{"id":178,"date":"2025-10-09T16:10:30","date_gmt":"2025-10-09T06:10:30","guid":{"rendered":"https:\/\/escope.ages.com.au\/october-2025\/?p=178"},"modified":"2025-10-24T08:51:17","modified_gmt":"2025-10-23T22:51:17","slug":"coaching-and-surgical-mojo","status":"publish","type":"post","link":"https:\/\/escope.ages.com.au\/october-2025\/coaching-and-surgical-mojo\/","title":{"rendered":"Coaching and Surgical Mojo"},"content":{"rendered":"\n<h1>\n\t\t\tCoaching and Surgical Mojo\t<\/h1>\n\t\t\t\t<p><em>Dr Keryn Harlow<\/em><br \/><em>With thanks to Dr Simon Edmonds and Dr Michael Wynn Williams.<\/em><\/p>\n\t\t\t\t<p>I finished my AGES fellowship at the end of 2021. I had just spent 2 years completing a rigorous training programme in minimal access gynaecological surgery and I was heading home to the South Island of New Zealand. I was going to be the only AGES accredited surgeon in my public hospital and I had developed sweet surgical skills I was dying to show off. It was going to be amazing and Women&#8217;s Health in Canterbury was on the up.<\/p>\n<p>6 months later, in June 2022, my surgical mojo was gone. Moving back to New Zealand at the end of 2021 meant MIQ (Managed Isolation and Quarantine), spending 7 days in a hotel room with my then 2, 4 and 6yo boys followed by a summer re-establishing our lives and routines in our home city. My bucket was empty. But I had sweet skills I could use at work. Except I couldn&#8217;t. There were major peri-operative staff shortages and the majority of benign operating lists were cancelled. When I did get a list, it was at short notice, and colorectal support wasn&#8217;t available. I was barely operating and when I was, I was increasingly avoiding pouch of Douglas dissection. I was isolated and I had to get my mojo back.<\/p>\n<p>I started clinical supervision, I quit obstetrics, I started running and I got a couple of surgical coaches. Coaching is a concept we are very familiar with in the sporting world but less familiar with in our own domain. Coaching is different to mentoring. A mentor is usually a long-term relationship for holistic professional and personal growth. This is important and so is coaching. A coach is usually a short to medium term relationship to improve specific performance and skills. The relationship is more defined and the goals structured. The benefits are both personal: coach and coachee report improved surgical and non-surgical skills in the operating theatre, and institutional- improved technique leads to shorter operating times and less complications but also higher surgeon retention due to reduced stress and burn-out (1, 2). Coaching is for everyone, regardless of career stage or prestige.<\/p>\n<p>Luckily, in the age of machines, coaching is potentially available for everyone. Video coaching is delightfully easy to engage with, even for a self-identified technology noob and there are several tele-mentoring platforms available. And for the skeptics, there is even evidence that video based coaching in gynaecology results in a greater time improvement for laparoscopic vault closure (3). Now, I&#8217;m not one to go quietly, so to speak, so I had the means to seek out coaching despite my isolation. But currently, there is no Australasian surgical coaching programme. We need coaches and we need a database, somewhere that people go for continued improvement or mojo-hunting. Do the coaches need to be expert surgeons? Not at all &#8211; the current coach of the All Blacks has never played for the team and Lewis Hamilton&#8217;s performance coach is a physiotherapist from New Zealand.<\/p>\n<p>So let&#8217;s get started. Scan the QR code below for your expression of interest in becoming an AGES coach or coachee.<\/p>\n<p>And if you&#8217;re waiting for the epilogue- yes, 3 years later, I have my mojo back and the recto-vaginal septums of the South Island are on notice.<\/p>\n<p><img decoding=\"async\" src=\"\/october-2025\/wp-content\/uploads\/sites\/11\/2025\/10\/escope-2025-10__ages-surgical-coach-001.avif\" \/><\/p>\n\t\t\t<h3>References:<\/h3>\t\t\t\n\t\t\t\t<ol>\n<li>Megan S. Orlando, Caprice C. Greenberg, Sudha R. Pavuluri Quamme, Andrew Yee, Adrienne E. Faerber, Cara R. King, Surgical coaching in obstetrics and gynecology: an evidence-based strategy to elevate surgical education and promote lifelong learning, American Journal of Obstetrics and Gynecology, Volume 227, Issue 1, 2022, Pages 51-56, <a href=\"https:\/\/doi.org\/10.1016\/j.ajog.2022.02.006\">https:\/\/doi.org\/10.1016\/j.ajog.2022.02.006<\/a>.<\/li>\n<li>Cailey Gleeson, November 23rd, 2021, How Cleveland Clinic Has Saved $133M in Physician Retention, <a href=\"https:\/\/www.beckershospitalreview.com\/quality\/hospital-physician-relationships\/how-cleveland-clinic-has-saved-133m-in-physician-retention\/\">https:\/\/www.beckershospitalreview.com\/quality\/hospital-physician-relationships\/how-cleveland-clinic-has-saved-133m-in-physician-retention\/<\/a><\/li>\n<li>A Multicenter, Randomized Controlled Trial to Assess Video-Based Surgical Coaching in Gynecology, Swift, Brenna E. et al., Journal of Minimally Invasive Gynecology, Volume 32, Issue 8, 701 &#8211; 708.e1<\/li>\n<\/ol>\n\t\t\t\t<img decoding=\"async\" src=\"https:\/\/escope.ages.com.au\/october-2025\/wp-content\/uploads\/sites\/11\/2025\/10\/Keryn-1.png\" alt=\"Keryn (1)\" title=\"Keryn (1)\" itemprop=\"image\"\/>\n\t\t\t\t<p><em>Dr Keryn Harlow<\/em><br \/><em>MBChB, DipObs, FRANZCOG<\/em><br \/><em>Fertility Associates Christchurch<\/em><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Dr Keryn Harlow reflects on losing and rediscovering her surgical mojo, highlighting coaching as a powerful tool for performance, wellbeing, and career longevity.<\/p>\n","protected":false},"author":1,"featured_media":72,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"","ast-site-content-layout":"full-width-container","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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