Surgical Hot Topics

In a significant move, the US Department of Health and Human Services (HHS) has unveiled a comprehensive restructuring plan aimed at streamlining operations. This initiative will see the agency's workforce reduced by 10,000 full-time employees, alongside the consolidation of 28 divisions into 15. The workforce reduction is part of a larger administration-wide effort, cutting HHS's total employee count from 82,000 to 62,000. The restructuring is expected to have far-reaching implications, particularly for cardiothoracic surgeons and their patients. The process of evaluating and approving new treatments, medical devices, and surgical innovations may face changes, impacting the delivery of healthcare services and advancements in medical technology.

In the latest episode of Same Surgeon, Different Light, live from #STS 2025, co-hosts Drs. Sara Pereira and Cherie Erkmen speak with Dr. Stephen Yang, a professor of surgery and medical oncology at Johns Hopkins University, about how the cardiothoracic specialty can be further diversified through initiatives such as the Looking to the Future Scholarship. They also discuss how providing medical students and residents with mentorship, networking opportunities, and exposure to innovators at the Annual Meeting can inspire more of them to pursue cardiothoracic surgery. You'll also hear about his personal interests and hobbies, as well as how he stays in touch with his very first mentor—his high school biology teacher.

Do you ever say to yourself, “I don’t feel like doing this today?” On this episode, Tim Pychyl, PhD, procrastination researcher and author of Solving the Procrastination Puzzle, talks about procrastination and how to avoid it. Pychyl reveals the latest research on why people get stuck and offers strategies to "break free from self-destructive ideas and habits" and start living an inspired life. Listen today.

In a bold move, Robert F. Kennedy Jr., the newly appointed Secretary of the Department of Health and Human Services (HHS), has unveiled plans for a comprehensive restructuring of health agencies. This initiative is in response to President Trump's Executive Order on implementing the "Department of Government Efficiency" Workforce Optimization Initiative. The restructuring plan includes two major actions, with the most significant being the elimination of 10,000 employee positions across various departments. This initiative aims to streamline operations and enhance the efficiency of health agencies under Kennedy's leadership.

In this episode of Thinking Thoracic, co-host Dr. Jeff Yang welcomes Dr. Gavitt Woodard and Dr. Christopher Seder to discuss their recent research on lobectomy versus sublobar resection for early-stage non-small cell lung cancer. Their studies, leveraging data from The STS General Thoracic Surgery Database, provide valuable insights into the long-term survival outcomes of these surgical approaches. Hear from Dr. Woodard on how her study, recognized as the Richard E. Clark Memorial Paper, aimed to evaluate patient populations that were not well represented in prior randomized trials, such as older adults and those with poorer pulmonary function. Dr. Seder explains how his research took a complementary approach, examining over 32,000 patients from 2012 to 2022, with a focus on distinguishing the survival outcomes between lobectomy, segmentectomy, and wedge resection.   

In this episode of Same Surgeon, Different Light, new co-host Dr. Sara Pereira sits down with Dr. A.J. Carpenter, a cardiothoracic surgeon at UT Health, to explore her journey—from ski bum to earning a master's and PhD in physical education, working as a scientist, and becoming one of the first women to be board-certified in thoracic surgery. Throughout the conversation, Dr. Carpenter highlights the significance of mentorship, both giving and receiving, and shares valuable insights on how women can navigate challenging professional environments.

In this episode of Thinking Thoracic, Dr. Jane Yanagawa talks with Dr. Olujimi Ajijola, UCLA Health, about cardiac sympathetic denervation. They cover the basics, such as indications for CSD, and the latest advances to make surgery less invasive. The focus is on patients with severe ventricular arrhythmias for whom none of the conventional therapies available are effective. Listen today.

In the latest episode of Same Surgeon, Different Light, new co-host Dr. Cherie Erkmen explores the inspiring story of Dr. Andrea Wolf, a cardiothoracic surgeon at Mount Sinai Hospital who is also a single mom. Dr. Wolf shares the challenges and rewards of balancing her career with motherhood, highlighting how her son has influenced both her professional and personal life. Tune in to hear about her unique career path and the personal growth she has experienced along the way.

In this episode, we delve into the significant contributions of International Medical Graduates (IMGs) to the US healthcare system. IMGs are physicians who earned their medical degrees outside the United States, including US citizens who attended medical schools abroad. Discover how these dedicated professionals make up approximately 25% of the physician workforce in the US, bringing diverse experiences and perspectives to patient care. Join us as we explore the challenges and opportunities faced by IMGs in their journey to practice medicine in America.

The Annual Meeting for the STS is approaching fast, marking the 61st gathering of our Society. This tradition began in January 1965 in St. Louis, and continues to be a pivotal event in our community. An interesting milestone in our history was the 34th Annual Meeting in January 1998, held in New Orleans. It was the first to offer virtual attendance, allowing participants to experience digitized slides synchronized with audio files, showcasing the innovative spirit of our Society.

