Founder's Story - Breaking the Scalpel Ceiling: Dr. Paula Ferrada’s Trailblazing Journey in Trauma Surgery | Ep. 189
Episode Date: March 15, 2025Dr. Paula A. Ferrada, MD, is a trailblazer trauma surgeon who has shattered barriers in a traditionally male-dominated field. Hailing from Colombia, her remarkable journey to becoming a leading surgeo...n in the U.S. exemplifies resilience, innovation, and unwavering determination. Her groundbreaking work redefines trauma care and paves the way for future generations of women in medicine.HER JOURNEY: FROM HUMBLE BEGINNINGS TO THE OREarly Life & Inspiration:Born in Colombia, where her nurse mother and surgeon father introduced her to medicine at a very young age.“Surgery picked me,” she recalls, having witnessed deliveries and surgeries as a child.Path to the U.S.:Moved to the United States to train at renowned institutions such as Emory, Grady Memorial, and eventually Harvard—becoming the first Colombian woman to graduate from a Harvard surgery program.Further honed her skills through fellowships in Pittsburgh, Maryland’s Shock Trauma center, and over a decade of practice at Virginia Commonwealth University.BREAKING BARRIERS & LEADING WITH EMPATHYOvercoming Challenges: Latina physicians represent only 6.3% of the U.S. physician pool, with Latina female physicians making up less than 2.4%. Dr. Ferrada’s achievements speak volumes about perseverance in a challenging field.Leadership Style: Believes in vulnerability, teamwork, and creating a culture where every team member feels empowered to speak up.Asserts that true leadership in trauma is about trusting your team and maintaining a patient-centered focus, even under pressure.PASSION FOR RESEARCH & MENTORSHIPAdvancing Medicine: Authored over 130 peer-reviewed articles, driving forward innovation in trauma care by challenging old paradigms.Empowering the Next Generation: A dedicated mentor whose guidance has inspired many young surgeons to achieve their goals.Passionate about building a legacy based not on accolades but on the lives she’s helped shape.THE HUMAN SIDE OF TRAUMA SURGERYThriving Under Pressure: Embraces the intensity of trauma surgery, where split-second decisions make a life-or-death difference.Wellness & Resilience: Focuses on gratitude, maintaining autonomy, and cherishing the little moments of joy (like catching a glimpse of the sunshine) as key elements to avoid burnout and keep passion alive.Learn more at: https://www.inova.org/doctors/paula-a-ferrada-mdOur Sponsors:* Check out Avocado Green Mattress: https://avocadogreenmattress.com* Check out CoinFlip and use my code FOUNDERS for a great deal: https://coinflip.tech* Check out Indeed: https://indeed.com/FOUNDERSSTORY* Check out Kinsta: https://kinsta.com* Check out Plus500: https://plus500.com* Check out Rosetta Stone and use my code TODAY for a great deal: https://www.rosettastone.comAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
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Hey everyone, welcome back to Founder's Story. Today we have a very special guest
and I've really been interested to learn more about what is it like to be a trauma surgeon. So we wanted to get an incredible inspirational person, Dr. Paula Ferrada. You are a trauma surgeon. So we wanted to get an incredible inspirational person,
Dr. Paula Ferrada.
You are a trauma surgeon.
You were born in Columbia,
and I know you're gonna share your whole story,
and you are now one of the few doing what you do
with the background that you have,
and you're, and it's, I mean, a trauma surgeon
has to be one of the most complex jobs in in the world.
I mean, I can't wait to dive in. Well, let's begin with your story. How did you and why did you want to become a surgeon?
Dan, it's a pleasure to be here. Thank you for having me.
I as you as you said, I'm I was born in Columbia, South America
and I have the privilege of having a mom that was a nurse
and a dad that was a surgeon.
And when I'm gonna be honest and vulnerable,
when they didn't have child care,
it just brought me to work.
So I saw babies being delivered when I was 11 years old.
I started watching my dad in the operating room
when I was 12 years old.
And it was more like surgery picked me than the other way around.
Now how I made it to the United States is like doing training.
In Colombia, we would go straight from high school to medical school and doing training,
there was a gap.
So I came to the United States to Emory, a grading memorial to do a rotation.
And I was just amazed in the care that people get in the United States
and the fact that we had blood available, that we have helicopters available, that we
have CT scans available, things that in Latin America, especially in the university hospital,
were not.
So I always wanted to train in the United States so I can somehow find a way to not
only give back to Colombia and to the world,
but I think that get the best of both worlds so we can help the patient in need.
That's amazing.
So you're in the US, you're starting to be a surgeon.
How was that experience?
And I know we were talking earlier, there's very few women who are in that role. Were there any challenges breaking down these barriers
and really proving that you are just as great
as anyone else as a surgeon?
I think I'm super happy that I came to the United States.
I'm very proud of everything that we have done.
