Junior surgical oncologists face significant challenges in contract negotiation and compensation, affecting retention and workplace culture.

• 79% have a guaranteed salary for a median of 3 years, but most shift to productivity-based compensation.
• 25% are considering leaving their practice within a year; this jumps to nearly 80% if they feel their pay is unfair.

Perceived compensation fairness plays a crucial role in job satisfaction and retention, highlighting the need for institutions to address these concerns.

• Greater emphasis on productivity is linked to less collegial work environments (ODR 1.8 per SD increase).

Multimodal prehabilitation may not significantly impact postoperative immune function, but it leads to a less inflammatory state before surgery.

• 130 patients studied: 102 received prehabilitation, 28 usual care.
• Pro-inflammatory cytokine production decreased, while IL-10 levels increased after prehabilitation.

Consider prehabilitation for optimizing patients pre-surgery, but be cautious of its limited postoperative immune benefits.

• No significant immune differences on postoperative day one between groups.

Surgeons must recognize that perceptions of sexual misconduct in surgical environments differ drastically among colleagues, impacting workplace culture and safety.

• 742 surgeons reported conflicting experiences; some saw minimal issues while others described pervasive harassment and inaction.
• The lateral view x-ray theory suggests awareness of misconduct depends on one’s exposure and experiences—those less affected are often unaware, while victims see a troubling reality.

Embedding this framework in surgical training can foster better awareness and promote a healthier, safer workplace culture.