In CTSNet’s flagship podcast, editor in chief Joel Dunning runs through the latest, most popular content on ctsnet.org—the largest online community of CT surgeons and source of CT surgery information—and breaking cardiothoracic surgery news and research from around the world.
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May 31, 2003
Despite a half-century of experience in heart valve reconstruction, the tricuspid valve has been a "second class structure" for cardiac surgery. More than 20 years ago, the high incidence of tricuspid disease in our population, encouraged us to attempt to clarify the indications for repair, particularly in patients with functional tricuspid incompetence.
April 23, 2003
Comments on "We Need an Attitude Adjustment" by Benson Wilcox, M.D.
March 26, 2003
Our society has changed vastly over the years in both positive and negative ways. Despite constant nonlinear changes, our medical community has evolved in a positive way toward better services for patients through improved hospital care, advancing technology, genomic discoveries, better training, improved medical records, outcomes-based therapy and closer self-scrutiny.
February 25, 2003
Women in the field of thoracic surgery were here to stay after Nina Braunwald, M.D., Ann McKiel and Nermin Tutunju became the first women certified by the American Board of Thoracic Surgery in 1961. Dr. Braunwald, in 1968, established a program in cardiovascular surgery at the University of CA in San Diego. By 1968, there were only five women certified by the American Board of Thoracic Surgery.
February 6, 2003
In 1993 I finished my cardiothoracic residency and an additional year as the chief resident at the "number one cardiac surgery hospital in the country." I felt like Leonardo Dicaprio in Titanic: " I was on top of the world." So how is it that nine years later I've been unemployed for 3 months and actively looking for a job for 9 months without success?
December 29, 2002
The learning curve is no stranger to individuals involved in learning surgical techniques, and can be painfully obvious to those involved in the training. Yet, there is one aspect of the learning curve that has eluded me for many years. I cannot identify what I learned or taught exactly with pinpoint accuracy to come off that steep slope. Sometimes it is not an exact and precise skill, but rather time and repetition alone.
December 1, 2002
Even cardiothoracic surgeons, who are characteristically fearless in facing their patients' complex problems decisively, may sometimes find it hard to be equally resolute when confronting certain challenges in their personal lives. In particular, some surgeons are deeply apprehensive about the prospect of retirement, particularly as it involves making a transition to life outside the operating room.
October 16, 2002
Presently, during the Technological era (arbitrarily defined as the beginning of jet travel) and with increasingly sophisticated means of travel and communication, man finds him/herself less constrained by regular work hours and workplaces. Much work can be performed out of the home (if one wishes) and at any time of the day or night. Travel is rapid and communication almost instantaneous.
October 16, 2002
As members of our cardiothoracic surgical specialty are subjected to an increasing frequency and variety of stresses, ethical considerations are assuming a more prominent role in everyday practice. Frustrated by the ever-changing procedural and financial restrictions of Medicare and managed care; by the complexities of business arrangements with partners, competitors, referring physicians and hospitals; by the inducements to utilize new drugs, devices and protocols; by the unrelenting pressure to lower morbidity and expected/ observed mortality rates; by shortening hospital lengths of stays and constraining hospital costs, today's surgeons are experiencing difficulties in avoiding conflicts of interest or obligation. Consequently, there is added responsibility to function as moral fiduciaries and patient advocates, protecting and promoting the patients' best interes
July 24, 2002
The Society of Cardiothoracic Surgeons of Great Britain and Ireland SCTS was founded in 1934 and was initially devoted to the practice of thoracic surgery, which at that time was mostly for tuberculosis. After World War II, with such pioneers as Lord Brock and Sir Thomas Holmes-Sellors, cardiac surgery was introduced and the number of cardiothoracic surgeons steadily increased.