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29 PRACTICE MANAGEMENT HSS spine surgeons outline 5 keys to achieving peak performance in surgical training By Alan Condon T he importance of peak performance in an evolving healthcare field that demands optimal clinical outcomes was highlighted in an article published in the Journal of the American Academy of Orthopaedic Surgeons, by Philip Louie, MD, and Michael McCarthy, MD. e spine surgeons, both of Hospital for Special Surgery in New York City, outline five key areas to achieve peak performance during surgical training: 1. Translating practices from peak per- formers in other fields • Refine physical skills by improving mental engagement during a task. • Create a program for deliberate prac- tice where you can undergo critical assessments to allow for graduated im- provement. • Grow self-awareness through mindful- ness activities to promote "flow" states. 2. Goal setting and accountability • Align goals with values, create a plan and visualize goals. • Identify an accountability system. • Anticipate obstacles and possible solutions. • Ensure work-life balance. • Reward goal accomplishment. 3. Developing technical skills • Seek opportunities outside the operat- ing room for skill acquisition. • Encourage the program director to con- sider new technologies, such as bioskills simulations and virtual reality training. • Identify activities that can improve ar- eas requiring additional practice. 4. Perseverance and grit • Believe in constant change and grow. • Understand that frustrations are part of the process. • Focus on productivity. • Look for ways to make work more meaningful. • Practice deliberately. 5. Mentorship • Monitor, track and measure results of the mentorship relationship. • Define the strategic purpose of the mentorship. • Identify a strong match based on the skills of the mentor and the needs of the mentee. e full article, "Reaching for Peak Perfor- mance During Surgical Training: e Value in Assessment Tools and Critical Perfor- mance Measures," appears in the September issue of the Journal of the American Academy of Orthopaedic Surgeons. n Surgery center adds robotic services By Eric Oliver O swego (N.Y.) Health added the Navio Surgical System to its Center for Orthopedic Care surgery center this year to assist with robotically assisted knee arthroplasty. The surgery center has already performed 24 knee arthroplasties with the Navio Surgi- cal System. The system incorporates presurgical imag- ing to create a patient-specific implant and then helps physicians properly place the im- plant during a procedure. n Dr. Michael Gomez named MIS director at Miami hospital By Alan Condon M iami Neuroscience Institute onboarded neurosurgeon Michael Gomez, MD, according to an Oct. 7 report by South Florida Hospital News. Dr. Gomez's new role is director of minimally invasive spine surgery at South Miami Hospital, part of Baptist Health South Florida, a 22-hospital system with more than 4,000 physicians. Formerly of Premier Brain & Spine of Florida in Miami, he specializes in minimally invasive surgery for the treatment of degenerative conditions such as spinal tumors and deformities. Earlier this year, Michael McDermott, MD, was appointed medical direc- tor of Miami Neuroscience Institute. He is focusing on developing the neuroscience program and making the institute a destination for care. n