Surgeons report high levels of professional flourishing, impacting well-being and burnout strategies.

• 30% of surveyed surgeons scored an average of 7.98 on a 10-point flourishing scale.
• Financial stability (8.57) and sense of purpose (8.50) were top-rated; social connections lagged (7.41).

Surgeons working fewer hours and viewing their role as a calling showed significant flourishing increases.

• 88% of surgeons see surgery as a calling, suggesting that nurturing purpose and community could enhance surgical well-being.

Surgeons’ inconsistent sleep timing significantly impacts patient safety, with notable implications for surgical outcomes.

• Social jet lag of 2 hours or more increases the risk of major adverse events by 36% compared to less than 1 hour.
• Nearly 20% of surgeries (1410 out of 7117) led to major complications.

Surgeons who manage their sleep better may reduce patient risk and burnout, suggesting that addressing sleep habits should be part of preoperative protocols.

• Midsleep time variability over 60 minutes did not correlate with adverse outcomes.

Tumor board documentation is inconsistent, impacting cancer patient care.

• Only 51.7% of cases had adequate documentation, significantly varying by cancer type (5.5% for breast vs. 97.0% for colorectal).
• Among documented cases, 44.7% of notes were unstructured, lacking important details like attendees’ specialties (29.3%) and clinical trial eligibility (15.8%).

Improving documentation standards could enhance the quality of multidisciplinary cancer care.

• 55.7% of notes noted if patients were informed of recommendations, primarily by phone (71.8%).