Rank #1: Beyond the Abstract: The Resilience Bank Account
The numerous professional and personal stressors experienced by cardiothoracic surgeons can—if not well managed—lead to errors in clinical judgment, burnout, early departure from practice, health issues, and substance abuse. In the latest episode of “Beyond the Abstract,” a program that explores the “whys” behind an article in The Annals of Thoracic Surgery, Dr. Michael Maddaus joins host Dr. Tom Varghese to discuss six habits that can make a significant difference in managing stress when proactively integrated into a daily routine. Read the related Annals article, “The Resilience Bank Account: Skills for Optimal Performance” at http://bit.ly/2q8XMFA.
Dec 02 2019
Rank #2: Finding Your First Job in Cardiothoracic Surgery
The job market for cardiothoracic surgeons is more promising now than it has been in decades. So how can residents and fellows be successful in finding that first job? Vinay Badhwar, MD asks seasoned and early career colleagues for tips on making a good impression during an interview, making sure that the job is a great fit, how to find the best career resources, and how to engage and maintain good mentors.
Apr 29 2019
Rank #3: TAVR and the Value of the STS/ACC TVT Registry
The Centers for Medicare & Medicaid Services is reevaluating the scientific evidence supporting volume requirements for hospitals and heart team members who perform transcatheter aortic valve replacement procedures. Drs. Joe Bavaria, Tom Gleason, Richard Shemin, Vinod Thourani, and Michael Deeb discuss the value of The Society of Thoracic Surgeons/American College of Cardiology Transcatheter Valve Therapy Registry for quality improvement initiatives, outcomes research, and device surveillance.
Feb 05 2019
Rank #4: Addressing the Impending Shortage of Cardiothoracic Surgeons
Numerous studies predict growing shortages in the physician workforce in the United States, especially among cardiothoracic surgeons. Five cardiothoracic surgeons and a fourth-year medical student discuss ways to address this impending shortage, including increasing the cap on residency slots, reducing the burden of training costs, and improving work-life balance.
Mar 02 2018
Rank #5: How to Recruit More Women Into Surgery
Women make up 46% of medical school graduates; however, only 22% of cardiothoracic surgery trainees are women. Of the 8,617 people who have been certified by The American Board of Thoracic Surgery to date, only 308 (3.6%) are women. STS Director-at-Large Shanda H. Blackmon, MD, MPH says that has to change. She provides 10 tips on how to attract more female candidates into the specialty. Her talk originally was given at the 2018 European Society of Thoracic Surgeons Annual Meeting in Ljubljana, Slovenia. It also is available at https://youtu.be/yHqijGPF9L8.
Jun 19 2018
Rank #6: The Surgical Challenges Involved with Treating Infective Endocarditis
Endocarditis is one of the most challenging infections to treat for cardiothoracic surgeons, and the opioid epidemic has led to a staggering increase in the number of infective endocarditis cases seen in the United States. Dr. Robbin G. Cohen talks with some of the world’s leading experts in treating valve disease and endocarditis—Drs. Joseph E. Bavaria, Eric E. Roselli, and Scott Goldman—about when surgeons should get involved in the treatment process, when and how long to treat with antibiotics, the best candidates for surgery, and the ethics surrounding treating IV drug abusers.
Apr 01 2019
Rank #7: Current Advances in Lung Cancer Early Detection and Therapy
Lung cancer morbidity and mortality remains high in the United States and beyond despite major changes over the past few years in early detection and treatment for advanced disease. Dr. Douglas E. Wood, from the University of Washington in Seattle, moderates a roundtable discussion with prominent lung cancer surgeons—Drs. Shanda H. Blackmon, Lisa M. Brown, and Mitchell J. Magee—who explain how results from the recent NELSON study are game-changing, ways to improve access to screening, how vaping is creating a new generation of cigarette smokers, and advances in systemic therapy and immunotherapy for lung cancer.
Feb 15 2019
Rank #8: Transcatheter-Based Mitral Valve Repair and Replacement
The latest advances in mitral valve repair and replacement include a shift toward the transseptal platform. Gorav Ailawadi, Vinay Badhwar, Steven F. Bolling, and T. Sloan Guy discuss how catheter-based techniques will re-emulate the gold standard for mitral valve surgery, the important role of 3D Echo technology, the need for transseptal puncture skills, and navigating the local politics.
Mar 09 2018
Rank #9: Beyond the Abstract: Culture of Safety and Gender Inclusion in Cardiothoracic Surgery
Hosted by Thomas K. Varghese Jr., MD, MS, Annals Deputy Editor, Digital Media and Digital Scholarship, the “Beyond the Abstract” program explores the “whys” behind an article in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In this episode, Leah M. Backhus, MD and David T. Cooke, MD join Dr. Varghese to discuss the importance of gender diversity in the specialty. Read the Annals article, “Culture of Safety and Gender Inclusion in Cardiothoracic Surgery,” at http://bit.ly/2EqllPI.
