It is time to reconsider the management of Aortic valve Disease (AVD) across the world. In South Asian and Sub-Saharan African nations, in low-income countries, AVD is treated with surgical aortic valve replacement (SAVR). Patients receive mechanical valves. The population is younger than in high-income countries and the disease is different, mostly of rheumatic origin.
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 emphasizes the critical importance of allowing people in crisis to be heard.
CHICAGO, IL – October 17, 2024 – The Society of Thoracic Surgeons (STS) announces the release of two new risk calculators to inform physician-patient decision-making in thoracic surgery. Engineered using contemporary data from the STS General Thoracic Surgery Database, these interactive tools provide surgeons with accurate, preoperative risk estimations for outcomes of esophagectomy for cancer and pulmonary resection for lung cancer.
Congress recently passed a continuing resolution to fund the government through Dec. 20, providing a reprieve before another potential budget showdown. Despite the urgency of keeping the government running, significant progress has been made on key STS advocacy priorities in the House of Representatives.
More than 100 cardiothoracic surgeons, fellows, residents, and advanced practice providers participated in the 2024 STS Mastering Valve Surgery Workshop in Chicago on Sept 20-21. The two-day event included lectures, case-based presentations, and breakout sessions focused on mastering modern-day valve surgery, including open and transcatheter procedures for aortic, mitral, and tricuspid valves.
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Attendees participate in a hands-on aortic valve surgery session.
"This workshop stands out for its unique blend of theoretical instruction and practical hands-on training, covering both surgical and transcatheter techniques for all valve types," said co-course director Tsuyoshi Kaneko, MD, of Washington University in St. Louis. "The active participation and insightful questions from both domestic and international attendees highlighted the course's relevance and impact."
Attendees honed their skills through small-group, hands-on experiences in wet lab settings to learn the latest in advanced valve techniques (aortic root enlargement, Ross Procedure, minimally invasive valve surgery), transcatheter therapies, and atrial fibrillation.
"I'm pleased that the valve surgery courses encompassed both traditional surgical techniques and emerging transcatheter procedures," said co-course director Katherine Harrington, MD, of Baylor Scott & White Health in Dallas. “To remain at the forefront of the latest technologies in the field, we must continually update our knowledge and ensure our outcomes are exceptional, fostering collaboration with structural heart experts."
Here's what a few attendees said about the Valve Surgery Workshop:
"I enjoyed the panel discussions at the end of each session and found the small-group wet labs extremely helpful.” — Alex Wang, physician assistant, Johns Hopkins Health System
"The best sessions were aortic root enlargement by Dr. Yang, mitral valve surgery by Dr. Badhwar, and TAVR explant by Dr. Kaneko."
"Overall, it was a valuable experience to interact with experts and directly view the pig heart. The catheter-based procedure simulators were also helpful for learning."
"Great courses and discussion topics, exemplary faculty, and I enjoyed the hands-on sessions."
"Moving forward, I will adopt the aortic root enlargement technique as explained by Dr. Yang, the mitral valve replacement technique of Dr. Badhwar, and the Ross Procedure technique detailed by Dr. El-Hamamsy. I also intend to incorporate the maze and atrial clip procedures more frequently into my practice."
There are so many ways in which we, as surgeons, lead teams—from our first day in practice, through the end of our careers. As we lead teams, we learn repeatedly that a cohesive and effective team works toward common goals, and that successful leaders inspire team members by elucidating and giving importance to those shared goals. But is having the same end goal enough?
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.
Earlier this month, more than 470 data managers attended the 2024 Advances in Quality & Outcomes: A Data Manager’s Meeting (AQO) in Nashville, both virtually and in person. Throughout the successful three-day event, surgical team data managers deepened their understanding of the STS National Database. They learned about new features, functionality, quality improvement initiatives, and research outcomes from surgeon leaders, Database platform experts, and fellow data managers. This expanded knowledge will help them be integral to their heart team as they lead their centers to improve clinical outcomes and patient safety using the STS National Database.
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Attendees included (l to r): Ram Kumar Subramanyan, MD, PhD; John E. Mayer Jr., MD; Timothe L’Heureux, MHA; Susana C. Reid, BSN, RN, CPN; Amanda McGlinchey, MHA, RN, CCRN; and Erin Hunter-McPhan, BSN, RN.
The event showcased the Database's unique analytical power in supporting ongoing outcomes analysis and continuous improvement efforts for each institution. Experts led in-depth discussions and presented four learning tracks to help users master each Database registry: Adult Cardiac, Congenital Heart, General Thoracic, and Intermacs/Pedimacs.
Here’s what a few attendees had to say:
“Thank you for the opportunity to speak at AQO this year. It was very well organized, and I felt I had excellent communication throughout the process. I know A LOT of work goes into coordinating events like this, so thank you for your efforts. It was really nice to get to talk with other users and share tips and tricks!” – Marie Wilson, MSHQS, MSN, RN, quality coordinator at University of Alabama at Birmingham Hospital
“The conference last week was great! I really enjoyed the presentations, Q&A, and meeting other data managers. Keep up the great work!”– Clera Sugarbaker, performance improvement analyst/abstractor at Vanderbilt University Medical Center
“Thank you for a great conference. I am proud to be a part of the STS Intermacs community. We truly do great things!! Looking forward to what is to come.” – Elizabeth Spreen, RN, clinical quality analyst at Baton Rouge General Medical Center
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. Learn how to know when it's appropriate to break the rules, when to challenge your superiors, how to do so without endangering your career and how to foster learning and innovation among the ranks of people conditioned to follow orders.
Early career cardiothoracic surgeons have many important relationships that need to be managed and developed. The patient relationship can be excellent, a source of pride and healing, or damaging, a source of stress and contempt.
Join Dr. Michael Maddaus, host of The Resilient Surgeon, for a discussion with Amer Kaissi, professor of healthcare 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.
