At a time when surgeon burnout is on the rise, STS is making wellness a priority. In this video message from STS President Jenna C. Romano, MD, MS, hear about the importance of being intentional about wellness and achieving a balanced life in this ever-evolving profession. 

May 2, 2024
1 min read

STS is pleased to announce the release of the Adult Cardiac Surgery Database Executive Dashboard Report, now available on the Database platform. The Executive Dashboard includes the following components:

  • The participant’s star ratings for the last six star-rating periods, allowing you to easily track your site’s risk-adjusted performance longitudinally.
  • Resource utilization metrics for isolated coronary artery bypass grafting (CABG) procedures, which provide participants near real-time data vs. STS benchmark data from the previous analysis period, including: 
    • ICU times
    • Postoperative total ventilation hours
    • Postoperative length of stay
    • Total blood project usage (intraoperative/postoperative)
  • Participant’s performance on meeting inclusion eligibility criteria. Utilizing green, yellow, and red statuses and convenient drill-down functionality, participants can easily identify cases of concern and save valuable time. And case counts are available to allow users to verify if their site meets case count requirements for analysis. Updates to this report are ongoing to provide real-time data. Refer to the Notifications tab on the IQVIA Platform for updates. 

Additional procedure types for resource utilization metrics were released on April 13, 2024. More utilization metrics are being considered. If you have a suggestion, contact Carole Krohn at ckrohn@sts.org.
 
If you have questions regarding the Database, contact the STS Database Help Desk.

May 1, 2024
1 min read
Image
community health
“Jack of all trades, master of none, though oftentimes better than a master of one.”
3 min read
Heather Palomino, MD

In this episode hosted by 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. Dr. Onwugbufor shares part of his career journey this way: "When searching for a first job, you need to know you'll have some kind of mentorship and support. For me, it was reassuring to know that when I started doing my first few cases, I wasn't by myself. I didn't feel lonely. That I had someone more experienced supporting me.

CHICAGO (April 26, 2024)  The expanding use of transcatheter technologies has changed the landscape in the treatment of valvular disease in adult cardiac patients, with valve surgery rapidly shifting to more complex interventions frequently involving other concomitant procedures.

Apr 26, 2024

Today, the Federal Trade Commission (FTC) announced the enactment of a final rule to ban non-compete clauses as an unfair method of competition. This groundbreaking rule prohibits employers from entering into or maintaining non-compete agreements with workers, with limited exceptions. The Society of Thoracic Surgeons has been a strong advocate for this ban, recognizing that non-compete clauses significantly hinder cardiothoracic surgeons by limiting their ability to serve their communities, maintain continuity of care, and ensure patient access to specialized surgical services.  

"STS members and the broader physician community will benefit from the ban on non-competes," says STS President Jennifer C. Romano, MD, MS, and a practicing cardiothoracic surgeon. "Eliminating non-compete clauses removes major barriers for cardiothoracic surgeons, enhancing their ability to decide where and how they practice without undue restrictions. This change is especially crucial in improving access to specialized surgical care across various regions, fostering a more dynamic and responsive healthcare system." 

The unfortunate exclusion of most non-profit hospitals from this rule significantly constrains its benefits. We encourage Congress to continue the momentum on this important issue by enacting S. 220 / H.R. 731, the Workforce Mobility Act, which would extend these crucial protections to all healthcare providers, ensuring a truly competitive and patient-centered healthcare environment.  

 

 

 

Apr 23, 2024
1 min read
Image
national minority health month

April is National Minority Health Month, a time and opportunity to raise awareness about the importance of improving the health of racial and ethnic minority communities and reducing health disparities. While our patient population in the US is rapidly diversifying, our specialty of cardiothoracic surgery remains one of the least diverse specialties in terms of gender and race.

5 min read
STS Workforce on Diversity, Equity, & Inclusion

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 niche and superpower in cardiothoracic surgery, and how his career has evolved over the years. "When I rotated on pediatrics, it was another level of everything perfect. It was art. This is what I wanted to do. I found my niche," said Dr. Ohye. 

50 mins.

The U.S. Food and Drug Administration (FDA) has issued a Class I recall for nearly 14,000 Abbott and Thoratec HeartMate left ventricular assist devices (LVADs). This recall comes after reports of multiple deaths and injuries associated with these devices, which are used to aid patients with advanced heart failure. 

The recalled devices include: 

  • Product names: HeartMate II and HeartMate 3 Left Ventricular Assist System (LVAS) 
  • Product codes: DSQ 
    • Class 1 Device Recall HeartMate II Left Ventricular Assist System (fda.gov) 
    • Class 1 Device Recall HeartMate 3 Left Ventricular Assist System (fda.gov) 
  • Model numbers:  Full List of Affected Devices 
  • Distribution dates: Starting April 21, 2008 

The problem at the center of this recall is the gradual buildup of biological material in these devices develops over 2 or more years, potentially obstructing the device and diminishing its ability to support the heart's pumping action. This issue can trigger alarms for low blood flow and impair the device's effectiveness. 

Recall Action: This recall is classified as a correction rather than a complete product withdrawal. The FDA has not advised the return of all affected devices. However, heightened vigilance concerning low-flow alarms, which may indicate significant outflow obstructions, is recommended. 

Customers should have received an Urgent Medical Device Correction letter on February 19, 2024, providing detailed guidance on monitoring for and addressing potential obstructions. 

Abbott and Thoratec have made efforts to educate physicians on the importance of heeding persistent low-flow alarms as early indicators of potential obstructions and have shared diagnostic recommendations to identify obstructions and discussed treatment options available for managing such issues.  

If you have questions about this recall, contact Abbott and Thoratec directly at (844) 692-6367. To report a problem with these devices, complete the FDA reporting form

Apr 16, 2024
2 min read
Image
advocacy Update
As Congress begins to determine appropriations levels for FY25, STS will continue to advocate for robust funding for critical government programs, which are vital for advancing patient care and medical research.
2 min read
Derek Brandt, JD, STS Advocacy

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.” 

1 hr.

In this short video, STS members exchange viewpoints on a new study that found patients with postoperative PE had increased 30-day mortality, reintubation, and readmission rates, which was presented at the 2024 STS Annual Meeting.

Robbin Cohen, MD, Cedars-Sinai at Huntington Hospital, is joined by the study’s lead author, Andrea L. Axtell, MD, MPH, an assistant professor of surgery at the University of Wisconsin School of Medicine and Public Health, Michael Smith, MD, Norton Thoracic Institute, St. Joseph’s Hospital & Medical Center, and John Mitchell, MD, University of Colorado Health, to discuss the research methodology, findings and impact on improving patient care. 

Apr 2, 2024
1 min read