Arghavan Salles: Difference between revisions
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| caption = Salles in 2020 |
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| birth_date = {{Birth date and age|1980|02|23|mf=y}} |
| birth_date = {{Birth date and age|1980|02|23|mf=y}} |
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| birth_place = Iran |
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| nationality = American |
| nationality = American |
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| fields = [[Bariatric surgery]], [[Diversity, equity, and inclusion]] in medicine |
| fields = [[Bariatric surgery]], [[Diversity, equity, and inclusion]] in medicine |
Revision as of 17:15, 26 June 2023
Arghavan Salles | |
---|---|
Born | |
Nationality | American |
Alma mater | University of Southern California Stanford University School of Medicine Washington University School of Medicine Stanford Graduate School of Education |
Known for | Advocacy for gender equity and well-being in surgery residency |
Awards | 2020 ABIM Top Research Article Award on Medical Professionalism, 2019 Exceptional Mentor Award, American Medical Women's Association, 2018 Joan F. Giambalvo Fund for the Advancement of Women |
Scientific career | |
Fields | Bariatric surgery, Diversity, equity, and inclusion in medicine |
Institutions | Stanford University School of Medicine |
Arghavan Salles (Template:Lang-fa; born February 23, 1980) is an Iranian American[1] bariatric surgeon. Salles is the Special Advisor for DEI Programs in the Department of Medicine at Stanford University School of Medicine and a Senior Research Scholar at the Clayman Institute for Gender Research. Salles' research focuses on gender equity, well-being, and the challenges women face in the workplace. Salles works as an advocate for equity and inclusion and as an activist against sexual harassment. Salles is an international speaker who supported health professionals during the COVID-19 pandemic through social media.
Early life and education
Salles was born in Iran on February 23, 1980.[2][3] In 1985, when she was five years old, she emigrated to the United States with her mother.[2] She became a U.S. citizen when she was 21.[1] While in high school Salles loved math.[4][5]
In 2002, Salles received a B.S. in Biomedical Engineering and a B.A. in French from the University of Southern California.[4][6] In 2006, Salles received an M.D. from Stanford University School of Medicine.[6] Salles did a residency in general surgery from Stanford University School of Medicine from 2006 to 2015.[7] In 2014, Salles completed a PhD social psychology from Stanford University, after which she finished her last two years of surgical residency, going on to become a Board Certified Surgeon in 2016.[6] After finishing her residency and PhD in 2016, Salles then completed a year-long fellowship training in minimally invasive surgery at Washington University School of Medicine in St. Louis.[6]
Career
While Salles was Chief Resident of General Surgery at Stanford,[7] a graduate of the surgery program took his life just six months after graduating.[8] Salles has said that this event dramatically impacted the program to enact changes and educate the community about burnout, depression, and wellbeing in medicine.[8] In 2011, she and a professor of surgery at Stanford at the time, Dr. Ralph Greco, created a "Balance in Life" program for surgery residents.[7] This program included weekly psychotherapy session, mentor-mentee pairing between senior and junior residents, and support for residents in their search to find their own doctors and dentists for medical needs.[7] This program's success underscored the need for programs like these to be in place.[7] The Accreditation Council for Graduate Medical Education (ACGME) has since tried to model a nationwide wellness program after the Stanford program.[7]
In addition to issues of mental health burden due to burnout, Salles also began to see glaring evidence of inequities, bias, and gender harassment in medicine, specifically in surgery.[4] These observations made her question the meritocratic society she once thought existed in her field.[9] These experiences pushed her to take a break from her residency to pursue a PhD in education.[9]
From September 2016 to June 2019, Sallas was an assistant professor in the Department of Surgery at Washington University, where her lab conducted research on gender bias and inequities in medicine.[10] In 2017 she developed an online wellness resource for Washington University residents that offered counselling and crisis lines.[11]
In 2018, Salles became a founding member of Time's Up Healthcare, part of the organization's initiative which supports "safe, fair, and dignified" work for women around the world and helps to prevent sexual assault and gender-based discrimination in the workplace.[12][13] This same year, she and five other female medical trainees at Washington University, helped start 500 Women in Medicine, a satellite of 500 Women Scientists[14][15] established to make medicine more inclusive and reflect the true diversity of society.[16]
In 2019, Salles became a Board Certified Physician of Obesity Medicine, and returned to Stanford to develop Educational Programs and Services at the medical school.[17][6] Her research focused on the representation of women at surgical conferences, implicit and explicit gender bias in healthcare and in performance evaluations, and how to maintain the health and wellbeing of physicians and medical trainees.[18] She has also advocated against weight bias.[19]
