Surgical Hot Topics: Recent Episodes
The Society of Thoracic Surgeons
Listen to leaders in cardiothoracic surgery discuss hot topics in the field. Please note: The comments included in these episodes are that of the individuals involved and not necessarily that of The Society of Thoracic Surgeons.
Host Dr. Melanie Edwards is joined by guest Dr. Andrea Wolf, director of the New York Mesothelioma Program, professor of thoracic surgery at the Icahn School of Medicine at Mount Sinai, chair of the American Association for Thoracic Surgery Wellness Committee, and an accomplished marathoner. Dr. Wolf explores how the mindset and discipline of distance running can strengthen resilience, performance, and career longevity in surgery.
Drawing from her own experiences with running and injury, Dr. Wolf discusses the value of focusing on process over outcomes, prioritizing recovery and strength training, and building sustainable habits that support both surgeon well-being and patient care. She also shares insights on workplace ergonomics, mentorship, and challenging the culture of pushing through physical limitations.
In this episode of the STS Thinking Thoracic podcast, host Dr. Jeff Yang is joined by thoracic surgeons Dr. Seth Krantz and Dr. Christopher Seder, along with Harvard medical student Alexandra Potter, to discuss three landmark studies using the STS General Thoracic Surgery Database that are reshaping how lymph node evaluation is performed in lung cancer surgery. The panel explores current guidelines, quality standards, and how more comprehensive nodal evaluation can improve staging accuracy while maintaining patient safety.
The discussion highlights national trends in surgical quality, the importance of surgeon-pathologist collaboration, and the future of personalized lymph node evaluation, including the potential role of emerging technologies such as radiomics, genomic markers, and AI.
Effective leadership requires the ability to bring together individuals with different backgrounds, experiences, and perspectives. In this blog post, Evan Alicuben, MD, of the University of Pittsburgh Medical Center, reflects on a recent STS Leadership Institute session on leading diverse teams and implicit bias, where case-based discussions with peers explored practical approaches to fostering inclusion and navigating challenging workplace situations. Dr. Alicuben writes, "Only by purposefully leading will we bring success to a diverse team."
Jonathan Villena-Vargas, MD, sits down with Erin Gillaspie, MD, to examine key findings from the American Society of Clinical Oncology (ASCO) Annual Meeting, including advances in targeted therapy, dual-pathway immunotherapy, artificial intelligence, and adaptive treatment strategies that are reshaping thoracic oncology.
In this special joint episode of the STS Thinking Thoracic podcast and the American Association for Bronchology and Interventional Pulmonology (AABIP), Dr. Erin Gillaspie is joined by interventional pulmonologist Dr. Sameer Avasarala, of University Hospitals, and head and neck surgeon Dr. Britney Scott, of the CHI Health Clinic, to discuss the multidisciplinary management of malignant airway obstruction. The conversation emphasizes multidisciplinary collaboration among specialists, noting that treatment decisions depend not only on anatomy but also on patient-specific factors such as frailty, pulmonary function, and overall cardiopulmonary status.
Using a top-to-bottom anatomic approach, the discussion explores management of tumors involving the upper trachea, mid-trachea, and carina, covering bronchoscopy, tumor debulking, stenting, tracheostomy, and surgical resection. They also discuss preoperative planning, postoperative airway care, and the value of multidisciplinary tumor boards and real-time collaboration.
In this episode, co-hosts Dr. Sara Pereira and Dr. Ian Bostock celebrate the 20th anniversary and impact of the STS Looking to the Future (LTTF) Scholarship Program by speaking with three rising stars pursuing careers in cardiothoracic surgery: Tyler Wilson, MD, a general surgery resident at the University of Chicago; Molly Shields, MD, a general surgery resident at Walter Reed National Military Medical Center; and Tyrone Hill, a medical student at Meharry Medical College.
Reflecting on their unique journeys into medicine, the LTTF scholars share how attending the STS Annual Meeting and participating in the scholarship program provided invaluable access to mentors, expanded their professional networks, and reinforced their confidence in pursuing a highly competitive specialty.
The guests share their perspectives on wellness, family planning, and maintaining outside interests like running, cooking, and camping. They emphasize that success in cardiothoracic surgery isn't a single path, but is built on resilience, community, and mentorship—illustrating how programs like Looking to the Future make the specialty more inclusive and supportive for aspiring surgeons.
In this STS Career Development Blog, Dr. Melanie Subramanian explores key takeaways from the most recent STS Compensation Survey through the lens of early-career surgeons. She discusses rising compensation, why job satisfaction extends beyond salary, the persistence of the gender pay gap despite improvement, and how the survey empowers surgeons to negotiate and advocate for themselves.
In Part 2 of Thinking Thoracic's annual review of the year's most influential thoracic oncology research, Drs. Jeff Yang and Linda Martin examine practice-changing studies in perioperative care, lung cancer treatment, and multidisciplinary cancer management.
The discussion covers emerging evidence on cryoanalgesia, preoperative fasting, targeted therapies for EGFR-mutated lung cancer, and other key clinical trials and consensus recommendations that are influencing patient care today.
In Part 1 of this special Thinking Thoracic episode, Dr. Jeff Yang welcomes Dr. Linda Martin for a discussion of groundbreaking research spanning immunotherapy, lung cancer epidemiology, and screening. Together, they explore emerging organ-preserving strategies for mismatch repair-deficient cancers, the growing population of patients with lung cancer who have never smoked, and new data highlighting opportunities to improve screening eligibility and uptake.
Hear expert analysis of the studies shaping the future of thoracic oncology and what these findings mean for surgeons and patients alike.
Cohosts Dr. Sara Pereira and Dr. Fatima Wilder are joined by guest Dr. J.W. Awori Hayanga—professor of cardiothoracic surgery at West Virginia University, director of the WVU Heart and Vascular Institute ECMO Program, and a nationally recognized leader in transplantation, health policy, and artificial intelligence in medicine—for a wide-ranging conversation about mentorship, resilience, and purpose.
Born and raised in Nairobi, Kenya, Dr. Hayanga reflects on the profound influence of his lawyer parents, especially his mother, whose pioneering work in microfinance and women’s empowerment shaped his worldview and commitment to service. He shares the challenges of immigrating to the United States for medical training, navigating the uncertainty of visa status as an international medical graduate, and learning how relationships, mentorship, and persistence can open doors throughout a surgical career.
The conversation also explores the growing role of artificial intelligence and robotics in cardiothoracic surgery, along with candid insights on leadership, emotional intelligence, failure, and staying grounded through the demands of academic medicine.
Host Dr. Erin Gillaspie is back with a new season of the popular Best of Lung Cancer Science video podcast series. In this episode, featuring Dr. Jonathan Spicer, they break down key takeaways from the European Lung Cancer Congress, including evolving surgical approaches and how biology, AI, and real-world data are reshaping lung cancer care.
As part of the STS Career Development Blog series, Dr. Olugbenga Okusanya examines the art of onboarding a new partner. Although cardiothoracic surgeons develop many skills during training, some of the most valuable lessons—including how to successfully integrate a new colleague into a practice—are learned only after entering practice.
In recognition of National Women’s Health Month, this episode of Thinking Thoracic analyzes the evolving landscape of female-specific lung cancer care. Co-hosts Dr. Erin Gillaspie and Dr. Jane Yanagawa sit down with guest Dr. Leah Backhus to discuss a critical disparity: lung cancer is the leading cause of cancer death among women, yet screening practices remain inequitable.
This timely episode moves beyond smoking history to examine the rise of lung cancer in never-smokers and Asian women. From the "stigma" of a diagnosis to innovative solutions like co-scheduling screenings with mammograms, providing a powerful call to action for more inclusive, biomarker-driven care.
In this episode of Same Surgeon, Different Light, cohosts Dr. Cherie Erkmen and Dr. Sara Pereira sit down with guest Dr. Ara Vaporciyan, professor of thoracic and cardiovascular surgery at the University of Texas MD Anderson Cancer Center, to explore a career dedicated to advancing surgical education and leadership.
Dr. Vaporciyan reflects on his path from an early fascination with heart transplantation to becoming a nationally recognized educator and institutional leader. He discusses the evolution of thoracic surgery, the demands of academic medicine, and his belief that expert surgeons must become “consciously competent” to effectively teach trainees.
Grounded in mentorship, negotiation, and “teaching to the gap,” he offers thoughtful insights on curriculum design, leadership, and preparing the next generation of surgeons.
In a new episode of The Resilient Surgeon, host Melanie Edwards, MD, sits down with cognitive neuroscientist Daniel Smilek of the University of Waterloo’s Vision & Attention Lab to explore how attention and perception shape performance. Their conversation dives into the realities of everyday multitasking, examining how it contributes to lapses in attention, cognitive errors, and mind wandering. Smilek connects this research directly to surgical practice and surgeon well-being. Listen today.
- Resources referenced in the discussion:
Bidelman, G. M., & Feng, S. (2025). Familiar music reduces mind wandering and boosts behavioral performance during lexical semantic processing. Brain Sciences, 15(5), 482. - Killingsworth, M. A., & Gilbert, D. T. (2010). A wandering mind is an unhappy mind. Science, 330(6006), 932-932.
- Kiss, L., & Linnell, K. J. (2021). The effect of preferred background music on task-focus in sustained attention. Psychological research, 85(6), 2313-2325.
- Seli, P., Risko, E. F., Smilek, D., & Schacter, D. L. (2016). Mind-wandering with and without intention. Trends in cognitive sciences, 20(8), 605-617.
- Watson, J. M., & Strayer, D. L. (2010). Supertaskers: Profiles in extraordinary multitasking ability. Psychonomic bulletin & review, 17(4), 479-485.
In this episode of Same Surgeon, Different Light, Dr. Cherie Erkmen and Dr. Sara Pereira sit down with Dr. Kazuhiro Yasufuku of the University of Toronto, a global leader in minimally invasive thoracic oncology, to explore a career shaped by discipline, innovation, and cross-cultural experience.
He reflects on his surgical training in Japan’s rigorous, hierarchical system and his academic journey in North America, sharing how these environments informed his approach to patient care and research. Dr. Yasufuku discusses the development of endobronchial ultrasound (EBUS), from early prototypes to worldwide adoption, transforming lung cancer staging. He also offers insights on perseverance, leadership, mentorship, and the future of increasingly minimally invasive, patient-centered care.
In this episode of Thinking Thoracic, podcast hosts Hari Keshava, MD, and Erin Gillaspie, MD, talk with René Petersen, MD, of Copenhagen University Hospital, about the latest developments in Enhanced Recovery After Surgery (ERAS) protocols.
As a longtime leader and pioneer in the field, Dr. Petersen shares insights from his extensive experience advancing recovery practices. The conversation covers the broader evolution of minimally invasive thoracic surgery, including video-assisted approaches, and how these developments inform patient selection for tubeless procedures.
All surgeons lead teams, and our ability to do this helps ensure effective and safe care for our patients. Maximizing team performance can be one of the more challenging aspects of our specialty, and yet it's something most of us have little or no formal training in. In this STS blog article, Dr. Trent Magruder shares two key aspects to helping teams function smoothly: effective communication, and investment in each member.
In this episode, hosts Dr. Sara Pereira and Dr. Cherie Erkmen sit down with guest Dr. Stephanie Chang, Surgical Director of Lung Transplant at NYU Langone Transplant Institute, to explore how a childhood dream of teaching evolved into a career in surgical precision and innovation. She reflects on the moment a college biology class sparked her fascination with CABG, the mentorship that shaped her during training at Washington University in St. Louis, and her role in performing the first fully robotic lung transplant at NYU—while sharing insights on leadership, mentorship, and balancing life beyond the operating room.
Season 5 starts here. Join Dr. Melanie Edwards, new host of The Resilient Surgeon, for the kick-off of season five with a “Live from #STS2026” episode. Hear from Drs. Jamie and Ross Ungerleider about work-life integration, and making choices that contribute to more fulfillment, joy, and authenticity in life. Listen today.
n this episode of Thinking Thoracic, podcast hosts Hari Keshave, MD, and Erin Gillaspie, MD, talk with J. W. Awori Hayanga, MD, West Virginia University Medicine, about his recent study published in The Annals of Thoracic Surgery on surgical interventions for end-stage emphysema. The conversation highlights symptom burden, a multidisciplinary approach to treatment, and the latest data on lung volume reduction surgery.
Article references:
Hayanga JWA, Luo X, Reddy S, Mehaffey JH, Rothenberg P, Chauhan D, Rajjoub H, Mascio C, Baker N, Badhwar V, Lamb J, Toker A. Endobronchial Valve Therapy vs Lung Volume Reduction Surgery in the United States. Ann Thorac Surg. 2025 Nov;120(5):917-925. doi: 10.1016/j.athoracsur.2025.06.053. Epub 2025 Jul 19. PMID: 40691922; PMCID: PMC12542816
Hayanga JWA, Voppuru S, Bham N, Hansen A, Mehaffey JH, Rajjoub H, Reddy S, Badhwar V, Lamb J. Higher Costs and Lower Reimbursement of Endobronchial Valve Therapy vs Lung Volume Reduction Surgery in the United States. Ann Thorac Surg. 2026 Jan;121(1):174-180. doi: 10.1016/j.athoracsur.2025.09.033. Epub 2025 Nov 6. PMID: 41205846.
Advancing in cardiothoracic surgery requires more than technical excellence in the operating room. In this latest STS Career Development blog, Sahar Saddoughi, MD, shares how surgeons can get promoted by building programs, leading multidisciplinary teams, and aligning their clinical and academic work with institutional priorities. She believes that success comes from demonstrating measurable impact, strategic focus, and leadership that shows you are already contributing at the next level.
In this Same Surgeon, Different Light episode, hosts Dr. Sara Pereira and Dr. Cherie Erkmen sit down with guest Dr. Gianluigi Bisleri to reflect on his early training in Italy, a once-imagined path in music, and his fellowship at Columbia University. He shares insights from leadership roles across Europe and Canada, discussing his work advancing minimally invasive valve and atrial fibrillation surgery, training as a left-handed surgeon, and building programs from the ground up.
In a candid conversation on leading change, he reflects on introducing new technologies in complex academic environments, mentoring the next generation, and embracing resilience, lifelong learning, and balance—lessons shaped by family life in Toronto, skiing Canadian winters, and playing guitar in a band.
Today, co-hosts Dr. Sara Pereira and Dr. Cherie Erkmen sit down with guest Dr. Bo Yang, who shares his remarkable career path from medical school and early cardiothoracic training at Xiangya University in China, to earning a PhD in pharmacology in the United States, to retraining in surgery at the University of Arizona and Stanford and ultimately joining the University of Michigan as a surgeon-scientist.
Along the way, he reflects on the mentors, cultural challenges, and relentless work ethic that carried him through 13 years of retraining.
It’s a compelling chat, as Dr. Yang discusses building a basic science lab, while launching a complex aortic practice, developing the Y-incision aortic root enlargement technique, and learning to become a more patient and intentional teacher. offers words of wisdom on the importance of spending time with your family.
In the season two premiere episode of Thinking Thoracic, cohosts Drs. Erin Gillaspie, Hari Keshava, Jeff Yang, and Jane Yanagawa review the latest thoracic surgery research presented at the 2026 STS Annual Meeting in New Orleans.
In the Season 6 premiere episode, live from STS 2026, host Dr. Sara Pereira and guest co-host Dr. Fatima Wilder sit down with Dr. Doug Wood, who shares his extraordinary journey—from growing up on a farm in rural Michigan in a family that valued education, to attending the National Science Foundation Summer Science Program at Purdue University, to becoming a national champion rower at Harvard, and ultimately serving as a division chief, department chair, and leader in lung cancer surgery and advocacy. It’s a fascinating conversation, as he reflects on his career with humility and self-deprecating humor.
Jessica Donington, MD, and Christine Bestvina, MD, join host Erin Gillaspie, MD, to unpack key lung cancer advances from ESMO 2025, including adjuvant ALK inhibition (ALINA, ELEVATE), perioperative immunotherapy (KEYNOTE-671), and the expanding neoadjuvant space in borderline resectable disease.
In this STS blog article, Shubham Gulati, a third-year medical student at the Icahn School of Medicine at Mount Sinai, reflects on a transformative year with his mentor, Dr. Ravi Rajaram, and other accomplished surgeons, who created space for candid discussions about the realities and rewards of becoming a cardiothoracic surgeon.
In this special edition of the Best Science in Lung Cancer series, host Erin Gillaspie, MD, speaks with Paula Ugalde, MD, to examine findings from ELCC, including restaging in the neoadjuvant era, redefining resectability, the use of AI in multidisciplinary precision care, and the current de-escalation debate.
In this special edition of the Best Science in Lung Cancer series, host Erin Gillaspie, MD, sits down with Brendon Stiles, MD, to discuss insights from ASCO, including perioperative immunotherapy, CheckMate 816, and expanding surgical boundaries.
In this special edition of the Best Science in Lung Cancer series, Leah Backhus, MD, joins host Erin Gillaspie, MD, to explore key takeaways from WCLC, including how precision data, surgical restraint, and breakthrough immunotherapy are transforming care.
The latest episode of Thinking Thoracic dives into one of the most challenging diseases in thoracic oncology—malignant pleural mesothelioma. Host Erin Gillaspie, MD, speaks with Joshua Reuss, MD, a thoracic medical oncologist and clinical trials leader, about how immunotherapy, evolving surgical strategies, and global practice patterns are reshaping care for this rare cancer.
