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Ibrahim Sultan - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians.
The Journal of thoracic and cardiovascular surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P
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implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians
The Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P < .01). Abstract oral or poster presentations also increased, from 11 to 40 (0.61 vs 1.33 abstracts per resident; P = .01). Textbook chapters increased from 4 to 15 following the intervention (0.22 vs 0.5 chapters per resident; P = .01). CONCLUSIONS Implementation of a dedicated protocol to facilitate faculty mentoring of resident research and streamline the data access, analysis, and publication process substantially improved Cardiothoracic Surgery residents' academic productivity.
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Medical student perceptions of a career in Cardiothoracic Surgery: Results of an institutional survey
The Journal of thoracic and cardiovascular surgery, 2019Co-Authors: Garrett N. Coyan, Arman Kilic, Thomas G. Gleason, Matthew J. Schuchert, James D. Luketich, Olugbenga T. Okusanya, Angela Kinnunen, Ibrahim SultanAbstract:Abstract Objectives Recruiting medical students to Cardiothoracic Surgery is critical given new training paradigms and projected Cardiothoracic surgeon shortages. This study characterizes current perceptions and exposure to Cardiothoracic Surgery among all levels of medical students. Methods Currently active medical students at all levels at a US allopathic medical school were sent an invitation to complete an online survey. Baseline demographics, medical specialty interest, interest and exposure to cardiac Surgery specifically, and awareness of procedures performed by Cardiothoracic surgeons were evaluated. Five-point Likert scales were used to evaluate attitudes toward facets of the field of Cardiothoracic Surgery. Only complete surveys over the 4-week enrollment period were used for analysis. Results There were 126 surveys (22%) completed during the study period. Interest in Cardiothoracic Surgery at any point was indicated by 37% of students, but only 13% indicated an interest at the time of the survey. Interest among first-year students was greater than all other classes (30% vs Conclusions Although medical students report early interest in Cardiothoracic Surgery because of intellectual stimulation and patient care attributes, lack of early exposure and perceived poor lifestyle negatively affect interest in the field. Early interaction between students and Cardiothoracic faculty/trainees along with early exposure opportunities may increase recruitment.
Mara B. Antonoff - One of the best experts on this subject based on the ideXlab platform.
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The Current Status and Importance of Diversity in Cardiothoracic Surgery
Current Surgery Reports, 2020Co-Authors: Erin M. Corsini, Jacqueline K. Olive, Mara B. AntonoffAbstract:The Cardiothoracic Surgery workforce has historically comprised a relatively homogeneous community, in terms of gender diversity, as well as representation of racial and ethnic minorities and other underrepresented populations. However, significant efforts have been undertaken to promote an increasingly diverse and inclusive workforce in the field. Diversity of surgical providers remains a pertinent issue for the advancement of medical and surgical care, particularly within underrepresented communities. A diverse workplace begets novel thinking and stimulates collaboration in unique ways. Although the Cardiothoracic Surgery workforce is rapidly evolving, advances in academic realms continue to lag somewhat, with women and minorities disproportionally underrepresented. However, purposeful efforts are under way to promote gender and ethnic diversity among trainees as well as within the surgical leadership and among scholarly activities locally and nationally. The growth of women in thoracic Surgery as a professional organization has been instrumental in providing women at all training levels with formal leadership roles, scholarships, research projects, and additional career development opportunities. More recently, the Society of Thoracic Surgeons Workforce on diversity and inclusion was established to foster a broader acceptance of diversity and inclusion within the Society and specialty at large, and thus far has published findings on members’ attitudes and practice gaps as well as created an annual diversity symposium and several interdisciplinary partnerships. Other successful programs such as the American Association for Thoracic Surgery Leadership Academy and Thoracic Surgery Social Media Network have additionally made substantial strides toward inclusion and representation of women and minorities in this specialty. Notable efforts are underway to promote the inclusion of women and underrepresented minorities within Cardiothoracic Surgery, as well as to provide opportunities for exposure and networking to trainees interested in the field. Such advances are essential to the success of Cardiothoracic Surgery, enabling optimal care of our patients and pertinent research endeavors.