The Centers for Medicare & Medicaid Services (CMS) has finalized a significant policy change concerning the coding and reimbursements associated with 90-day surgical global periods. This development is poised to impact reimbursement processes for surgeons and their teams. With the new policy set to take effect on January 1, 2025, it is crucial for medical professionals to familiarize themselves with the details to ensure a smooth transition and continued compliance. This episode delves into the specifics of the policy, offering insights into its implications and necessary preparations.

The 2025 STS Annual Meeting marked an unforgettable experience for attendees, offering a vibrant platform for cardiothoracic surgeons to connect and share insights. This gathering provided an invaluable opportunity to discuss the challenges and opportunities within the field. A highlight of the event was the remarkable success of the STS-PAC fundraising efforts. Thanks to the generous contributions of 91 members, an impressive $84,000 was raised in just a few days, setting a new record for Annual Meeting fundraising. Attendees left the meeting with strengthened connections and a renewed commitment to advancing the field of cardiothoracic surgery.

The 2025 Society of Thoracic Surgeons Annual Meeting was an incredible experience, bringing together experts and professionals in the field. The vibrant city of Los Angeles served as a beautiful host, showcasing its resilience and strength. Amidst the backdrop of recent tragic wildfires, the community's ability to come together and overcome adversity was truly inspiring. The event highlighted both the advancements in thoracic surgery and the indomitable spirit of those affected by the wildfires.

In this episode, hear from Thinking Thoracic hosts, Drs. Erin Gillaspie, Hari Keshava, Jeff Yang, and Jane Yanagawa as they participated in a sublobar debate on extent of resection that took place at the 2025 STS Annual Meeting. Are you Team Wedge or Team Segment? Hear the unique perspectives and best practices from these experts on the extent of resection and quality metrics in lung cancer care, as well as other changing trends. 

In the season premiere of Same Surgeon, Different Light, new co-hosts Dr. Cherie Erkmen and Dr. Sara Pereira sit down with Dr. David T. Cooke, professor in the Division of General Thoracic Surgery at UC Davis Health, and Dr. Thomas Varghese, professor and section chief of General Thoracic Surgery at the University of Utah School of Medicine. Together, they reflect on the surprising and inspiring stories shared throughout previous seasons. The episode wraps up with Drs. Cooke and Varghese turning the tables on the hosts, asking about what’s in store for the upcoming season of Same Surgeon, Different Light.

Host Dr. Michael Maddaus talks with Jonathan Clark, leadership scholar at UTSA and co-author of Leading Through: Activating the Soul, Heart, and Mind of Leadership,  about prioritizing people, purpose and real productivity to transform an organization. Hear compelling stories that show how "the legacy model of leadership can be destructive," resulting in what he calls "organizational darkness." Learn about a positive model focused on caring for people and helping them thrive. 

In this episode, Dr. Hari Keshava talks with Dr. Sid Murthy, section head, thoracic surgery at Cleveland Clinic, about thoracic surgical emergencies related to pulmonary and lung surgeries...and how optimal management of these situations often requires surgeons to anticipate, collaborate and be prepared with a well-thought-out action plan. 

In this episode of The Resilient Surgeon, host Dr. Michael Maddaus talks with Dr. Ross Bremner, the executive director of Norton Thoracic Institute and the department chair of the Center for Thoracic Disease and Transplantation at St. Joseph’s Hospital and Medical Center, about surgeon burnout. Dr. Bremner shares his journey through burnout and how he used the 3 Cs - compassion, connection and creativity, to recover.  According to the National Institutes of Health, 40% of surgeons met criteria for burnout, defined as a high emotional exhaustion score and/or a high depersonalization score.

In this episode of Thinking Thoracic, Dr. Jane Yanagawa talks with Dr. Stephanie Worrell, clinical associate professor and thoracic section chief, division of cardiothoracic surgery, University of Arizona, about her expertise in esophageal perforation management. Hear how esophageal surgery can involve complications such as anastomotic leak, pain, bleeding, infection, and reflux and how surgeons can best handle them. 

A traveling, mobile lung screening program has the potential to diagnose cancer earlier, leading to a higher cure rate and lower death rate. In this episode of Thinking Thoracic, STS’s new podcast series, host Dr. Jeffrey Yang talks with Dr. Robert Headrick about CHI Memorial’s “Breathe Easy” mobile lung screening program and how meeting people where they are with quality healthcare services like this one is saving lives. Learn how to build a mobile lung screening program at a hospital and gain tips on assembling a multidisciplinary team, identifying eligible patient populations, securing funding and the necessary equipment, and more.