I always, I came with the intention of going back,
but you know, life happens and you know,
I got married
and I have children, like, so I never really went back physically, but there's a lot of things that
we do in collaboration with Latin American, with the world, especially the world of trauma that I
have the privilege of being part of. If you talk about proving yourself, I think I'm still proving
myself every day. In the United States, Latino physicians represent only 6.3% of the total physician pool and Latina
female physicians are less than 2.4% of all United States physicians and that's
all physicians, not only surgeons. Now in terms of advancing in leadership roles,
full professors of surgery that is who I am is only at 21%.
Surgery chairs, which is the privilege
that I have the privilege of serving,
you know, by healthcare by being the chair of surgery.
Only 14% are women.
From those three are Latina and one me is a foreign graduate.
So I consider this an honor that I don't take for granted. The
path of coming to the United States, I came to Miami, I did a lot of work, I did
research, then I was promised a spot that I didn't get, but it ended up being the
best thing that ever happened to me. You know, my mom used to say, always things
happen for a reason, and you at the time don't believe it, but it turned out to be
the best thing that ever happened to me because I had the opportunity to go to
Boston and train at one of the Harvard
programs and be the first Colombian woman that graduated from Harvard program
from surgery and and that was a great experience. I didn't do it with the
intention of being the first at anything, but I think my presence at those
institutions actually helped other Latino surgeons and other women surgeons to create a path also of success
that now I'm seeing, I'm seeing people that I was mentoring
at the time when I was even arrested,
that now are doing very successful things
within the Harvard system.
Then after that, I went to Pittsburgh
and I did an extra year of fellowship.
Then I went to Shock Trauma Maryland,
which is the mech of trauma in the United States
and did a year of acute care surgery.
Then I was in a hospital in Virginia for 11 years
at Virginia Commonwealth University,
where I did several things.
I started working in my leadership skills and research,
became a full professor,
and I have been in Inova Health since 2021,
where I came here to direct their trauma system.
We have a level one trauma center in Fairfax
We have a level three that will be a level two in Loudoun and we have another hospital that we're
Thinking about bringing it to a level three trauma
we serve a population of 3.2 million people here in northern Virginia and we're just like
And that's the leadership part that help us help us help people way above
and beyond one patient at a time.
However, I feel like our life is a life of service
and I feel that it's a privilege for us
to take care of those patients.
Any type of patient that is in a trauma situation
or requires emergency surgery
or requires surgical critical care.
For us, it's a privilege to do that
in the one-on-one
relationship or in the broader scale, improving the systems of trauma in the United States and
in the world. I mean, that's amazing. Somebody once told me, if you see it, you can be it.
So I hope that people see this and say, oh, I want to be just like Dr. Paula Ferrada and I'm gonna become a surgeon as well. Amazing
story, incredible. I'm very curious because I could personally never do that
role. Like I don't handle fear and you know I'm sure you have to act so
fast. I'm not really good at that and I'd be the worst surgeon but how is that
feeling when you have the I mean this is like a life or death situation.
Like you said, these are level one, two, three
trauma centers.
You have something going on that is so dire
and you can't make a mistake.
How do you handle that feeling?
Well, I love that feeling.
I think that there's,
the reason why I say trauma-stricken infamy,
I think that there is a certain personality that you have to be able to thrive in chaos
and instead of seeing chaos when you have a lot of patients
and fat space and things are decisions
that you have to take with very little information
and be okay with that and grow, right?
Sometimes there's, well, you don't learn on my mistakes.
Nobody shows up to make mistakes.
I think that the care of the trauma patient is not depending on one person is a team you have
your team of nurses you have a team of emergency physicians you have the trauma circle you have
you intensivist nurses respiratory therapists residents fellows they're all part of the team.
I think that we have a lot of, we have a lot of things
in place that prevents us from doing mistakes and when there's a mistake, it gets caught
by somebody in the team so we can all serve the patient better. And we also have, especially
in the United States, systems where we can go back and look at things that happened for
patients so you honor those patients by not letting it happen again. I think that how do you deal with it?
I think it's stressful, but it's also fun.
I don't think burnout happen in the intensity
or the time that it takes for us
to do the things that we do.
I think burnout for physicians happen
when you lose the autonomy of taking the decisions
that you think are best for your patients. So I think autonomy and I think focusing
in gratitude. It sounds maybe silly but focus on the hormones and make you happy.
Make sure you see the sun shine every day that's their turning. Make sure that
you feel accomplished as dopamine. Make sure you lose connection with your own
purpose. Your purpose really clear and don't lose that connection.
And don't lose connections with patients
because it's through those connections
where we feel that our purpose as healers is accomplished.
Thank you for sharing that.
And I could see where it's really a team effort.
So when it comes to leadership,
what do you find works well for you
or what do you do to really create this unified
team effort?
I think that it's very important that even if the surgeon is the captain of the ship,
that the captain of the ship feels that he or she is able to share vulnerability with
your team.
It's okay to say that you're tired.
It's okay to ask for help.
