Insights from the thoracic surgery residents association early-career development series

Central MessageA well-developed plan, mentorship, good attitude, and hard work are the recurring themes for early-career success in cardiothoracic surgery.PerspectiveThe leap from cardiothoracic trainee to practicing surgeon is one of the most challenging in one's career. The Thoracic Surgery Resident Association identified several individuals who have demonstrated early-career success after this transition to learn their keys to success. We provide a concise summary of this information for all trainees preparing for this transition.The Thoracic Surgery Resident Association (TSRA) organized a webinar series entitled “Bridging the Gap: Tips for Early-Career Success in Cardiothoracic Surgery,” focused on strategies for early-career success in cardiothoracic surgery. Each of these 6 sessions was moderated by a TSRA Executive Committee member and featured early-career surgeons who have recently transitioned into practice and demonstrated success in integrating new techniques or clinical focus. Topics included robotic cardiac surgery, congenital surgery, atrial fibrillation surgery, thoracic surgery, transplant and heart failure, as well as structural heart.The TSRA Executive Committee, in a multistep process, selected the early-career surgeons for the webinar series. We first identified the 6 topics most important to trainees preparing to transition into practice. Next, we solicited nominations for junior faculty that, in the view of TSRA members, embodies successful transition to practice based on clinical volume, outcomes, and reputation. The TSRA Executive Committee then voted on individuals for each session, and they were invited to participate with a 100% invite acceptance rate.Robotic Cardiac SurgeryThe first episode in this series focused on robotic cardiac surgery and featured a discussion with Dr Gianluca Torregrossa, a clinical associate of surgery at the University of Chicago, and Dr Brittany Zwischenberger, an assistant professor of surgery at Duke University. During an excellent discussion moderated by Dr David Blitzer from Columbia University, there were several important points that were emphasized. First, and most importantly, Drs Torregrossa and Zwischenberger emphasized the need to develop extensive experience and confidence with traditional cardiac surgery before attempting to develop robotic experience or a robotic program. Dr Torregrossa specifically recommended working for several years with traditional surgery before pursuing robotic training. Dr Torregrossa described a series of 4 habits that are critical for robotic surgery. First, he recommended gaining experience with the robot in any surgical venue, be it cardiac or gynecologic surgery. Second, he recommended extensive experience with the robot simulator. Third, we were advised to record and review one's robotic cases to search for areas of improvement by oneself or with a mentor. Similarly, his fourth suggestion was to review videos of more-experienced robotic surgeons to discover areas for technical improvement.Once ready to begin a robotic program, Dr Torregrossa described a need for 2 key inputs. The first is mentorship; either within or outside of your institution, from someone who can help train you in robotic surgery and proctor your first cases. When searching for mentorship, Dr Torregrossa recommended searching for someone with diverse robotic experience and a known reputation as an educator. The second key input is support from your institution and department, as developing a successful robotic surgery program is dependent on consistent experience and buy-in from a team that includes nurses, anesthesiologists, partner surgeons, and hospital administrators. Looking to the future, Dr Torregrossa predicted an expanding role for robotic cardiac surgery, as patient preferences are steered toward identified a need for with robotic and clinical a trainee the from this episode the of a to after cardiothoracic to begin a robotic cardiac surgery in Cardiac SurgeryThe second episode in the series focused on early-career and for congenital cardiac Dr of the and Dr of the University of as for a discussion moderated by Dr of the University of The discussion on to at all of early-career pursuing congenital cardiac surgery. was a consistent as the and of an congenital for and can be and searching outside the of one's and institution can be a at any in to congenital cardiac surgery as as to for within the on clinical cardiothoracic surgery and technical as congenital be a of technical to the of the and the and work are important to of the congenital and for congenital training. congenital on clinical and technical was as the most important for gaining of with on of and as early-career congenital surgeons with clinical practice for several and this is to the of cases and from the the of the of was emphasized by as a key to a successful the be and for who the clinical practice of congenital cardiac surgery can be a trainee the from this episode was that and is critical to a congenital and first with for early-career success in congenital heart of episode was on the surgical of atrial The session, moderated by Dr from the University of featured 2 surgeons in the Dr and Dr Dr was a faculty member at the University of and is in practice at in Dr is a cardiac faculty member at the University and is the program of the thoracic 2 surgeons from practice were to provide key on to atrial fibrillation