Rank #1: Beyond the Abstract: Reporting on the STS Intermacs and Pedimacs Databases
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 the latest episode, Drs. Robert Kormos and David Morales join host Dr. Thomas K. Varghese Jr. to explore the motivation for developing registries that examine clinical outcomes and quality-of-life metrics for patients who received FDA-approved durable mechanical circulatory support devices. They also discuss how these data will impact future devices, patient selection, and outcomes. Read the related Annals articles online:
- “The Society of Thoracic Surgeons Intermacs Database Annual Report: Evolving Indications, Outcomes, and Scientific Partnerships” (http://bit.ly/2NmLNPs)
“Third Annual Pediatric Interagency Registry for Mechanical Circulatory Support (Pedimacs) Report: Preimplant Characteristics and Outcomes” (http://bit.ly/2J5vSzY)
Rank #2: 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.
Rank #3: How the Opioid Crisis Is Affecting Cardiothoracic Surgery
Opioid addiction is a national epidemic. Moderator Keith S. Naunheim, MD and panelists Alexander A. Brescia, MD, David T. Cooke, MD, and James D. Luketich, MD discuss how the crisis is affecting cardiothoracic surgeons and their patients.
Rank #4: 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.
Rank #5: 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
Rank #6: Pain Management in Cardiothoracic Surgery
The opioid epidemic, especially in the United States, has prompted many physicians to re-evaluate their prescription writing habits when it comes to narcotics. Because pain management is an important part of the recovery process after cardiothoracic surgery, Dr. Robbin Cohen recently moderated a panel discussion with both cardiac and general thoracic surgeons about ways they are modifying surgical techniques and pharmacological strategies, deploying multidisciplinary team-based efforts, and supporting the Society’s legislative priorities aimed at helping to ease the crisis.
Rank #7: 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.
Rank #8: 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.
Rank #9: 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.
Rank #10: 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.
Rank #11: 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.
Rank #12: Diversity in Cardiothoracic Surgery
Recognizing the growing diversity of the population and patients in the US, STS created a special Task Force on Diversity and Inclusion to help cultivate an environment of inclusion and diversity within the Society, as well as the cardiothoracic surgery specialty. Task Force Chair David T. Cooke, MD hosted a roundtable discussion about diversity and inclusion in cardiothoracic surgery. His guests were Africa Wallace, MD, Luis Godoy, MD, and Jackie Olive.
Rank #13: Quality and Innovation in Cardiothoracic Surgery: Colliding Imperatives?
The fine line between delivering quality treatment and embracing innovation may sometimes make cardiothoracic surgeons feel trapped between conflicting goals. In his Presidential Address at the 2017 STS Annual Meeting in Houston, Texas, Joseph E. Bavaria, MD challenged that paradigm. He encouraged his colleagues to continually experiment and adapt, but also to always keep the patient in mind.
Rank #14: 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.
Rank #15: 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.