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STS News, the Society’s quarterly magazine for members only, brings you the latest CT surgery news, research, advocacy updates, surgeon stories, and more to help keep you in the know and connected to your peers. Read it today. 

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STS Launches New Podcast Series: Thinking Thoracic 

The Society of Thoracic Surgeons introduces Thinking Thoracic, a new podcast series that dives deep into the latest advancements and breakthroughs shaping the future of thoracic surgery.

Hosted by Dr. Hari Keshava, Dr. Jeff Yang, Dr. Erin Gillaspie, and Dr. Jane Yanagawa, tune in to discover the latest research, surgical techniques, and trends to expand your knowledge, challenge your thinking, and help you stay ahead of the curve.  

Listen Today!

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thinking thoracic

Latest news

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. Listen today. 
 

40 mins

The rapid advancement of robotic technology has revolutionized the field of thoracic surgery. At the same time, the technological leap has highlighted a pressing need to bridge the educational gap in the training of thoracic surgery trainees. To address this issue, the Society of Thoracic Surgeons has developed an expert consensus document outlining a framework for a standardized national robotic curriculum.

A recent paper published in The Annals of Thoracic Surgery, authored by the Task Force on Robotic Thoracic Surgery and the Workforce on E-learning and Educational Innovation, has provided expert consensus statements for thoracic surgery training programs. This paper was created following an extensive literature review and expert consensus achieved through a modified Delphi process. It outlines expectations for programs, essential training components, as well as assessment and feedback methods.

Program Expectations

  • Standardization: The consensus document advocates for standardized robotic thoracic curricula across all Accreditation Council for Graduate Medical Education-accredited programs.
  • Dual Console Training: Trainees should have ample opportunity to practice on dual consoles during most cases to actively participate in the surgical process.
  • Bedside Assistance: The presence of a trained bedside assistant during teaching cases is strongly recommended.

Components of Training

  • Theoretical & Practical: The curriculum must integrate theoretical and practical learning.
  • Pre-Console Training: Online modules on robotic components and hands-on training are mandatory before console surgery.
  • VR Simulation: Proficiency in digital/virtual reality simulation modules is a prerequisite for console surgery.
  • Wet Lab Training: Mandatory participation in at least one wet lab per year.
  • Emergency Conversion: Mandatory to perform with the trainees or OR team at least once a year.

Assessment and Feedback

  • Skill Assessment: Utilize objective tools like Global Evaluative Assessment of Robotic Skills to assess technical competency.
  • EPA Development: Develop Entrusted Professional Activity for pulmonary resection.
  • Performance Review: Regular video review and analysis of robotic performances provide valuable feedback.

By implementing the recommendations outlined in this expert consensus document, thoracic surgery training programs can ensure that trainees are well-prepared to perform complex robotic procedures and contribute to the advancement of thoracic surgery.

"Robotic surgery is rapidly evolving, and it's crucial that our training programs keep pace,” said Samuel Kim, MD, Northwestern Medicine, who chaired the task force that produced the document. "To ensure a skilled workforce capable of meeting the demands of modern thoracic surgery, we must prioritize a standardized curriculum that enhances resident education and bridges any existing educational disparities across training programs. By fostering a comprehensive learning environment that emphasizes both refined technical skills and sound clinical judgment, we can effectively train the next generation of surgical leaders."

Read the Annals article here.

Jan 6, 2025
2 min read
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US Capitol building with blue skies

STS is proud to share key advocacy achievements from 2024 that have advanced the field of cardiothoracic surgery and improved patient care. These successes reflect the dedication and collaboration of our members, leaders, and staff in influencing critical policy decisions and advocating for the profession.

3 min read
Derek Brandt, JD, STS Advocacy
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advocacy

The Centers for Medicare & Medicaid Services (CMS) recently finalized a new policy impacting the coding and reimbursements for 90-day surgical global periods. This change may impact reimbursement so surgeons and their staff should learn about the details of this policy going into effect on January 1, 2025.

6 min read
Molly Peltzman, STS Advocacy

It is with profound sadness that we announce the passing of Dr. Albert Starr, a pioneer in the field of cardiothoracic surgery, who passed away on Dec. 12, 2024, at age 98. Dr. Starr served as the 21st president of The Society of Thoracic Surgeons from 1985 to 1986, leaving an enduring impact on the specialty and the Society.

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Dr. Albert Starr

Dr. Starr received his medical degree from Columbia University College of Physicians and Surgeons in 1954. After an internship at Johns Hopkins, he completed his general and thoracic surgical residencies at Bellevue and Presbyterian Hospitals in New York City. He was recruited to Oregon in 1957 to head a new heart surgery program at the University of Oregon Medical School, now the Oregon Health & Science University Heart Institute.

His drive for innovation led him to collaborate with engineer Lowell Edwards, which resulted in the development of the Starr-Edwards heart valve—one of the first successful artificial heart valves used in humans. The Starr-Edwards valve revolutionized the treatment of valvular heart disease and is considered one of the most significant advances in cardiac surgery in the 20th century.

Throughout his career, Dr. Starr remained a tireless advocate for the improvement of heart valve surgery. His pioneering work not only advanced surgical techniques but also laid the groundwork for the development of future generations of heart valves. His leadership in cardiothoracic surgery, both in the operating room and in the broader medical community, earned him recognition as a visionary in the field.

Dr. Starr’s tenure as president of The Society of Thoracic Surgeons was marked by his passion for fostering education, research, and collaboration within the Society. He was instrumental in advancing the Society’s mission of improving patient care through the dissemination of knowledge and the promotion of cutting-edge surgical practices.

