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The Journal of Thoracic and... Dec 2018
Topics: Canada; Internship and Residency; North America; Thoracic Surgery; Thoracic Surgical Procedures; United States
PubMed: 30139643
DOI: 10.1016/j.jtcvs.2018.07.016 -
The Journal of Thoracic and... Sep 2011
Topics: Clinical Competence; Humans; Internship and Residency; Mentors; Patient Care Team; Teaching; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 21724199
DOI: 10.1016/j.jtcvs.2011.05.017 -
The Annals of Thoracic Surgery Oct 2020
Topics: Betacoronavirus; COVID-19; Coronavirus Infections; Disease Transmission, Infectious; Humans; Pandemics; Periodicals as Topic; Pneumonia, Viral; SARS-CoV-2; Social Media; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 32425205
DOI: 10.1016/j.athoracsur.2020.05.006 -
The Journal of Thoracic and... Feb 2016
Topics: Cardiac Surgical Procedures; Cardiology Service, Hospital; Humans; Intensive Care Units; Patient Care Team; Thoracic Surgery; Time and Motion Studies
PubMed: 26611743
DOI: 10.1016/j.jtcvs.2015.10.045 -
The Journal of Thoracic and... Dec 2021
Topics: COVID-19; Humans; SARS-CoV-2; Taboo; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 33674063
DOI: 10.1016/j.jtcvs.2021.01.121 -
The Annals of Thoracic Surgery Dec 2021Thoracic surgery (TS) residency positions are in high demand. There is no study describing the nationwide attributes of successful matriculants in this specialty. We...
BACKGROUND
Thoracic surgery (TS) residency positions are in high demand. There is no study describing the nationwide attributes of successful matriculants in this specialty. We examined the characteristics of TS resident applicants and identified factors associated with acceptance.
METHODS
Applicant data from 2014 to 2017 application cycles was extracted from the Electronic Residency Application System and stratified by matriculation status. Medical education, type of general surgery residency, and research achievements were analyzed. The number of peer-reviewed publications and the corresponding impact factor for the journals where they were published were quantified.
RESULTS
There were 492 applicants and 358 matriculants. The overall population was primarily male (79.5%), white (55.1%), educated at United States allopathic medical schools (66.5%), and trained at university-based general surgery residencies (59.6%). Education at United States allopathic schools (odds ratio [OR], 2.54; P < .0001), being a member of the American Osteopathic Association (OR, 3.27; P = .021), general surgery residency affiliation with a TS residency (OR, 2.41; P = .0003) or National Cancer Institute designated Comprehensive Cancer Center (OR, 1.76; P = .0172), and being a first-time applicant (OR, 4.71, P < .0001) were independently associated with matriculation. Matriculants published a higher number of manuscripts than nonmatriculants (median of 3 vs 2, P < .0001) and more frequently published in higher impact journals (P < .0001).
CONCLUSIONS
Our study includes objective and quantifiable data from recent application cycles and represents an in-depth examination of applicants to TS residency. The type of medical school and residency, as well as academic productivity, correlate with successful matriculation.
Topics: Adult; Education, Medical, Graduate; Female; Humans; Internship and Residency; Male; Program Evaluation; Retrospective Studies; Schools, Medical; Surgeons; Thoracic Surgery; Thoracic Surgical Procedures; United States
PubMed: 33378696
DOI: 10.1016/j.athoracsur.2020.12.017 -
European Journal of Cardio-thoracic... Jan 2019Malignant pleural effusions (MPE) are a common pathology, treated by respiratory physicians and thoracic surgeons alike. In recent years, several well-designed... (Review)
Review
Malignant pleural effusions (MPE) are a common pathology, treated by respiratory physicians and thoracic surgeons alike. In recent years, several well-designed randomized clinical trials have been published that have changed the landscape of MPE management. The European Respiratory Society (ERS) and the European Association for Cardio-Thoracic Surgery (EACTS) established a multidisciplinary collaboration of clinicians with expertise in the management of MPE with the aim of producing a comprehensive review of the scientific literature. Six areas of interest were identified, including the optimum management of symptomatic MPE, management of trapped lung in MPE, management of loculated MPE, prognostic factors in MPE, whether there is a role for oncological therapies prior to intervention for MPE and whether a histological diagnosis is always required in MPE. The literature revealed that talc pleurodesis and indwelling pleural catheters effectively manage the symptoms of MPE. There was limited evidence regarding the management of trapped lung or loculated MPE. The LENT score was identified as a validated tool for predicting survival in MPE, with Brims' prognostic score demonstrating utility in mesothelioma prognostication. There was no evidence to support the use of oncological therapies as an alternative to MPE drainage, and the literature supported the use of tissue biopsy as the gold standard for diagnosis and treatment planning.Management options for malignant pleural effusions have advanced over the past decade, with high-quality randomized trial evidence informing practice in many areas. However, uncertainties remain and further research is required http://ow.ly/rNt730jOxOS.
Topics: Consensus; Disease Management; Europe; Humans; Pleural Effusion, Malignant; Pleurodesis; Societies, Medical; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 30060030
DOI: 10.1093/ejcts/ezy258 -
The Annals of Thoracic Surgery Sep 2020The Society of Thoracic Surgeons (STS) has intermittently surveyed its workforce, providing isolated accounts of the current state of thoracic surgical practice.
BACKGROUND
The Society of Thoracic Surgeons (STS) has intermittently surveyed its workforce, providing isolated accounts of the current state of thoracic surgical practice.
METHODS
The 70-question survey instrument was received by 3834 STS surgeon members, and responses were gathered between September 16 and November 1, 2019. The return rate was 27.9%.
RESULTS
The median age of the active United States (US) thoracic surgeons is 56 years. Women comprise 8.4% of the responders, constituting 6.2% of adult cardiac, 10.6% of congenital heart, and 12.6% of general thoracic surgeons. Most practicing US surgeons (83.5%) graduated from medical school in the US. Survey respondents had 7 (21.8%), 8 (25.0%), 9 (22.1%) or 10 (29.2%) or more years of post-MD training before entering practice. Educational debt was increased compared with previous years, as were salaries. Overall career satisfaction was 54.1% (very or extremely satisfied), and overall average hours per week worked decreased compared with past surveys. However, 55.7% of surgeons had symptoms of burnout and depression. STS Database participation was high (90.5%), with the most common reason for not participating being cost (32.6%). Operative volume over the past 12 months decreased for 23.7% of surgeons. Of those who responded, 46.9% plan to retire between the age of 66 and 69 years and a further 25.6% at age 70 or older.
CONCLUSIONS
These data provide a current, detailed profile of the specialty. Ongoing challenges remain length of training and educational debt. Case volumes, scope of practice, and career satisfaction have remained relatively constant: however, symptoms of burnout or depression or both, are common.
Topics: Adult; Advisory Committees; Aged; Education, Medical, Graduate; Female; Humans; Job Satisfaction; Male; Middle Aged; Societies, Medical; Surveys and Questionnaires; Thoracic Surgery; Thoracic Surgical Procedures; United States; Workforce
PubMed: 32418630
DOI: 10.1016/j.athoracsur.2020.04.004 -
European Journal of Cardio-thoracic... Jan 2017Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an... (Review)
Review
Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an incidence of 0.25-5%. It can also occur as extension of infection from adjacent structures such as the oesophagus, airways and lungs, or as descending necrotizing infection from the head and neck. In addition, there is a chronic form of 'chronic fibrosing mediastinitis' usually caused by granulomatous infections. In this expert consensus, the evidence for strategies for treatment and prevention of mediatinitis is reviewed in detail aiming at reducing the incidence and optimizing the management of this serious condition.
Topics: Consensus; Disease Management; Europe; Humans; Mediastinitis; Societies, Medical; Surgical Wound Infection; Thoracic Surgery; Thoracic Surgical Procedures
PubMed: 28077503
DOI: 10.1093/ejcts/ezw326 -
Brazilian Journal of Cardiovascular... Mar 2022Virtual and augmented reality can be defined as a three-dimensional real-world simulation allowing the user to directly interact with it. Throughout the years, virtual...
Virtual and augmented reality can be defined as a three-dimensional real-world simulation allowing the user to directly interact with it. Throughout the years, virtual reality has gained great popularity in medicine and is currently being adopted for a wide range of purposes. Due to its dynamic anatomical nature, permanent drive towards decreasing invasiveness, and strive for innovation, cardiac surgery depicts itself as a unique environment for virtual reality. Despite substantial research limitations in cardiac surgery, the current literature has shown great applicability of this technology, and promising opportunities.
Topics: Augmented Reality; Cardiac Surgical Procedures; Humans; Thoracic Surgery; Virtual Reality
PubMed: 34236814
DOI: 10.21470/1678-9741-2020-0511