surgery within a was to as for the surgical of atrial fibrillation is in thoracic surgery and faculty have to outside of their institution to the technical The several to this as well as for to a of to first as a surgeon and then into an in the Dr and Dr the practice in practice with and to success in atrial fibrillation surgery in each The emphasized that in to technical with and is of these are from it is important to a the The with a suggestion by Dr practice the and your you are these you you have the to good for your there is a this with your The from this episode was the of clinical techniques and with Surgery Early-Career episode featured early-career for thoracic surgeons with Dr at of and of Thoracic and Dr at University of The was moderated by Dr from University. The of the discussion was for your first The the of your and to in it is in your first of training. that are and are Dr that junior and can all on the you are a Dr to a a partner who by with a of of a for and an that is important in and and recommended a who the as well as for were to to faculty they and they as well as the to for that to for and you are be to in your as Dr to you can a trainee and the you can you need Dr that is your and surgery or your first is key your be with and a you need to before on to and in with your The from this episode was a for and your first of Tips in and from the of the University of and Dr from the University of the as 2 recently surgeons who are in the of support and heart surgeons emphasized on to the to on as well as the and of the practice. the of the with heart is and technical one's first of surgeons that the of one's practice with the of the practice and well with or is important to be and to be the to cases in to or cases the first in a one can develop the and the Dr advised trainees to be and the a was as a a experience one is gaining in this on and can the transition to an surgeons that it is to practice in and that are and can support the clinical pursuing or you to a included the and are and is at cardiac surgeons a and with heart is and one to be of the be have can be that with heart are on a and and to a or surgeon in this as with a and you to all or the on a one is the these are the The most important is to who you are and you and it to be and one can to a career. The from this episode was the of volume, clinical mentorship, and a heart program in early-career success as a a in of the early-career webinar series is one focused on structural heart a discussion with Dr from the University of Dr from the University of Dr from University and and Dr from Columbia University. themes of discussion the role of the surgeon in structural heart and for the and the of to and a heart that mentorship, and the to all of for with that is or surgical as well as and a view of were the for pursuing a in structural heart of the role of the surgeon in structural heart that it to the and one's in practice. are as the of Thoracic there in structural heart for surgeons and the this to surgeons of and in structural heart that as a we need to the is the to that all surgeons are to or are we to train individuals to as to the then be into the and to the then be a that there be a of for surgeons in structural heart be to be a member of the to have an of the the and be to the need to of the cardiothoracic surgery trainees be to all of as a with as or of a or for with toward structural heart The of with the heart be with of the all the need for surgeons to the be at and at the for one The is a all it to be with toward the for the of a trainee the from this episode was the of with the an role in and in the heart Early-Career series is TSRA to to provide and support for cardiothoracic surgery to and successful We have several recurring themes that were critical to early-career success The sessions were well with trainee and of the Similarly, the information the was and The TSRA is to this new to cardiothoracic surgery trainees the and the the TSRA Surgery Association Early-Career from individuals in the and support from individuals outside your or with to your practice in the first with and to successful is and in is a and be your be a and member of the team to have your in a new well-developed plan, mentorship, good attitude, and hard work are the recurring themes for early-career success in cardiothoracic surgery. well-developed plan, mentorship, good attitude, and hard work are the recurring themes for early-career success in cardiothoracic surgery. The leap from cardiothoracic trainee to practicing surgeon is one of the most challenging in one's career. The Thoracic Surgery Resident Association identified several individuals who have demonstrated early-career success after this transition to learn their keys to success. We provide a concise summary of this information for all trainees preparing for this The leap from cardiothoracic trainee to practicing surgeon is one of the most challenging in one's career. The Thoracic Surgery Resident Association identified several individuals who have demonstrated early-career success after this transition to learn their keys to success. We provide a concise summary of this information for all trainees preparing for this The Thoracic Surgery Resident Association (TSRA) organized a webinar series entitled “Bridging the Gap: Tips for Early-Career Success in Cardiothoracic Surgery,” focused on strategies for early-career success in cardiothoracic surgery. Each of these 6 sessions was moderated by a TSRA Executive Committee