The episode covers the impact of the Checkmate 743 trial, controversy surrounding the MARS-2 surgical study, promising results from neoadjuvant immunotherapy trials, and the critical need for collaboration and clinical trial enrollment to drive progress.
Listen now to explore where mesothelioma research is headed and what it means for patient care.
The occupation we have chosen is the most fulfilling job in the world. Cardiothoracic surgery has been the only career I have pursued as an adult, but I know that even without a meaningful comparison, my bold claim is correct. We have studied and practiced for years to acquire skills so that we can help to cure our patients or at least minimize their suffering. Yet, throughout all of our careers, having a patient succumb to their disease, or our attempt at treating their disease, is as much of a certainty as our own eventual mortality. Read this blog by Dr. Derek Serna-Gallegos on how to face your first patient death as a cardiothoracic surgeon.
In this special episode of Same Surgeon, Different Light, hosts Dr. Cherie Erkmen and Dr. Sara Pereira sit down with STS President Dr. Joseph Sabik as he reflects on his early interest science, the mentors who shaped his career, and the pivotal role mentorship continues to play in his leadership within the Society.
He also shares insights into what attendees can anticipate at the 62nd STS Annual Meeting, unpacks the meaning behind this year’s theme—“Teaching for Tomorrow Together”—and offers an exclusive preview of the inspiring speakers and events that will celebrate the specialty’s future.
In this episode of Thinking Thoracic, host Dr. Erin Gillaspie talks with Dr. Robert Lentz and Dr. Fabien Maldonado about the groundbreaking VERITAS trial, which is reshaping how clinicians diagnose lung cancer. Published in the New England Journal of Medicine, the VERITAS trial compared navigational bronchoscopy with CT-guided biopsy in a rigorous, randomized design, bringing much-needed evidence to interventional pulmonology. The discussion explores how the study was conceived, why robust device trials are vital to patient outcomes, and what the findings mean for the future of minimally invasive lung diagnostics.
Whether you are a thoracic surgeon and you are going to break through the ceiling on survival for mesothelioma, an adult cardiac surgeon tackling structural valve deterioration, or a community cardiothoracic surgeon improving outcomes for ECMO patients, identifying and building a niche is exciting and rewarding. In this blog article, hear from Dr. Brian Bateson on how you can successfully build a niche with care, passion, and understanding.
The latest episode of Thinking Thoracic takes on a topic that’s on everyone’s minds: finances. Host Erin Gillaspie, MD, sits down with Lawrence Greiten, MD, and Josh Daily, MD, both from Arkansas Children’s Hospital, to discuss their recent paper examining financial decision-making in cardiothoracic surgery. From training pathways to compensation survey data, the conversation highlights how earnings and financial trade-offs shape career choices and negotiations. Tune in today.
This latest episode of Thinking Thoracic, an STS podcast, features host Erin Gillaspie, MD, in conversation with Jonathan Spicer, MD, a leading thoracic oncologist and clinical trial investigator. The two dive into the landmark CheckMate 816 trial, which helped usher in a new era for immunotherapy in lung cancer treatment. Dr. Spicer shares insights on trial design, clinical outcomes, and what these findings mean for the future of thoracic surgery and oncology. Listen today.
Efficiency in the operating room isn't just about working faster—it's about making every movement count, communicating clearly so needs are understood, and simplifying systems to support the team.
True efficiency is a collective achievement that the surgeon can lead by understanding team needs and fostering coordinated, high-performing teamwork.
When the team focuses on efficient processes and clear communication, the ultimate result is improved workflow and the highest quality patient care.
In this insightful episode, we explore the importance of planning for a stress-free retirement. Just as medication packages have clear dates of manufacture and expiration, individuals should also be mindful of their own timelines, from birth to retirement.
We delve into the necessity of preparing for life after employment, emphasizing how failing to plan can lead to unnecessary stress. Join us as we discuss strategies and tips for ensuring a relaxed and enjoyable post-retirement life.
Don’t miss the latest Thinking Thoracic episode as host Erin Gillaspie, MD, is joined by Stephanie Worrell, MD, associate professor, University of Arizona, and thoracic surgeon, Banner Health, for a lively and insightful post-ASCO discussion. Together, they unpack the significance of the CheckMate 577 and Matterhorn trials, and explore what these groundbreaking studies mean for the future of esophageal and gastroesophageal junction cancer care.
Join us as we explore the transformative journey of a scholar selected for the prestigious Looking to the Future (LTTF) Scholarship Program by The Society of Thoracic Surgeons (STS). Dive into the 61st Annual Meeting held in Los Angeles, California, where academic inspiration meets profound personal growth.
Discover how this unique opportunity went beyond expectations, offering invaluable insights and connections that extend far beyond the realm of thoracic surgery. Experience the highlights of the event and learn why it was much more than just an academic gathering.
In this episode of Thinking Thoracic, Dr. Elliott Servais, Lahey Hospital & Medical Center, joins host Dr. Erin Gillaspie to share how he developed a robotic 1st rib resection program. Recognizing an unmet need at his institution, he seized the opportunity to build a dedicated program. The result? A growing referral network and a newfound enthusiasm for a procedure he once dreaded.
In this episode of Thinking Thoracic, hear from Christopher Seder, MD, professor of surgery and chief of the thoracic surgery division at Rush University, and Robert Habib, vice president of research and analytics at STS, about the development of the Society’s short-term risk calculators for pulmonary resection and esophagectomy, powered by the General Thoracic Surgery Database with more than 800,000 patient records. They discuss how these models reflect modern surgical practices and incorporate newer, evidence-backed variables, setting a new standard in personalized risk assessment for general thoracic surgery. And they discuss the launch of the widely anticipated STS risk calculator mobile app. Listen today.
In the latest episode of Same Surgeon, Different Light, host Dr. Sara Pereira welcomes three recent “You Belong” Scholarship recipients — medical student Manuel De La Garza, Dr. Sanjhai Ramdeen, and Dr. Humberto Rodriguez-Quintero — to discuss the career paths they are forging as future leaders in medicine.
They also share how attending the 61st STS Annual Meeting in Los Angeles strengthened their commitment to pursuing a career in cardiothoracic surgery. Highlights of the three-day event included discussions on the importance of both organic and assigned mentorship, insights on how CT surgeons can benefit from coaching, and a lively debate that presented different perspectives on the Ross Procedure.
Host Dr. Cherie Erkmen welcomes Dr. Emily Farkas, a cardiothoracic surgeon at the Indiana University School of Medicine, to discuss her unconventional path to becoming a trailblazer in global medicine. Dr. Farkas shares how she balances a clinical career in academic medicine with surgical missions around the world, and she reflects on her hope of serving as a model for the next generation of surgeons committed to giving back. As she puts it, “You can craft a career that’s a bit different from the rigid way we traditionally view cardiac surgery.”
The 2025 STS Leadership Institute meeting in Chicago was an enriching experience that surpassed all expectations. Surgeons from various stages of their careers gathered to connect and share insights, creating a vibrant networking environment.
This episode delves into the personal journey of an early-career surgeon who attended the institute. It highlights the valuable lessons learned about leadership, goal-setting, and self-improvement. The experience proved instrumental in helping attendees define their career paths and enhance their leadership skills.
Join us as we explore how the institute provided the tools and inspiration necessary for surgeons to grow and mature as leaders in their field.
Embarking on your journey as a cardiothoracic surgeon is a pivotal moment that can significantly influence your career and personal life. Making the right choices early on is crucial to avoid a cycle of unsatisfactory job experiences.
In this episode, we delve into essential considerations for new surgeons, drawing from personal experiences on both sides of the hiring table. Whether you're choosing your first position or contemplating a career move, these insights aim to equip you with the knowledge to make informed decisions.
Join us as we explore valuable advice and practical tips to help you set a strong foundation for a successful and fulfilling career in cardiothoracic surgery.
In this gripping episode, we delve into the world of medical students as they navigate the intense period leading up to their winter break. The library becomes a hive of activity, filled with students eager to gain insights from those who have successfully completed their clerkships.
Join us as we follow one determined student with a passion for cardiothoracic surgery. After the panel discussion, they seize the opportunity to gather invaluable insider information from an experienced panelist, setting the stage for a journey into the challenging field of surgery.
What were the most practice-changing thoracic surgery papers of 2024? In this episode of Thinking Thoracic, Dr. Linda Martin, UVA Health, and Dr. Jeff Yang, Thinking Thoracic co-host, spotlight top studies shaping the field, from groundbreaking lung cancer and esophageal cancer findings to surgical profession papers that impact how surgeons work and lead. Dr. Martin’s curated list is a go-to resource for surgeons looking to stay at the forefront of evidence-based care. Check out her GTSC Key Papers presentation here.
Host Dr. Sara Pereira sits down with Dr. Brittany Zwischenberger, a cardiothoracic surgeon at Duke University, to explore her remarkable career journey. Dr. Zwischenberger shares how she briefly considered majoring in Italian Studies before deciding to follow in the footsteps of her surgeon father and mentor. She also opens up about personal challenges—including divorce and single motherhood—and how support from her surgical partners helped her become a respected clinician, accomplished researcher, and the first female associate professor of cardiac surgery at Duke.
Host Dr. Sara Pereira sits down with Dr. Ian Bostock, a thoracic surgeon at Baptist Health Miami Cancer Institute and an associate professor of surgery at Florida International University. Their conversation explores his journey from childhood in Mexico and his early passion for both biology and art, to his initial interest in transplant surgery—and how a serendipitous meeting at Starbucks helped shape his career path. Dr. Bostock also reflects on the importance of supporting trainees and early-career surgeons as they embark on their professional journeys.
Laurie Baedke, executive coach, founder and CEO of Growth Edge Holdings, and best-selling author, talks with Dr. Michael Maddaus about “stepping outside your comfort zone” to grow professionally and personally in this episode of The Resilient Surgeon. They address the challenges of promoting high performers into leadership roles without equipping them with critical skills like communication, accountability, and influence. Listen today.
Host Dr. Cherie Erkmen speaks with Dr. Tomislav Mihaljevic, cardiothoracic surgeon and CEO & President of the Cleveland Clinic, about his remarkable path—from early life in Croatia to surgical training in Zurich and Boston—a journey that reflects the international growth of the Cleveland Clinic itself. Now at the helm of one of the world’s most prestigious healthcare systems, Dr. Mihaljevic shares how his global experiences continue to shape his vision for delivering exceptional care worldwide.
In April, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule for the fiscal year 2026 Inpatient Prospective Payment System. This annual regulation introduces several initiatives that will have a direct impact on cardiothoracic surgery.
The Society of Thoracic Surgeons is diligently reviewing all the proposed changes. They plan to submit their comments in the coming months to represent the interests of cardiothoracic surgeons and their patients effectively.
Conflict is inevitable in the high-pressure, high-stakes world of cardiothoracic surgery. Whether it's a difference in opinion during an operation, tension between surgical team members, or friction over program outcomes, the ability to manage conflict effectively is a critical—yet often underdeveloped—skill for surgeons at all stages of their careers.
As the field continues to emphasize collaboration, communication, and leadership as core competencies, understanding how to navigate conflict is more essential than ever.
Host Dr. Cherie Erkmen sits down with Dr. Lisa Brown, a thoracic surgeon at UC Davis Health, to discuss key moments that shaped her career path, from nursing assistant to considering applying to PA school to obtaining her medical degree, considering specializing in emergency medicine, before landing as a thoracic surgeon. She’ll also talk about her clinical interests and why her research in pre-op education and patient-reported outcomes are so important to her.
In this episode of Thinking Thoracic, hear from Alexandra Potter, researcher, and Dr. Chi-Fu Jeffrey Yang, both from Massachusetts General Hospital, about a new study that reveals current lung cancer screening guidelines miss nearly half of patients who develop the disease. Alternative approaches could greatly expand access—especially for women, minorities, and former smokers.
Congratulations—you’ve landed the leadership role you’ve been working toward. After months (or years) of strategic effort, your appointment is finalized and the path forward begins. Whether you're stepping into a new position or pioneering an inaugural role, this change is as much about vision and preparation as it is about execution.
In this episode, we explore essential considerations to help ease the transition and set yourself up for success in your new leadership position. From establishing a clear vision to preparing for the challenges ahead, we cover strategies to help you make a strong start and build a foundation for effective leadership.
Thinking Thoracic host Dr. Erin Gillaspie and Dr. Stephen Liu, associate professor of medicine at Georgetown University and head of Developmental Therapeutics at the Georgetown Lombardi Comprehensive Cancer Center, discuss the surgeon's role in navigating the biomarker space and working collaboratively with oncology colleagues.
Co-hosts Dr. Cherie Erkmen and Dr. Sara Pereira have a fascinating conversation with Dr. Ross Ungerleider, a congenital heart surgeon at University of North Carolina Health, and his wife, Dr. Jamie Ungerleider, an educational psychologist, about their research and personal experiences supporting surgeons and their families, with a particular focus on spousal wellness. Their work emphasizes the importance of addressing the well-being of surgeons' significant others, who often face unique challenges that can impact both their relationships and personal lives.
In a significant move, the US Department of Health and Human Services (HHS) has unveiled a comprehensive restructuring plan aimed at streamlining operations. This initiative will see the agency's workforce reduced by 10,000 full-time employees, alongside the consolidation of 28 divisions into 15. The workforce reduction is part of a larger administration-wide effort, cutting HHS's total employee count from 82,000 to 62,000.
The restructuring is expected to have far-reaching implications, particularly for cardiothoracic surgeons and their patients. The process of evaluating and approving new treatments, medical devices, and surgical innovations may face changes, impacting the delivery of healthcare services and advancements in medical technology.
In the latest episode of Same Surgeon, Different Light, live from #STS 2025, co-hosts Drs. Sara Pereira and Cherie Erkmen speak with Dr. Stephen Yang, a professor of surgery and medical oncology at Johns Hopkins University, about how the cardiothoracic specialty can be further diversified through initiatives such as the Looking to the Future Scholarship. They also discuss how providing medical students and residents with mentorship, networking opportunities, and exposure to innovators at the Annual Meeting can inspire more of them to pursue cardiothoracic surgery. You'll also hear about his personal interests and hobbies, as well as how he stays in touch with his very first mentor—his high school biology teacher.
Do you ever say to yourself, “I don’t feel like doing this today?” On this episode, Tim Pychyl, PhD, procrastination researcher and author of Solving the Procrastination Puzzle, talks about procrastination and how to avoid it. Pychyl reveals the latest research on why people get stuck and offers strategies to "break free from self-destructive ideas and habits" and start living an inspired life. Listen today.
In a bold move, Robert F. Kennedy Jr., the newly appointed Secretary of the Department of Health and Human Services (HHS), has unveiled plans for a comprehensive restructuring of health agencies. This initiative is in response to President Trump's Executive Order on implementing the "Department of Government Efficiency" Workforce Optimization Initiative.
The restructuring plan includes two major actions, with the most significant being the elimination of 10,000 employee positions across various departments. This initiative aims to streamline operations and enhance the efficiency of health agencies under Kennedy's leadership.
In this episode of Thinking Thoracic, co-host Dr. Jeff Yang welcomes Dr. Gavitt Woodard and Dr. Christopher Seder to discuss their recent research on lobectomy versus sublobar resection for early-stage non-small cell lung cancer. Their studies, leveraging data from The STS General Thoracic Surgery Database, provide valuable insights into the long-term survival outcomes of these surgical approaches.
Hear from Dr. Woodard on how her study, recognized as the Richard E. Clark Memorial Paper, aimed to evaluate patient populations that were not well represented in prior randomized trials, such as older adults and those with poorer pulmonary function. Dr. Seder explains how his research took a complementary approach, examining over 32,000 patients from 2012 to 2022, with a focus on distinguishing the survival outcomes between lobectomy, segmentectomy, and wedge resection.
In this episode of Same Surgeon, Different Light, new co-host Dr. Sara Pereira sits down with Dr. A.J. Carpenter, a cardiothoracic surgeon at UT Health, to explore her journey—from ski bum to earning a master's and PhD in physical education, working as a scientist, and becoming one of the first women to be board-certified in thoracic surgery. Throughout the conversation, Dr. Carpenter highlights the significance of mentorship, both giving and receiving, and shares valuable insights on how women can navigate challenging professional environments.
In this episode of Thinking Thoracic, Dr. Jane Yanagawa talks with Dr. Olujimi Ajijola, UCLA Health, about cardiac sympathetic denervation. They cover the basics, such as indications for CSD, and the latest advances to make surgery less invasive. The focus is on patients with severe ventricular arrhythmias for whom none of the conventional therapies available are effective. Listen today.
In the latest episode of Same Surgeon, Different Light, new co-host Dr. Cherie Erkmen explores the inspiring story of Dr. Andrea Wolf, a cardiothoracic surgeon at Mount Sinai Hospital who is also a single mom. Dr. Wolf shares the challenges and rewards of balancing her career with motherhood, highlighting how her son has influenced both her professional and personal life. Tune in to hear about her unique career path and the personal growth she has experienced along the way.
In this episode, we delve into the significant contributions of International Medical Graduates (IMGs) to the US healthcare system. IMGs are physicians who earned their medical degrees outside the United States, including US citizens who attended medical schools abroad.
Discover how these dedicated professionals make up approximately 25% of the physician workforce in the US, bringing diverse experiences and perspectives to patient care. Join us as we explore the challenges and opportunities faced by IMGs in their journey to practice medicine in America.
