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Bhagat R, Siki MA, Anderson N, Trager L, Aranda-Michel E, Ziazadeh D, Choi A, Treffalls JA, Bianco V, Louis C, Blitzer D, Moon MR. A primer for the student joining the adult cardiac surgery service tomorrow: Primer 1 of 7. JTCVS Open 2023; 14:270-292. [PMID: 37425434 PMCID: PMC10328963 DOI: 10.1016/j.xjon.2023.04.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 04/02/2023] [Accepted: 04/03/2023] [Indexed: 07/11/2023]
Affiliation(s)
- Rohun Bhagat
- Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio
| | - Mary A. Siki
- Tulane University School of Medicine, New Orleans, La
| | - Nicholas Anderson
- Midwestern University Chicago College of Osteopathic Medicine, Chicago, Ill
| | - Lena Trager
- University of Minnesota Medical School, Minneapolis, Minn
| | | | - Daniel Ziazadeh
- Department of Cardiac Surgery, University of Rochester, Rochester, NY
| | - Ashley Choi
- Department of Cardiothoracic Surgery, Stanford University, Palo Alto, Calif
| | - John A. Treffalls
- Long School of Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Tex
| | - Valentino Bianco
- Department of Cardiothoracic Surgery, University of Pittsburgh, Pittsburgh, Pa
| | - Clauden Louis
- Division of Cardiac Surgery, Brigham and Women’s Hospital, Boston, Mass
| | - David Blitzer
- Division of Cardiac Surgery, Columbia University, New York, NY
| | - Marc R. Moon
- The Texas Heart Institute, Houston, Tex
- Division of Cardiothoracic Surgery, Baylor College of Medicine, Houston, Tex
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Zogg CK, Kandi LA, Thomas HS, Siki MA, Choi AY, Guetter CR, Smith CB, Maduakolam E, Kondle S, Stein SL, Shaughnessy EA, Ahuja N. Comparison of Male and Female Surgeons' Experiences With Gender Across 5 Qualitative/Quantitative Domains. JAMA Surg 2023; 158:e226431. [PMID: 36477515 PMCID: PMC9857060 DOI: 10.1001/jamasurg.2022.6431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Importance A growing body of literature has been developed with the goal of attempting to understand the experiences of female surgeons. While it has helped to address inequities and promote important programmatic improvements, work remains to be done. Objective To explore how practicing male and female surgeons' experiences with gender compare across 5 qualitative/quantitative domains: career aspirations, gender-based discrimination, mentor-mentee relationships, perceived barriers, and recommendations for change. Design, Setting, and Participants This national concurrent mixed-methods survey of Fellows of the American College of Surgeons (FACS) compared differences between male and female FACS. Differences between female FACS and female members of the Association of Women Surgeons (AWS) were also explored. A randomly selected 3:1 sample of US-based male and female FACS was surveyed between January and June 2020. Female AWS members were surveyed in May 2020. Exposure Self-reported gender. Main Outcomes and Measures Self-reported experiences with career aspirations (quantitative), gender-based discrimination (quantitative), mentor-mentee relationships (quantitative), perceived barriers (qualitative), and recommendations for change (qualitative). Results A total of 2860 male FACS (response rate: 38.1% [2860 of 7500]) and 1070 female FACS (response rate: 42.8% [1070 of 2500]) were included, in addition to 536 female AWS members. Demographic characteristics were similar between randomly selected male and female FACS, with the notable exception that female FACS were less likely to be married (720 [67.3%] vs 2561 [89.5%]; nonresponse-weighted P < .001) and have children (660 [61.7%] vs 2600 [90.9%]; P < .001). Compared with female FACS, female AWS members were more likely to be younger and hold additional graduate degrees (320 [59.7%] were married; 238 [44.4%] had children). FACS of both genders acknowledged positive and negative aspects of dealing with gender in a professional setting, including shared experiences of gender-based harassment, discrimination, and blame. Female FACS were less likely to have had gender-concordant mentors. They were more likely to emphasize the importance of gender when determining career aspirations and prioritizing future mentor-mentee relationships. Moving forward, female FACS emphasized the importance of avoiding competition among female surgeons. They encouraged male surgeons to acknowledge gender bias and admit their potential role. Male FACS encouraged male and female surgeons to treat everyone the same. Conclusions and Relevance Experiences with gender are not limited to supportive female surgeons. The results of this study emphasize the importance of recognizing the voices of all stakeholders involved when striving to promote workforce diversity and the related need to develop quality improvement/surgical education initiatives that enhance inclusion through open, honest discourse.
