The Eggs May Be Teaching the Chickens

Slides:

Advertisements

Similar presentations

Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

Advertisements

Treating Constrictive Pericarditis in a Chinese Single-Center Study: A Five-Year Experience Yiyun Lin, MD, Mi Zhou, MMS, Jian Xiao, MD, Bin Wang, MD,

Giant Transdiaphragmatic Intercostal Hernia

The STS National Database

Neonatal Flail Tricuspid Valve: Diagnosis and Management

Rethinking the Ross Procedure in Adults

Kanika Trehan, MD, Xun Zhou, MD, Stephen C. Yang, MD

Diaphragmatic Defect Complicating Peritoneal Dialysis

Lisa M. Brown, MD, MAS, David T. Cooke, MD, Elizabeth A. David, MD

Atrial Fibrillation Correction Surgery: Lessons From The Society of Thoracic Surgeons National Cardiac Database James S. Gammie, MD, Michel Haddad, MD,

Pablo G. Sanchez, MD, PhD, Keshava Rajagopal, MD, PhD, Si M

Severe Pulmonary Valve Regurgitation 40 Years After Blunt Chest Trauma

Ex Vivo Bilateral Pulmonary Embolectomy for Donor Lungs Prior to Transplantation Mohammad Shihata, MD, Nitin Ghorpade, MD, Dale Lien, MD, Dennis Modry,

Isolated aortic valve replacement in North America comprising 108,687 patients in 10 years: Changes in risks, valve types, and outcomes in the Society.

A Survey of Cardiothoracic Surgical Training in the United Kingdom: Realities of a 6- Year Integrated Training Program Jeremy Smelt, MRCS, Gopal Soppa,

Tom C. Nguyen, MD, Matthew D. Terwelp, BBA, Elizabeth H

Jeffrey G. Gaca, MD, Shubin Sheng, PhD, Mani Daneshmand, MD, J

Surgical Removal and Replacement of Chronically Implanted Transcatheter Aortic Prostheses: How I Teach It Abeel A. Mangi, MD, Mahesh Ramchandani, MD,

James M. Meza, MD, John E. Rectenwald, MD, Rishindra M. Reddy, MD

Burdens Without Blessings: Peer Reviewers Get No Respect

Early Operation in Patients With Mitral Valve Infective Endocarditis and Acute Stroke Is Safe Mehrdad Ghoreishi, MD, Nate Foster, BS, Chetan Pasrija,

Denton A. Cooley, August 22, 1920, to November 18, 2016

Gender Differences in Long-Term Survival of Medicare Beneficiaries Undergoing Mitral Valve Operations Christina M. Vassileva, MD, Christian McNeely,

Surgical Repair of a Chronic Traumatic Sternal Fracture

Public policy and the practicing physician

Hassan Najafi, May 22, 1930–May 20, 2017 David M. Shahian, MD, L. Penfield Faber, MD, Douglas J. Mathisen, MD The Annals of Thoracic Surgery Volume.

Origins of the Cardiothoracic Surgery Network (CTSNet)

James D. St. Louis, MD The Annals of Thoracic Surgery

A Standardized Loop Technique for Mitral Valve Repair

Who Do You Say You Are? The Annals of Thoracic Surgery

Saving Lives Is More Important Than Abstract Moral Concerns: Financial Incentives Should Be Used to Increase Organ Donation Benjamin Hippen, MD, Lainie.

The “Double-Valve” Sign in Acute Type A Aortic Dissection

Use of Amiodarone After Major Lung Resection

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Lei Yu, MD, Tianxiang Gu, MD, PhD, Zongyi Xiu, MD, PhD

Aortic Valve Bypass for the High-Risk Patient With Aortic Stenosis

Transcatheter Aortic Valve Replacement: How I Teach It

Percutaneous Transcatheter Closure of the Aortic Valve

Repeat Sternotomy: No Longer a Risk Factor in Mitral Valve Surgical Procedures Mehrdad Ghoreishi, MD, Murtaza Dawood, MD, Gerald Hobbs, PhD, Chetan Pasrija,

Technique for Chordae Replacement in Mitral Valve Repair

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Prospective Assessment of the CryoMaze Procedure With Continuous Outpatient Telemetry in 136 Patients A. Claire Watkins, MD, Cindi A. Young, BSN, Mehrdad.

