Mentorship is an important component to success for many up-and-coming cardiothoracic surgeons. For established surgeons, being a good mentor is equally as important. Vinay Badhwar, MD (West Virginia University) moderates a discussion that includes Shanda H. Blackmon, MD, MPH (Mayo Clinic), Melanie A. Edwards, MD (Saint Louis University), and David D. Odell, MD, MMSc (Northwestern University) talking about how mentorship is critical to the future of the specialty and what STS is doing to promote mentorship for early career surgeons.

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
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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
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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 panel discussion, 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.

Duration
10 min

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

Overview

UC Davis Health, based in Sacramento, California, knew that implementing quality improvement measures required operational and clinical analytics to guide process development and care redesign efforts. This case study explains how the health system addressed clinical documentation challenges through better data, education, communication, and collaboration across disciplines and delivered better patient outcomes. 

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advocacy

In March, Congress passed its annual appropriations package for fiscal year (FY) 2024, allocating nearly $2 trillion to fund the government through September 30, 2024. This package includes resources for essential government agencies and research programs that drive medical advances, enhance care quality, and disseminate best practices.

3 min read
Derek Brandt, JD, STS Advocacy