Can the familiarity between a surgeon and anesthesiologist impact patient outcomes? In this episode, Dr. Lee Sharma, welcomes Dr. Julie Hallet, to share insights from her recent JAMA Surgery study, which found that increased familiarity between surgeon-anesthesiologist teams leads to reduced 90-day morbidity in high-risk GI, GYN oncology, and spine surgeries. Sparked by her frustrations with inconsistent anesthesiology teams in Ontario’s regionalized system, Dr. Hallet’s research highlights the power of non-technical skills, trust, and shared worldviews in improving OR outcomes. She discusses why there’s no “magic number” for team familiarity, the challenges of scheduling stable teams, and her ongoing work to address anesthesiologists’ concerns and develop cost-neutral care models. This episode offers actionable insights for clinicians, administrators, and policymakers aiming to enhance patient care through team-based approaches.

Three Actionable Takeaways:

1. Prioritize Surgeon-Anesthesiologist Familiarity – Schedule consistent surgeon-anesthesiologist teams for high-risk elective surgeries to reduce 90-day morbidity, leveraging the trust and communication built through repeated collaboration.
2. Advocate for Cost-Neutral Change – Use Dr. Hallet’s data to push for scheduling reforms that stabilize OR teams without requiring additional resources, emphasizing improved patient outcomes to hospital leadership.
3. Address Implementation Challenges – Engage anesthesiologists early to understand concerns about specialization and ensure care models balance familiarity with maintaining broad expertise, especially in smaller hospitals.

About the Show:

Behind every procedure, every patient encounter, lies an untold story of conflict and negotiation. Scalpel and Sword, hosted by Dr. Lee Sharma—physician, mediator, and guide—invites listeners into the unseen battles and breakthroughs of modern medicine. With real conversations, human stories, and practical tools, this podcast empowers physicians to reclaim their voices, sharpen their skills, and wield their healing power with both precision and purpose.

About the Guest:

Dr. Julie Hallet is an associate professor of surgery at the University of Toronto and a hepatobiliary, pancreatic, and GI surgical oncologist at the Odette Cancer Center at Sunnybrook Health Sciences. With a medical degree from Université Laval and fellowships in complex surgical oncology (University of Toronto) and advanced hepatobiliary surgery (Strasbourg, France), she is also an associate scientist at Sunnybrook Research Institute. Her research focuses on improving surgical outcomes through team dynamics and system-level changes.

Email: Julie.hallet@sunnybrook.ca  

Twitter: @HalletJulie

Dr. Lee Sharma is a gynecologist based in Auburn, AL, with over 30 years of clinical experience. She holds a Master’s in Conflict Resolution and is passionate about helping colleagues navigate workplace challenges and thrive through open conversations and practical tools.

• Connect with Dr. Lee Sharma:
  📧 Email: scalpelandsword@gmail.com
  🌐 Website: East Alabama Health - Dr. Sharma

The Scalpel and Sword Podcast is for informational purposes only and does not constitute medical, legal, or professional advice. Always consult a qualified professional regarding your specific situation.