During the COVID-19 pandemic,[20] Salas created fitness challenges, free weekly yoga classes, and daily videos on Twitter and Instagram to engage her followers and bring together a supportive community.[20]
Research
Stereotype threat
During her PhD, Salles learned about stereotype threat.[4] This not only shaped her thesis work but directed her career path as well.[5] Salles began to realize the ways in which stereotype threat might be affecting her and her female peers in their evaluations during her surgery residency.[5] Interested in exploring gender bias in surgery, Salles' dissertation research focused on the negative stereotypes about women in surgery and how those affect women training to become surgeons.[4]
Due to strongly ingrained gender biases in society, both patients and medical peers hold strong misconceptions that women are not as competent surgeons as men.[4] This is exemplified by the old "surgeon riddle" which unveils strong gender stereotypes in medicine such that the majority of the population much more easily associate surgeons with being male than being female.[21] These stereotypes that society holds, about women being less competent surgeons than men, leads to a phenomenon called stereotype threat which Salles explored in her work.[22] Salles hypothesized that stereotype threat, the fear of affirming a negative stereotype about one's group, causes women increased stress and leads to decreased performance in surgical residency.[22] Salles tested this hypothesis by implementing methods to combat stress and stereotype threat through value affirmations.[22]
Salles saw increases in the performance of female surgeons who had done value affirmation exercises compared to those who had not, suggesting that low-cost interventions targeted towards social-psychological well-being can improve female residents' performance.[22] Salles later also showed that women surgeons who have higher stereotype perception have worse psychological health.[23] Fascinatingly, this correlation was only significant for female surgeons and not male surgeons or non-surgeons, further confirming the existence of stereotype threat in female surgeons and the importance of addressing the negative psychological impacts women face in order to level the playing field.[23]
Gender bias in surgery
Continuing her research on gender bias at Washington University, Salles and her colleagues explored gender bias in clinical evaluations of surgical residents.[24] Their results, published in The American Journal of Surgery in 2018, showed that evaluations display gendered differences and the overall tones of men's evaluations were more positive and included more standout words than women's.[24] These findings highlight the severe impact of biases on the potential for career success in surgery.[24]
Interested in the extent to which gender bias exists in surgery, Salles and her colleagues used the Implicit Association Test (IAT) to assess implicit biases in the medical field.[25] They found that respondents associated men with career and surgery while they associated women with family and family medicine.[25][26]
Well-being in surgery
Salles also explores different facets of how well-being impacts the retention of residents in the progression towards careers in surgery. In 2018, Salles found that feelings of social belonging were positively correlated with well-being and negatively correlated with thoughts of leaving surgery.[27] She then explored how general self-efficacy impacted retention in surgical specialties and found that self-efficacy was a strong predictor of well-being, which prevents physician burnout and improves retention in the medical field.[28]
Awards and honors
- 2018: Joan F. Giambalvo Fund for the Advancement of Women - Grant to study gender bias in medicine[15]
- 2019: Women in Medicine Summit, #IStandWithHer Award Honorable Mention[6]
- 2019: American Medical Women's Association, Exceptional Mentor Award[6]
- 2019: Society of Asian American Surgeons, Visiting Professor[6]
- 2020: ABIM Top Research Article Award on Medical Professionalism Estimating Implicit and Explicit Gender Bias Among Health Care Professionals and Surgeons[citation needed]
Memberships
- 2018–present: 500 Women in Medicine, co-founder; advisor (2018-2019)[15]
- 2018–present: Surgery for Obesity and Related Diseases, Creative Director and Associate Editor[6]
- 2018–present: TIME'S UP Healthcare, Founding Member[12][29]
Selected works and publications
Selected work
- Salles, Arghavan; Cohen, Geoffrey L.; Mueller, Claudia M. (February 2014). "The relationship between grit and resident well-being". Association for Surgical Education. 207 (2): 251–4. doi:10.1016/j.amjsurg.2013.09.006. PMID 24238604. Wikidata ()
- Salles, Arghavan; Liebert, Cara A.; Greco, Ralph S. (July 1, 2015). "Promoting Balance in the Lives of Resident Physicians" (PDF). JAMA Surgery. 150 (7): 607–8. doi:10.1001/jamasurg.2015.0257. PMID 25992632. Wikidata ()
- Lin, Dana T.; Liebert, Cara A.; Tran, Jennifer; Lau, James N.; Salles, Arghavan (August 2016). "Emotional Intelligence as a Predictor of Resident Well-Being". Journal of the American College of Surgeons. 223 (2): 352–358. doi:10.1016/j.jamcollsurg.2016.04.044. PMID 27182037. Wikidata ()
- Salles, Arghavan; Milam, Laurel; Cohen, Geoffrey; Mueller, Claudia (February 2018). "The relationship between perceived gender judgment and well-being among surgical residents". The American Journal of Surgery. 215 (2): 233–237. doi:10.1016/j.amjsurg.2017.08.049. PMID 29223304. Wikidata ()
- Milam, Laurel A.; Cohen, Geoffrey L.; Mueller, Claudia; Salles, Arghavan (October 2018). "Stereotype threat and working memory among surgical residents". The American Journal of Surgery. 216 (4): 824–829. doi:10.1016/j.amjsurg.2018.07.064. PMC 6716970. PMID 30249337.