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Affiliation(s)
- Cheryl K. Zogg
- Department of Surgery, Yale School of Medicine, New Haven, Connecticut
| | - Lyndsay A. Kandi
- Department of Surgery, University of Arizona College of Medicine, Tucson
| | - Hannah S. Thomas
- Division of Urology, University of Toronto, Toronto, Ontario, Canada
| | - Mary A. Siki
- Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana
| | - Ashley Y. Choi
- Department of Cardiothoracic Surgery, Stanford University Hospital, Stanford, California
| | - Camila R. Guetter
- Department of Surgery, Beth Israel Deaconess Medical Center, Boston, Massachusetts
| | - Charlotte B. Smith
- Department of Surgery, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill
| | | | - Shreya Kondle
- Department of Surgery, University of Texas Southwestern Medical School, Dallas
| | - Sharon L. Stein
- Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio
| | | | - Nita Ahuja
- Department of Surgery, Yale School of Medicine, New Haven, Connecticut
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Thomas HS, Siki MA, Lansing SS, Zogg CK, Patrick B, Towe CW, Stein SL. Spotlighting Research During COVID-19: Introduction of an International Online Multi-Round Research Competition for Trainees. Am Surg 2022; 88:2644-2648. [PMID: 35574734 PMCID: PMC9118000 DOI: 10.1177/00031348221101474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Problem The coronavirus pandemic led to the cancellation of many academic events.
While some transitioned to virtual formats, others disappeared, offering
fewer opportunities for trainees to share research. Facing this challenge,
the Association of Women Surgeons developed a novel
approach. Designed to promote greater global inclusion, increase audience
engagement and opportunities for networking and feedback from practicing
surgeons, they restructured their annual trainee research symposium as a
virtual, multi-round competition. Approach Submission to the research competition was open to trainees at any level. The
competition comprised four rounds: (1) visual abstracts (all welcomed), (2)
three-minute “Quickshot” presentation (32 advance), (3) eight-minute oral
presentations (16 advance), and (4) final question-and-answer style defense
(final 4 compete). Progression through the first three rounds was determined
by public voting. Winners were determined by live voting during the final
session. Outcomes A total of 73 visual abstracts were accepted for presentation. Fifty-six
percent (n = 41) of first authors were medical students, 36% residents (n =
26), and 7% fellows (n = 6). Five were from international first authors
(7%). Abstracts represented research topics including basic science (n = 6,
8%)), clinical outcomes (n = 38, 52%), and education (n = 29, 40%). Social
media impressions exceeded a total of 30,000 views. Next Steps This virtual, multi-round research competition served as a blueprint for a
novel approach to research dissemination. The format enabled expanded US
national and international engagement with trainees in all stages of their
career. Future research symposia should consider the impact of popularity
bias, timing, and voting strategies during the event planning period to
optimize success.
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Affiliation(s)
- Hannah S Thomas
- University of Edinburgh School of Medicine, Edinburgh, UK.,Association of Women Surgeons, Chicago, IL, USA
| | - Mary A Siki
- Association of Women Surgeons, Chicago, IL, USA.,12255Tulane University School of Medicine, New Orleans, LA, USA
| | - Shan S Lansing
- Association of Women Surgeons, Chicago, IL, USA.,12305The Ohio State College of Medicine, Columbus, OH, USA
| | - Cheryl K Zogg
- Association of Women Surgeons, Chicago, IL, USA.,12228Yale School of Medicine, New Haven, CT, USA
| | - Bridget Patrick
- Department of Surgery, 114516University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, OH, USA
| | - Christopher W Towe
- Department of Surgery, 114516University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, OH, USA
| | - Sharon L Stein
- Association of Women Surgeons, Chicago, IL, USA.,Department of Surgery, 114516University Hospitals Cleveland Medical Center/Case Western Reserve University, Cleveland, OH, USA
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Assi R, Siki MA, Desai ND, Bavaria JE. Repair of type A aortic intramural hematoma with ascending and hemiarch reconstruction using circulatory arrest and retrograde cerebral perfusion. Ann Cardiothorac Surg 2019; 8:567-569. [PMID: 31667156 DOI: 10.21037/acs.2019.08.06] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Roland Assi
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Mary A Siki
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Nimesh D Desai
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Joseph E Bavaria
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
