{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:53:36Z","timestamp":1791363216015,"version":"4.3.1"},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Transitioning from surgical trainee to new surgeon presents unique challenges and opportunities. This manuscript offers practical guidance for new surgeons to establish themselves as a safe, effective, and reliable independent surgeons. It reviews basic principles to follow to build a practice and cultivate referral networks. The manuscript will highlight the importance of making strong first impressions, fostering respectful relationships with healthcare providers, and engaging with multiple professional outlets to advance their career. Additional factors that will support the new surgeon include strong mentorship, support from the hospital leadership, free resources through surgical societies, paid resources through private companies, and thoughtful management of one's own practice of surgery. Common pitfalls for the new surgeon such as burnout, setting unrealistic expectations, and patient complications are also discussed including considerations for how to counterbalance each threat.<\/jats:p>","DOI":"10.1055\/s-0045-1813248","type":"journal-article","created":{"date-parts":[[2025,11,20]],"date-time":"2025-11-20T00:10:46Z","timestamp":1763597446000},"page":"418-422","source":"Crossref","is-referenced-by-count":0,"title":["The New Surgeon on the Block\u2014First Impressions, Establishing a Practice, and Developing Referrals"],"prefix":"10.1055","volume":"39","author":[{"given":"Jonathan S.","family":"Abelson","sequence":"additional","affiliation":[{"name":"Division of Colon and Rectal Surgery, Lahey Hospital and Medical Center, UMass Chan School of Medicine, Burlington, Massachusetts, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,11,19]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/HEARTVIEWS.HEARTVIEWS_131_17","article-title":"The physician's oath: historical perspectives","volume":"18","author":"R Hajar","year":"2017","journal-title":"Heart Views"},{"issue":"16","key":"ref2","doi-asserted-by":"crossref","first-page":"2221","DOI":"10.1001\/jama.1992.03480160079038","article-title":"Four models of the physician-patient relationship","volume":"267","author":"E J Emanuel","year":"1992","journal-title":"JAMA"},{"issue":"02","key":"ref3","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/SLA.0000000000005778","article-title":"The surgeon as a professional: changes and challenges over time","volume":"278","author":"C H Noda","year":"2023","journal-title":"Ann Surg"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1097\/ACM.0b013e318258338d","article-title":"Perspective: a culture of respect, part 1 and part 2","volume":"87","author":"L L Leape","year":"2012","journal-title":"Acad Med"},{"issue":"05","key":"ref5","doi-asserted-by":"crossref","first-page":"867","DOI":"10.1016\/j.surg.2013.12.027","article-title":"Interventions to address challenges associated with the transition from residency training to independent surgical practice","volume":"155","author":"A K Sachdeva","year":"2014","journal-title":"Surgery"},{"issue":"12","key":"ref14","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1001\/jama.2022.3267","article-title":"Collaboration and shared decision-making between patients and clinicians in preventive health care decisions and US Preventive Services Task Force recommendations","volume":"327","author":"K W Davidson","year":"2022","journal-title":"JAMA"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1001\/jamasurg.2019.5884","article-title":"Being affable, available, and able is not enough: prioritizing surgeon-patient communication","volume":"155","author":"M R Kapadia","year":"2020","journal-title":"JAMA Surg"},{"issue":"06","key":"ref19","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1055\/s-0039-1693420","article-title":"Transition to surgical practice: the early years","volume":"32","author":"I M Paquette","year":"2019","journal-title":"Clin Colon Rectal Surg"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.yasu.2010.05.018","article-title":"Combating stress and burnout in surgical practice: a review","volume":"44","author":"C M Balch","year":"2010","journal-title":"Adv Surg"},{"issue":"04","key":"ref21","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/SLA.0b013e318230097e","article-title":"Distress and career satisfaction among 14 surgical specialties, comparing academic and private practice settings","volume":"254","author":"C M Balch","year":"2011","journal-title":"Ann Surg"},{"issue":"06","key":"ref22","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1097\/SLA.0b013e3181bfdab3","article-title":"Burnout and medical errors among American surgeons","volume":"251","author":"T D Shanafelt","year":"2010","journal-title":"Ann Surg"},{"issue":"03","key":"ref23","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1016\/j.jsurg.2017.09.034","article-title":"Am I cut out for this? Transitioning from surgical trainee to attending","volume":"75","author":"S de Montbrun","year":"2018","journal-title":"J Surg Educ"},{"issue":"26","key":"ref24","doi-asserted-by":"crossref","first-page":"2477","DOI":"10.1056\/NEJMp1011024","article-title":"What is value in health care?","volume":"363","author":"M E Porter","year":"2010","journal-title":"N Engl J Med"}],"container-title":["Clinics in Colon and Rectal Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1813248.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T08:37:30Z","timestamp":1791362250000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1813248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,19]]},"references-count":13,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2026,10,6]]},"published-print":{"date-parts":[[2026,11]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1813248","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1531-0043","1530-9681"],"issn-type":[{"value":"1531-0043","type":"print"},{"value":"1530-9681","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,19]]}}}