Lessons I Learned From the Trenches | WPS Remix Edition: S18 Ep89

“Don't be afraid to make changes.” — Melissa Mastroianni, MD Some of the most valuable lessons in plastic surgery come from experiences that challenge expectations, test leadership skills, and reshape professional priorities. From changing practice environments and managing difficult staffing decisions to navigating reproductive health and coping with surgical complications, these experiences offer important opportunities for personal and professional growth. Host Jenny Cheeseborough, MD, welcomes Melissa Mastroianni, MD; Amita Shah, MD; Debra Bourne, MD; and Christiane Ueno, MD, for a candid discussion inspired by their presentations at the Women Plastic Surgeons (WPS) Symposium. Dr. Mastroianni shares her transition from academic medicine to a multispecialty private practice and the importance of establishing professional boundaries. Dr. Shah offers practical lessons on hiring, managing, and parting ways with employees while protecting practice culture. Dr. Bourne examines the reproductive health challenges faced by women in plastic surgery, drawing on her personal experiences and research. Dr. Ueno explores second victim syndrome, highlighting the emotional impact of adverse patient outcomes and the importance of peer support. Together, their perspectives underscore the value of adaptability, preparation, and supportive professional relationships. Topics Discussed Transitioning between practice environments Establishing professional boundaries Hiring and managing practice staff Navigating difficult employee separations Addressing reproductive health in surgery Supporting pregnancy and parental leave Understanding second victim syndrome Building professional support networks Key Takeaways Reevaluate your priorities. Choose practice environments that support your professional and personal goals. Establish clear boundaries. Protect time and resources while maintaining quality patient care. Build the right team. Prioritize thoughtful hiring, clear policies, and consistent expectations. Support reproductive health. Advocate for appropriate leave, workplace accommodations, and supportive training environments. Recognize emotional distress. Understand how complications can affect surgeons and trainees. Seek professional support. Build trusted relationships that encourage learning, resilience, and growth. Bonus Resources ASPS Women Plastic Surgeons Forum – Highlighted as a source of mentorship, peer support, and professional connection. About Enhance Your Practice Enhance Your Practice is the official practice management podcast from the American Society of Plastic Surgeons (ASPS), featuring conversations with leaders in plastic surgery on practice management, leadership, innovation, and professional development. Each episode delivers practical insights to help plastic surgeons build successful practices and thrive throughout their careers. Explore more educational resources from ASPS at plasticsurgery.org.