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Peak performance is the ability to achieve optimal outcomes or performance of a given task in a consistent manner. Commonly studied in athletes and musicians, this topic is less often studied in medicine and rarely broached for trainees. However, residency is a crucial period of training where foundations for future success are sewn into habit and daily practice. As educators, we should aim to equip trainees with the tools necessary to achieve peak performance. Studies in athletes and musicians focus on achieving peak performance by setting goals, mastering skills through deliberate practice, perseverance, grit, and discipline. Mentorship is also an important element to streamline efforts for the trainee and help them to focus. In the following article, we review the current literature on applying these principles to surgical trainees to achieve peak performance.
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http://dx.doi.org/10.5435/JAAOS-D-20-00172 | DOI Listing |
BMC Health Serv Res
September 2025
Institute of General Practice, Rostock University Medical Center, Doberaner Str. 142, Rostock, 18057, Germany.
Background: Post-viral syndromes, including long- and post-COVID, often lead to persistent symptoms such as fatigue and dyspnoea, affecting patients' daily lives and ability to work. The COVI-Care M-V trial examines whether interprofessional, patient-centred teleconsultations, initiated by general practitioners in cooperation with specialists, can help reduce symptom burden and improve care for patients.
Methods: To evaluate the effectiveness of the intervention under routine care conditions, a cluster-randomised controlled trial is being conducted.
Calcif Tissue Int
September 2025
FirmoLab, Fondazione F.I.R.M.O. Onlus and Stabilimento Chimico Farmaceutico Militare (SCFM), 50141, Florence, Italy.
X-linked hypophosphatemia (XLH) is a rare and progressive disease, due to inactivating mutations in the phosphate-regulating endopeptidase homolog X-linked (PHEX) gene. These pathogenic variants result in elevated circulating levels of fibroblast growth factor 23 (FGF23), responsible for the main clinical manifestations of XLH, such as hypophosphatemia, skeletal deformities, and mineralization defects. However, XLH also involves muscular disorders (muscle weakness, pain, reduced muscle density, peak strength, and power).
View Article and Find Full Text PDFGait Posture
September 2025
Department of Anatomy and Medical Imaging, University of Auckland, Auckland, New Zealand.
Background: While the plantar fat pad is known for its role in shock absorption and plantar force distribution during weight-bearing activities, its impact on running biomechanics is not well understood.
Research Question: Does plantar fat pad thickness affect lower limb biomechanics and plantar pressure distribution during running in healthy adults?
Methods: This cross-sectional observational study involved fourteen participants (18-50 years) who ran at their preferred speed on a 10-meter walkway while lower limb kinematics and ground reaction forces were recorded using a motion capture system. Plantar pressure and force on the right foot were measured using a pressure platform.
Int J Sports Physiol Perform
September 2025
LIBM UR7424, Universite Claude Bernard Lyon 1, Team ATPA, Lyon, France.
Purpose: The aim of this study was to investigate the effects of repeated-sprint training in hypoxia (RSH) versus in normoxia (RSN) in female national-level rugby union players.
Methods: In a randomized, controlled, and crossover study, 8 female rugby union players performed 5 sessions of repeated sprints either in normobaric hypoxia (RSH, simulated altitude: 3000 m; FiO2 = 14.5%) or in normoxia (RSN, terrestrial altitude: 165 m; FiO2 = 20.
Am J Clin Nutr
September 2025
Department of Health and Kinesiology, University of Illinois Urbana-Champaign, Urbana, Illinois, USA; Division of Nutritional Sciences, University of Illinois Urbana-Champaign, Urbana, Illinois, USA. Electronic address:
Background: There is considerable variation in the anabolic action of ingesting protein-dense foods on the stimulation of postprandial myofibrillar protein synthesis rates (MPS) despite ingesting similar amounts of protein and essential amino acids (EAA) OBJECTIVES: To determine the effects of consuming high-fat pork (HFP), low-fat pork (LFP), or a carbohydrate control (CHO) on the MPS response METHODS: In a semi-crossover design, sixteen physically active adults (25 ± 5 y; 25.0 ± 2.3 kg·m; 12M, 4F) received primed-constant infusions of L-[ring-C]phenylalanine and performed an acute bout of resistance exercise.
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