“The positive forces of technological innovation, entrepreneurial activity, and capital availability will ensure a future of opportunity and growth,” Dr. Starr said in his 1986 presidential address. “The thoracic surgical industry will continue to be a source of great excitement to us and of benefit to our patients.”

Dr. Starr was the 2007 co-recipient of the prestigious Albert Lasker Award for Clinical Medical Research with Alain Carpentier in recognition of their development of prosthetic mitral and aortic valves, which have prolonged and enhanced the lives of millions of people with heart disease.

Beyond his clinical and academic contributions, Dr. Starr was a beloved mentor, guiding countless residents, international fellows and surgeons who would go on to achieve their own successes. His kindness, wisdom, and dedication to improving patient outcomes will continue to inspire those in the field for generations to come.

His legacy in the field of thoracic surgery is immeasurable, and his memory will continue to shape the future of our profession.

Learn more about Dr. Starr here and here.

Dec 20, 2024
3 min read
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Capitol building

Access to early cancer detection is crucial for saving lives. Unfortunately, many Americans living in rural or underserved areas struggle to access screenings.

2 min read
Derek Brandt, JD, STS Advocacy
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career dev blog

The STS Annual Meeting is only a few short weeks away. Currently, we are preparing to gather for the 61st Annual Meeting of our Society, with the first being held in January of 1965 in St. Louis.

4 min read
Joseph D. Phillips, MD

 

David A. Fullerton, MD, Renowned Cardiothoracic Surgeon and Former President of The Society of Thoracic Surgeons, Dies at 72

Dr. David Fullerton, the ultimate gentleman surgeon, trainee advocate, and protector of patient safety, passed away peacefully on Dec. 15, 2024, at the age of 72. His death marks the loss of a revered physician, educator, and leader whose contributions to the specialty have left an indelible mark on the lives of countless patients and medical professionals alike.

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Dr. Fullerton

Over the course of his distinguished career, he became known for his exceptional skill in complex procedures, his compassionate care, and his tireless commitment to advancing the practice of cardiothoracic surgery and critical care.

Born in Texas, Dr. Fullerton received his undergraduate degree from Southern Methodist University and his medical degree from the University of Missouri School of Medicine. He completed a residency in general surgery at the University of Washington and a cardiothoracic surgery residency at the University of Colorado.

Dr. Fullerton went on to work at Northwestern University in Chicago as Chief of Cardiothoracic Surgery and Director of the Thoracic Surgery Residency Program. He later returned to the University of Colorado, where he led the Division of Cardiothoracic Surgery from 2003-2022, while also serving as Director of Cardiothoracic Surgical Research and Director of the University’s Thoracic Surgery Residency Program. In addition, he served as Cardiac Surgeon-in-Chief and Co-Medical Director of the Cardiothoracic Surgical Intensive Care Unit for the University of Colorado Hospital.

A leader within the medical community, Dr. Fullerton served as president of The Society of Thoracic Surgeons in 2014-15. Under his leadership, STS made significant strides in enhancing surgical standards, promoting innovation, and fostering collaboration among clinicians and researchers. His advocacy for improved quality metrics and the incorporation of evidence-based practices in thoracic surgery earned him respect among his peers and inspired the next generation of surgeons. In his presidential address, Dr. Fullerton made an impassioned plea for expanding access to heart and lung surgery in underserved areas of the world.

Dr. Fullerton also dedicated a significant part of his professional career to the American Board of Thoracic Surgeons, serving as a Director, then as Chairman and Executive Director. Reflecting on his time with the ABTS, Dr. Fullerton said, “As a specialty, what we do is inherently high-risk and…requires great skill and leadership. ABTS board certification is a tangible demonstration that one has accomplished what is required to be a thoracic surgeon.”

Dr. Fullerton also held prominent leadership positions at the American College of Surgeons, Thoracic Surgery Directors Association, Thoracic Surgery Foundation, and Western Thoracic Surgical Association.

Throughout his career, Dr. Fullerton received numerous honors and awards, including recognitions as America’s Top Doctor and Best Doctors in America. He was a sought-after speaker at medical conferences. His passion for education was evident in his mentorship of young surgeons, many of whom went on to achieve great success in their own careers.

Dr. Fullerton's legacy extends far beyond his technical expertise. He was known for his integrity, his unwavering commitment to his patients, and his generosity in sharing knowledge. He mentored hundreds of medical students, residents, and colleagues in both academia and community-based practice.

His genial and welcoming nature defined him. He was truly the quintessential gentleman – respectful and always lending an ear and his keen mind to listen to a variety of opinions and thoughts from anyone. Dr. Fullerton's contributions to the profession have left an enduring mark on the specialty, and his influence will be felt for years to come.

He is survived by his wife, Christine, sons Patrick and Daniel, and a host of colleagues, friends, and former trainees who will remember him as a mentor, leader, and friend.

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Dr. Fullerton image collage
Dec 17, 2024
3 min read
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retirement

All medication strips and packages carry the date of manufacture and the date of expiration. As physicians, we know our date of birth and date of retirement. It is known as soon as you enter employment and maybe a few years different in various regions. Not preparing for a relaxed stress-free post-retirement life is inviting stress. 

4 min read
Dr. A. Sampath Kumar

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Dr. Sharon Ben-Or and her surgical team.

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STS wants to hear from its members and share their news and stories with others. Working on new research or an innovative initiative? Making an exciting career move? Receiving a promotion? Honored with an industry award?  Send us an email at stsnews@sts.org.