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. 2023 Apr 14. Online ahead of print. doi: 10.1016/j.jss.2022.12.045

Table.

Question to guide conversations.

Domains Questions to guide conversation
Identity
  • What role has the environment of surgery played in informing or changing your identity?

  • In what ways has your identity as a surgeon been challenged?

  • In what ways does surgery support your intersecting identities? In what ways does it fall short?

  • In what ways has the idea that medicine is an apolitical space been challenged? What are the benefits of trying to maintain this idea? What are the potential consequences? For surgeons? For patients?

  • In what ways have your varied experiences framed who you want to be as a surgeon?

  • What tensions exist between who you are personally and professionally?

  • How does the stereotype of who a surgeon is act to protect us? How does it cause harm?

  • What role has uncertainty played in challenging or changing your identity?

  • In what ways has the pandemic/social unrest/personal experiences challenged the way you see yourself as s surgeon?

Value
  • There have been numerous efforts to diversify who we value in this space. Which of these efforts have worked? Which have fallen short?

  • In what ways do institutions/societies make you feel valued? In what ways have they fallen short?

  • How have your value systems transformed over time? Those of healthcare/medicine?

  • What have institutions/societies done to make you feel supported through challenging times? What opportunities exist?

  • Tell me about efforts you have observed or participated in that have attempted to address inequities/power differentials/disparate impacts. In what ways have these efforts worked? In what ways have they fallen short?

  • What tensions exist in how success it measured?

Well-being
  • There have been numerous efforts to address well-being in this space. Which of these efforts have worked? Which have fallen short?

  • Let's talk about how we operationalize the concept of resilience in this space. In what ways does this protect us? In what ways does it harm us?

  • What are the challenges or barriers in addressing mental health in this space?

Moving forward
  • What do you think about the statement - “it is not the job of people facing prejudices to change people's minds”?

  • What are the consequences of being a change agent in this space?

  • What tensions exist in thinking about how to operationalize change in this space?

  • What advice or words would you share with members of leadership who wanted to know what they can do to address these issues.