The Annual Meeting for the STS is approaching fast, marking the 61st gathering of our Society. This tradition began in January 1965 in St. Louis, and continues to be a pivotal event in our community.
An interesting milestone in our history was the 34th Annual Meeting in January 1998, held in New Orleans. It was the first to offer virtual attendance, allowing participants to experience digitized slides synchronized with audio files, showcasing the innovative spirit of our Society.
The Centers for Medicare & Medicaid Services (CMS) has finalized a significant policy change concerning the coding and reimbursements associated with 90-day surgical global periods. This development is poised to impact reimbursement processes for surgeons and their teams.
With the new policy set to take effect on January 1, 2025, it is crucial for medical professionals to familiarize themselves with the details to ensure a smooth transition and continued compliance. This episode delves into the specifics of the policy, offering insights into its implications and necessary preparations.
The 2025 STS Annual Meeting marked an unforgettable experience for attendees, offering a vibrant platform for cardiothoracic surgeons to connect and share insights. This gathering provided an invaluable opportunity to discuss the challenges and opportunities within the field.
A highlight of the event was the remarkable success of the STS-PAC fundraising efforts. Thanks to the generous contributions of 91 members, an impressive $84,000 was raised in just a few days, setting a new record for Annual Meeting fundraising.
Attendees left the meeting with strengthened connections and a renewed commitment to advancing the field of cardiothoracic surgery.
The 2025 Society of Thoracic Surgeons Annual Meeting was an incredible experience, bringing together experts and professionals in the field. The vibrant city of Los Angeles served as a beautiful host, showcasing its resilience and strength.
Amidst the backdrop of recent tragic wildfires, the community's ability to come together and overcome adversity was truly inspiring. The event highlighted both the advancements in thoracic surgery and the indomitable spirit of those affected by the wildfires.
In this episode, hear from Thinking Thoracic hosts, Drs. Erin Gillaspie, Hari Keshava, Jeff Yang, and Jane Yanagawa as they participated in a sublobar debate on extent of resection that took place at the 2025 STS Annual Meeting. Are you Team Wedge or Team Segment? Hear the unique perspectives and best practices from these experts on the extent of resection and quality metrics in lung cancer care, as well as other changing trends.
STS and The Thoracic Surgery Foundation created the STS Los Angeles Wildfire Response Fund with a lead gift of $100,000. In total, STS Annual Meeting attendees and STS members collectively donated a total of $175,028.
Beneficiaries of the fund will be Direct Relief and United Way of Greater Los Angeles, two organizations that are actively involved in medical emergency response and longer-term disaster.
In the season premiere of Same Surgeon, Different Light, new co-hosts Dr. Cherie Erkmen and Dr. Sara Pereira sit down with Dr. David T. Cooke, professor in the Division of General Thoracic Surgery at UC Davis Health, and Dr. Thomas Varghese, professor and section chief of General Thoracic Surgery at the University of Utah School of Medicine. Together, they reflect on the surprising and inspiring stories shared throughout previous seasons. The episode wraps up with Drs. Cooke and Varghese turning the tables on the hosts, asking about what’s in store for the upcoming season of Same Surgeon, Different Light.
Host Dr. Michael Maddaus talks with Jonathan Clark, leadership scholar at UTSA and co-author of Leading Through: Activating the Soul, Heart, and Mind of Leadership, about prioritizing people, purpose and real productivity to transform an organization. Hear compelling stories that show how "the legacy model of leadership can be destructive," resulting in what he calls "organizational darkness." Learn about a positive model focused on caring for people and helping them thrive.
In this episode, Dr. Hari Keshava talks with Dr. Sid Murthy, section head, thoracic surgery at Cleveland Clinic, about thoracic surgical emergencies related to pulmonary and lung surgeries...and how optimal management of these situations often requires surgeons to anticipate, collaborate and be prepared with a well-thought-out action plan.
In this episode of The Resilient Surgeon, host Dr. Michael Maddaus talks with Dr. Ross Bremner, the executive director of Norton Thoracic Institute and the department chair of the Center for Thoracic Disease and Transplantation at St. Joseph’s Hospital and Medical Center, about surgeon burnout. Dr. Bremner shares his journey through burnout and how he used the 3 Cs - compassion, connection and creativity, to recover.
According to the National Institutes of Health, 40% of surgeons met criteria for burnout, defined as a high emotional exhaustion score and/or a high depersonalization score.
In this episode of Thinking Thoracic, Dr. Jane Yanagawa talks with Dr. Stephanie Worrell, clinical associate professor and thoracic section chief, division of cardiothoracic surgery, University of Arizona, about her expertise in esophageal perforation management. Hear how esophageal surgery can involve complications such as anastomotic leak, pain, bleeding, infection, and reflux and how surgeons can best handle them.
A traveling, mobile lung screening program has the potential to diagnose cancer earlier, leading to a higher cure rate and lower death rate. In this episode of Thinking Thoracic, STS’s new podcast series, host Dr. Jeffrey Yang talks with Dr. Robert Headrick about CHI Memorial’s “Breathe Easy” mobile lung screening program and how meeting people where they are with quality healthcare services like this one is saving lives. Learn how to build a mobile lung screening program at a hospital and gain tips on assembling a multidisciplinary team, identifying eligible patient populations, securing funding and the necessary equipment, and more.
This episode delves into the pressing need to reevaluate the management strategies for Aortic Valve Disease (AVD) worldwide. With a focus on South Asian and Sub-Saharan African nations, the discussion highlights how low-income countries predominantly rely on surgical aortic valve replacement (SAVR) using mechanical valves.
The episode explores the unique challenges faced in these regions, where patients are generally younger compared to those in high-income countries, and the disease often stems from rheumatic origins. The conversation aims to shed light on the disparities in treatment approaches and the necessity for tailored solutions that address the distinct characteristics of AVD in diverse global contexts.
As Lung Cancer Awareness Month begins, it's crucial to acknowledge the significant efforts made by STS over the past year to advocate for improved lung cancer outcomes and raise awareness. These initiatives are paving the way for better access to care and education.
One of the key initiatives is the Mobile Lung Cancer Screening Initiative. STS is collaborating with institutions nationwide to help them secure funding and operational support for new mobile lung cancer screening units. These units are designed to enhance patient access to care, particularly in rural and underserved communities, ensuring that more individuals receive timely screenings and potentially life-saving interventions.
In this first episode of Thinking Thoracic, Dr. Erin Gillaspie talks with Dr. Wade Iams about notable takeaways on key clinical trials presented at the 2024 World Conference on Lung Cancer and how these findings will help shape the thoracic surgery landscape.
In this insightful episode, we explore the multifaceted role of surgeons as leaders throughout their careers. From their first day in practice to retirement, surgeons are at the helm of guiding their teams toward common objectives.
Discover how successful leaders not only articulate and emphasize shared goals but also inspire their team members by acknowledging progress and the individuals driving it. Join us as we delve into the dynamics of creating a cohesive and effective team, and discuss whether having a common end goal is truly sufficient for success.
Early career cardiothoracic surgeons face the challenge of managing and developing crucial relationships, particularly with patients. These relationships can be a source of pride and healing or a cause of stress and contempt.
While training provides explicit lessons on technical procedures, guidelines, and publications, it often lacks guidance on how to achieve the best and manage the worst aspects of patient relationships. This episode delves into the complexities of patient interactions and offers insights on navigating these critical dynamics effectively.
Dr. Steven Gerndt is a cardiothoracic surgeon, speaker, and leadership mentor who developed the concept “Civilitas,” a system-wide cultural transformation focused on psychological safety and fostering of leadership by example. In this episode, Dr. Gerndt talks about his work dedicated to helping organizations and people navigate personal crises through counseling, affirmation, and empathy. He shares the critical importance of allowing people in crisis to be heard.
In this week’s Resilient Surgeon episode, Sheila Heen, a lecturer on negotiation at Harvard Law School and co-author of Thanks for the Feedback and Difficult Conversations, talks about giving and receiving feedback and how we can be better at both. Specifically, Heen explains how to be less dismissive in the way we receive feedback and become genuinely grateful and appreciative of feedback from others. She also talks about creating a productive feedback culture in the workplace.
Former US Navy Commander Mike Abrashoff joins Dr. Michael Maddaus for a conversation on leadership with humanity. Abrashoff shares his success in turning around a struggling ship, the USS Benfold, which became the subject of his New York Times bestselling book, It's Your Ship. Hear about his simple yet powerful approach to leading with compassion, empathy, and respect for others.
Join Dr. Michael Maddaus, host of The Resilient Surgeon, for a discussion with Amer Kaissi, professor of health care administration at Trinity University in San Antonio and author of Humbitious: The Power of Low Ego, High-Drive Leadership, about embracing change with an open approach rather than a defensive stance. Kaissi explains that when leaders "connect with humility and elevate with ambition" they can transform organizations.
It's not what you do — it's what you do in-between what you do — that really matters. In this episode of The Resilient Surgeon, Dr. Michael Maddaus talks with Dr. Adam Fraser, leading educator and researcher on human performance and author of The Third Space: Using Life's Little Transitions to Find Balance and Happiness, about transitioning from one role, such as a surgeon, to the next role, such as a spouse or parent. Dr. Fraser explains, "We carry our mindset and emotional state from one of these activities to the next -- and all too often this has negative, occasionally disastrous consequences." Learn how to get the small stuff right and mentally "show up" for whatever comes next.
Healthcare - and life- are filled with friction. In this episode, Dr. Michael Maddaus talks with Huggy Rao, co-author of The Friction Project: How Smart Leaders Make the Right Things Easier, about eliminating the forces that make it harder to get things done.
Harvard Business School professor and researcher of psychological safety, Amy Edmondson, explains the difference between good and bad failures and how to think about and practice failure wisely. She shares examples of how people and organizations can embrace human fallibility, pursue smart risks, and prevent avoidable harm.
According to James Danckert, professor of psychology at the University of Waterloo and co-author of Out Of My Skull: The Psychology of Boredom, “Boredom feels uncomfortable because it is pushing you to be the person that’s in control, to acknowledge that you’re the author of your own life." In this first episode of season four of The Resilient Surgeon, Dr. Michael Maddaus speaks with Danckert about the purpose of boredom and how it can help us find meaning in our lives.
In this season finale episode of Same Surgeon, Different Light, host Dr. Thomas Varghese speaks with Dr. Stephanie Fuller, attending surgeon in the Division of Cardiothoracic Surgery at Children's Hospital of Philadelphia. and chair of the STS Workforce on Annual Meeting, about creating a life of impact. For Dr. Fuller, it's about positioning oneself to be open to opportunities - both the expected and unexpected. "Lessons will come from all sorts of people along your pathway. Be receptive to anybody who is willing to each you," she advises. "You don't want to look back one day and regret not fully taking advantage of learning opportunities and the relationships you've fostered over the years."
She also shares a glimpse into exciting plans underway for the 2025 STS Annual Meeting
Isabelle Opitz, MD, is the director of the Department of Thoracic Surgery at University Hospital Zurich, Switzerland, and an associate professor for thoracic surgery at the University of Zurich, as well as the chair of the Lung Cancer Center in Zurich. In this episode of Same Surgeon, Different Light, Dr. Opitz talks with Dr. Thomas Varghese about her international career path, spanning Germany, France, and Switzerland, where she now resides. She explains how career journeys in Europe differ from the US, especially for women, and how the healthcare system overseas is striving for greater diversity and inclusion in the workplace.
In this episode, Dr. Thomas Varghese joins Dr. Yolonda Colson, chief of the Division of Thoracic Surgery at Massachusetts General Hospital and professor of surgery at Harvard Medical School, in an insightful conversation on the advancement of women into key leadership roles and why that is still lacking today in the cardiothoracic surgery specialty. Dr. Olson shares her origin story - "from farm to the CT surgery field" - as an accomplished surgeon and scientist. Her advice on becoming a consistently high performer? "Stay focused on your purpose and not just the result. And stay open to new opportunities."
In this episode of The Same Surgeon, Different Light, podcast host Dr. Thomas Varghese explores the opportunities, the rewards, the sacrifice, and the struggles in life as a cardiothoracic surgeon with Dr. Mimi Ceppa, a thoracic surgeon at the Indiana University School of Medicine. Dr. Ceppa shares her family's journey as immigrants from Vietnam to Canada, managing other's expectations that she become a doctor, and managing work-life balance. No doubt, it's a "can't miss" episode.
In this episode of Same Surgeon, Different Light, your host, Dr. David T. Cooke, talks with Dr. Ikenna Okereke, vice chair of the department of surgery at Henry Ford Health, and Dr. Mark Henderson, professor of medicine and vice chair of education at UC Davis Health, about the role of education in medical workforce diversity. Together, they address the need for an intentional, progressive approach to creating a more inclusive workforce and the significant impact diversity within the field has on decreasing healthcare inequalities, boosting workforce engagement and retention, and providing support for underrepresented communities. "Diversity brings improved results," said Dr. Okereke. "When a workforce is more representative, we reduce mistrust and improve access in marginalized communities."
In this episode of Same Surgeon, Different Light, host Dr. Thomas Varghese chats with Dr. Mara Antonoff, associate professor and program director of education, thoracic and cardiovascular surgery at MD Anderson Cancer Center, about the origins of her career. Dr. Antonoff shares what it takes to be a leader in thoracic education, what she learned about the importance of independent and deliberate practice as a competitive figure skater, and the power of resilience from her parents who “made do with very minimum resources.” Dr. Antonoff remembers, “My parents worked hard to ensure we had opportunities to get the education we needed to become successful members of the community.”
In this episode hosted to Dr. David T. Cooke, Drs. Jordan Dozier, Clauden Louis, and Michael Onwugbufor talk about their long, education journey, how to design a practice, and their shared experiences.
In this episode of Same Surgeon, Different Light, Dr. Thomas Varghese talks with Dr. Richard Ohye, the University of Michigan C. S. Mott Children's Hospital Congenital Heart Center, about finding his superpower in cardiothoracic surgery, and how his career has evolved over the years.
In this episode, Dr. David T. Cooke talks with Dr. Angelica Martin, UC Davis Health, and Dr. Lillian Tsai, Stanford Medicine, about their career journeys and the people who have been a positive influence on them. “I come from an underserved community and I’m the first in my family to go to college,” said Dr. Martin. “At first, it felt like I was navigating this career on my own. My mentor has been my north star.”
In this episode of The Resilient Surgeon, Dr. Michael Maddaus interviews Monica Parker, author of The Power of Wonder: The Extraordinary Emotion That Will Change the Way You Live, Learn, and Lead.
Parker has spent decades helping people discover how to lead and live wonderfully by cultivating curiosity, empathy, and open mindedness. Here, she explains the elements and elicitors of wonder, and how it can transform people's brains and bodies. It's about "becoming more wonder-prone and reconnecting with a reverence for the world and all the magic in it."
In this episode of The Resilient Surgeon, Gloria Mark, Chancellor’s Professor of Informatics at the University of California, Irvine, explains how people interact with information technology in their everyday life: how it affects multitasking, attention, mood, and above all, stress. She studies people's behavior in real-world settings and found that most people are experiencing information overload, which continues to shrink our attention spans. What can you do to better manage information technology? Listen today.
Studies have found that the act of forgiveness can lead to better health. In this episode, Dr. Fred Luskin, author of Forgive For Good, shares groundbreaking research and insight into the healing powers and medical benefits of forgiveness. He offers a forgiveness method that makes it possible to move beyond being a victim to a life of contentment.
In this episode of the Resilient Surgeon, Dr. Carrie Cunningham, associate professor of surgery at Harvard Medical School, section head of the Massachusetts General Hospital Endocrine Surgery Unit, and past-president of the Association of Academic Surgery, talks intimately with Dr. Michael Maddaus about the mental health crisis facing health care workers and shares her own lived experiences. The conversation tackles stigma and increased resources needed to support and protect those who are struggling in the health care community.
Harvard researcher Todd Rose talks with Dr. Michael Maddaus about changing the way people think about success. Author of "Dark Horse: Achieving Success Through the Pursuit of Fulfillment," Rose shares his story on the unlikely paths that led him to fulfillment and success, and what it takes to beat the odds.
How you communicate with others can be interpreted in many ways. In this new episode of The Resilient Surgeon, Dr. Michael Maddaus talks with Zack Wieder, CEO at Principles, about communication styles and how to bridge the gap between intention and how it's received by others. Wieder explains how gaining self-awareness and other awareness helps people make better decisions and form deeper connections. Wieder also offers a free personality assessment test to better understand yourself and others. Listen today.
In this episode of The Resilient Surgeon, hear Diana Winston, author, speaker, and director of Mindfulness Education at UCLA's Mindful Awareness Research Center, talk about the natural, accessible and scientifically backed approach to improving mental health, reducing stress and fostering a deeper connection with oneself through mindfulness and meditation.
Do you find it difficult to say no to people? Do you tend to put others' needs before your own? Dr. Vanessa Patrick-Ralhan, author of The Power of Saying No: The New Science of How to Say No that Puts You in Charge of Your Life, talks about empowered refusal and strategies of people who are adept at giving a clear “no” while still honoring personal relationships and keep their reputation intact.
In this episode, Rob Cross, professor of global leadership, Babson College, cofounder and director of the Connected Commons, and author of Beyond Collaboration Overload and The Microstress Effect, discusses how the micro stresses we experience every day are impacting our work, relationships and ability to live well. Learn what high performers are doing differently to manage microstress.
