willing to bet you have, too. As I left the session, I wondered why we haven\u2019t spoken of this before. Why have we been so silent? We speak about burnout, but what about its solution? Unlike the many presentations on the topic that we have both given and sat through, this one was different \u2013 this one was actionable. <\/p>\n<p>Many believe the solution lies in changes within the administration or electronic health record. While these solutions may play a part, they are external and beyond our immediate control \u2013 scapegoats to a degree. In reality, the solution is our empowering ourselves \u2013 the solution is us. In our surgical culture, in which emotion is widely considered weak, we have to be willing to share our successes and failures equally. We must put this into practice as we would any other innovation in our field.  Share our experiences, manage our thoughts, forgive ourselves, and understand each failure is an opportunity for growth \u2013 \u201cfail forward.\u201d<\/p>\n<p>After a conference, we are asked how we will apply what we\u2019ve learned to our practice. In my case, I plan to talk openly to my colleagues when I fail. And I\u2019m also going to carefully observe and offer a sincere ear to those who may need help. Resilience and burnout are real \u2013 but the solution is not others, it\u2019s our peer collective.  <\/p>\n<script>\n\n    (function($) {\n        $(\"body, html\").addClass(\"heels_full_width_overflow\");\n    })(jQuery);\n\n   <\/script>\n   <div style=\"background-color:#4b9cd3;\" class=\"full-width-contained whitebackground \">\n<div class=\"row  oscitas-bootstrap-container\">\n<div class=\"col-lg-4 col-md-4 col-xs-12 col-sm-4 oscitas-bootstrap-container\">\n<div class=\"entry-content-asset\">\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">Special thank you to the amazing <a href=\"https:\/\/twitter.com\/RUBraveEnough?ref_src=twsrc%5Etfw\">@RUBraveEnough<\/a> <a href=\"https:\/\/twitter.com\/SashaShillcutt?ref_src=twsrc%5Etfw\">@SashaShillcutt<\/a> for speaking about <a href=\"https:\/\/twitter.com\/hashtag\/burnout?src=hash&amp;ref_src=twsrc%5Etfw\">#burnout<\/a> at the <a href=\"https:\/\/twitter.com\/SUO_YUO?ref_src=twsrc%5Etfw\">@SUO_YUO<\/a>&#8211; your words had tremendous meaning and impact. \u2764\ufe0f<\/p>\n<p>Thank you for being a role model to so many and teaching us that resilience is a SKILL that must be practiced. <a href=\"https:\/\/twitter.com\/hashtag\/suo19?src=hash&amp;ref_src=twsrc%5Etfw\">#suo19<\/a> <a href=\"https:\/\/t.co\/wEDJUDs0tF\">pic.twitter.com\/wEDJUDs0tF<\/a><\/p>\n<p>&mdash; Angie Smith (@angiesmith_uro) <a href=\"https:\/\/twitter.com\/angiesmith_uro\/status\/1202576728444542976?ref_src=twsrc%5Etfw\">December 5, 2019<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/div>\n<\/div>\n<div class=\"col-lg-4 col-md-4 col-xs-12 col-sm-4 oscitas-bootstrap-container\">\n<div class=\"entry-content-asset\">\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">1. Last night, I shared my biggest prof. failure w a large group of&#8230;surgeons <a href=\"https:\/\/twitter.com\/UroOnc?ref_src=twsrc%5Etfw\">@UroOnc<\/a> 2019.<\/p>\n<p>It was difficult.<\/p>\n<p>Afterward, 1 man told me how much needed to hear my story, as he\u2019s struggling. \u201cAt times when you were speaking, I could hear the \u2764\ufe0fbeat of those next to me,\u201d he said. <a href=\"https:\/\/t.co\/CIZNgLjk9m\">pic.twitter.com\/CIZNgLjk9m<\/a><\/p>\n<p>&mdash; Brave Enough MD (@RUBraveEnough) <a href=\"https:\/\/twitter.com\/RUBraveEnough\/status\/1202561766082912259?ref_src=twsrc%5Etfw\">December 5, 2019<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/div>\n<\/div>\n<div class=\"col-lg-4 col-md-4 col-xs-12 col-sm-4 oscitas-bootstrap-container\">\n<div class=\"entry-content-asset\">\n<blockquote class=\"twitter-tweet\" data-width=\"550\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">The 2019-2020 <a href=\"https:\/\/twitter.com\/SUO_YUO?ref_src=twsrc%5Etfw\">@SUO_YUO<\/a> steering committee!<\/p>\n<p>Special thanks to co-chairs <a href=\"https:\/\/twitter.com\/ejasonabel?ref_src=twsrc%5Etfw\">@ejasonabel<\/a> &amp; <a href=\"https:\/\/twitter.com\/angiesmith_uro?ref_src=twsrc%5Etfw\">@angiesmith_uro<\/a> for a great <a href=\"https:\/\/twitter.com\/hashtag\/suo19?src=hash&amp;ref_src=twsrc%5Etfw\">#suo19<\/a> <a href=\"https:\/\/twitter.com\/SUO_YUO?ref_src=twsrc%5Etfw\">@SUO_YUO<\/a> program? <a href=\"https:\/\/t.co\/Wvb11q7kdc\">pic.twitter.com\/Wvb11q7kdc<\/a><\/p>\n<p>&mdash; Y.U.O. (@SUO_YUO) <a href=\"https:\/\/twitter.com\/SUO_YUO\/status\/1202958054909763584?ref_src=twsrc%5Etfw\">December 6, 2019<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Four speakers shared personal stories of their failures. We\u2019ve all been there. However, as I listened to each, I realized how little we speak about them.<\/p>\n","protected":false},"author":79967,"featured_media":707,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"layout":"","cellInformation":"","apiCallInformation":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[1],"tags":[60],"class_list":["post-6978","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-smith","odd"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>At SUO, Failure Takes Center Stage | Department of Urology<\/title>\n<meta name=\"description\" content=\"Four speakers shared personal stories of their failures. We\u2019ve all been there. 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