member and featured early-career surgeons who have recently transitioned into practice and demonstrated success in integrating new techniques or clinical focus. Topics included robotic cardiac surgery, congenital surgery, atrial fibrillation surgery, thoracic surgery, transplant and heart failure, as well as structural The TSRA Executive Committee, in a multistep process, selected the early-career surgeons for the webinar series. We first identified the 6 topics most important to trainees preparing to transition into practice. Next, we solicited nominations for junior faculty that, in the view of TSRA members, embodies successful transition to practice based on clinical volume, outcomes, and reputation. The TSRA Executive Committee then voted on individuals for each session, and they were invited to participate with a 100% invite acceptance Cardiac SurgeryThe first episode in this series focused on robotic cardiac surgery and featured a discussion with Dr Gianluca Torregrossa, a clinical associate of surgery at the University of Chicago, and Dr Brittany Zwischenberger, an assistant professor of surgery at Duke University. During an excellent discussion moderated by Dr David Blitzer from Columbia University, there were several important points that were emphasized. First, and most importantly, Drs Torregrossa and Zwischenberger emphasized the need to develop extensive experience and confidence with traditional cardiac surgery before attempting to develop robotic experience or a robotic program. Dr Torregrossa specifically recommended working for several years with traditional surgery before pursuing robotic training. Dr Torregrossa described a series of 4 habits that are critical for robotic surgery. First, he recommended gaining experience with the robot in any surgical venue, be it cardiac or gynecologic surgery. Second, he recommended extensive experience with the robot simulator. Third, we were advised to record and review one's robotic cases to search for areas of improvement by oneself or with a mentor. Similarly, his fourth suggestion was to review videos of more-experienced robotic surgeons to discover areas for technical improvement.Once ready to begin a robotic program, Dr Torregrossa described a need for 2 key inputs. The first is mentorship; either within or outside of your institution, from someone who can help train you in robotic surgery and proctor your first cases. When searching for mentorship, Dr Torregrossa recommended searching for someone with diverse robotic experience and a known reputation as an educator. The second key input is support from your institution and department, as developing a successful robotic surgery program is dependent on consistent experience and buy-in from a team that includes nurses, anesthesiologists, partner surgeons, and hospital administrators. Looking to the future, Dr Torregrossa predicted an expanding role for robotic cardiac surgery, as patient preferences are steered toward identified a need for with robotic and clinical a trainee the from this episode the of a to after cardiothoracic to begin a robotic cardiac surgery practice. The first episode in this series focused on robotic cardiac surgery and featured a discussion with Dr Gianluca Torregrossa, a clinical associate of surgery at the University of Chicago, and Dr Brittany Zwischenberger, an assistant professor of surgery at Duke University. During an excellent discussion moderated by Dr David Blitzer from Columbia University, there were several important points that were emphasized. First, and most importantly, Drs Torregrossa and Zwischenberger emphasized the need to develop extensive experience and confidence with traditional cardiac surgery before attempting to develop robotic experience or a robotic program. Dr Torregrossa specifically recommended working for several years with traditional surgery before pursuing robotic training. Dr Torregrossa described a series of 4 habits that are critical for robotic surgery. First, he recommended gaining experience with the robot in any surgical venue, be it cardiac or gynecologic surgery. Second, he recommended extensive experience with the robot simulator. Third, we were advised to record and review one's robotic cases to search for areas of improvement by oneself or with a mentor. Similarly, his fourth suggestion was to review videos of more-experienced robotic surgeons to discover areas for technical ready to begin a robotic program, Dr Torregrossa described a need for 2 key inputs. The first is mentorship; either within or outside of your institution, from someone who can help train you in robotic surgery and proctor your first cases. When searching for mentorship, Dr Torregrossa recommended searching for someone with diverse robotic experience and a known reputation as an educator. The second key input is support from your institution and department, as developing a successful robotic surgery program is dependent on consistent experience and buy-in from a team that includes nurses, anesthesiologists, partner surgeons, and hospital administrators. Looking to the future, Dr Torregrossa predicted an expanding role for robotic cardiac surgery, as patient preferences are steered toward identified a need for with robotic and clinical a trainee the from this episode the of a to after cardiothoracic to begin a robotic cardiac surgery practice. Early-Career in Cardiac SurgeryThe second episode in the series focused on early-career and for congenital cardiac Dr of the and Dr of the University of as