Surgical Hot Topics

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.

This episode delves into the pressing need to reevaluate the management strategies for Aortic Valve Disease (AVD) worldwide. With a focus on South Asian and Sub-Saharan African nations, the discussion highlights how low-income countries predominantly rely on surgical aortic valve replacement (SAVR) using mechanical valves. The episode explores the unique challenges faced in these regions, where patients are generally younger compared to those in high-income countries, and the disease often stems from rheumatic origins. The conversation aims to shed light on the disparities in treatment approaches and the necessity for tailored solutions that address the distinct characteristics of AVD in diverse global contexts.

As Lung Cancer Awareness Month begins, it's crucial to acknowledge the significant efforts made by STS over the past year to advocate for improved lung cancer outcomes and raise awareness. These initiatives are paving the way for better access to care and education. One of the key initiatives is the Mobile Lung Cancer Screening Initiative. STS is collaborating with institutions nationwide to help them secure funding and operational support for new mobile lung cancer screening units. These units are designed to enhance patient access to care, particularly in rural and underserved communities, ensuring that more individuals receive timely screenings and potentially life-saving interventions.

In this first episode of Thinking Thoracic, Dr. Erin Gillaspie talks with Dr. Wade Iams about notable takeaways on key clinical trials presented at the 2024 World Conference on Lung Cancer and how these findings will help shape the thoracic surgery landscape.

In this insightful episode, we explore the multifaceted role of surgeons as leaders throughout their careers. From their first day in practice to retirement, surgeons are at the helm of guiding their teams toward common objectives. Discover how successful leaders not only articulate and emphasize shared goals but also inspire their team members by acknowledging progress and the individuals driving it. Join us as we delve into the dynamics of creating a cohesive and effective team, and discuss whether having a common end goal is truly sufficient for success.

Early career cardiothoracic surgeons face the challenge of managing and developing crucial relationships, particularly with patients. These relationships can be a source of pride and healing or a cause of stress and contempt. While training provides explicit lessons on technical procedures, guidelines, and publications, it often lacks guidance on how to achieve the best and manage the worst aspects of patient relationships. This episode delves into the complexities of patient interactions and offers insights on navigating these critical dynamics effectively.

Dr. Steven Gerndt is a cardiothoracic surgeon, speaker, and leadership mentor who developed the concept “Civilitas,” a system-wide cultural transformation focused on psychological safety and fostering of leadership by example. In this episode, Dr. Gerndt talks about his work dedicated to helping organizations and people navigate personal crises through counseling, affirmation, and empathy. He shares the critical importance of allowing people in crisis to be heard.

In this week’s Resilient Surgeon episode, Sheila Heen, a lecturer on negotiation at Harvard Law School and co-author of Thanks for the Feedback and Difficult Conversations, talks about giving and receiving feedback and how we can be better at both. Specifically, Heen explains how to be less dismissive in the way we receive feedback and become genuinely grateful and appreciative of feedback from others. She also talks about creating a productive feedback culture in the workplace.  

Former US Navy Commander Mike Abrashoff joins Dr. Michael Maddaus for a conversation on leadership with humanity. Abrashoff shares his success in turning around a struggling ship, the USS Benfold, which became the subject of his New York Times bestselling book, It's Your Ship. Hear about his simple yet powerful approach to leading with compassion, empathy, and respect for others.

Join Dr. Michael Maddaus, host of The Resilient Surgeon, for a discussion with Amer Kaissi, professor of health care administration at Trinity University in San Antonio and author of Humbitious: The Power of Low Ego, High-Drive Leadership, about embracing change with an open approach rather than a defensive stance. Kaissi explains that when leaders "connect with humility and elevate with ambition" they can transform organizations. 

It's not what you do — it's what you do in-between what you do — that really matters. In this episode of The Resilient Surgeon, Dr. Michael Maddaus talks with Dr. Adam Fraser, leading educator and researcher on human performance and author of The Third Space: Using Life's Little Transitions to Find Balance and Happiness, about transitioning from one role, such as a surgeon, to the next role, such as a spouse or parent. Dr. Fraser explains, "We carry our mindset and emotional state from one of these activities to the next -- and all too often this has negative, occasionally disastrous consequences." Learn how to get the small stuff right and mentally "show up" for whatever comes next.