*Please note, this article was updated on September 5, 2024:

*After STS submitted letters to the Centers for Medicare & Medicaid Services  and the United States Preventive Services Task Force, the Centers for Medicare & Medicaid Services (CMS) responded, stating they cannot reconsider the National Coverage Determination (NCD) at this time. Following this, STS, the GO2 Foundation for Lung Cancer, and the American College of Radiology (ACR) met with CMS and had a productive conversation about the steps that need to occur, and the data needed to reconsider the NCD. USPSTF has also responded, indicating that this issue will be considered at their Topic Prioritization Workshop in the fall.

On June 21, 2024, The Society of Thoracic Surgeons, The American College of Radiology®, and the GO2 Foundation for Lung Cancer submitted joint letters to the Centers for Medicare & Medicaid Services and the US Preventive Services Taskforce that include recommendations to improve existing lung cancer screening eligibility requirements. 

The organizations formally requested reconsideration of the National Coverage Determination (NCD) for screening lung cancer with low-dose computed tomography and asked to eliminate the exclusion criteria of current smokers or people who have quit smoking within the last 15 years and the upper age limit. This would align the NCD with the updated American Cancer Society and the National Comprehensive Care Network evidence-based guidelines. 

Removing these criteria would significantly increase the number of high-risk individuals eligible for screening from 14.2 million to 19.2 million. Annual lung cancer screening with low-dose computed tomography in high-risk patients significantly reduces lung cancer deaths and may help identify cancers at an early, treatable, and curable stage.  

If you have questions about STS’s lung cancer screening advocacy efforts, contact Haley Brown, senior manager, political affairs and advocacy. 

 

Jul 2, 2024
2 min read
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During this year's STS Advocacy Leadership Summit held May 21-22 in Washington, DC, 14 STS leaders supported issues critical to the cardiothoracic specialty. The key areas the group focused on included: 

2 min read
Derek Brandt, JD, STS Advocacy

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, for an insightful conversation on the advancement of women in cardiothoracic surgery. Dr. Colson shares her origin story - "from farm to field" - as an accomplished surgeon and scientist. What does it take to become a consistently high performer? Dr. Colson advises, "Stay focused on your purpose stay open to new opportunities."

1 hr
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setting boundaries

As physicians, we spend the first half of our adult lives being told to always say yes. The goal is to build that CV so you can make it to the next step. Set a foundation to show you have potential and you’ll get accepted to medical school. Show academic, research, and leadership promise to land that coveted residency spot.

4 min read
Brian Mitzman, MD, MS, University of Utah

On June 7-8, 2024, in Miami, more than 120 cardiothoracic surgeons and heart team members from around the world gathered for the third annual STS Coronary Conference. With a focus on the technical aspects of coronary surgery, attendees experienced case-based panel discussions, abstract sessions, practical tips and tricks, and interactive “How I Do It” video presentations featuring surgical techniques.

STS Coronary Conference presentations
The two-day 2024 STS Coronary Conference brought together coronary surgery experts from throughout the world. 

The two-day event covered a wide range of topics, including conduit selection and harvest, graft configuration, off- and on-pump CABG, and a stepwise approach to minimally invasive coronary surgery, from MIDCAB to advanced multivessel revascularization.

"Coronary surgery is a sub-specialty within cardiac surgery, so it’s important for future surgeons to be skilled in off-pump surgery, minimally invasive surgery, and traditional on-pump cross clamp surgical techniques,” said Chase Brown, MD, assistant professor of surgery at the University of Pennsylvania, and a course presenter.  “Attendees were able to learn from experts leading the way in the field.”

"The most exciting things I learned about were the technical aspects of coronary sequential grafting," said cardiac surgery resident Dr. Kevin An from the University of Toronto. “It’s an area I’m interested in implementing into my practice.” 

Here's what a few other attendees said about the Coronary Conference:

  • "I enjoyed the panel discussions at the end of each session  I learned as much from them as I did from each of the presentations."
  • "So many great presentations. I think the 'How to Prevent AKI After CABG' presentation by Dr. Daniel Engleman may have been my favorite."
  • "After attending the sessions, we will add certain changes in the steps for endoscopic harvesting of the saphenous vein, as well as measures to reduce and prevent sternal wound complications."
  • "In the future, I would like to see more perioperative content and learn how to implant an Impella 5.5."
  • "I really enjoyed the conference.  It was worth coming to the US from Brazil to take the course."
  • "As a result of attending the conference, I would tend to perform MAG-TAG more often to more patients, use the skeletonization technique to decrease sternal wound infections, and practice the Y-T graft."

View all conference abstracts

Check out our event photo gallery.

Jun 12, 2024
2 min read

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, the expectations placed on her to become a doctor, what it takes to get into medical school, and how she balances her career with her personal life. No doubt, it's a "can't miss" episode. 

43 min.

The STS Workshop on Robotic Cardiac Surgery held May 9-10 in Peachtree Corners, Ga., offered 80 surgeons from across the country two days of hands-on team training for mitral valve repair, coronary bypass, and other surgery procedures in a cardiac robotics simulation environment.