In this episode, hear from Diana Winston, author, speaker, and director of Mindfulness Education at UCLA's Mindful Awareness Research Center, talk about the natural, accessible and scientifically backed approach to improving mental health, reducing stress and fostering a deeper connection with oneself through mindfulness and meditation.
In this episode of “The Resilient Surgeon” podcast, host Dr. Michael Maddaus talks Dr. Anna Lembke, chief of the Stanford Addiction Medicine Dual Diagnosis Clinic at Stanford University School of Medicine and author of Dopamine Nation: Finding Balance in the Age of Indulgence, about the neuroscience of addiction. It’s a fascinating discussion on the biology and psychology of why people become addicted to certain substances and behaviors and the key role that "dopamine balance" plays in creating addiction. Dr. Lembke explains why people do what they do and how we all can maintain a healthy sense of pleasure.
Dr. Michael Maddaus, host of The Resilient Surgeon, joins Satchin Panda, PhD, professor at the Salk Institute, for a fascinating conversation on the health benefits of time-restricted eating and how it affects the body on the molecular level. In this part 2 episode of the series, Satchin explains how to put time-restricted eating into practice.
Learn more about STS's member wellness resources: https://bit.ly/3pNQNkq
Dr. Michael Maddaus, host of The Resilient Surgeon, joins Satchin Panda, PhD, professor at the Salk Institute, for a fascinating conversation on the health benefits of time-restricted eating and how it affects the body on the molecular level.
Learn more about STS's member wellness resources: https://bit.ly/3pNQNkq
In this episode, Dr. Tom Varghese interviews Dr. Bartley Griffith, professor of surgery at the University of Maryland Medical Center, and the first surgeon to successfully transplant a genetically modified pig heart into a human patient. In the episode, we learn about his upbringing in Pittsburgh and his upward trajectory in academia. Hear about his hilarious first attempts while learning to perform heart transplants, his mentors in Pittsburgh, and his move to the University of Maryland Medical Center. Dr. Griffith discusses the first animal-to-human heart transplant, the work he and his team did in preparation, and how they shattered the barriers around xenotransplantation. Finally, Dr. Griffith talks about the growth opportunities he sees in cardiac surgery and how innovation can shape the future.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Tom Cooke interviews Dr. Rian Hasson—assistant professor of thoracic surgery at Dartmouth-Hitchcock Medical Center. We learn about her upbringing in Riverside, California, with her parents and twin sister and how her love of reading shaped her from a young age. Dr. Hasson discusses her journey through medical school and how she came to decide upon thoracic surgery, as well as what was important to her in finding her place. Finally, she talks about the “I” of inclusion, being a woman and mother in the field, and her ideas about the future of thoracic surgery.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Tom Varghese interviews Dr. Sara Pereira—professor of surgery at University of Utah. In the episode, we learn about her upbringing on a ranch in Cupertino, her pathway to a career in medicine, and her thoughts on leadership and the issues impacting trainees in the workforce. Hear Dr. Pereira discuss her childhood and her plans to pursue a degree in math, before she found herself sitting at her mother’s bedside in the hospital, which influenced her to change course to medicine. She details how she came to choose cardiac surgery, and how she struggled to “do it all” while following her true passion.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. David Cooke interviews Drs. Fatima Wilder and Asishana Osho—both first-year faculty at Brigham and Women’s Hospital and Massachusetts General Hospital respectively. In the episode, we learn about their upbringings and how that paved the way for their current work. Dr. Wilder spent a lot of her childhood in the General Assembly for the United Nations, and it helped shape her view of people and relationships, as well as provide a perspective of how vast the world really is. Meanwhile, Dr. Osho came to the US from Nigeria to attend a small liberal arts college. He discusses how this education helped shape his interactions with people. Listen as they share why they both wanted to become surgeons, their experiences being the first black faculty within their individual divisions, their goals for working with their communities in Boston, the considerations of raising a family as a cardiothoracic surgeon, and where they see the specialty going in the future.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Tom Varghese interviews Dr. Jessica Donington—professor of surgery and Chief of Thoracic Surgery at the University of Chicago. A globally recognized expert in the management of lung cancer, Dr. Donington shares how her love of science and her childhood as one of eight shaped her and her career. In the episode, she tells stories of her upbringing in New Jersey, details how her home life influenced her drive for mentorship, and explains how she pushed the boundaries of her career from early on.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. David Tom Cooke interviews Dr. Hassan Tetteh—a US Navy Captain, Associate Professor of Surgery at the Uniformed Services University of Health Sciences, and adjunct faculty at Howard University College of Medicine. An artificial intelligence strategist for the Department of Defense and skilled cardiothoracic and transplant surgeon, Dr. Tetteh has completed more than 20 marathons and authored several books. In the episode, he shares stories of his upbringing in Brooklyn, New York, and details how military service has helped shape his life. He also discusses the importance of “paying it forward” in his career and his observations on how artificial intelligence is shaping the CT surgery specialty.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. The podcast series is supported by AstraZeneca.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Tom Varghese interviews Dr. Daniela Molena—a thoracic surgeon and Director of Esophageal Surgery at Sloan Kettering Cancer Center, as well as the newly elected President of Women in Thoracic Surgery. Listeners will learn about her upbringing in a small Italian town and her training at one of the world’s oldest and most prestigious schools while simultaneously working as a classical dancer and competing on a national game show. Dr. Molena shares how her medical journey brought her to the United States—which required repeating much of her European training—and the importance of finding a community of supporters at each step.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. David Tom Cooke interviews Dr. Mark Orringer—a general thoracic surgery pioneer who developed the transhiatal esophagectomy, the most prevalent surgery for esophageal cancer. Listeners will learn about his upbringing in Pittsburgh and the work ethic learned from his immigrant father, plus his time at Johns Hopkins—including the involvement of his wife, Susan, in creating a welcoming environment for scores of faculty, fellows, and trainees. Dr. Orringer shares his memories of the esteemed Dr. Vivien Thomas, of traveling to England to work with Dr. Ronald Belsey, a renowned esophageal surgeon, and how working with Belsey changed the trajectory of his career. Listen as he shares his work developing the transhiatal esophagectomy, what he thinks is important in making a good CT surgeon, and the importance of the cardiothoracic surgery specialty.
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Michael Maddaus talks with Haytham Kaafarani, MD, MPH, associate professor of trauma and critical care at Massachusetts General Hospital and chief patient safety officer and medical director for The Joint Commission. They discuss Second Victim Syndrome, the often-dramatic psychological impact of an adverse event on the physician—typically operative and one for which the surgeon often feels directly responsible. Dr. Kaafarani is an international expert on second victim due to his direct personal experience with the psychological impact of adverse events, as well as his role in two seminal studies of Second Victim Syndrome in surgeons.
Listen as Drs. Maddaus and Kaafarani share insights on the emotional toll that an adverse event can take on the life of a surgeon and talk about the importance of peer support for a better recovery. They explore how Dr. Kaafarani became an expert regarding Second Victim Syndrome and how he developed his 5-step peer support program. This discussion will help listeners reflect on their own experiences with major adverse events and understand their part in boosting institutional support.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus talks with Steve Magness about a reimagined idea of toughness and how to help others be tough through compassion, connection, and humanity. Magness is a world-renowned expert on performance and author of the book Do Hard Things: Why We Get Resilience Wrong and the Surprising Science of Real Toughness. His work breaks down the myth of what real toughness is and identifies four pillars of becoming tough as an individual:
- Ditch the facade and embrace reality
- Listen to your body
- Respond instead of react
- Transcend discomfort
Listen as the conversation explores the ways in which toughness and resilience equip individuals with the skills to succeed and become their best selves.
“The Resilient Surgeon” is a program from STS designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Steve Magness, author of Do Hard Things: Why We Get Resilience Wrong and the Surprising Science of Real Toughness, can be reached via stevemagness.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus speaks with Christine Porath, an associate professor at Georgetown University McDonough School of Business. Porath has dedicated her career to understanding the business and personal impacts of how people treat one another in the workplace, and how the influence of leaders plays a huge role in happiness and engagement at work. The need for human connection is part of our genes. But Porath identifies today’s modern technologies and self-sufficient mindset as disconnecting factors that lead to increases in anxiety, depression, and other mental health problems. Her book, Mastering Civility: A Manifesto for the Workplace, documents the financial implications of poor leadership and suggests a variety of solutions. Her newest book, Mastering Community: The Surprising Ways Coming Together Moves Us from Surviving to Thriving, tells of the importance of workplace connection and feelings of value, belonging, and understanding. Listen as Dr. Maddaus and Porath discuss the need, at work and at home, to foster relationships built on connection and support, and how this can make all the difference, especially when times are hard.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Christine Porath can be reached at christine.porath@gmail.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus talks with Marcus Buckingham, global researcher and New York Times bestselling author. Buckingham’s work focuses on unlocking people’s strengths, increasing their performance, and defining a better future for how people work. During this podcast episode, the two discuss finding and untapping one’s “wyrd,” which is described in detail in Buckingham’s latest book, Love+Work. Each person’s “wyrd”—from an ancient Norse term describing an individual’s unique spirit—informs how that person perceives the world and guides them to the things they truly love to do. Failing to tap into the “wyrd” and losing touch with that love is a recipe for burnout and angst. Listen as Dr. Maddaus and Buckingham discuss how to move through the demands of life and discover love in the details of one’s work, which inevitably leads to being a better team member and a happier self.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Marcus Buckingham can be reached via marcusbuckingham.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Commander Rich Diviney, a retired US Navy Seal officer and author of The Attributes, 25 Hidden Drivers of Optimal Performance. Drawing from his 20-plus years of experience in the Navy, Diviney came to understand that even individuals at the highest levels of physical and mental capabilities can sometimes fail to perform in specific situations. He determined that an individual’s ability to succeed is determined by attributes, not skills. Attributes—like patience, resilience, situational awareness, and adaptability—inform behaviors, and each person has a unique combination of attributes that dictates how they behave, react, and perform. Diviney shares how his time with the Navy Seals helped him develop his strongest attributes and how others can come to understand their own. Through careful examination of these attributes, people can build better relationships and teams and ultimately unlock their potential.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Rich Diviney, author of The Attributes, 25 Hidden Drivers of Optimal Performance, can be reached online at theattributes.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus talks with Dr. Brian Little, a world-renowned psychologist and an expert on personalities. Dr. Little has written three bestselling books on personality, has a TED Talk called “Who Are You, Really?” that has been viewed more than 20 million times, and was voted a favorite professor at Harvard University for 3 consecutive years. Together, they discuss the importance of self-awareness and how understanding our own personality traits can help us make better, more meaningful connections with those around us, both at work and at home. Learn about the Big Five Personality Traits: openness, conscientiousness, extraversion, agreeableness, and neuroticism; and the profound impact they can have on how our lives unfold and flourish. Listen as Drs. Maddaus and Little share examples of these different personality traits and provide insights into how we can harness the unique qualities which truly allow us to be our best selves.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Little, author of, Me, Myself and Us: The Science of Personality and the Art of Well-being, can be reached via email.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Dr. Amy Edmondson—a scholar of leadership, teaming, and organizational learning. Best known for her groundbreaking work on psychological safety in the workplace, Dr. Edmondson is the author of seven books and is ranked as one of the most influential management thinkers. What is psychological safety? According to Dr. Edmondson, it is a belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes, and that the team is safe for inter-personal risk-taking. In other words, she says, “Think of it as felt permission for candor.” Dr. Maddaus reflects on the surgical culture in which fear and anxiety have been the accepted drivers of high expectations and excellence. The concept of psychological safety, though, has shown him a different way, and together with Dr. Edmondson, he discusses a “recipe for magic”—the magic for better outcomes, better problem-solving, and a more flexible and rapid ability to adapt and create for the future. Listeners will hear Dr. Edmondson explain that if you change the nature and quality of the conversations in your team, your outcomes will improve exponentially. Psychological safety, she explains, is the core component to unlock this. A leader’s job—whether at the top of an organization or somewhere in the middle—is to create a safe space for people to speak up, make mistakes, and bring their full selves to work.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Edmondson can be reached at amycedmondson.com and @AmyCEdmondson. Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Dr. Amy Edmondson—a scholar of leadership, teaming, and organizational learning. Best known for her groundbreaking work on psychological safety in the workplace, Dr. Edmondson is the author of seven books and is ranked as one of the most influential management thinkers. What is psychological safety? According to Dr. Edmondson, it is a belief that one will not be punished or humiliated for speaking up with ideas, questions, concerns, or mistakes, and that the team is safe for inter-personal risk-taking. In other words, she says, “Think of it as felt permission for candor.” Dr. Maddaus reflects on the surgical culture in which fear and anxiety have been the accepted drivers of high expectations and excellence. The concept of psychological safety, though, has shown him a different way, and together with Dr. Edmondson, he discusses a “recipe for magic”—the magic for better outcomes, better problem-solving, and a more flexible and rapid ability to adapt and create for the future. Listeners will hear Dr. Edmondson explain that if you change the nature and quality of the conversations in your team, your outcomes will improve exponentially. Psychological safety, she explains, is the core component to unlock this. A leader’s job—whether at the top of an organization or somewhere in the middle—is to create a safe space for people to speak up, make mistakes, and bring their full selves to work.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Edmondson can be reached at amycedmondson.com and @AmyCEdmondson. Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus has an insightful, don’t-miss conversation with Dr. Paul Conti, a psychiatrist and expert in trauma. Dr. Conti discusses psychological trauma: what it is and its far-reaching, profound effects on the mind and body. Listeners will learn that trauma changes the functioning of the brain and alters the lens in which we see ourselves and the world around us. Trauma also spreads like a virus and affects people in our orbit, including our loved ones and colleagues. But there are major challenges in untangling complex problems and recognizing trauma. Dr. Conti talks about shame as the biggest obstacle to healing from trauma and offers solutions for how—as a society—we can start to change the stigma of mental health and allow more people to ask for and receive help. Importantly, Dr. Conti shares his deeply moving personal experiences with trauma. So set aside any preconceived notions you have about trauma and give this episode a listen. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Conti, author of Trauma: The Invisible Epidemic, can be reached at DrPaulConti.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus has an insightful, don’t-miss conversation with Dr. Paul Conti, a psychiatrist and expert in trauma. Dr. Conti discusses psychological trauma: what it is and its far-reaching, profound effects on the mind and body. Listeners will learn that trauma changes the functioning of the brain and alters the lens in which we see ourselves and the world around us. Trauma also spreads like a virus and affects people in our orbit, including our loved ones and colleagues. But there are major challenges in untangling complex problems and recognizing trauma. Dr. Conti talks about shame as the biggest obstacle to healing from trauma and offers solutions for how—as a society—we can start to change the stigma of mental health and allow more people to ask for and receive help. Importantly, Dr. Conti shares his deeply moving personal experiences with trauma. So set aside any preconceived notions you have about trauma and give this episode a listen. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Conti, author of Trauma: The Invisible Epidemic, can be reached at DrPaulConti.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Brad Stulberg—an internationally known expert on human performance, wellbeing, and sustainable success. He also authored the bestselling book, The Practice of Groundedness: A Transformative Path to Success That Feeds—Not Crushes—Your Soul. In this provocative and practical conversation, Brad shares a healthier, more sustainable model for success. He explains that at the heart of this model is groundedness—a practice that values presence over rote productivity, accepts that progress is nonlinear, and prioritizes long-term values and fulfillment over short-term gain. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Brad can be reached at bradstulberg.com and @bstulberg.
Learn more about STS wellness efforts at sts.org/wellness.
In this final episode of Season 2, Dr. David Tom Cooke interviews Dr. Ed Chen from Duke University in North Carolina. Described as an experienced leader with “exceptional maturity” and a reputation for “respectful and thoughtful engagement,” Dr. Chen generously shares his personal experiences and insight. While he is Taiwanese, Dr. Chen was born in Tokyo (where his parents were attending university), moved to Taiwan, and eventually landed in the US. His hometown? Athens, Georgia, he said, while sharing that he is a die-hard fan of University of Georgia football. Importantly, Dr. Chen explains that he is a “better person and surgeon” because he was able to travel and have different global experiences. Even as a young boy, he knew his future was in medicine. “I remember being fascinated with the circulatory system which was featured on this TV special called ‘The Body Human.’” In fact, his younger brother also became a surgeon. Dr. Chen credits good mentors with encouraging him to become a cardiothoracic surgeon. He attended Duke University School of Medicine, and 30+ years later, he has returned to Duke to lead cardiovascular and thoracic surgery. According to Dr. Chen, cardiothoracic surgery is thriving, but the specialty also is challenged by complex patients, changing training paradigms, and limited resources. “In order to survive as a specialty, we must be resilient, flexible, and collaborative—all while remaining committed to the patients and our learners,” he advises. Don’t miss the stories, experiences, and valuable advice from this leading light in cardiothoracic surgery.
Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode of Season 2, Dr. David Tom Cooke interviews Dr. Cherie Erkmen, from Temple University in Philadelphia, PA. Dr. Erkmen grew up in Colorado with devoted parents who encouraged and inspired her to consider a career in medicine. Interestingly, her mom was unofficially a “storm chaser;” officially, she was an atmospheric researcher for National Oceanic and Atmospheric Administration who studied how pollution impacts storm patterns and the connection between air pollution and lung cancer. Through her mom, Dr. Erkmen “gained a lot of courage and vicarious experience.” She remembers having only a “vague” idea of being a doctor when she was growing up. However, along with a cheering section of parents and siblings, Dr. Erkmen had the support to “think big.” In this fascinating conversation, she also shares that her dad’s battle with lung cancer motivated her to become a cardiothoracic surgeon. An active member of the STS Workforce on Diversity, Equity, and Inclusion, Dr. Erkmen discusses the importance of listening to what the community needs and creative initiatives that she leads through Temple University. “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode, Dr. Tom Varghese interviews Dr. Allan Pickens, a leading thoracic surgeon from Emory University in Atlanta. Listeners will discover interesting personal details such as Dr. Pickens, along with his five siblings, grew up on a farm in a rural Alabama town. That farm is where he began shaping his extraordinary work ethic. With parents who strongly encouraged good grades and required college after high school, Dr. Pickens always made schoolwork a priority. A high performing student, he was recruited in 6th grade to participate in a special program through the Macy Foundation. This is when Dr. Pickens was first inspired to pursue a career in medicine. Eventually he decided on cardiothoracic surgery. “I enjoy the technical components of surgery and the immediate impact on patient care, and I’m fascinated by chest physiology.” Dr. Pickens shares that growing up in rural Alabama did not provide much opportunity for physician mentorship, especially for minorities. “Finding mentors took some work,” he says. Dr. Pickens discusses some of the challenges he’s faced, and how these personal experiences motivated him to “want to give back” and “be involved in the educational process” for underrepresented individuals. “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity. Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS Webinar Series, a panel comprising several coauthors of the STS/AATS Clinical Practice Guideline on the Management of Type B Aortic Dissection discuss the key takeaways from this comprehensive, up-to-date summary of the state of the evidence. Discussion topics include: optimal medical therapy as the recommended treatment for patients with uncomplicated TBAD, thoracic endovascular aortic repair for patients with complicated hyperacute, acute, or subacute TBADs and favorable anatomy, and conditions under which open surgical repair is the preferred treatment option, including for patients with connective tissue disorders. Participants include Edward P. Chen, MD, Thomas G. Gleason, MD, Dawn S. Hui, MD, Thomas E. MacGillivray, MD (moderator), and Himanshu J. Patel, MD.
In this episode, Dr. David Tom Cooke interviews Dr. Sharon Ben-Or—the first female President of the Eastern Cardiothoracic Surgical Society. This inspirational leader shares remarkable, thought-provoking details about her journey into medicine. She credits her uncle with opening her eyes to the possibility of medical school. Listeners will learn that while on a family trip, Dr. Ben-Or skipped the skiing and spent the day with her uncle who was studying for the MCAT. Why cardiothoracic surgery? A clerical error, she explains. When considering a surgical subspecialty, Dr. Ben-Or was interested in the pancreas and liver, so she “signed up” for surgical oncology. But someone mixed up the paperwork, and she ended up on the thoracic oncology rotation. “I loved it,” she said. Dr. Ben-Or also generously shares how her 2017 breast cancer diagnosis “completely changed” her approach to patients and helped her better understand and empathize with patients’ feelings of fear and anger. She is in the process of rebuilding her life—"a new life”—because “so many things have changed.” Don’t miss the stories, experiences, and valuable advice from this leading light in cardiothoracic surgery.
Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
In this episode of the STS Webinar Series, a multidisciplinary panel shares their expertise in establishing and maintaining an effective mobile ECMO unit. In addition to optimal staffing, logistical details, and contingency plans for transport, the panel discusses findings from research on ECMO-facilitated resuscitation and contraindications for deploying the mobile ECMO unit. Participants include Cory Alwardt, PhD, Anna L. Ciullo, MD (moderator), J.W. Awori Hayanga, MD, MPH (moderator), Hitoshi Hirose, MD, Jeffrey Javidfar, MD, and Demetris Yannopoulos, MD.
In this episode, Dr. Tom Varghese interviews Dr. Jenna Romano, from C.S. Mott Children’s Hospital at the University of Michigan Health. Listeners will discover fascinating personal details about this surgeon leader, including that she considers herself a “lifer Midwesterner;” while in college, her plan was to become a veterinarian (thanks to Dr. Bob Bartlett, that plan changed); and she was the first in her family to “dip” her toe into the medical field. Throughout her unique, “rare as a unicorn” journey, Dr. Romano has overcome stigmas and changed paradigms, and she’s done this by confidently wearing her emotions on her sleeve. “I don’t hold back. If there’s something I believe could be different or better, I speak up—for better or for worse,” she shares. At the time of this episode recording, Dr. Romano had just been named Second Vice President for The Society of Thoracic Surgeons (STS), putting her in line for the STS Presidency. She will be the first woman to hold this position. Still “trying to catch her breath” over the exhilaration surrounding the new role, Dr. Romano explains what went through her mind and the first thing she did after receiving the phone call inviting her to accept the position. And what about the future of cardiothoracic surgery? Dr. Romano says the specialty is “not going away,” but will need to be more flexible and dynamic in the years ahead. “Just think—when you see a more diverse picture going forward, how much more greatness we’re going to achieve.”
“Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
In this episode of the STS Webinar Series, senior leaders from STS and the American Association for Thoracic Surgery discuss the concerns that informed the decision not to endorse the 2021 Guideline for Coronary Artery Revascularization published in December by the American College of Cardiology, American Heart Association, and Society for Cardiovascular Angiography and Interventions. Concerns discussed include: the devaluation of both coronary artery bypass grafting (CABG) as a treatment option and the evidence supporting bypass surgery as a preferred approach in select high-risk patient populations, and the superior long-term benefits of CABG versus percutaneous coronary intervention in decreasing repeat reintervention. Panelists include: John H. Calhoon, MD, Leonard N. Girardi, MD, Shaf Keshavjee, MD, MSc, FRCSC, Thomas E. MacGillivray, MD, Joseph F. Sabik III, MD, and Lars G. Svensson, MD, PhD.
In this episode, Dr. David Tom Cooke interviews Dr. Raja Flores, from Mount Sinai in New York City (NYC). With generous detail, Dr. Flores describes his “jagged line” to cardiothoracic surgery, while crediting luck and his supportive mom for much of his success. He shares how he “grew up poor” in NYC with neighborhood friends who turned to drugs and often ended up in jail. For Dr. Flores, though, personal experiences during repeated trips to the emergency room as a kid sparked his interest in medicine. He opens up about his passion for improving lung cancer survival—an area that has “a lot of room for improvement.” Dr. Flores explains that 80% of people living in NYC public housing are living with serious health hazards and exposures, but there is no “political activity” to improve the conditions. This reality fueled Dr. Flores’s motivation to launch a run for NYC mayor in 2021. “I wanted to bring awareness and effect change on a greater scale,” he shares. While unsuccessful, his campaign as “a son of New York City and mayor for all people” was organized and run by four medical students. Hear, too, what Dr. Flores says about the cardiothoracic surgery specialty “exploding” in years to come.
“Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS Webinar Series, an international panel of surgeons shares their experiences with electromagnetic and robotic approaches to bronchoscopy, as well as ablation of lung cancers. Topics include: a comparison of two robotic platforms currently available for bronchoscopy, electromagnetic navigation for nodule localization, and the use of bronchoscopic microwave ablation for patients ineligible for stereotactic body radiation therapy. Participants include Hiran C. Fernando, MD (moderator), Douglas J. Minnich, MD (moderator), Calvin S.H. Ng, MD, FRCS(CTh), Janani S. Reisenauer, MD, Benny Weksler, MD, MBA, and Kazuhiro Yasufuku, MD, PhD, FRCSC.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Ourania A. Preventza, MD, MBA, joins Dr. Varghese to discuss the powerful Annals article that examines demographic trends among cardiothoracic surgery trainees in all accredited US training programs over the past 13 years. This robust conversation explores the motivation behind the project, reflections on the ongoing efforts to effect change, and opportunities to improve the specialty in the years ahead. Dr. Varghese asks the important question: “Are we doing a good job, or are we still struggling with how to continue to recruit the best and the brightest to our field?” According to Dr. Preventza, there are “great initiatives” in CT surgery, but “we have to know how to dissect the issue and better understand where the problem is.” Hear what she says about the specialty’s “pipeline issue” and how the “enthusiasm” for CT surgery must start well before the medical school application process. Read the related Annals article online: Demographic Landscape of Cardiothoracic Surgeons and Residents at United States Training Programs.
In this episode—which does not disappoint—Dr. Tom Varghese interviews Dr. Gail Darling, head of surgery at Dalhousie University in Nova Scotia, Canada. Dr. Darling reveals an “ordinary upbringing,” growing up in Canada with an accountant dad and a stay-at-home mom. Interestingly, her 12th grade English teacher was the person who recommended that Dr. Darling think about medicine as a career; before that, she was going to study English. She went on to become the first person in her family to attend university. The original plan was family medicine, but during the surgery rotation, Dr. Darling realized there was more opportunity to “make a difference and make things happen” in surgery. She liked “the pace and the people—birds of a feather.” This “giant” in cardiothoracic surgery shares her perspectives and thoughts about overcoming challenges associated with shattering glass ceilings, constant changes in cardiothoracic surgery, and the need to adopt a growth mindset in the quest for excellence. In reflecting on her career so far, Dr. Darling offers some wise words and sage advice for listeners: “Never give in; Don’t be limited by what other people tell you; Think about what drives you, what motivates you, what gets you up in the morning; Don’t let anything stand in your way.”
“Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. David Tom Cooke interviews Dr. Jacques Kpodonu, from Harvard Medical School and Beth Israel Deaconess Medical Center in Boston. Listeners will discover fascinating personal details, like why Dr. Kpodonu considers himself an “international gentleman.” He was born in Paris, France—his mom’s home city, but at 8 years old, moved to his dad’s country of Ghana. Throughout his childhood years, the family moved back and forth between the two countries several times. In Ghana, Dr. Kpodonu’s dad served as the country’s first cardiologist, and today, at 84 years old, he is still practicing medicine—"as active as ever.” After attending medical school at the University of Ghana, Dr. Kpodonu felt a “pull” to complete his training in the US. Why cardiothoracic surgery? His dad’s influence pushed him to “do something with the heart.” From an early age, he was reading EKGs for his dad—“making some money on the side.” A staunch advocate for global health equity, Dr. Kpodonu details his work with health care disparities in underserved communities. He also illustrates an exciting future for the specialty and advises young cardiothoracic surgeons to “keep an open mind.”
“Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews Dr. Susan Moffatt-Bruce, Chief Executive Officer at the Royal College of Physicians and Surgeons of Canada. This inspirational leader shares details about growing up in Canada with a dad who was part of the Royal Canadian Mounted Police and a mom who was a nurse. She credits her strong family unit with keeping her grounded as they moved around Canada throughout her younger years. Dr. Moffatt-Bruce went on to attend different universities in different countries—Canada, the US, and the UK—an experience that provided her with distinct “perspectives and insight into all of the ways that education and health care are delivered.” So how did she find her way into medicine? Listeners will learn that Dr. Moffatt-Bruce first was influenced and inspired by her mom, but once she started medical school, “I was hooked,” she said. A world-class leader with sharp business acumen and passion for value-driven care, Dr. Moffatt-Bruce became involved with patient safety efforts and clinical excellence long before it was an everyday part of health care. Don’t miss the stories, experiences, and valuable advice from this leading light in cardiothoracic surgery.
Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of Season 2, Dr. Tom Varghese interviews Dr. Joseph Dearani, from the Mayo Clinic in Rochester, MN. Described as a leader extraordinaire, Dr. Dearani reflects on his STS presidency and shares the most challenging aspects of leading the organization during the first 10 months of the COVID-19 pandemic. He says adapting, rebounding, and refocusing were key. Dr. Dearani details captivating personal stories such as how his father’s family—who were silk weavers—emigrated from Syria; how his father, as a young boy, shined shoes on a street corner in Patterson, New Jersey, and then used his earnings to buy bread for dinner on the way home; and what it was like growing up with eight younger sisters. His father, who went on the become a family physician, inspired Dr. Dearani to pursue a career in medicine. The decision to specialize in cardiothoracic surgery, though, was a little less straightforward. In fact, surgery wasn’t even one of his initial interests. Instead, he considered emergency medicine and primary care. It was when Dr. Dearani rotated onto cardiac surgery toward the end of medical school that he decided he wanted to be heart surgeon. In addition to medicine, Dr. Dearani has a love for music. Listeners will hear how a nun visiting on Thanksgiving convinced him to take saxophone lessons. He continued playing throughout college and eventually the saxophone became a “religious part of my everyday life,” he says. “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS Webinar Series, a panel comprising residents and surgeons shares a novel approach to Quality Improvement and Patient Safety (QIPS) rounds. Two case scenarios are used to demonstrate a structured, multidisciplinary approach to phase-of-care analysis of CT surgery patients. The group also discusses the impact of QIPS rounds on team culture within a surgical division that has adopted the framework. Participants include Kumari N. Adams, MD, Joel Bierer, MD, Edgar G. Chedrawy, MD, MSc, FRCSC, Kristen Errico, MD, Christopher M. Feindel, MD, FRCSC, Steven D. Harrington, MD, MBA, Susan D. Moffatt-Bruce, MD, PhD, MBA (moderator), Felix Oleralu, MD, Garrett L. Walsh, MD (moderator).
In the final episode of season 1, Dr. Michael Maddaus interviews Brian Ferguson, a former US Navy SEAL and CEO of Arena Labs. From start to finish, this conversation offers thought-provoking and inspiring information about human potential and becoming the best versions of ourselves. “How do we bridge the gap between who we are and who we have the capacity to become?” Brian asks. Not surprisingly, his experience in special operations helped him better understand his own potential, while also prompting him to launch a deeply personal mission of guiding others to take better care of themselves. Brian shares that his mom was a nurse and his brother was in the US Army Special Forces. These influences further extended his incredible appreciation for those who serve others. Importantly, he examines the danger of service archetypes—teachers, soldiers, surgeons—“giving of themselves and giving of themselves until they have nothing left to give.” Who is protecting them? And, how does this impact burnout in modern medicine? Considering himself a disruptor, Brian details how he took his experience—in special operations, with elite athletes, and in creative arts—and rolled it into health care. He founded a company based on people doing “hard things,” offering a powerful platform designed to improve the capacity of medical teams to manage and navigate stress. He calls it “high performance medicine.” The goal? Health care professionals can “better understand themselves, perform at higher levels, and ultimately do what they want to do—and that’s provide better patient care and quality.”
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Brian can be reached at www.arenalabs.global.
Learn more about STS wellness efforts at sts.org/wellness.
In the first episode of Season 2, Dr. David Tom Cooke interviews Dr. Valerie Rusch, esteemed medical researcher and thoracic surgeon from Memorial Sloan-Kettering Cancer Center in New York City. Dr. Rusch reveals fascinating details about her storied career, excitedly sharing that cardiothoracic surgery is “in a time of wonderful transformation.” She describes growing up in Manhattan with powerful lessons from her mother about being a strong woman. This counsel—along with a summer job as a surgical scrub tech—motivated Dr. Rusch to pursue a career in medicine. She knew it wouldn’t be easy, but with persistence and resilience, she carried on and became one of the world’s top experts in the management of lung cancer and mesothelioma. Throughout the episode, Dr. Rusch offers valuable advice for young surgeons. “Be nimble and flexible,” she says. In addition, Dr. Rusch explains the importance of being open to new ideas and thoughtful about acquiring new skills to take care of patients. The faces of cardiothoracic surgery are different than they were 30 years ago, which she says, is "a benefit to the specialty, surgery in general, and especially to our patients.” Is the thoracic surgeon of tomorrow different than the thoracic surgeon of today? According to Dr. Rusch, “absolutely.”
“Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Michael Maddaus interviews British journalist and best-selling author Oliver Burkeman. How can we make the most of our finite lives in a world of impossible demands and relentless distraction? This intriguing conversation reveals profound insights on how to make the best use of time—our scarcest and most precious resource. A recovering productivity geek, Oliver lends his expertise about what brings value and meaning to our lives and how this intersects with the “tsunami” of the modern world. He challenges listeners to change their way of looking at and thinking about time. Stop trying to “clear the decks before you move on to the important stuff because the decks will never be clear,” he advises. Oliver also describes a linear notion of time, comparing time to a conveyor belt with “various containers going by and we have to fill the containers.” But beware—getting more done can be just a way of inviting more to do, and this productivity pressure often turns into a chronic sense of urgency. According to Oliver, we need to rethink our worship of efficiency and give up attempts to “be infinite and limitless.” Hear how to reconfigure life around what truly matters.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Oliver can be reached at www.oliverburkeman.com and @oliverburkeman.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Christopher M. Barnes, PhD, professor of organizational behavior at the University of Washington and expert in the impact of sleep deprivation. Dr. Barnes takes a deep dive into the impact of sleep deprivation on leadership performance and behavior, as well as its effects on interpersonal relationships. “When you sleep better, everything in your life will get better—your health, your work, your relationships, your general happiness,” he said. Dr. Barnes examines how important sleep is to overall health and mental wellness. Lack of sleep in some careers—cardiothoracic surgery in particular—often is worn as a badge of honor. But there are serious health consequences that have been linked to not getting enough sleep, including heart attacks, cancer, Alzheimer’s disease, weight gain, diabetes, depression, and anxiety. Dr. Barnes explains that when it comes to sleep, the path to success involves both quantity and quality. Listeners also will learn about the concept of “social jetlag” and hear a “menu” of steps to take that will help achieve good sleep hygiene. Dr. Barnes cautions against turning your bed into a home theater (watching tv), a library (reading a book), and/or a lounge (talking on the phone), and recommends banishing all of those activities from your bed, which in turn, will “preserve and strengthen” the important link between bed and sleep. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Barnes can be reached on Twitter @chris24barnes.