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Social media as a tool to rewrite the narrative for women in Cardiothoracic Surgery.
Interactive cardiovascular and thoracic surgery, 2019Co-Authors: Nikki Stamp, Jessica G.y. Luc, Maral Ouzounian, Farah Bhatti, Tamara Ni Hici, Mara B. AntonoffAbstract:To deliver the best possible care, the global surgical workforce should mirror the diverse society it is entrusted to serve. Cardiothoracic Surgery remains amongst the most under-represented of the surgical specialties for women. Herein, we describe the role of social media in the Cardiothoracic Surgery community and its potential to rewrite the narrative for women in Cardiothoracic Surgery.
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Novel Debate-Style Cardiothoracic Surgery Journal Club: Results of a Pilot Curriculum
The Annals of thoracic surgery, 2017Co-Authors: Jessica G.y. Luc, Tom C Nguyen, Clara S Fowler, Steven B Eisenberg, Randall K Wolf, Anthony L Estrera, Ara A Vaporciyan, Mara B. AntonoffAbstract:Background Traditional journal clubs addressing single articles are limited by the lack of a standardized process for conduct and evaluation. We developed a novel, debate-style journal club for trainees to use best available evidence to address controversial topics in Cardiothoracic Surgery through discussion of realistic patient scenarios. Methods After implementation of our new curriculum, trainee knowledge acquisition and retention were assessed by a summative test of published literature and standardized debate scoring. Feedback was additionally obtained by trainee and faculty surveys. Results Cardiothoracic Surgery trainees (n = 4) participated in five debates each over 10 monthly sessions. Written examination results after debate revealed a nonsignificant improvement in scores on topics that were debated compared with topics that were not (+9.8% versus −4.2%, p = 0.105). Trainee ability to sway the debate position supported by the attendee strongly correlated with trainee use of supporting literature ( r = 0.853), moderately correlated with persuasiveness ( r = 0.465), and overall effect of the debate ( r = 0.625). Surveys completed by trainees and faculty unanimously favored the debate-style journal club as compared to the traditional journal club in gaining familiarity and applying published literature to questions encountered clinically. Conclusions Our novel debate-style Cardiothoracic Surgery journal club is an effective educational intervention for Cardiothoracic Surgery trainees to acquire, retain, and gain practice in applying specialty-specific literature-based evidence to controversial case-based issues. Evaluation by multi-institutional expansion is needed to validate our preliminary findings in this initial trainee cohort.
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a structured debate style Cardiothoracic Surgery journal club for trainee acquisition and application of seminal literature
MedEdPORTAL : the journal of teaching and learning resources, 2016Co-Authors: Mara B. Antonoff, Jessica G.y. Luc, Tom C Nguyen, Clara S Fowler, April Aultman Becker, Steven B Eisenberg, Randall K Wolf, Anthony L Estrera, Ara A VaporciyanAbstract:Introduction The acquisition of specialty-specific seminal literature and its application to daily, clinical patient-care decisions are critical components of clinical training. This structured, debate-style Cardiothoracic Surgery journal club module engages trainees in discussion of realistic patient scenarios, incorporating an extensive body of literature identified as the best evidence for the practice of Cardiothoracic Surgery. Methods We designed the structured, debate-style Cardiothoracic Surgery journal club and delivered it to University of Texas MD Anderson Cancer Center Cardiothoracic Surgery trainees. Overall assessment of knowledge acquisition consisted of both direct judging of debates by faculty facilitators and a year-end written test of trainee knowledge. Associated materials include guidelines and resources for faculty facilitators and trainees to prepare them for the journal club debate. Also included are Cardiothoracic Surgery patient cases, PowerPoint presentation slides, a debate score sheet, and multiple-choice knowledge tests with answer keys. Results Our structured, debate-style Cardiothoracic Surgery journal club is an effective educational intervention for Cardiothoracic surgical trainees to gain practice in applying specialty-specific, literature-based evidence to particular patient problems. Discussion This resource may be used by course directors for Surgery, for independent study by individuals planning to matriculate into surgical residencies, or as a review for those already in surgical training. Moreover, this curriculum can be delivered at other clinical training programs.
