Interesting article commenting on the perception that some remedies in medicine are so obviously beneficial that testing their effectiveness is a waste of time. As it turns out, many of what physicians think are "slam dunk" remedies have mixed or negative results.
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Professional Affairs
February 7, 2018
Filmed at the 2017 STS Annual Meeting, Blair Marshall, Virginia Litle, Andrea Wolf, and Mara Antonoff discuss the experience of motherhood as cardiothoracic surgeons.
February 2, 2018
An editorial from an influential source discussing the recent robust results of the CASTLE-AF RCT trial. It is likely that interventions for atrial fibrillation will be boosted by these results, in terms of insurance, industry, and clinical guideline support.
February 2, 2018
A brief note on the feasibility (or not) of RCT on surgery for mitral fibroelastic prolapse.
January 25, 2018
A large follow-up study comparing repair and replacement results and trends. Of particular interest to the UK and European readership is the page 113 discussion on the center of mitral excellence principle.
January 22, 2018
An interesting article from a popular UK newspaper, reflecting perhaps the views of members of government and public in confining UK medical graduates to largely low-paid work for five years after graduation, on the socialist principle that the public has paid for their education (they pay quite a lot themselves as well, and end up in debt).
January 18, 2018
The authors describe a clinical unit developed at their institution designed to implement "nudges" to help improve health care delivery, primarily through the EMR. "Nudges" have been used to shape other behaviors, such as offering opt-out (rather than opt-in) for organ donor status to encourage increased organ donation. The concept was described
January 17, 2018
The new EACTS Guidelines on perioperative medication in adult cardiac surgery address antithrombotic management, atrial fibrillation, renin–angiotensin–aldosterone system inhibitors, beta-blockers, dyslipidaemia, ulcer prevention and steroids, antibiotic prophylaxis, anaesthesia and postoperative analgesia, and blood glucose management.
January 13, 2018
Interesting research/opinion piece about how the introduction of robots has forced a change in surgical training, with some residents gaining skill through a process of "shadow learning."
January 12, 2018
Patient Care