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Siki MA, Habertheuer A, Bavaria JE, Komlo C, Hunt M, Freas MA, Milewski RK, Desai ND, Szeto WY, Vallabhajosyula P. Two different geometric orientations for aortic neoroot creation in bicuspid aortic valve repair with root reimplantation. J Thorac Cardiovasc Surg 2019; 160:47-57. [PMID: 31982122 DOI: 10.1016/j.jtcvs.2019.06.119] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Revised: 05/31/2019] [Accepted: 06/15/2019] [Indexed: 10/26/2022]
Abstract
OBJECTIVE Bicuspid aortic valve (BAV) represents 2 cusps oriented along a spectrum of equal (180°/180°) or unequal (150°/210°) leaflet surface area distribution along the aortic annular plane. We have taken the approach of respecting the native geometric orientation of the repaired BAV leaflets when creating the aortic neoroot during valve-sparing root reimplantation (VSRR) procedures. We investigated midterm outcomes with this 2-prong approach for VSRR in BAV syndrome. METHODS Of 72 patients in a prospectively maintained BAV repair database, 68 met inclusion criteria: 36 patients had 180°/180° neoroot geometry, and 32 patients had 150°/210° orientation. A multivariate ordinal logistic mixed effects model was performed to study parameters associated with recurrent AI greater than 2+. RESULTS Preoperative parameters were similar between 180°/180° and 150°/210° groups, except for greater incidence of AI 4+ in the latter (50.0% [n = 16] vs 8.3% [n = 3]; P < .001). Postoperatively, stroke, renal failure, reoperation for bleeding, and pacemaker rates were 0 in the entire cohort. In-hospital/30-day mortality in the entire cohort was 1.5% (n = 1). Multivariate ordinal logistic mixed effects model showed that preoperative AI greater than 3+ (odds ratio, 0.4; P = .46) and geometric orientation of the aortic neoroot (odds ratio, 3.8; P = .25) were not significantly associated with recurrence of AI greater than 2+. CONCLUSIONS Respecting BAV geometry for VSRR neoroot creation yields excellent midterm outcomes and may minimize conjoint cusp leaflet stress that may occur in "forcing" a 150°/210° type I BAV into a 180°/180° neoroot.
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Affiliation(s)
- Mary A Siki
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Andreas Habertheuer
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Joseph E Bavaria
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Caroline Komlo
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Maxwell Hunt
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Melanie A Freas
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Rita K Milewski
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Nimesh D Desai
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
| | - Wilson Y Szeto
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, Pa
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Ko H, Bavaria JE, Habertheuer A, Augoustides JG, Siki MA, Freas M, Komlo C, Milewski K, Desai ND, Szeto WY, Vallabhajosyula P. Functional Outcomes of Type I Bicuspid Aortic Valve Repair With Annular Stabilization: Subcommissural Annuloplasty Versus External Subannular Aortic Ring. Ann Thorac Surg 2019; 107:68-75. [DOI: 10.1016/j.athoracsur.2018.06.056] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2017] [Revised: 06/11/2018] [Accepted: 06/18/2018] [Indexed: 10/28/2022]
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Sultan I, Siki MA, Bavaria JE, Dibble TR, Savino DC, Kilic A, Szeto W, Vallabhajosyula P, Fairman RM, Jackson BM, Wang GJ, Desai ND. Predicting Distal Aortic Remodeling After Endovascular Repair for Chronic DeBakey III Aortic Dissection. Ann Thorac Surg 2018; 105:1691-1696. [DOI: 10.1016/j.athoracsur.2018.01.006] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2017] [Revised: 11/16/2017] [Accepted: 01/03/2018] [Indexed: 10/18/2022]
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Siki MA, Sultan I, Arnaoutakis GJ, Desai ND. Extension of a Stanford type A aortic dissection into the feeding vessel of a pulmonary sequestration. Eur J Cardiothorac Surg 2017; 52:396. [PMID: 28329296 DOI: 10.1093/ejcts/ezx059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/22/2016] [Accepted: 01/10/2017] [Indexed: 11/13/2022] Open
Affiliation(s)
- Mary A Siki
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Ibrahim Sultan
- Division of Cardiac Surgery, University of Pittsburgh, Pittsburgh, PA, USA
| | - George J Arnaoutakis
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - Nimesh D Desai
- Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA, USA
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Kilic A, Siki MA, Szeto WY, Bavaria JE, Anwaruddin S, Desai ND. Concomitant Endografting of a Type B Aortic Dissection During Transfemoral Aortic Valve Replacement. Ann Thorac Surg 2017; 103:e223-e224. [DOI: 10.1016/j.athoracsur.2016.08.070] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Revised: 07/15/2016] [Accepted: 08/19/2016] [Indexed: 11/29/2022]
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