Garrett N. Coyan - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians.
The Journal of thoracic and cardiovascular surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P
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implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians
The Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P < .01). Abstract oral or poster presentations also increased, from 11 to 40 (0.61 vs 1.33 abstracts per resident; P = .01). Textbook chapters increased from 4 to 15 following the intervention (0.22 vs 0.5 chapters per resident; P = .01). CONCLUSIONS Implementation of a dedicated protocol to facilitate faculty mentoring of resident research and streamline the data access, analysis, and publication process substantially improved Cardiothoracic Surgery residents' academic productivity.
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Medical student perceptions of a career in Cardiothoracic Surgery: Results of an institutional survey
The Journal of thoracic and cardiovascular surgery, 2019Co-Authors: Garrett N. Coyan, Arman Kilic, Thomas G. Gleason, Matthew J. Schuchert, James D. Luketich, Olugbenga T. Okusanya, Angela Kinnunen, Ibrahim SultanAbstract:Abstract Objectives Recruiting medical students to Cardiothoracic Surgery is critical given new training paradigms and projected Cardiothoracic surgeon shortages. This study characterizes current perceptions and exposure to Cardiothoracic Surgery among all levels of medical students. Methods Currently active medical students at all levels at a US allopathic medical school were sent an invitation to complete an online survey. Baseline demographics, medical specialty interest, interest and exposure to cardiac Surgery specifically, and awareness of procedures performed by Cardiothoracic surgeons were evaluated. Five-point Likert scales were used to evaluate attitudes toward facets of the field of Cardiothoracic Surgery. Only complete surveys over the 4-week enrollment period were used for analysis. Results There were 126 surveys (22%) completed during the study period. Interest in Cardiothoracic Surgery at any point was indicated by 37% of students, but only 13% indicated an interest at the time of the survey. Interest among first-year students was greater than all other classes (30% vs Conclusions Although medical students report early interest in Cardiothoracic Surgery because of intellectual stimulation and patient care attributes, lack of early exposure and perceived poor lifestyle negatively affect interest in the field. Early interaction between students and Cardiothoracic faculty/trainees along with early exposure opportunities may increase recruitment.
Arman Kilic - One of the best experts on this subject based on the ideXlab platform.
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Implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians.
The Journal of thoracic and cardiovascular surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P
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implementation of a protocol to increase the academic productivity of Cardiothoracic Surgery resident physicians
The Journal of Thoracic and Cardiovascular Surgery, 2020Co-Authors: Garrett N. Coyan, Matthew J. Schuchert, Angela Kinnunen, Ibrahim Sultan, Laura Seese, Danny Chu, Arman KilicAbstract:OBJECTIVE Academic productivity during Cardiothoracic Surgery residency training is an important program metric, but is highly variable due to multiple factors. This study evaluated the influence of implementing a protocol to increase resident physicians' academic productivity in cardiac Surgery. METHODS A comprehensive protocol for cardiac Surgery was implemented at our institution that included active pairing of residents with academically productive faculty, regular research meetings, centralized data storage and analysis with a core team of biostatisticians, a formal peer-review protocol for analytic requests, and project prioritization and feedback. We compared Cardiothoracic Surgery residents' academic productivity before implementation (July 2015-June 2017) versus after implementation (July 2017-June 2019). Academic productivity was measured by peer-reviewed articles, abstract presentations (oral or poster) at national Cardiothoracic Surgery meetings, and textbook chapters. RESULTS Thirty-four resident physicians (from traditional and integrated programs) trained at our institution during the study. A total of 122 peer-reviewed articles were produced over the course of the study: 74 (60.7%) cardiac- and 48 (39.3%) thoracic-focused. The number of cardiac-focused resident-produced articles increased from 10 preimplementation to 64 postimplementation (0.61 vs 2.03 articles per resident; P < .01). Abstract oral or poster presentations also increased, from 11 to 40 (0.61 vs 1.33 abstracts per resident; P = .01). Textbook chapters increased from 4 to 15 following the intervention (0.22 vs 0.5 chapters per resident; P = .01). CONCLUSIONS Implementation of a dedicated protocol to facilitate faculty mentoring of resident research and streamline the data access, analysis, and publication process substantially improved Cardiothoracic Surgery residents' academic productivity.