- Gerull, Katherine M.; Loe, Maren; Seiler, Kristen; McAllister, Jared; Salles, Arghavan (February 2019). "Assessing gender bias in qualitative evaluations of surgical residents". The American Journal of Surgery. 217 (2): 306–313. doi:10.1016/j.amjsurg.2018.09.029. PMC 8687875. PMID 30343879. Wikidata ()
- Salles, Arghavan; Wright, Robert C.; Milam, Laurel; Panni, Roheena Z.; Liebert, Cara A.; Lau, James N.; Lin, Dana T.; Mueller, Claudia M. (March 2019). "Social Belonging as a Predictor of Surgical Resident Well-being and Attrition". Journal of Surgical Education. 76 (2): 370–377. doi:10.1016/j.jsurg.2018.08.022. PMC 6380922. PMID 30243929.
- Salles, Arghavan; Awad, Michael; Goldin, Laurel; Krus, Kelsey; Lee, Jin Vivian; Schwabe, Maria T.; Lai, Calvin K. (July 5, 2019). "Estimating Implicit and Explicit Gender Bias Among Health Care Professionals and Surgeons". JAMA Network Open. 2 (7): e196545. doi:10.1001/jamanetworkopen.2019.6545. PMID 31276177.
- Gerull, Katherine M.; Wahba, Brandon Malik; Goldin, Laurel M.; McAllister, Jared; Wright, Andrew; Cochran, Amalia; Salles, Arghavan (September 2019). "Representation of women in speaking roles at surgical conferences". The American Journal of Surgery. 220 (1): 20–26. doi:10.1016/j.amjsurg.2019.09.004. PMID 31530377. S2CID 202675038. Wikidata ()
- Salles, Arghavan; Choo, Esther K (March 2020). "Queen Bee phenomenon: a consequence of the hive" (PDF). The Lancet. 395 (10228): 940. doi:10.1016/S0140-6736(20)30597-3. PMID 32199482. Wikidata ()
Selected publications
- Salles, Arghavan (October 24, 2018). "I am an angry woman. From workplace bias to sexist politics, we have a lot to be angry about". USA TODAY.
- Gold, Jessica; Salles, Arghavan (November 28, 2018). "A plea for partnership and change regarding gun violence". St. Louis Post-Dispatch.
- Salles, Arghavan (January 3, 2019). "I Spent My Fertile Years Training to Be a Surgeon. Now, It Might Be Too Late For Me to Have a Baby". Time.
- Salles, Arghavan (October 24, 2019). "Opinion: Sexual Harassment Is Still the Norm in Health Care". Scientific American.
- Salles, Arghavan; Gold, Jessica (April 2, 2020). "Health care workers aren't just 'heroes.' We're also scared and exposed". Vox.
References
- ^ a b Salles, Arghavan [@arghavan_salles] (January 8, 2020). "Standing in line at the DMV with too much time on my hands. So here's a thread about being an immigrant from an "axis of evil" country.1/" (Tweet) – via Twitter.
- ^ a b Salles, Arghavan [@arghavan_salles] (August 26, 2019). "I'll play. Came to the US at age 5 with Mom. Didn't speak English. We lived in a basement for two years. Had no car. Mom get her PhD when I was 10. I graduated from @StanfordMed 16 yrs later. This is happiness. #HappyImmigrantDocs" (Tweet) – via Twitter.
- ^ @arghavan_salles (February 23, 2020). "Continuing my series of travel workouts, #ThisIs40, friends! What better way to celebrate than some self-care?…" (Tweet) – via Twitter.
- ^ a b c d e f "Association of Women Surgeons » Blog Archive » Strategies for Fighting Subtle Sexism in the Workplace". Retrieved April 21, 2020.
- ^ a b c Huber, Jennifer (March 9, 2020). "Identifying and addressing gender bias in health care". Scope. Retrieved April 21, 2020.
- ^ a b c d e f g h i "Stanford Profiles: Arghavan Salles". Stanford University. Retrieved April 21, 2020.
- ^ a b c d e f "Doctors on Life Support". Time. Retrieved April 21, 2020.
- ^ a b "Ep 12: Arghavan Salles | Family Medicine | Michigan Medicine". Family Medicine. January 14, 2020. Retrieved April 21, 2020.
- ^ a b Salles, Arghavan. "I am an angry woman. From workplace bias to sexist politics, we have a lot to be angry about". USA TODAY. Retrieved April 21, 2020.
