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Medicine | 2018

Specialisation does not detract, it adds: each professional brings their experience, insight and unique perspective on surgery
Arturo Cirera (Medicine, 2018) is a general and digestive surgeon specialising in colorectal surgery and a member of the Colorectal Surgery Unit at Quirúrgica Cirujanos Asociados. In this interview, he reflects on his medical calling and patient-centred approach, the demands and formative value of residency training and the importance of teamwork in specialised surgery. He also shares his perspective on the skills required to develop a career in surgery, the role of innovation and artificial intelligence in digestive surgery and his future motivations, always from a human-centred, rigorous and excellence-driven standpoint.
I would define myself as a curious, consistent person with a strong person-oriented mindset. Professionally, I am a surgeon, but above all, I consider myself someone with a strong commitment to service. What drives me is being able to accompany patients through particularly challenging times in their lives and knowing that, through careful work and daily dedication, I can help improve their quality of life.
In my daily work, I am driven by the desire to keep learning, improve as a professional and work in teams where dedication, rigour and mutual respect are fundamental. Surgery is demanding, but also deeply rewarding, and that combination is what keeps my motivation alive.
My time at UIC Barcelona was key both academically and personally. Beyond technical knowledge, I would highlight the emphasis placed on comprehensive training: critical thinking, empathetic patient care and professional ethics.
I learned to view medicine as a team effort, to stay rigorous and to never lose sight of the fact that behind every clinical case there is a person. This demanding and humanistic approach has provided a solid foundation for my subsequent professional development.
My residency at Vall d’Hebron University Hospital was a period of intense growth, both professionally and personally. It involved learning to make decisions under pressure, to progressively assume responsibility and understand the importance of discipline and constant preparation.
Today, in the operating room, I continue to apply many of the lessons learned during my residency: the importance of meticulously planning each procedure, the ability to anticipate potential complications, always having a plan B – and sometimes even a plan C – and the value of clear and effective communication across the entire team. Residency also teaches you the humility needed to ask for help when necessary and reminds you that surgical excellence is never an individual achievement, but always the result of collective effort.
Working in a specialised surgical team has been, and continues to be, a deeply enriching experience. In my case, first in the Colorectal Surgery Unit at Vall d’Hebron Hospital and currently at Quirúrgica Cirujanos Asociados, I have seen how this model allows for a more comprehensive approach to cases, facilitates knowledge sharing and supports more solid and consensus-driven decision-making. Specialisation does not detract, it adds: each professional brings their experience, insight and unique perspective on surgery. Moreover, this environment fosters continuous learning and constant improvement, which is essential in a discipline as dynamic as ours. For me, the proper functioning of the team is just as important as individual technical skill, and fortunately the traditional model of the lone surgeon is now virtually obsolete.
In addition to a solid technical foundation, I think consistency, work ethic and resilience are key. Surgery requires long hours, continuous effort and adaptability. As many of my mentors often reminded us, “surgery is all about flight hours”: experience and daily practice are what really make you better.
I would also highlight skills such as communication, teamwork, analytical ability and decision-making. And, of course, empathy: understanding the patient, listening attentively and providing support are just as important as the surgical technique itself.
These tools will play an increasingly important role. They will help improve diagnostic accuracy, surgical planning and treatment personalisation. However, I think they should complement clinical judgement, not replace it. The surgeon’s experience, clinical insight and human touch will remain irreplaceable. The challenge will lie in integrating these technologies in an ethical and responsible way, always in the service of the patient.
Looking ahead, I would like to further explore my specialisation, combining clinical practice with continuous education and, if possible, teaching or research projects. I am particularly interested in improving surgical outcomes, fostering innovation and streamlining healthcare processes. I am also eager to support the education of new generations of physicians, transmitting not only technical knowledge but also professional and human values that I consider essential in medicine.

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