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Medical student perceptions of a career in Cardiothoracic Surgery: Results of an institutional survey
The Journal of thoracic and cardiovascular surgery, 2019Co-Authors: Garrett N. Coyan, Arman Kilic, Thomas G. Gleason, Matthew J. Schuchert, James D. Luketich, Olugbenga T. Okusanya, Angela Kinnunen, Ibrahim SultanAbstract:Abstract Objectives Recruiting medical students to Cardiothoracic Surgery is critical given new training paradigms and projected Cardiothoracic surgeon shortages. This study characterizes current perceptions and exposure to Cardiothoracic Surgery among all levels of medical students. Methods Currently active medical students at all levels at a US allopathic medical school were sent an invitation to complete an online survey. Baseline demographics, medical specialty interest, interest and exposure to cardiac Surgery specifically, and awareness of procedures performed by Cardiothoracic surgeons were evaluated. Five-point Likert scales were used to evaluate attitudes toward facets of the field of Cardiothoracic Surgery. Only complete surveys over the 4-week enrollment period were used for analysis. Results There were 126 surveys (22%) completed during the study period. Interest in Cardiothoracic Surgery at any point was indicated by 37% of students, but only 13% indicated an interest at the time of the survey. Interest among first-year students was greater than all other classes (30% vs Conclusions Although medical students report early interest in Cardiothoracic Surgery because of intellectual stimulation and patient care attributes, lack of early exposure and perceived poor lifestyle negatively affect interest in the field. Early interaction between students and Cardiothoracic faculty/trainees along with early exposure opportunities may increase recruitment.
Clarence S Thomas - One of the best experts on this subject based on the ideXlab platform.
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the association of diabetes and glucose control with surgical site infections among Cardiothoracic Surgery patients
Infection Control and Hospital Epidemiology, 2001Co-Authors: Robert H Latham, Ava D Lancaster, Janet F Covington, John S Pirolo, Clarence S ThomasAbstract:Objective: To assess the importance of diabetes, diabetes control, hyperglycemia, and previously undiagnosed diabetes in the development of surgical-site infections (SSIs) among Cardiothoracic Surgery patients. Setting: A 540-bed tertiary-care university-affiliated hospital. Design: Prospective cohort and case-control studies. Patients: All patients having Cardiothoracic Surgery between November 1998 and September 1999 were eligible for participation. One thousand patients had preoperative hemoglobin Ale determinations. Seventy-four patients with SSIs were identified. Results: Diabetes (odd ratio [OR], 2.76; P P =.007) were independently associated with development of SSIs. Among known diabetics, elevated hemoglobin Ale values were not associated with a statistically significantly increased risk of infection; the mean Ale value was 8.44% among those with infections compared with 7.80% for those without ( P =.09). Forty-two (6%) of 700 patients without prior diabetes history had evidence of undiagnosed diabetes; their infection rate was comparable to that of known diabetics (3/42 [796] vs 17/300 [6%]; P =.72). An additional 30% of nondiabetics had elevated hemoglobin Ale determinations or perioperative hyperglycemia. Conclusions: Postoperative hyperglycemia and previously undiagnosed diabetes are associated with development of SSIs among Cardiothoracic Surgery patients. Screening for diabetes and hyperglycemia among patients having Cardiothoracic Surgery may be warranted to prevent postoperative and chronic complications of this metabolic abnormality.