- ^ "Arghavan Salles - Assistant Professor of Surgery, Bariatric Surgery in Saint Louis, Missouri, United States of America | eMedEvents". www.emedevents.com. Retrieved April 21, 2020.
- ^ "Education News | Surgery Annual Report 2017 | Washington University in St. Louis". surgery2017.wustl.edu. Retrieved April 21, 2020.
- ^ a b "Meet our Founding Members in Health Care". TIME'S UP Foundation. Retrieved April 21, 2020.
- ^ "2019 FACULTY". Women in medicine. Archived from the original on July 13, 2020. Retrieved April 21, 2020.
- ^ McCook, Alison (March 28, 2019). "New Group Aims To Give Voice to Women in Medicine". Clinical Oncology.
- ^ a b c "6 women awarded for research on gender bias in medical training". American Medical Association. Retrieved April 21, 2020.
- ^ "500 Women in Medicine". 500 Women Scientists. Retrieved April 21, 2020.
- ^ "Leadership and Staff Contact Information". Educational Programs and Services (EPS). Retrieved April 21, 2020.
- ^ "Gender Bias Narratives in Medicine | Physician's Weekly". Retrieved April 21, 2020.
- ^ "Fat Shaming Is Just Bullying". Medscape. Retrieved April 21, 2020.
- ^ a b Sashin, Daphne (April 7, 2020). "Fitness challenge, meal donations and more: Stanford Medicine during social distancing". Scope. Retrieved April 21, 2020.
- ^ "BU Research: A Riddle Reveals Depth of Gender Bias | BU Today". Boston University. Retrieved April 21, 2020.
- ^ a b c d Salles, Arghavan; Mueller, Claudia M.; Cohen, Geoffrey L. (July 2016). "A Values Affirmation Intervention to Improve Female Residents' Surgical Performance". Journal of Graduate Medical Education. 8 (3): 378–383. doi:10.4300/JGME-D-15-00214.1. ISSN 1949-8349. PMC 4936856. PMID 27413441.
- ^ a b Salles, Arghavan; Mueller, Claudia M.; Cohen, Geoffrey L. (January 2016). "Exploring the Relationship Between Stereotype Perception and Residents' Well-Being". Journal of the American College of Surgeons. 222 (1): 52–58. doi:10.1016/j.jamcollsurg.2015.10.004. ISSN 1879-1190. PMC 4862580. PMID 26616033.
- ^ a b c Gerull, Katherine M.; Loe, Maren; Seiler, Kristen; McAllister, Jared; Salles, Arghavan (February 1, 2019). "Assessing gender bias in qualitative evaluations of surgical residents". The American Journal of Surgery. 217 (2): 306–313. doi:10.1016/j.amjsurg.2018.09.029. ISSN 0002-9610. PMC 8687875. PMID 30343879.
- ^ a b Salles, Arghavan; Awad, Michael; Goldin, Laurel; Krus, Kelsey; Lee, Jin Vivian; Schwabe, Maria T.; Lai, Calvin K. (July 3, 2019). "Estimating Implicit and Explicit Gender Bias Among Health Care Professionals and Surgeons". JAMA Network Open. 2 (7): e196545. doi:10.1001/jamanetworkopen.2019.6545. PMID 31276177.
- ^ Lee, Bruce Y. "What This New 500 Women In Medicine Initiative Aims To Do". Forbes. Retrieved April 21, 2020.
- ^ "Social Belonging as a Predictor of Surgical Resident Well-being and Attrition | Request PDF". ResearchGate. Retrieved April 21, 2020.
- ^ Milam, Laurel; Cohen, Geoffrey; Mueller, Claudia; Salles, Arghavan (September 1, 2018). "The Relationship Between Self-Efficacy and Well-Being Among Surgical Residents". Journal of Surgical Education. 76 (2): 321–328. doi:10.1016/j.jsurg.2018.07.028. PMC 6380924. PMID 30245061.
- ^ "2019 FACULTY". Women in medicine. Archived from the original on July 13, 2020. Retrieved April 21, 2020.
Further reading
- Lee, Bruce Y. (October 22, 2018). "What Happens After Bariatric Surgery Makes A Big Difference". Forbes. Archived from the original on November 6, 2018.
- Gerull, Kate (December 18, 2018). "Amplifying the Voices of Women in Medicine". Scientific American.
- McCook, Alison (March 28, 2019). "New Group Aims To Give Voice to Women in Medicine". Clinical Oncology.
- Stamp, Nikki (July 29, 2019). "Opinions: I'm a female surgeon. I feel uncomfortable telling girls they can be one, too". The Washington Post.
- Sathya, Chethan (January 14, 2020). "Female Surgeons Are Still Treated as Second-Class Citizens". Scientific American.