"Robotics conference attendees"
Workshop attendees gained insight into building a robotics program, as well as improving the effectiveness of their program.

Here are the top five benefits that surgeon attendees received from the experience:

1. Innovation: Attendees trained in robotic mitral valve procedures and robotic coronary revascularization using the latest techniques and technology. Multiple operating bays fitted with surgical robots allowed participants to sit at the console to control the robots.  

2. Training: The program offered a variety of educational activities for surgeons, including real-world simulations, case videos, faculty discussions, emphasized patient selection, perioperative management and postoperative care, and operative techniques.

3. Collaboration: The workshop was designed for both beginner robotic surgical teams who are looking for fundamental information and guidance on how to build a program, as well as advanced robotic surgical teams already practicing cardiac surgery robotics and are looking to continually improve the efficiency and effectiveness of their program.  

4. Access to luminary experts in the field: The workshop was led by world-renowned robotic heart surgeons. The surgeons who served as faculty not only mastered the use of robotics in cardiac surgery, but they also helped define it. 

5. Networking: Robotic Cardiac Surgery Workshop attendees connected with surgeons from across the country who are on the cutting edge of robotic cardiac surgery. 

Feedback on the conference was overwhelmingly positive. Here are a few highlights:

  • "The best presentation was the one on preoperative criteria and assessment for robotic mitral valve patients." 
  • "The session content was helpful for those thinking about starting a robotic mitral valve program." 
  • "The presentations given by early-stage faculty on difficult cases where they had to convert to open were very helpful." 
  • "Dr. Joanna Chikwe's session on complications of mitral valve repairs was wonderful.  I loved this presentation."
  • "The most valuable sessions were those that offered peer-to-peer interaction with the experienced surgeons, including the hands-on lab."
  • "I think the courses being part lecture and part hands-on gave the background and data to support what we are doing in the lab.  Even more hands-on time would be great, as well."
     
May 30, 2024
2 min read

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.

43 min.
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therapy

As physicians we are committed to caring for our patients, guiding them through physical and emotional traumas. Our training, especially as cardiothoracic surgeons, has taught us to be disciplined, self-sufficient, and strong. As cardiothoracic surgeons we deal with significant adversity and are resilient.

3 min read
Robert Van Haren, MD, and James Van Haren, MD

In a bid to foster professional development and guidance for aspiring cardiothoracic surgeons, The Society of Thoracic Surgeons has unveiled a unique mentorship program tailored for medical students and residents.

The initiative, created with the Thoracic Surgery Medical Student Association (TSMA), aims to bridge the gap between seasoned professionals and the next generation of surgeons. It delves into the intricacies of cardiothoracic surgery and forms collaborative relationships between early careerists and students. The new program is an extension of the current STS mentorship program that matches trainees with senior surgeons. 

The newly introduced medical student and resident mentorship opportunity is set to personalize the way aspiring surgeons acquire training, career advice, and other essential insights. The goal is to connect medical students eager for guidance with cardiothoracic surgery residents and fellows and facilitate a dynamic exchange of knowledge and experience. It is an expansion of the current STS mentorship program that matches trainees with senior surgeons.  

Under this program, medical students are empowered to seek mentorship from residents and fellows, gaining crucial insights into cardiothoracic surgery as a specialty. The mentorship extends beyond theoretical knowledge, offering practical guidance on residency programs, the interview process, rotations, and other aspects vital for navigating the field successfully. This hands-on approach provides aspiring surgeons with a comprehensive understanding of the demands and opportunities within the specialty, aiding them in making informed career decisions. 

Moreover, the program benefits residents and fellows too, giving them an opportunity to hone their mentorship skills while contributing to the development of future generations of cardiothoracic surgeons. By assuming the role of mentors, residents and fellows gain valuable leadership experience and the satisfaction of guiding and shaping the careers of aspiring professionals. Through this reciprocal relationship, both mentors and mentees contribute to the advancement of the field while fostering a sense of camaraderie and community.

Joseph Phillips, MD, thoracic surgeon, Dartmouth Hitchcock Medical Center, and chair of the STS Mentorship Task Force, expressed confidence in the program's potential to significantly impact STS Medical Student and Resident/Fellow members. He emphasized the importance of mentorship in nurturing talent and fostering a supportive environment conducive to professional growth.

“In a rapidly evolving field like cardiothoracic surgery, mentorship serves as a cornerstone for success, offering guidance, support, and inspiration to young surgeons as they embark on their professional journey,” said Dr. Phillips. “With this initiative, STS reaffirms its dedication to nurturing talent, fostering collaboration, and shaping the future of cardiothoracic surgery.” 

It's just one more way STS is helping to cultivate a vibrant and resilient community of cardiothoracic surgeons poised to tackle the challenges of today and tomorrow.
 

May 13, 2024
2 min read
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As Congress enters an election year, legislative activities typically slow down. Yet lawmakers already are beginning to lay the important groundwork for fiscal year 2025 appropriations. The Society of Thoracic Surgeons continues to advocate for our most critical federal programs, including one increasing funding for lung cancer research.

3 min read
Derek Brandt, JD, STS Advocacy

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.

48 min.