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Surgical Hot Topics

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Listen to leaders in cardiothoracic surgery discuss hot topics in the field. Founded in 1964, The Society of Thoracic Surgeons is a not-for-profit organization representing more than 7,800 surgeons, researchers, and allied health care professionals worldwide.

Please note: The comments included in these episodes are that of the individuals involved and not necessarily that of The Society of Thoracic Surgeons.
231 Episodes
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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.
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.
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.
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.
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.
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.
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.
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 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, 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.
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.
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