for a discussion moderated by Dr of the University of The discussion on to at all of early-career pursuing congenital cardiac surgery. was a consistent as the and of an congenital for and can be and searching outside the of one's and institution can be a at any in to congenital cardiac surgery as as to for within the on clinical cardiothoracic surgery and technical as congenital be a of technical to the of the and the and work are important to of the congenital and for congenital training. congenital on clinical and technical was as the most important for gaining of with on of and as early-career congenital surgeons with clinical practice for several and this is to the of cases and from the the of the of was emphasized by as a key to a successful the be and for who the clinical practice of congenital cardiac surgery can be a trainee the from this episode was that and is critical to a congenital and first with for early-career success in congenital heart surgery. The second episode in the series focused on early-career and for congenital cardiac Dr of the and Dr of the University of as for a discussion moderated by Dr of the University of The discussion on to at all of early-career pursuing congenital cardiac surgery. was a consistent as the and of an congenital for and can be and searching outside the of one's and institution can be a at any in to congenital cardiac surgery as as to for within the on clinical cardiothoracic surgery and technical as congenital be a of technical to the of the and the and work are important to of the congenital and for congenital training. congenital on clinical and technical was as the most important for gaining of with on of and as early-career congenital surgeons with clinical practice for several and this is to the of cases and from the the of the of was emphasized by as a key to a successful the be and for who the clinical practice of congenital cardiac surgery can be a trainee the from this episode was that and is critical to a congenital and first with for early-career success in congenital heart surgery. of episode was on the surgical of atrial The session, moderated by Dr from the University of featured 2 surgeons in the Dr and Dr Dr was a faculty member at the University of and is in practice at in Dr is a cardiac faculty member at the University and is the program of the thoracic 2 surgeons from practice were to provide key on to atrial fibrillation surgery within a was to as for the surgical of atrial fibrillation is in thoracic surgery and faculty have to outside of their institution to the technical The several to this as well as for to a of to first as a surgeon and then into an in the Dr and Dr the practice in practice with and to success in atrial fibrillation surgery in each The emphasized that in to technical with and is of these are from it is important to a the The with a suggestion by Dr practice the and your you are these you you have the to good for your there is a this with your The from this episode was the of clinical techniques and with The episode was on the surgical of atrial The session, moderated by Dr from the University of featured 2 surgeons in the Dr and Dr Dr was a faculty member at the University of and is in practice at in Dr is a cardiac faculty member at the University and is the program of the thoracic 2 surgeons from practice were to provide key on to atrial fibrillation surgery within a practice. was to as for the surgical of atrial fibrillation is in thoracic surgery and faculty have to outside of their institution to the technical The several to this as well as for to a of to first as a surgeon and then into an in the Dr and Dr the practice in practice with and to success in atrial fibrillation surgery in each The emphasized that in to technical with and is of these are from it is important to a the The with a suggestion by Dr practice the and your you are these you you have the to good for your there is a this with your The from this episode was the of clinical techniques and with Thoracic Surgery Early-Career episode featured early-career for thoracic surgeons with Dr at of and of Thoracic and Dr at University of The was moderated by Dr from University. The of the discussion was for your first The the of your and to in it is in your first of training. that are and are Dr that junior and can all on the you are a Dr to a a partner who by with a of of a for and an that is important in and and recommended a who the as well as for were to to faculty they and they as well as the to for that to for and you are be to in your as Dr to you can a trainee and the you can you need Dr that is your and surgery or your first is key your be with and a you need to before on to and in with your The from this episode was a for and your first of episode featured early-career for thoracic surgeons with Dr at of and of Thoracic and Dr at University of The was moderated by Dr from University. The of the discussion was for your first The the of your and to in it is in your first of training. that are and are Dr that junior and can all on the you are a Dr to a a partner who by with a of of a for and an that is important in and and recommended a who the as well as for were to to faculty they and they as well as the to for that to for and you are be to in your as Dr to you can a trainee and the you can you need Dr that is your and surgery or your first is key your be with and a you need to before on to and in with your The from this episode was a for and your first of Early-Career Tips in and from