Not only okay, it's necessary for you to be able to show a vulnerable related to your team.
And when we go through these difficult situations, let's say you have a mask actually, or a patient
that is really sick, those moments of acute stress actually bring people together.
So capitalize on those times to create those relationships.
I truly believe that the safest operating room
or the safest trauma bay in the world
is where everybody feels that they can speak their mind
without fear of retaliation.
Where you can be like, yeah, she or he's the surgeon,
but I can say, hey, can you explain this to me?
Why are you doing things differently?
Why are you deviating from protocol?
And I think that the only way to achieve that
is creating relationships of true trust, knowing
that we all are there with the sole purpose of making a patient better.
We all want the same thing.
Nobody showed up in the team to do the wrong thing.
And we start by not assuming evil, always assuming good intent, having a culture of
trust and psychological safety, be able to speak up to each other without fear of retaliation and
We have the ability of showing vulnerability to each other. I know you've published over a hundred and thirty
peer-reviewed articles, which is incredible
What makes you so passionate for the research side because I think through research and education,
we make patients better.
I think that the most dangerous phrase in science,
and in surgery, but in science overall,
is we are doing it because we have always done it that way.
I think you have to have the opportunity of questioning
the status quo.
And if the status quo is not good enough,
create a new status quo.
And the only way you do it is through investigation.
I think that educating our new generation
ensures that our patients get the best care, right?
Because these people, the residents, our residents,
our fellows, our students, are gonna be the people
that are gonna take care of me, so I'm in our family.
So we want them to be the best possible,
and that's why education is so important.
And then research is what allows us
to change the status quo,
number one, prove the status quo if we, if there's any changing. But if there's an impact that we can
do that is in a broader scale, not only for Northern Virginia population of one-on-one with
the patient, but nationwide or global wise, I think that is through research that we are able
to answer those questions.
Amazing. I mean, when you come back in a year, you might be at 250, 300 peer reviewed articles. I
can tell you're very passionate about that. And I mean, it sounds like that could cement your legacy,
you know, in the future, all this research and, and, and changing the status quo and people are gonna be learning from what you're doing
and they're gonna be using that
and you're gonna be one of the best in your field
which is incredible in terms of,
I think we all wanna be known for something.
So when it comes to the future for you,
what does the future look like for you?
What are you hopeful for doing in the future? So that's a great question. So I think about
this, what do I want my legacy to be and what I want to be known for and it's not
the papers that I have written or the positions that I have held. I want to be
known for somebody that help other people achieve their goals and their
dreams. I want to be known by somebody that challenges
the part of time, so what people think a surgeon needs to be,
like instead of by this authoritarian being
that has a God complex that we were talking about
before we started, be somebody that wants to empower people,
that wants to help people,
that where compassion and kindness is not in a strategy,
but a way of being being and where surgery is a
field that we can level the plane a little bit and have people accomplish their goals
and go up in leadership and show their worth because of their hard work, not because of
the external things like ethnicity or your ethnicity or your gender or you know the
pedigree of the place where you train but actually your true worth and your
service for patients because honestly when we talk about health care this is
who we are we are a we are a place for service to other people to to one
patient at a time into our community as a whole. Have you ever had any students
that maybe you are mentoring or people that you mentored maybe other surgeons and then later on they talked to you
about the impact that you made and if so how was that feeling? It makes my day, my week, my month,
my year when I hear somebody saying like thank you for giving me an opportunity, thank you for
giving me a chance, thank you for listening. Thank you for your advice.
And that resulted in somebody doing something good
for themselves, their family, their patients,
or the world.
That's a great feeling.
I think that that's a fantastic feeling.
It's saving somebody's life or giving a chance
to a patient to returning a patient to their family whole.
That's another great feeling.
I think that that's why I said before, he's not through...
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Long hours that or intensity that we get
that physicians get burned up.
We get burned up when we don't have the capacity
of taking the decisions that we know we need to take
for the patients that we care for.
Well, I know a few years ago, everyone was saying people in the medical field are the
heroes. But I don't feel like that should have ever stopped. And I think people in the
medical field are always the heroes. So thank you for all that you're doing. Not only are
you saving lives, but you're helping other people and they can save lives.
I mean, it's really such an extreme impact
when you look at how many people could then take that
and then they take that and then they take that.
So I can tell that you're all about impact,
not only from your patients and everyone
that you are seeing, but then also the young surgeons or up-and-coming surgeons
and what they're learning. If people want to get in touch with you they want to find
out more information maybe they're inspired to be a surgeon as well and they
need some some advice how can they do so? I can share with you they can contact me
through LinkedIn or or social media I mean Twitter and Instagram also my email, I think if you Google my name,
you'll find my email.
My door is always open for anything that anybody needs
since it is my pleasure and my privilege
to be able to be part of anybody's journey.
Well, Dr. Paula Ferrada, thank you so much for all you do
and thank you for joining us today on Founder's Story.
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