View his TED Talk, “Sleep and Work.”
Learn more about STS wellness efforts at sts.org/wellness.
In this episode of the STS Webinar Series, a multidisciplinary panel of experts discuss the landscape of transcatheter devices and their place in tricuspid valve disease treatment. The program includes a case review of degenerative mitral disease with tricuspid complications, a look at the newest transcatheter tricuspid replacement technologies, and a detailed discussion of recently released trial data on surgical tricuspid repair. Participants include Gorav Ailawadi, MD, MBA (moderator), James S. Gammie, MD (moderator), Rebecca T. Hahn, MD, Tsuyoshi Kaneko, MD (moderator), Molly A. Szerlip, MD, and Leora T. Yarboro, MD.
In this episode, Dr. Michael Maddaus interviews Dr. Chris Germer—a clinical psychologist and thought leader on mindfulness and self-compassion. This in-depth conversation details the power of self-compassion and how important the practice is for our mental health and the ability to recover from failures and struggles. “When our self-worth comes from external approval and support, we are always walking in a minefield because it can blow up at any moment,” he says. Dr. Germer shares his personal struggles with disabling anxiety and explains how he learned to be kind to himself—self-compassion—not only when he succeeded, but also when he didn’t. The “new voice” in his head allowed him to activate warmth that dissolved fear—an astonishing breakthrough for him. Importantly, Dr. Germer says that self-compassion can very quickly turn into kindness toward others—another benefit of this practice. Listeners also will learn about the formula: pain x resistance = suffering, along with Dr. Germer’s advice for using mindfulness to turn toward “what’s bugging us” with curiosity and tolerance. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Germer can be reached at chrisgermer.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode of the STS Webinar Series, surgeons from different practice environments in the US and Canada share their experiences with establishing biomarker testing protocols for lung cancer patients. Topics include the evidence base for adjuvant targeted therapy for EGFR-positive patients, the variability in biomarker testing practices at the panelists’ institutions, and the decision-making process behind tissue acquisition for biomarker testing. Participants include Jessica S. Donington, MD, MSCR, Janet P. Edwards, MD, MPH, Farhood Farjah, MD, MPH (moderator), Biniam Kidane, MD, MSc, Svetlana Kotova, MD, M. Blair Marshall, MD (moderator), Linda W. Martin, MD, MPH.
In this episode, Dr. Michael Maddaus interviews Dr. Wayne Sotile, an expert in resilience and work/life balance for high performing people and considered one of the world’s most seasoned clinicians specializing in life coaching for physicians. Over the years, he has counseled and coached more than 30,000 physicians and their families, while gaining a deep, critical understanding of the relationship dynamics and lifestyles of physicians. Dr. Sotile describes the “privilege” of physicians and medical families allowing him “private glimpses into their psychosocial underbelly.” He specifically addresses the loneliness that surgeons and other health care professional sometimes feel and describes the importance of updating our “mental maps” and embracing a pride of survivorship. “Get out of the internal beating up of ourselves and others with blaming or shaming messages. Nobody ever grows from being blamed or shamed,” Dr. Sotile reminds listeners. Physicians, he says, need to recognize that they are extraordinary people—smarter, work harder, and more hard-headed than most. Hear many more emotionally powerful messages and practical, solution-focused advice.
“The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Sotile can be reached at sotile.com.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode of the STS Webinar Series, authors and editors of the STS Cardiothoracic Surgery E-book discuss the potential impact of such a comprehensive, interactive resource on congenital heart surgery practice and education. Topics include the value of detailed illustrations and embedded surgical videos for resident education, portability and access by members at every level of the surgical team, and benefits of the e-book in securing informed consent from patients and their families. Participants include Erle H. Austin III, MD (moderator), Carl L. Backer, MD, Jeffrey P. Jacobs, MD (moderator), Robert D.B. Jaquiss, MD, John E. Mayer Jr., MD, Jennifer C. Romano, MD, MS (moderator), and James S. Tweddell, MD (moderator).
In this episode, Dr. Michael Maddaus interviews Dr. Jud Brewer—a New York Times best-selling author, neuroscientist, and thought leader in the field of habit change and the “science of self-mastery.” This fascinating conversation takes us on a journey inside the brain, shedding light on the mechanics of our constant inner dialogue. Dr. Jud shares his straightforward approach that has been known to turn traditional advice upside down. According to this addiction psychiatrist, we all struggle with something—our brains are set up that way, he says. Listeners will learn about the impact of the modern world on the creation of addictions and habits. Dr. Jud explains that our brains hate uncertainty and habits help us survive by “planning for the future.” This expert guest recommends a three-gear process for unwinding a bad habit. Dr. Jud also touches on willpower, suggesting that it is “more myth than muscle.” “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Jud can be reached at drjud.com and @judbrewer. Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Maddaus interviews Dr. Suniya Luthar, professor emerita at the Teachers College, Columbia University, and expert on building supportive, authentic connections in the face of stress. Listeners will learn details about her research, which has demonstrated how critical it is to our mental health and resilience to have a separate space in a trusted, safe, and supportive environment outside of home and work. Dr. Luthar explains how our fast-paced, high-stress world often leads to isolation and loneliness and how real connections with others is the glue that holds our mental well-being together. “For many of us who have the mindset of ‘we must be strong, we must be self-sufficient,’ the downside is that it sometimes becomes difficult to drop that shield, that armor and let people in. That is obviously very, very destructive for our mental health,” she said. Dr. Luthar discusses the significant stresses of being a working mother and the “enormous amount of emotional work” required to be “captains of the ship” at home. Hear also about the meaningful concept of a “support wallet,” which may help you “feel seen for the person you are at your core.” “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Luthar can be reached at suniyaluthar.org and @suniya_luthar.
Learn more about STS wellness efforts at sts.org/wellness.
In the latest episode of the STS Webinar Series, an expert panel discusses findings and recommendations from a new guideline on patient blood management developed by STS and three other medical specialty organizations. The panel, made up of guideline coauthors, shares 10 key takeaways about conserving blood resources, managing anemia, optimizing coagulation, and improving patient outcomes. Participants include: Victor A. Ferraris, MD, PhD, R. Scott McClure, MD, MS, Susan D. Moffatt-Bruce, MD, PhD, MBA (moderator), Linda Shore-Lesserson, MD, and Pierre R. Tibi, MD.
In this episode, Dr. Wayne Sotile serves as a guest interviewer, speaking with the host of The Resilient Surgeon, Dr. Michael Maddaus. During this incredibly honest conversation, Dr. Maddaus generously shares his own personal stories and real-world experiences that included a poor and abusive alcoholic upbringing, 24 arrests as a juvenile, five stints in reform school, and a devastating personal fall following his addiction to prescription narcotics. So how did he end up in medical school? Dr. Maddaus credits his job delivering furniture, an unlikely mentor, and some vocational interest tests. While navigating all of these ups and downs—always with grit and resilience—what did he learn? “I learned to be very comfortable being uncomfortable, how to adapt and get along in various environments, and how to work with a lot of different types of people,” he explains. The stories you will hear from Dr. Maddaus prove that resilience is a journey, not a destination. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Maddaus can be reached at MichaelMaddaus.com and @MMaddaus.
Learn more about STS wellness efforts at sts.org/wellness.
In this episode, Dr. Michael Maddaus interviews Dr. Robert Lustig, pediatric neuroendocrinologist and author of Metabolical: The Lure and the Lies of Processed Food, Nutrition, and Modern Medicine. This fascinating discussion of metabolic health and nutrition exposes some of the leading myths that underlie the current pandemic of diet-related disease. Dr. Lustig explains that the food business—by pushing processed food loaded with sugar—has hacked our bodies and minds. Hear scientifically-based guidance on how to protect our bodies and minds from the “ravages of processed food.” Dr. Lustig shares his food philosophy, which can be summed up in six words: protect the liver, feed the gut. Real food (no labels!) does both. Processed food—a “poison”—does neither, and instead, floods the liver and starves the gut. Listeners also will learn that it’s not what’s in the food, but what’s been done to the food that matters. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Lustig can be reached at robertlustig.com and @RobertLustigMD.
Learn more about STS wellness efforts at sts.org/wellness.
In the latest episode of the STS Webinar Series, a panel of infectious disease, cardiology, and cardiothoracic surgery experts discusses findings and recommendations from a new guidance statement on perioperative vaccination for CT surgery patients. They offer personal experiences and advice on administering the COVID vaccine in the perioperative period, potential adverse effects, and considerations for booster shots. Participants include Mara B. Antonoff, MD, David M. Aronoff, MD, Rakesh C. Arora, MD, PhD (moderator), Adam F. Burdorf, DO, Daniel T. Engelman, MD, and HelenMari L. Merritt-Genore, DO (moderator).
In this episode, Dr. Michael Maddaus interviews Dr. Daniel Z. Lieberman, psychiatrist and author of the best-selling book, The Molecule of More. Why are we obsessed with the things we want and bored when we get them? Why is addiction “perfectly logical” to an addict? Dopamine, according to Dr. Lieberman. This chemical pushes us to achieve greatness, but it also can lead to our downfall. Listeners learn fascinating details about the general science of dopamine and the role it plays in directing behavior. Dr. Lieberman also discusses other “brain pleasure molecules” (serotonin, endorphins, oxytocin, and endocannabinoids) and shares how mental wellbeing critically depends on the skillful management of these brain chemicals. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dr. Lieberman can be reached at www.danielzlieberman.com.
View the TED Talk, “What Makes a Good Life? Lessons from the Longest Study on Happiness,” mentioned during this episode.
Learn more about STS wellness efforts at sts.org/wellness.
Forming good habits is hard and breaking bad habits can be even harder. In this episode of The Resilient Surgeon, Dr. Michael Maddaus talks to social psychologist Wendy Wood about managing your environment, understanding your second self (the hidden part of your brain that is on autopilot), and ways to remove friction so that you can develop habits to #BeYourBestSelf.
Learn more about STS wellness efforts at sts.org/wellness.
More about Wendy Wood
LinkedIn: https://www.linkedin.com/in/wendy-wood-15180a15/
Twitter: @ProfWendyWood
Website: https://goodhabitsbadhabits.com
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Leah M. Backhus, MD, MPH, and Lauren C. Kane, MD, join Dr. Varghese to discuss how women remain underrepresented in cardiothoracic surgery. In this male-dominated specialty—only 5% of practicing surgeons are women—what needs to be happen in order to improve the pipeline into cardiothoracic surgery? Dr. Varghese suggests—and Drs. Kane and Backhus agree—that pragmatic, active interventions such as mentorship and scholarship can directly influence “outstanding results” and actually effect change in a meaningful way. Hear what else Drs. Kane and Backhus have to say about “doing the work” and helping to form a strong and committed community of women cardiothoracic surgeons. Read the related Annals article online: Women in Thoracic Surgery Scholarship: Impact on Career Path and Interest in Cardiothoracic Surgery.
In the latest episode of the STS Webinar Series, an expert panel discusses the surgeon’s role in program development and increasing screening rates. The discussion also includes a review of the new United States Preventive Services Task Force (USPSTF) guidelines for lung cancer screening and the implications for surgeons of expanded screening. Participants include: DuyKhanh P. Ceppa, MD, Loretta Erhunmwunsee, MD, Cherie P. Erkmen, MD, Christopher R. Gilbert, DO, Mark W. Onaitis, MD (moderator), Elliot L. Servais, MD, Betty C. Tong, MD, MHS, MS (moderator).
In this episode, Dr. Michael Maddaus interviews accomplished self-reinvention expert and communication coach Dorie Clark. Listeners learn why we “say yes to everything”—a habit that often results in constant busyness and overwhelm. Dorie explains that while saying yes is often “easy,” saying no—even to good things—is important and can be life-changing. Use a checklist to evaluate an opportunity and help you decide when to say no, she advises. Dr. Maddaus draws attention to highlights from Dorie’s new book, “The Long Game” (publishing on Sept. 21), including recommendations for breaking out of the endless cycle of being on autopilot and creating interesting, meaningful lives. What small changes can we make that could have enormous impact on our success? Dorie offers strategies on how to leverage our time in more efficient and powerful ways. Hear also what she says about “optimizing for interesting” and embracing the 20% time concept to explore “experimental” projects. “The Resilient Surgeon” is a program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers.
Dorie can be reached at dorieclark.com and @dorieclark, and you can download "The Long Game" strategic thinking self-assessment for free at dorieclark.com/thelonggame.
Learn more about STS wellness efforts at sts.org/wellness.
“The Resilient Surgeon” is a new program from the Society designed to inspire cardiothoracic surgeons to be their best selves, in and out of the OR, using scientifically proven tools and recovery strategies of the world’s top performers. Host Dr. Michael Maddaus will talk to game changers in the high-performance and wellness space who can share real-world strategies for building and maintaining resiliency.
In this inaugural episode, Dr. Maddaus interviews executive coach Dr. Monique Valcour, who shares advice and strategies on integrating work and life and thriving in a high-demand world. According to Dr. Valcour, burnout is fundamentally a state of resource depletion. She recommends thinking about “what are the elements of my work, what are the moments where I feel most alive, where I have a sense of meaning, and where I have a sense of contributing something of value.” Then, “really lean into” those activities and relationships. Listeners will discover that being on “autopilot” puts them at risk for a less-than-optimal mind, body, energetic state, and focus. The goal instead should be to become more “conscious and intentional” of the choices that are being made. Hear also what Dr. Valcour says about having a sense of meaning in every moment and how to “keep the life force within you bright and shining.”
Dr. Valcour can be reached at moniquevalcour.com and @moniquevalcour.
Learn more about STS wellness efforts at sts.org/wellness.
Following the market removal of the HeartWare Ventricular Assist Device (HVAD) system, surgeons and industry representatives from the US and Europe discuss patient care implications, including new data from the Intermacs Database on survival benefits from a device exchange. The latest episode of the STS Webinar Series is presented in conjunction with the International Society for Heart and Lung Transplantation. Participants include: Jennifer A. Cowger, MD, MS, A. Pieter Kappetein, MD, PhD, Arman Kilic, MD, Robert L. Kormos, MD, FRCSC, Nahush A. Mokadam, MD, Francis D. Pagani, MD, PhD (moderator), Diyar Saeed, MD, PhD.
In this episode of the STS Webinar Series, Society President Sean C. Grondin, MD, MPH, FRCSC, moderates an interactive Q&A session about issues facing the Society and the cardiothoracic surgery specialty. Dr. Grondin and a number of STS surgeon leaders respond to member questions on a variety of topics, including: efforts to meet the educational needs of members during and after the pandemic; new awards and traveling fellowships developed by The Thoracic Surgery Foundation; plans for the in-person 2022 STS Annual Meeting in Miami Beach, Florida; new initiatives to help career development and promote wellness (including the forthcoming Resilient Surgeon podcast); and ongoing advocacy efforts related to Medicare reimbursement cuts and updated lung cancer screening criteria. Panelists include: Vinay Badhwar, MD, Joseph E. Bavaria, MD, Shanda H. Blackmon, MD, MPH, Melanie A. Edwards, MD, Robert S.D. Higgins, MD, MSHA, John D. Mitchell, MD, Alan M. Speir, MD, and Thomas K. Varghese Jr., MD, MS.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Alan M. Speir, MD, joins Dr. Varghese to discuss “easily one of the biggest issues that impacts the care of cardiothoracic surgical patients today”—the Medicare reimbursement cuts. In December 2020, Congress approved legislation that prevented the Centers for Medicare & Medicaid Services from implementing the cuts. But what was happening—much behind the scenes—to help earn this major victory for cardiothoracic surgeons and their patients? Dr. Varghese and Dr. Speir take a deep dive into this topic, covering the potential rationale for the “Draconian” cuts in reimbursement and the details of the close coordination and collaboration with other surgical societies that helped make a difference. Dr. Speir also shares his thoughts on future advocacy efforts. Read the related Annals article online: STS Advocacy Concerning CMS Reduction in the 2021 Medicare Physician Fee Schedule to Cardiac and Thoracic Surgeons.
In this episode of the STS Webinar Series, Michael A. Maddaus MD, moderates a panel of game changers in the high-performance and wellness space, including a cardiothoracic surgeon, a former Navy Seal, and a clinical psychologist. Topics include: the crucial habits that make up the “resilience bank account,” the role of meaning, wonderment, and relationships in countering despair, and the myth of a balanced life. Panelists include: Brian Ferguson, Cynthia S. Herrington, MD, Michael A. Maddaus, MD, and Wayne M. Sotile, PhD.