the of the University of and Dr from the University of the as 2 recently surgeons who are in the of support and heart surgeons emphasized on to the to on as well as the and of the practice. the of the with heart is and technical one's first of surgeons that the of one's practice with the of the practice and well with or is important to be and to be the to cases in to or cases the first in a one can develop the and the Dr advised trainees to be and the a was as a a experience one is gaining in this on and can the transition to an surgeons that it is to practice in and that are and can support the clinical pursuing or you to a included the and are and is at cardiac surgeons a and with heart is and one to be of the be have can be that with heart are on a and and to a or surgeon in this as with a and you to all or the on a one is the these are the The most important is to who you are and you and it to be and one can to a career. The from this episode was the of volume, clinical mentorship, and a heart program in early-career success as a Dr from the of the University of and Dr from the University of the as 2 recently surgeons who are in the of support and heart surgeons emphasized on to the to on as well as the and of the practice. the of the with heart is and technical one's first of surgeons that the of one's practice with the of the practice and well with or is important to be and to be the to cases in to or cases the first in a one can develop the and the Dr advised trainees to be and the a was as a a experience one is gaining in this on and can the transition to an surgeons that it is to practice in and that are and can support the clinical pursuing or you to a included the and are and is at cardiac surgeons a and with heart is and one to be of the be have can be that with heart are on a and and to a or surgeon in this as with a and you to all or the on a one is the these are the The most important is to who you are and you and it to be and one can to a career. The from this episode was the of volume, clinical mentorship, and a heart program in early-career success as a a in of the early-career webinar series is one focused on structural heart a discussion with Dr from the University of Dr from the University of Dr from University and and Dr from Columbia University. themes of discussion the role of the surgeon in structural heart and for the and the of to and a heart that mentorship, and the to all of for with that is or surgical as well as and a view of were the for pursuing a in structural heart of the role of the surgeon in structural heart that it to the and one's in practice. are as the of Thoracic there in structural heart for surgeons and the this to surgeons of and in structural heart that as a we need to the is the to that all surgeons are to or are we to train individuals to as to the then be into the and to the then be a that there be a of for surgeons in structural heart be to be a member of the to have an of the the and be to the need to of the cardiothoracic surgery trainees be to all of as a with as or of a or for with toward structural heart The of with the heart be with of the all the need for surgeons to the be at and at the for one The is a all it to be with toward the for the of a trainee the from this episode was the of with the an role in and in the heart The of the early-career webinar series is one focused on structural heart a discussion with Dr from the University of Dr from the University of Dr from University and and Dr from Columbia University. themes of discussion the role of the surgeon in structural heart and for the and the of to and a heart that mentorship, and the to all of for with that is or surgical as well as and a view of were the for pursuing a in structural heart of the role of the surgeon in structural heart that it to the and one's in practice. are as the of Thoracic there in structural heart for surgeons and the this to surgeons of and in structural heart that as a we need to the is the to that all surgeons are to or are we to train individuals to as to the then be into the and to the then be a that there be a of for surgeons in structural heart be to be a member of the to have an of the the and be to the need to of the cardiothoracic surgery trainees be to all of as a with as or of a or for with toward structural heart The of with the heart be with of the all the need for surgeons to the be at and at the for one The is a all it to be with toward the for the of a trainee the from this episode was the of with the an role in and in the heart Early-Career series is TSRA to to provide and support for cardiothoracic surgery to and successful We have several recurring themes that were critical to early-career success The sessions were well with trainee and of the Similarly, the information the was and The TSRA is to this new to cardiothoracic surgery trainees the and the the TSRA Surgery Association Early-Career from individuals in the and support from individuals outside your or with to your practice in the first with and to successful is and in is a and be your be a and member of the team to have your in a new The Early-Career series is TSRA to to provide and support for cardiothoracic surgery to and successful We have several recurring themes that were critical to early-career success The sessions were well with trainee and of the Similarly, the information the was and The TSRA is to this new to cardiothoracic surgery trainees the and the the TSRA

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