{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:41:21Z","timestamp":1777448481513,"version":"3.51.4"},"reference-count":2,"publisher":"SAGE Publications","issue":"11","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:p>The University of North Carolina (UNC) has storied traditions beyond its champion Tar Heel basketball teams. One of its best\u2014and least known off campus\u2014is the white owl, today a lapel pin given to chief residents in surgery at Memorial Hospital in Chapel Hill. Former residents in anesthesia and surgery at the San Francisco General Hospital (SFGH) remember it as a stuffed owl that anesthesia residents brought into the operating room whenever there was an appendectomy for appendicitis and the appendix was normal, an operation familiarly called a negative appendectomy. Standing at the table closing the incision their surgical counterpart endured the imagined smirks of the anesthesiologists behind their masks and the scrub techs and circulating nurses who also knew of the bird\u2019s significance. Alumni of the SFGH training programs also remember it as evidence of the good-natured repartee between anesthesia and surgery, teams that worked hard at all hours to serve the injured and disadvantaged populations of the city. In retrospect, the white owl signifies owning one\u2019s decisions and mistakes, an essential aspect of surgical professionalism.<\/jats:p>","DOI":"10.1177\/00031348221129523","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T04:37:25Z","timestamp":1663821445000},"page":"5055-5056","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Surgical Professionalism, the White Owl, and Tar Heel Basketball"],"prefix":"10.1177","volume":"89","author":[{"given":"Don K.","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Surgery, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,9,22]]},"reference":[{"key":"bibr1-00031348221129523","unstructured":"Baker CC. Of white owls and white heads. Medical Alumni Bulletin [serial]. 1993. https:\/\/archive.org\/stream\/medicalalumnibul401993univ\/medicalalumnibul401993univ_djvu.txt .Internet archive. Accessed September 11, 2022."},{"key":"bibr2-00031348221129523","volume-title":"Dictionary of American Regional English","author":"Hall JH","year":"2013"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221129523","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348221129523","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348221129523","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:38:03Z","timestamp":1777379883000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348221129523"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,22]]},"references-count":2,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1177\/00031348221129523"],"URL":"https:\/\/doi.org\/10.1177\/00031348221129523","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,22]]}}}