Dec 13 2018
Rank #10: Beyond the Abstract: Attrition of the Cardiothoracic Surgeon-Scientist
Are surgeon-scientists a dying breed? Dr. John Ikonomidis is the lead author of a new paper that explores the decline of surgeons who are applying for and receiving grants, publishing less, and feeling that research is not a part of their role. He joins host Dr. Tom Varghese in the latest episode of “Beyond the Abstract,” a program that explores the “whys” behind an article in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. Read The Annals article, “Attrition of the Cardiothoracic Surgeon-Scientist: Definition of the Problem and Remedial Strategies,” at http://bit.ly/2ZLg8ZR
Aug 09 2019
Rank #11: Take It to the Limit
Taking it to the limit is what cardiothoracic surgery has done for the past 50 years and what STS has done on behalf of the specialty for that same half century; however, some things that once made CT surgery successful may now be counterproductive. In his Presidential Address at the 2014 STS Annual Meeting in Orlando, Florida, Douglas E. Wood, MD challenged his colleagues in the male-dominated profession to welcome in more women and transition away from a masculine, autocratic leadership style.
May 11 2018
Rank #12: Evolving Trends in TAVR
The volumes of two aortic valve replacements (AVR) procedures have changed dramatically over the past few years, with more transcatheter procedures now being performed than open surgical procedures. Four cardiac surgeons discuss the evolving trends in TAVR, why the changes are occurring, and what’s ahead for TAVR and SAVR. Wilson Y. Szeto, MD moderates the discussion that also features Michael J. Mack, MD, John V. Conte, MD, and Thomas E. MacGillivray, MD.
Apr 13 2018
Rank #13: Anticoagulation During Cardiopulmonary Bypass
In January, The Society of Thoracic Surgeons, the Society of Cardiovascular Anesthesiologists, and the American Society of ExtraCorporeal Technology released a clinical practice guideline on the use of blood thinning medication (anticoagulants) during heart surgery. In this episode, guideline coauthor John Hammon, MD speaks with two cardiothoracic surgeons (Gaetano Paone, MD and Richard Engelman, MD) and a perfusionist (Theron Paugh, CCP) about how the guideline will change clinical practice.
Feb 21 2018
Rank #14: Discrepancies Between Evidence-Based and Real-World Practices
On average, it takes 17 years before new innovation is disseminated into clinical practice. How can cardiothoracic surgery change that statistic and speed up the process? Juan A. Sanchez, MD moderates a discussion with Michael S. Kent, MD, Kevin W. Lobdell, MD, and W. Chance Conner, MD about why there is a gap, strategies for implementation, and quicker adoption by the end user (hospital, clinician, etc.).
Apr 20 2018
Rank #15: A New Global Health Crisis
Over the last several decades, deaths from noncommunicable diseases—including cardiovascular disease and lung and esophageal cancer—have increased in the developing world. In his Presidential Address at the 2015 STS Annual Meeting in San Diego, California, David A. Fullerton, MD outlined the problem, the Society’s efforts to fund charitable surgical missions in developing nations, and STS members who are making a difference.
May 18 2018
Rank #16: How to Develop a Productive Mentor/Mentee Relationship
Some of the most successful cardiothoracic surgeons credit mentors for part of their achievements. Whether you are still in training, an early careerist, or a senior surgeon, taking part in a productive mentor/mentee arrangement has long-term benefits. But how do you identify a good mentor or mentee and cultivate that relationship? Drs. Mara B. Antonoff, Vinod H. Thourani, John D. Mitchell, and Elizabeth A. David describe the qualities to look for in a mentor, the importance of communication, setting realistic expectations, avoiding “mentor malpractice,” and why mentees should under promise and over deliver.
Mar 08 2019
Rank #17: Should Robotics Be Part of Cardiothoracic Surgery Training?
More cardiothoracic surgery programs are incorporating robotics training for residents and fellows. But should robotics be a standard part of the curriculum and have a presence on the in-training and board exams? Dr. Rishinda M. Reddy moderates a discussion with colleagues about the principles of robotics training, how they obtained funding for their robotics programs, and the importance having expanded minimally invasive skills.
Apr 22 2019
Rank #18: The Debate Over Exercise Restrictions in Cardiac Surgery
Should patients remain active before, during, and after cardiac surgery? Some surgeons have opposing views. Thomas G. Gleason, MD, from the University of Pittsburgh, and Edward P. Chen, MD, from Emory University, discuss the role of exercise in the treatment and recovery process following surgery for various forms of heart disease, especially among active patients.
Mar 30 2018
Rank #19: Mentorship in Cardiothoracic Surgery
Mentorship is an important component to success for many up-and-coming cardiothoracic surgeons. For established surgeons, being a good mentor is equally as important. Vinay Badhwar, MD moderates a discussion that includes Shanda H. Blackmon, MD, MPH, Melanie A. Edwards, MD, and David D. Odell, MD, MMSc talking about how mentorship is critical to the future of the specialty and what STS is doing to promote mentorship for early career surgeons.
Apr 06 2018
Rank #20: STS Key Contacts: Advocates for Cardiothoracic Surgery
One way that cardiothoracic surgeons can have a direct impact on federal policy affecting the specialty is by participating in the STS Key Contact program, which offers grassroots advocacy opportunities. In this episode, experienced Key Contacts share why they participate in political advocacy, describe the importance of STS-PAC, and role-play a meeting with a Congressional staff member—showing both how things can go wrong and how to make them go right.
Jun 07 2018