Editorial Board, January 2010

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

An Unusual Cause of Hemoptysis in a Young Woman

Preoperative Venoarterial Extracorporeal Membrane Oxygenation Slashes Risk Score in Advanced Structural Heart Disease A. Claire Watkins, MD, Nathan L.

Early and Midterm Outcomes of Folding Valvuloplasty Without Leaflet Resection for Myxomatous Mitral Valve Disease Minoru Tabata, MD, MPH, Ravi K. Ghanta,

The Annals of Thoracic Surgery

Minimally Invasive Surgical Aortic Valve Replacement Through a Right Anterior Thoracotomy: How I Teach It Mahesh K. Ramchandani, MD, Moritz C. Wyler.

L. Wiley Nifong, MD, Evelio Rodriguez, MD, W. Randolph Chitwood, MD

Sequential Design for Clinical Trials Evaluating a Prosthetic Heart Valve Cody Hamilton, PhD, Michael Lu, PhD, Steven Lewis, PhD, William Anderson, PhD

Patrick O. Myers, MD The Annals of Thoracic Surgery

Cost-Effectiveness of Mitral Valve Repair Versus Replacement by Biologic or Mechanical Prosthesis Ariel Beresniak, MD, PhD, Brigitte Sabatier, PharmD,

Invited Commentary The Annals of Thoracic Surgery

Robert Lee Replogle, September 30, 1931–May 9, 2016

Tricuspid Valve Repair of Idiopathic Papillary Muscle Rupture

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

The American Board of Thoracic Surgery: Update

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

James A. DeWeese, MD Journal of Vascular Surgery

Are There Enough Jobs in Cardiothoracic Surgery

Mark I. Block, MD The Annals of Thoracic Surgery

The Impact of New Technology on Cardiothoracic Surgical Practice

Marc R Moon, MD, Ralph J Damiano, MD, G

Heart Transplant Program Volume Is Not a Measure of Quality

Must Surgeons Tell Mitral Valve Repair Candidates About a New Percutaneous Repair Device That Is Only Available Elsewhere? Eric R. Skipper, MD, Kevin.

Cardiac Autotransplantation and Radical Bi-Atrial Resection for Recurrent Atrial Myxoma James S. Gammie, MD, A. Reza Abrishamchian, MD, Bartley P. Griffith,

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

J. Alberto Lopez, MD The Annals of Thoracic Surgery

David S. Mulder, MD The Annals of Thoracic Surgery

Presentation transcript:

The Eggs May Be Teaching the Chickens Bartley P. Griffith, MD The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1520-1524 (October 2013) DOI: 10.1016/j.athoracsur.2013.05.121 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Chinese colleague with Drs Ravitch, Starzl and Bahnson. 1983 in Shanghai, PRC. Courtesy of Bartley Griffith. The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Hyperspecialization helped to grow our regional reputation and referrals. (FY = fiscal year; UMMC = University of Maryland Medical Center.) The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Our group prioritized hyperspecialization, with the expectation that quality and clinical volume would follow. The effect of a surgeon's mitral valve volume is shown on the likelihood of repair vs replacement. The data were compiled from The Society of Thoracic Surgeons Database, courtesy of Dr James S. Gammie. The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The performance on the American Board of Thoracic Surgery (ABTS) oral and written examinations suggested serious differences in candidates. The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Integrated program (I-6) trainees and this year's applicants at the University of Maryland achieved outstanding United States Medical Licensing Examination (USMLE) scores relative to those averaged during the last 5 years in our independent training program. The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Our postgraduate year 2 integrated program (I-6) trainee and our laboratory fellow from the Department of Surgery (Cardiothoracic) appear as part of the ex-vivo lung perfusion (EVLP) laboratory/clinical-based team. (DLTx = double lung transplantation.) The Annals of Thoracic Surgery 2013 96, 1520-1524DOI: (10.1016/j.athoracsur.2013.05.121) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions