Why Choose Cardiothoracic Surgery as a Career?

Authors

  • Raja R. Gopaldas
  • Faisal G. Bakaeen
  • Danny Chu
  • Joseph S. Coselli
  • Denton A. Cooley

DOI:

https://doi.org/10.1532/HSF98.20101117

Abstract

The future of cardiothoracic surgery faces a lofty challenge with the advancement of percutaneous technology and minimally invasive approaches. Coronary artery bypass grafting (CABG) surgery, once a lucrative operation and the driving force of our specialty, faces challenges with competitive stenting and poor reimbursements, contributing to a drop in applicants to our specialty that is further fueled by the negative information that members of other specialties impart to trainees. In the current era of explosive technological progress, the great diversity of our field should be viewed as a source of excitement, rather than confusion, for the upcoming generation. The ideal future cardiac surgeon must be a "surgeon-innovator," a reincarnation of the pioneering cardiac surgeons of the "golden age" of medicine. Equipped with the right skills, new graduates will land high-quality jobs that will help them to mature and excel. Mentorship is a key component at all stages of cardiothoracic training and career development. We review the main challenges facing our specialty—length of training, long hours, financial hardship, and uncertainty about the future, mentorship, and jobs—and we present individual perspectives from both residents and faculty members.

References

Accreditation Council for Graduate Medical Education. 1992. Program requirements for residency education in thoracic surgery. Available at: http://www.acgme.org/acWebsite/downloads/RRC_progReq/460pr993_u1104.pdf'>http://www.acgme.org/acWebsite/downloads/RRC_progReq/460pr993_u1104.pdfnAmerican Board of Thoracic Surgery. 2007. New certification pathways and operative requirements. Available at: http://www.abts.org/sections/Certification/certification-articles/article.html'>http://www.abts.org/sections/Certification/certification-articles/article.htmlnAmerican Board of Thoracic Surgery. 2009. General requirements. Available at: http://www.abts.org/sections/Certification/General_Requirements/index.html'>http://www.abts.org/sections/Certification/General_Requirements/index.htmlnAmerican Board of Thoracic Surgery. 2010. Pathway one: subspecialty certification for candidates trained after July 1, 2008. Available at: http://www.abts.org/sections/Congenital%20Cardiac%20Subspecialty/Pathway_One/index.html'>http://www.abts.org/sections/Congenital%20Cardiac%20Subspecialty/Pathway_One/index.htmlnAmerican Medical Group Association. 2009. Physician Compensation Survey. Available at: http://www.cejkasearch.com/compensation/amga_physician_compensation_survey.htm'>http://www.cejkasearch.com/compensation/amga_physician_compensation_survey.htmnAssociation of American Medical Colleges. 2008. GQ student survey on priorities in medical education: all schools summary report. Available at: http://www.aamc.org/download/90058/data/2008ss.pdf'>http://www.aamc.org/download/90058/data/2008ss.pdfnBritt LG. 2002. The Southern solution to our current malaise. Ann Surg 235:607-10.nCooley DA. 2004. A critical decision. CTSNet. Available at: http://www.ctsnet.org/sections/residents/newhorizons/article-2.html'>http://www.ctsnet.org/sections/residents/newhorizons/article-2.htmlnCutler EC, Levine SA. 1923. Cardiotomy and valvulotomy for mitral stenosis: experimental observations and clinical notes concerning an operated case with recovery. Boston Med Surg J 188:1023-7.nDaemen J, Boersma E, Flather M, et al. 2008. Long-term safety and efficacy of percutaneous coronary intervention with stenting and coronary artery bypass surgery for multivessel coronary artery disease: a meta-analysis with 5-year patient-level data from the ARTS, ERACI-II, MASS-II, and SoS trials. Circulation 118:1146-54.nEdwards WS, Edwards PD. 1974. Alexis Carrel: Visionary Surgeon. Springfield, IL: Charles C. Thomas: 26.nEncyclopedia Britannica Online. 2010. Michael DeBakey. Available at: http://www.britannica.com/EBchecked/topic/154693/Michael-DeBakey'>http://www.britannica.com/EBchecked/topic/154693/Michael-DeBakeynFeins R. 2009. American Board of Thoracic Surgery/Integrated Programs. Presented at the Thoracic Surgery Directors Association General Session; May 9, 2009; Boston, MA. Available at: http://www.tsda.org/documents/PDF/TSDA%20Meetings/General%20Sessions%202009/ABTS_I-6_Comparison.Feins.5.09.pdf'>http://www.tsda.org/documents/PDF/TSDA%20Meetings/General%20Sessions%202009/ABTS_I-6_Comparison.Feins.5.09.pdfnGopaldas RR, Huh J, Bakaeen FG, et al. 2009. The impact of resident work-hour restrictions on outcomes of cardiac operations. J Surg Res 157:268-74.nGrover FL. 2008. The bright future of cardiothoracic surgery in the era of changing health care delivery: an update. Ann Thorac Surg 85:8-24.nHCUP Nationwide Inpatient Sample (NIS). 2000-2001. Healthcare Cost and Utilization Project (HCUP). Agency for Healthcare Research and Quality, Rockville, MD. Available at: http://www.hcup-us.ahrq.gov/nis-overview.jsp'>http://www.hcup-us.ahrq.gov/nis-overview.jspnIncorvaia AN, Ringley CD, Boysen DA. 2005. Factors influencing surgical career decisions. Curr Surg 62:429-35.nKouchoukos NT. 2000. Cardiothoracic surgery in the new millennium: challenges and opportunities in a time of paradox. Ann Thorac Surg 69:1303-11.nKouchoukos NT. 2004. Why become a cardiothoracic surgeon? CTSNet. Available at: http://www.ctsnet.org/sections/residents/newhorizons/article-.html'>http://www.ctsnet.org/sections/residents/newhorizons/article-.htmlnNaef AP. 1990. The Story of Thoracic Surgery: Milestones and Pioneers. New York, NY: Hogrefe & Huber: 94.nOmer S, Chu D, Huh J, et al. 2009. Outcomes of aortic valve replacement performed by residents in octogenarians. J Surg Res 156:139-44.nRemen RN. 1992. The eye of an eagle, the heart of a lion, the hand of a woman. Noetic Sci Rev 24:29-34.nSociety of Thoracic Surgeons. 2005. The STS Washington office: first-year results indicate solid future in health policy arena. STS News 11:1, 6. Available at: http://www.sts.org/documents/pdf/Summer_2005_STS_News.pdf'>http://www.sts.org/documents/pdf/Summer_2005_STS_News.pdfnTime Magazine. 1957. Medicine: Surgery's New Frontier. Available at: http://www.time.com/time/magazine/article/0,9171,809288,00.html'>http://www.time.com/time/magazine/article/0,9171,809288,00.htmlnTrendelenburg F. 1908. Operative management of pulmonary emboli. Verh Dtsch Ges Chir 37:89.nU.S. Census Bureau, Population Divison. 2004. US interim projection by age, sex, race, and Hispanic origin: 2000-2050. Available at: http://www.census.gov/ipc/www/usinterimproj'>http://www.census.gov/ipc/www/usinterimprojnVaporciyan AA, Reed CE, Erikson C, et al. 2009. Factors affecting interest in cardiothoracic surgery: survey of North American general surgery residents. J Thorac Cardiovasc Surg 137:1054-62.n

Published

2011-06-15

How to Cite

Gopaldas, R. R., Bakaeen, F. G., Chu, D., Coselli, J. S., & Cooley, D. A. (2011). Why Choose Cardiothoracic Surgery as a Career?. The Heart Surgery Forum, 14(3), E142-E148. https://doi.org/10.1532/HSF98.20101117

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