Extracorporeal membrane oxygenation (ECMO) strategies during COVID are discussed in this spirited and fast-paced episode of the STS Webinar Series. J.W. Awori Hayanga, MD, MPH, and an esteemed panel consider sedation or cannulation when placing a COVID patient on ECMO. They do so while addressing lessons learned during the pandemic, amidst multiple COVID surges and evolving therapeutic modalities. Topics include: the relationship between patient selection and survivability, anticoagulation strategies in COVID patients, and the challenges of weaning patients off of sedation. Panelists include: Rakesh C. Arora, MD, PhD, who also serves as a digital moderator, Subhasis Chatterjee, MD, Bo Soo Kim, MD, Jonathan W. Haft, MD, HelenMari L. Merritt-Genore, DO, and Rita C. Milewski, MD, PhD, MSEd.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode—which was recorded approximately 400 days into the COVID-19 global pandemic—Mara B. Antonoff, MD, joins Dr. Varghese to discuss how the pandemic has disrupted every aspect of personal and professional life, including the ability to recruit the best and brightest to the field of cardiothoracic surgery. During the last year, many departments, divisions, and programs have had to quickly transition and “robustly” implement novel techniques and technology as travel restrictions remained the norm. What best practices have emerged? Dr. Antonoff shares what the authors uncovered in a literature review and offers advice on how programs should embrace the opportunities to innovate and engage in the virtual domain. Read the related Annals article online: Showcasing Your Cardiothoracic Training Program in the Virtual Era.
In this episode of the STS Webinar Series, Joseph E. Bavaria, MD, and an expert panel engage in a lively and robust debate on takeaways from three recent and very prominent adult cardiac surgery manuscripts. Topics include findings from the ISCHEMIA trial, 2-year outcomes in low-risk transcatheter aortic valve replacement patients, and a new guideline on the timing and intervention for patients with valvular heart disease. Panelists include Anelechi C. Anyanwu, MD, MSc, FRCS, Pavan Atluri, MD, Steven F. Bolling, MD, David A. Fullerton, MD, Katherine Harrington, MD, Marc Ruel, MD, MPH, FRCSC, and Vinod H. Thourani, MD.
In this episode, Dr. David Tom Cooke interviews accomplished thoracic surgical oncologist and clinical researcher Dr. Loretta Erhunmwunsee from City of Hope in Duarte, California. This episode explores her journey from an early childhood in the Bronx, New York, to growing up in Montgomery, Alabama. Dr. Erhunmwunsee’s experience as a “southern black Christian girl who grew up in a Nigerian home” opened her eyes to the importance of different perspectives, backgrounds, and cultures. “It’s the way to win,” she shares. Listeners will learn that Dr. Erhunmwunsee chose a career in cardiothoracic surgery because “there is no place more beautiful than the chest—the beating heart, the lungs that are inflating and deflating—doing their own thing, but working in concert.” She explains her passion surrounding the removal and better understanding of cancer. Hear also what Dr. Erhunmwunsee says about sponsorship and mentorship, as well as the future of thoracic oncology and the role of multidisciplinary evaluation. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. David Tom Cooke interviews Dr. Elaine Tseng from the University of California San Francisco. When it comes to the triple threat in academic surgery, Dr. Tseng “walks the walk.” A surgeon, scientist, and professor, she credits encouraging words from mentors and a near-death personal experience with helping her decide on a career in cardiothoracic surgery. Listeners will hear the details of Dr. Tseng growing up in North Carolina and sometimes feeling “stuck and not understood in many ways.” When she attended a high school for gifted and talented students, Dr. Tseng became part of a diverse community full of people from many different backgrounds; there, she finally felt accepted. Dr. Tseng shares that at 16, she started college at the Massachusetts Institute of Technology, which she describes as a “transformative experience.” And you don’t want to miss what Dr. Tseng says about the fields of cardiology and cardiothoracic surgery “coming closer and closer together” and what this means for patients. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
New codes and code changes are now in effect related to office/outpatient visits. This podcast episode provides the audio from a webinar in which Aaron M. Cheng, MD, Francis C. Nichols III, MD, and Julie R. Painter, MBA, CCVTC, CPMA, gave cardiothoracic surgeons an overview of 2021 evaluation and management (E/M) codes, including changes to history, physical exam, medical decision-making and time, and how documentation and code-level selection have been impacted. Detailed case examples and audience questions about unique coding scenarios were addressed.
In this episode, Dr. David Tom Cooke interviews Dr. Tom Nguyen from the University of California San Francisco. Listeners will learn the details of Dr. Nguyen’s “classic immigrant story.” In 1975, when he and his family came to the US as political refugees from their native Vietnam, they were among the first Vietnamese to put their “feet in the soil” of this country. Dr. Nguyen shares that the difficult journey was full of “serendipity and circumstances” and shaped his life in profound ways. He learned English by watching cartoons—"Tom & Jerry" was his favorite—so much so that he chose “Tom” as his name when he became a US citizen. Why did Dr. Nguyen pursue medicine? Why not?, he asks. This career path led him away from his home of Houston, Texas, to prestigious institutions such as The Johns Hopkins University, Stanford University, and Columbia University. Hear what sage advice motivated Dr. Nguyen to challenge himself and learn from these different environments. And you don’t want to miss Dr. Nguyen’s predictions for the future of cardiothoracic surgery and what he thinks the specialty needs to embrace so it doesn’t become "extinct." “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews Dr. Ourania Preventza, from Baylor College of Medicine. The awe-inspiring journey of Dr. Preventza—an internationally known expert in aortic surgery—started in Athens, Greece, where she grew up and later attended medical school. Her father, who was a judge, always wanted her to go to law school, but Dr. Preventza thought that medical school would be “more challenging and competitive.” Listeners will learn that she eventually moved to the US—not knowing anyone—for her surgical residency. She describes feeling like an “outsider” and shares that being a “woman and a foreigner with an accent” made it especially difficult to navigate her studies in another country. But her grit, resilience, determination, and daily calls with her family, kept her going. Hear the personal details of why Dr. Preventza chose cardiothoracic surgery—an “amazing, evolving field” and her insights into diversity and inclusion efforts that she thinks help “cultivate a culture that encourages collaboration, flexibility, and fairness.”
“Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons (STS) designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews Dr. Sidhu Gangadharan from Beth Israel Deaconess Medical Center and Harvard Medical School. Listeners will discover fascinating personal details about this surgeon leader, including how his experience working for a “rough and tumble” boss at a New Jersey gas station inspired him to become a surgeon. Dr. Gangadharan also shares that before starting medical school he spent some time “traipsing around.” This included moving to the East Village in Manhattan, letting his hair grow down to the middle of his back, walking around in a ripped, black trench coat and combat boots, and playing music in clubs until late at night. He eventually attended Dartmouth Medical School and went on to build a program at Beth Israel that is a world leader in diagnosing and treating tracheobronchomalacia. Once called a “little brown kid,” Dr. Gangadharan recognizes that oftentimes, experiences that you’re having are “highly dependent” on factors such as the color of your skin, your last name, and your religion. It’s important to spend “active energy thinking about how to create equity and an even playing field.” Hear what else he has to say about the diversity and inclusion efforts that he is leading at Beth Israel. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
Three prestigious surgeons on three continents provided their “Personal Reflections from COVID-19” during the STS Annual Meeting Thomas B. Ferguson Lecture. The surgeons shared their experiences and thoughts about the pandemic and how it has affected them, their families, institutions, colleagues, and their patients. Craig R. Smith Jr., MD, offered his view from Columbia University and NewYork-Presbyterian Hospital in New York City, Enrico Ruffini, MD, provided his perspective from the University of Torino in Italy, and Alan D.L. Sihoe, MD, MA, FRCSEd, described his experiences at Gleneagles Hospital in Hong Kong—an area that was the epicenter of the horrific SARS outbreak in 2003.
Quinn Capers IV, MD, presented the Vivien T. Thomas Lecture during the STS Annual Meeting. In his lecture, “The Long Shadow of Racism and Racial Bias in the Lack of Diversity,” Dr. Capers discussed the factors that contribute to racial disparities in the medical field. He also outlined specific points when “gatekeepers” such as school counselors and admissions faculty, as well as mentors and role models, can hold the keys to life-changing moments that help shape successful careers. In addition, he presented strategies that are practically applicable, by both institutions and individuals, to combat racial disparities.
Dr. Capers is the associate dean for faculty diversity and vice chair for diversity and inclusion in the Department of Internal Medicine at The University of Texas Southwestern Medical Center in Dallas.
Paul G. Yock, MD, MA, presented the C. Walton Lillehei Lecture during the STS Annual Meeting. In his lecture, “The (Radically) Changing Landscape of Medical Technology Innovation,” Dr. Yock encouraged participants to view innovation as a discipline—one that can be taught, practiced, and recreated. He acknowledged, though, that comprehensive innovation can be difficult in the health care setting because it involves multiple stakeholders. He likened the “user” in this scenario to an “eight-headed monster.” Dr. Yock said that to manage this complexity, the biodesign process should utilize the overarching principles of “identify,” “invent,” and “implement,” which—like design thinking—places the invention step in the middle.
Dr. Yock is the founder and director of the Stanford Byers Center for Biodesign in California.
In this episode, Dr. David Tom Cooke interviews Dr. Melanie Edwards from Integrated Health Associates in Ypsilanti, Michigan. Listeners will learn about Dr. Edwards’s experiences as a woman of Jamaican descent who spent many of her formative years in Canada. Her family eventually moved back to Jamaica where she finished high school at 16 years old. An ambitious Dr. Edwards went to college shortly thereafter, eager to start her undergraduate studies and get to medical school as soon as possible. Dr. Edwards shares that as a young child, she wanted to be a pediatrician, but by college, she was more enamored with surgery, and so she dug her heels in and “surgery ended up being fascinating and wonderful—everything that I hoped it would be.” Hear also what Dr. Edwards says about the importance of a team in cardiothoracic surgery and how having a strong group behind you is like having a “battalion at the ready.” “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews STS Past President Dr. Doug Wood. Described as the “embodiment of the academic quadruple threat—with excellence in clinical work, research, education, and leadership,” Dr. Wood is considered a giant in cardiothoracic surgery who is responsible for building a world-class Center of Excellence in thoracic surgery at the University of Washington. Listeners will learn that a combination of a fluke, luck, and a “secret” $35 application, as well as a teacher who cared about him and parents who supported him, landed Dr. Wood at Harvard University from a farm in rural Michigan. Dr. Wood also shares how “Take It to the Limit” was not just a famous Eagles song, the rallying cry for his Harvard rowing team, and the name of his STS Presidential Address, but it also was how he decided to live his life. And, you don’t want to miss what Dr. Wood says about taking cardiothoracic surgery “to the limit,” how the “macho” specialty has not been a favorable career path for women, and how diversity—with its “different viewpoints and lived experiences”—makes us stronger. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Dr. Wood’s STS Presidential Address is available as an article in The Annals of Thoracic Surgery and as a video.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Juan A. Crestanello, MD, and Brian Mitzman, MD, join Dr. Varghese to discuss “the Year of the Pandemic” and how it disrupted every aspect of lives around the world, including the ability to attend in-person gatherings and academic conferences. The authors share some of the exciting and innovative features planned for STS 2021—which are expected to be unlike anything the cardiothoracic surgery specialty has seen to date. Also discussed in this episode are best practices and other considerations for virtual meetings such as interactivity, virtual etiquette, resource inequality, spontaneity, technical needs, and social components. Read the related Annals articles online: STS 2021: The Annual Meeting of The Society of Thoracic Surgeons and The Society of Thoracic Surgeons (STS) Virtual Conference Taskforce: Recommendations for Hosting a Virtual Surgical Meeting.
In this episode, Dr. Tom Varghese interviews Dr. Shanda Blackmon from the Mayo Clinic. Listeners will learn that Dr. Blackmon initially pursued a career in art, selling her paintings in the gallery where she worked. A conversation with her mom convinced Dr. Blackmon that it was time to explore another career, so she decided to become a pediatrician. Eventually, she pivoted and headed into surgery—a “more challenging and difficult” choice, but a “better fit.” In addition to being a powerhouse thoracic surgeon, Dr. Blackmon is considered a super mom, which is an important part of her identity. The greatest gift to her children is “the daily dedication to my patients,” she says. How does Dr. Blackmon do it all? Superior organizational skills, including making a lot of lists. Hear also what she says about the power of sponsorship and “following your bliss.” “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. David Tom Cooke interviews Dr. Tom Varghese from the University of Utah. Dr. Varghese shares captivating details of his “very unique life.” He was born in India, moved to the US a few months after his first birthday, and returned to India during his high school years—making him an immigrant in two countries. After medical school, Dr. Varghese came back to the US for surgical residency. Hear about how he embraced the “challenging” experience of being a foreign medical graduate and the important lessons learned. Also, don’t miss the story of how Dr. Varghese became a “social media influencer” and how he contributes to the conversation by creating, curating, and amplifying. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews Dr. David Tom Cooke from UC Davis Health. Listeners will learn that Dr. Cooke grew up in Oakland, California, with parents who were both educators. So how then did he decide on a career in medicine? A health scare that his mom experienced and an episode of The Six Million Dollar Man both inspired young David. “Ever since then, I knew I wanted to be a surgeon.” Dr. Cooke also shares valuable leadership advice, explaining that any good leader must be “comfortable with being uncomfortable.” For Dr. Cooke, that sometimes means being the only person in the room who looks like him or caring for patients who think he is an “orderly” and not the surgeon. Hear what he says about these situations and how he handles them. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS COVID webinar series, Joseph A. Dearani, MD, Melanie A. Edwards, MD, and a panel of infectious disease experts from the White House Coronavirus Task Force, Mayo Clinic, and The University of Texas address the latest developments in the fight against COVID-19. Topics include monoclonal antibody treatment, FDA approval of a COVID-19 vaccine, ethical and equitable vaccine deployment, and strategies to combat vaccine resistance. Panelists include Andrew D. Badley, MD, Deborah L. Birx, MD, and Trish M. Perl, MD, MSc.
In this episode, Dr. David Tom Cooke interviews STS Director-at-Large Dr. Leah Backhus from Stanford Health Care. Listeners will learn how positive labels “slapped on” Dr. Backhus at a young age help buoy her throughout her journey, but she cautions that such labels can be good and bad and explains why. Dr. Backhus also shares that after an “unwelcoming reception” into neurosurgery, she chose a career in cardiothoracic surgery. This experience helped her realize that mentors “do not have to look like you, they just need to get you.” “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. Tom Varghese interviews Dr. Doug Mathisen, STS Historian and Past President. Listeners will discover fascinating personal details about this surgeon leader, including how playing sports helped him learn important teamwork and leadership skills that later translated into his career as a surgeon. Dr. Mathisen compares the surgical locker room to an athletic locker room, saying that it has the “same sort of camaraderie” and everyone works hard to not let down their “teammates.” He also shares that one of the greatest thrills of his life was meeting professional boxer Muhammad Ali, who has always been his favorite athlete. “Same Surgeon, Different Light” is a program from the Society designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. David Tom Cooke interviews Dr. Joanna Chikwe, chair of the Cardiac Surgery Department in the Smidt Heart Institute at Cedars-Sinai. Listeners will learn that Dr. Chikwe grew up in Birmingham, England, with a Nigerian father who “came to Britain with coins in his pocket and a lot of ambition” and a Welsh mother from a coal mining town. After high school, Dr. Chikwe spent 2 years studying art in Italy. This experience helped her realize that art was “always going to be a great hobby,” but medicine was her lifetime passion. “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons (STS) designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode, Dr. David Tom Cooke interviews Dr. Richard Prager, STS Past President and director of the Frankel Cardiovascular Center at the University of Michigan. Listeners will learn that Dr. Prager was born in Brooklyn, grew up in Hackensack, New Jersey, and as a young boy, longed to be just like Jackie Robinson. His career aspirations shifted after the experience of joining his physician father on house calls and carrying the “big leather doctor bag” and portable EKG machine, as well as a summer hospital job washing walls and cleaning patients’ rooms. Dr. Prager shares that he chose cardiothoracic surgery “because it was the hardest thing I could think of to do.” “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons (STS) designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS Summer Series, Keith S. Naunheim, MD, and a panel of experts in health policy, advocacy, and public relations discuss the Centers for Medicare & Medicaid Services plans to cut reimbursement for cardiothoracic surgeons and its likely negative effect on patients. The panel reviews a short history of Medicare reimbursement rates and shares the advocacy efforts underway to prevent these cuts, including opportunities for STS members to get involved in grassroots efforts. Panelists include: Francis C. Nichols III, MD, Alan M. Speir, MD, Liz Dahan, MA, MBA, and Noah Kristula-Green.
In this inaugural episode, Dr. Tom Varghese interviews Dr. Robert Higgins, STS Past President and surgeon-in-chief at The Johns Hopkins Hospital. Listeners will discover that Dr. Higgins was just 5 years old when he lost his father—who was an African American general practitioner in the segregated South during the 1960s—in a tragic accident. Together, his mother and grandparents raised three “crazy, hell-raising boys,” sacrificing extraordinary things to afford them the best educational opportunities and encouraging them to always “excel in everything” they did. Dr. Higgins shares advice from his mother that he has never forgotten: “keep on keeping on”—a reminder that challenges in life should be embraced as “opportunities to persevere and show grit.” “Same Surgeon, Different Light” is a program from The Society of Thoracic Surgeons (STS) designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
“Same Surgeon, Different Light” is a new program from The Society of Thoracic Surgeons (STS) designed to demystify cardiothoracic surgery, revealing the men and women behind their surgical masks. Drs. David Cooke and Tom Varghese—both cardiothoracic surgeons themselves—will uncover the obstacles, triumphs, tradeoffs, and pivotal moments that have shaped their guests’ careers and personal missions. Episodes will feature the backstories of cardiothoracic surgeons from different backgrounds and in various career stages. These leaders and rising stars offer powerful, candid stories that are funny and fascinating, as well as heartbreaking and inspiring.
Learn more about STS diversity and inclusion efforts at sts.org/diversity.
Patients can learn more about cardiothoracic diseases and their treatments at ctsurgerypatients.org.
In this episode of the STS Summer Series, Gorav Ailawadi, MD, MBA, Tsuyoshi Kaneko, MD, and an expert panel debate the merits of surgical versus transcatheter treatments and review challenging mitral valve cases such as degenerative mitral regurgitation, mitral annular calcification, functional mitral valve regurgitation, and failed bioprosthetic mitral valve. Panelists include Vinay Badhwar, MD, Mayra Guerrero, MD, Robert L. Smith II, MD, Paul Sorajja, MD, Gilbert H. Tang, MD, MSc, MBA, and Dee Dee Wang, MD.
In this episode of the STS Summer Series, Rakesh C. Arora, MD, PhD, and Michael C. Grant, MD, MSE, moderate a panel of experts in Addressing the Cardiac Surgery Opioid Crisis. Two short presentations – Why Is This Even an Issue? by Daniel T. Engelman, MD, and Now What Do I Do? by Michael C. Grant, MD, MSE – explore the role of cardiac surgery as a contributor to the opioid epidemic. Then, the panel discusses alternative interventions for pain management and strategies to minimize opioid use in perioperative management of patients (both adult and pediatric) under cardiac surgical care. Panelists include: Daniel T. Engelman, MD, Michael S. Firstenberg, MD, Rita Karianna Milewski, MD, PhD, MSEd, and Nathalie Roy, MD.
In this episode of the STS Summer Series, Bernard J. Park, MD, and Dirk E.M. Van Raemdonck, MD, PhD, moderate a multidisciplinary panel of experts in a discussion about Pulmonary Metastasectomy. The moderators begin by reviewing an STS Expert Consensus Document on Pulmonary Metastasectomy, published in The Annals of Thoracic Surgery. The panelists discuss the efficacy of local treatment vs. systemic therapy for metastases. Panelists include: Mara B. Antonoff, MD, Frank C. Detterbeck, MD, Michael Lanuti, MD, Andreas Rimner, MD, and Stephen B. Solomon, MD.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Mara B. Antonoff, MD, Jessica G.Y. Luc, MD, and Jason J. Han, MD, join Dr. Varghese to examine how social media has become an “inescapable” part of academic life and its role in the academic publishing process. While social media engagements may seem fleeting, the authors agreed that durable scholarly impact of social media exists. Also discussed in this episode is how the COVID-19 pandemic has highlighted a gap between the worlds of science and communication; so it is more important than ever to consider social media to help create pathways, form collaborations, grab attention, and explain the science. Read the related Annals article online: Does Tweeting Improve Citations? One-Year Results from the TSSMN Prospective Randomized Trial.
In this episode of the STS Summer Series, Gorav Ailawadi, MD, MBA, and Tsuyoshi Kaneko, MD, moderate a panel of cardiothoracic surgeons and cardiologists as they review challenging cases of aortic stenosis and debate the merits of SAVR vs. TAVR as the preferred treatment. Cases include patients with bicuspid aortic valve, failed surgical bioprosthesis, small annulus, and concomitant coronary disease. Panelists include: Vinayak N. Bapat, MD, Adam B. Greenbaum, MD, Molly Szerlip, MD, and Vinod H. Thourani, MD.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Robert M. Sade, MD, joins Dr. Varghese to discuss ethical considerations in the practice of cardiothoracic surgery during a pandemic. Dr. Sade mentions the application of ethical principles and ethical concerns with regard to limited resource allocation. Read the related Annals Article, “Cardiothoracic Surgeons in Pandemics: Ethical Considerations.”
STS/ACC TVT Registry leaders—Vinod H. Thourani, MD, and John D. Carroll, MD—moderate a panel of investigators, representatives from the Food and Drug Administration (FDA), and industry about valvular heart disease clinical research during COVID. They discuss the effects of the pandemic on research infrastructure, impediments to patient follow-ups and data collection, potential shifts in collaborative trial development guided by the FDA, and new techniques in post-market surveillance. Panelists include Dominic J. Allocco, MD, Andrew Farb, MD, Susheel K. Kodali, MD, Michael J. Mack, MD, Mark Reisman, MD, Barathi Sethuraman, PhD, Changfu Wu, PhD, Bram D. Zuckerman, MD.
STS President Joseph A. Dearani, MD, moderates a panel discussion that includes surgeons, a hospital executive, and a health care consultant on the economic impact of COVID and its implications for cardiothoracic surgery. At a time when cardiothoracic surgeons face 7%-8% cuts in Medicare reimbursement, they talked about the financial strain that COVID has had on staffing and salaries, how cardiothoracic surgeons quickly adapted to their roles on the front lines, the potential need for surgeons to begin rebuilding their referral networks, and the positive accelerated development of telemedicine opportunities. Panelists include Vinay Badhwar, MD, Richard K. Freeman, MD, MBA, Robert S. Jasak, JD, and Roberta Schwartz, PhD.
T. Sloane Guy, MD, MBA, and Husam H. Balkhy, MD, moderate a discussion with surgeons who are experts in robotic cardiac procedures. They talk about how they got started in robotic surgery, the importance of institutional support for building and training a team, and the efficacy of robotic surgery as an instructional tool for residents and fellows. Panelists include Vinay Badhwar, MD, Arnar Geirsson, MD, Eugene A. Grossi, MD, Robert L. Smith II, MD, and Francis P. Sutter, DO.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Francis D. Pagani, MD, PhD, joins Dr. Varghese to discuss the findings of the Intermacs 2019 Annual Report. They mentioned the percent decrease in patients listed for a transplant when they received an LVAD, introduction of new technologies, and a comparison of technologies. Read the related Annals article online: The Society of Thoracic Surgeons Intermacs 2019 Annual Report: The Changing Landscape of Devices and Indications.
STS President Joseph A. Dearani, MD, and Mara B. Antonoff, MD, moderate an interactive panel discussion with early career cardiothoracic surgeons about how COVID has affected their scope of work and how it may change going forward. They also discuss the expanding role of telemedicine and silver linings from the COVID pandemic. Panelists include Elizabeth A. David, MD, Melanie A. Edwards, MD, Gabriel Loor, MD, HelenMari L. Merritt-Genore, DO, Olugbenga T. Okusanya, MD, and Elizabeth H. Stephens, MD, PhD.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, John S. Ikonomidis, MD, PHD, joins Dr. Varghese to discuss the findings of the 2019 STS Practice Survey. Mandatory cognitive testing, increasing the number of women in the workforce, and job satisfaction are a few of the topics that are addressed. Read the related Annals article online: https://bit.ly/2Y0uiqe
The death rate from cancer has steadily declined over the past 25 years; however, worldwide there were 9.6 million deaths in 2018, with lung cancer still number one among all cancer types. In the latest episode of “Beyond the Abstract,” a program that explores the “whys” behind an article in The Annals of Thoracic Surgery, Dr. Kemp H. Kernstine joins host Dr. Tom Varghese to discuss whether tumor FDG-PET avidity represents enhanced glycolytic metabolism in non-small cell lung cancer. Read the related Annals article online: https://bit.ly/3c9sXm5.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Lisa M. Brown, MD, MAS, joins Dr. Varghese to discuss a widespread unresolved healthcare problem—pain. Dr. Brown explains why it is important to learn more about predictors of chronic pain and the impact on health-related quality of life, known as pain interference.
Managing and treating mitral valve disease have both changed radically over the past few years and now include transcatheter as well as surgical approaches. What does the future hold for mitral valve repair and replacement? During the most recent STS Annual Meeting, Vinod Thourani, MD, asked that question of Steven F. Bolling, MD, Gorav Ailawadi, MD, and Wilson Y. Szeto, MD. They also discussed new tools and technologies, making sure that cardiothoracic surgeons are involved on the care team, and training with transcatheter techniques.
Robotics is being called the “fourth industrial revolution." For some cardiothoracic surgeons, robotics means smaller, faster, and easier, resulting in patients getting out of the hospital sooner, having less pain, and returning to function faster. For others, the jury is still out on whether or not robotics will add long-term value, especially if surgeons face potential carpal tunnel injuries, back pain, and cervical stenosis. David T. Cooke, MD, moderates a panel discussion with Robert E. Merritt, MD, Lana Y. Schumacher, MD, Melanie A. Edwards, MD, and Inderpal S. Sarkaria, MD. They discuss the learning curve for robotic surgery, the complexity of procedures that can be performed robotically, a team approach to robotic surgery, getting hands-on experience, and future improvements to robotic technology.
Among the proactive steps that the Society is taking to help its members and other health care professionals deal with the evolving COVID-19 pandemic it is developing guidance documents—one for each discipline. In the latest episode of "Beyond the Abstract," Dr. Daniel Boffa joins Dr. Tom Varghese to talk about the guidance provided by representatives from multiple cancer, surgical, and research organizations for triaging patients with thoracic malignancies.
STS President Joseph A. Dearani, MD, updates members on the COVID-19 pandemic and explains how the Society is supporting cardiothoracic surgeons and patients.
For cardiothoracic surgeons who are hoping to advance in their careers, it’s often difficult to balance clinical work with the scholarly activities that are necessary for promotion in a modern academic medicine environment. Ourania A. Preventza, MD, and colleagues including Himanshu J. Patel, MD, Elaine E. Tsang, MD, and Sunil Singhal, MD, provide insight on the processes required and tips to help young surgeons successfully get to the next step.
Cardiothoracic surgeons are studying the use of artificial intelligence (AI) and machine learning (ML) to improve risk prediction in the hopes that patient outcomes also will improve. Arman Kilic, MD, and Ara A. Vaporciyan, MD, along with medical student Brian Ayers, discuss what AI and ML mean, how it can uncover previously unknown relationships in medical data, and how it can be used to assist the surgeon in the operating room.
More than 100,000 people in the United States currently are waiting for a lifesaving organ transplant, including 5,000 people on the transplant list for a heart and/or lungs, according to the United Network for Organ Sharing. Although some will die before they receive a transplant, surgeons and research teams are making great strides in expanding the pool of viable organs. Zachary N. Kon, MD, moderates a discussion with Ashish S. Shah, MD, Matthew G. Hartwig, MD, and Varun Puri, MD, MSCI, about new ways to assess organ quality, technologies to increase their viability, and ways to better match donors and recipients.
Understanding a patient’s frailty index is an important part of assessing the risks and benefits of a surgical procedure for a cardiothoracic surgery patient. Frailty sometimes is measured by a patient’s grip strength, weight, and walking test results, but standards for evaluating and treating frailty before surgery do not exist. Mark K. Ferguson, MD (The University of Chicago), moderates a panel discussion with Nimesh Desai, MD (University of Pennsylvania), Linda W. Martin, MD, MPH (University of Virginia), and Betty C. Tong, MD (Duke University Medical Center), about how to screen for frailty, interventions to help patients prepare for surgery, and optimizing post-operative treatment protocols for the frail patient.
Cardiovascular disease is the #1 killer of people around the world, with approximately 18 million deaths annually, according to the World Health Organization. Treatment options for heart disease include lifestyle changes, stenting, and surgery. But which option is best and for which patients? Thomas E. MacGillivray, MD, moderates a panel discussion with Jennifer S. Lawton, MD, John D. Puskas, MD, Marc Ruel, MD, MPH, and Joseph F. Sabik III, MD. They explore recent results from the ISCHEMIA trial, implications for the heart team, and which patients benefit the most from percutaneous coronary intervention (PCI), coronary artery bypass grafting (CABG), or medical therapy.
Cardiothoracic surgeons are at significant risk of burnout because of long work hours, delayed career gratification, complex health care, intense personality, and poor work-life balance. In fact, recent data show that more than half of cardiothoracic surgeons reported feeling burned out. In this important roundtable discussion, Thomas K. Varghese Jr., MD, MS, gathers tips to avoid burnout from Oliver S. Chow, MD, Michal Hubka, MD, and Susan D. Moffat-Bruce, MD, PhD, MBA. Strategies include building strong networks, bonding with family and friends, meditation, spending time outdoors, and making wellness a goal of the entire health care team.
The biggest threat to lung health in the current era is vaping. Shanda H. Blackmon, MD, MPH, moderates a discussion about the changing landscape of tobacco use, which includes vaping as the new gateway to smoking. She and colleagues, J. Robert Headrick, MD, MBA, Matthew A. Steliga, MD, and Keith S. Naunheim, MD, describe the “terrifying” statistics about vaping, why patients are oftentimes afraid to seek help, the use of graphics warnings, and why bringing smoking cessation resources to patients may become more necessary.
The FDA recently expanded the indications for transcatheter aortic valve replacement (TAVR) to include patients at low surgical risk, but experts are urging caution about which low-risk patients should undergo TAVR until more information is gathered. In this episode, Joseph E. Bavaria, MD, explored recent clinical trials with Tsuyoshi Kaneko, MD, Michael J. Reardon, MD, and Vinod Thourani, MD. They discussed what these trials mean for cardiac surgeons, interventional cardiologists, and the heart team, as well as knowledge gaps about age, bicuspid patients, SYNTAX score, pacemakers, and mechanical valve durability.
More than 2 years in the making, the first phase of the next generation STS National Database launched during the STS Annual Meeting in New Orleans (January 2020). The phase 1 rollout includes a data uploader, missing variable report, interactive dashboard, and a data quality report that will provide feedback within minutes after upload. Vinay Badhwar, MD, leads a discussion about what this innovative new clinical data registry means for cardiothoracic surgeons, their data managers, hospitals, and patients. He is joined by Joseph A. Dearani, MD, Felix G. Fernandez, MD, MSc, Jonathan Morris, MD, and Diane E. Alejo.
For the latest updates on the next generation Database, visit www.sts.org/database.
Hosted by Thomas K. Varghese Jr., MD, MS, the “Beyond the Abstract” program explores the “whys” behind articles in The Annals of Thoracic Surgery and discusses next steps with authors and thought leaders. In the latest episode, Dr. Felix Fernandez joins Dr. Varghese to reflect on the accomplishments of the STS National Database over the last 30 years and discuss the early 2020 transition to a user-friendly, cloud-based, real-time platform that will accelerate practice improvement and lead to better patient outcomes. Read the related Annals Article, "The Future is Now: The 2020 Evolution of The Society of Thoracic Surgeons National Database" at http://bit.ly/3afTrmj.
When physicians regularly exhibit a lack of civility and respect, patient safety and quality of care are compromised. The latest episode of “Beyond the Abstract,” from The Annals of Thoracic Surgery and part of the Society’s Surgical Hot Topics podcast, covers a paper that explores unprofessional behavior in the workplace and recommends a new framework for the assessment, treatment, and remediation of physicians with professionalism transgressions. Lead author Dr. Betsy Williams joins host Dr. Tom Varghese to discuss why this article was written and next steps. Read the related Annals article, “Understanding and remediating lapses in professionalism: Lessons from the island of last resort,” at http://bit.ly/2spz457
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.
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
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)
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.
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.
The STS National Database is known worldwide as the “gold standard” for quality improvement and patient safety in cardiothoracic surgery. Launched in 1989, the Database includes approximately 8 million patient records. In this roundtable discussion, Drs. Dave Shahian, Felix Fernandez, Jeff Jacobs, and Vinod Thourani explain how they’ve used data from the Database for making improvements at their own hospitals, for research projects, to understand the cost-effectiveness of various procedures, and to demonstrate the importance of the care that cardiothoracic surgeons provide.
Despite mandates that determinants of health and differences in sex be incorporated into clinical trials, some groups—such as minorities, women, and those of lower socioeconomic status—are still underrepresented. Drs. David T. Cooke, Loretta Erhunmwunsee, and Linda W. Martin discuss why diverse groups are important, how to improve clinical trial design, and strategies to enroll more broadly representative groups into clinical trials.
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.
Media coverage can be a powerful way for cardiothoracic surgeons to help more patients and their families understand important health care information. But how can you handle a reporter’s tough questions and still get your message across? Todd K. Rosengart, MD leads a panel discussion with cardiothoracic surgeons who have had experience with handling awkward media situations, connecting with a lay audience, and helping to change the course of a conversation when a reporter has incorrect information.
The Society is offering a new opportunity for self-assessment and quality improvement in cardiothoracic surgery—surgeon-specific outcomes reports from the Adult Cardiac Surgery Database (ACSD). For those who affirmatively opt in, these feedback reports will be available beginning in fall 2019 and will include data on coronary artery bypass grafting (CABG), aortic valve replacement (AVR), CABG+AVR, mitral valve repair and replacement (MVRR), and CABG+MVRR. Four STS leaders, Drs. Richard Prager, David M. Shahian, Alan M. Speir, and Domenico Pagano, recently discussed the importance of this initiative and how it will lead to better patient care.
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.
Artificial intelligence and electronic health technologies are changing how physicians conceptualize and treat diseases. Although these futuristic advancements are leading to improvements in quality, safety, and patient outcomes, these technologies also are dramatically changing the cyber threat landscape. Kevin W. Lobdell, MD talks with colleagues in cardiothoracic surgery, cardiology, and anesthesiology about embracing virtual reality, augmented reality, and machine learning, while also finding ways to protect against cyberattacks.
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.
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.