Turning an Access Challenge Into a Lifeline for Rural Communities

What does the path to a career in cardiothoracic surgery look like today? Host Dr. Jane Yanagawa is joined by Dr. Varun Puri, Chief of Thoracic Surgery and CT Surgery Program Director at Washington University in St. Louis, to break down the evolving training pathways available to medical students and general surgery residents. They explore traditional 5+2/5+3 fellowships, fast-track 4+3 programs, and integrated I-6 tracks, highlighting key differences in clinical exposure, training timelines, board certification, and leadership development. The conversation also explores current match dynamics and common applicant misconceptions around applying to multiple tracks, while emphasizing the importance of early mentorship, scholarly research, and professional society resources such as TSMA, TSDA and TSRA in building a successful surgical career.

STS member Dr. Sean Jordan, chief of thoracic surgery and director of lung cancer screening at the University of Tennessee Medical Center, saw firsthand the barriers rural patients in East Tennessee faced in accessing lung cancer screening. In this episode, Jordan shares how a two-year effort—supported by collaboration, funding, and STS Advocacy—led to the creation of a 45-foot mobile CT lung cancer screening unit serving 21 counties. He'll discuss the challenges of bringing screening directly to underserved communities, the potential to detect lung cancer earlier and improve outcomes, and why thoracic surgeons have a unique opportunity to lead and advocate for stronger lung cancer screening programs nationwide.

In this episode of the STS Thinking Thoracic podcast, host Dr. Jane Yanagawa is joined by Dr. John Mitchell—Chief of Thoracic Surgery at the University of Colorado and incoming Chair of the American Board of Thoracic Surgery (ABTS)—to unpack critical updates from the board. Their discussion provides an inside look at how the ABTS operates, how surgeons can get involved, and key changes to initial and continuing certification pathways, including the recent transition from a 10-year to a 5-year certification cycle. Together, these updates are designed to help diplomates keep pace with modern clinical practice.

An STS Member blog by Dr. Jeffrey Shuhaiber, “Cardiothoracic Surgery at a Crossroads: Trust, Stability, and the Future of the Workforce,” explores the significant workforce challenges facing cardiothoracic surgery, from projected shortages and practice consolidation to evolving career pathways. Dr. Schuhaiber examines how systemic factors—not individual resilience alone—shape surgeon success and emphasizes the importance of psychological safety in supporting workforce well-being and patient care. He also considers the role of leadership in creating healthier practice environments and highlights the need to support, retain, and develop surgeons throughout their careers to build a stronger future for the specialty.

Host Dr. Melanie Edwards is joined by guest Dr. Andrea Wolf, director of the New York Mesothelioma Program, professor of thoracic surgery at the Icahn School of Medicine at Mount Sinai, chair of the American Association for Thoracic Surgery Wellness Committee, and an accomplished marathoner. Dr. Wolf explores how the mindset and discipline of distance running can strengthen resilience, performance, and career longevity in surgery. Drawing from her own experiences with running and injury, Dr. Wolf discusses the value of focusing on process over outcomes, prioritizing recovery and strength training, and building sustainable habits that support both surgeon well-being and patient care. She also shares insights on workplace ergonomics, mentorship, and challenging the culture of pushing through physical limitations.

In this episode of the STS Thinking Thoracic podcast, host Dr. Jeff Yang is joined by thoracic surgeons Dr. Seth Krantz and Dr. Christopher Seder, along with Harvard medical student Alexandra Potter, to discuss three landmark studies using the STS General Thoracic Surgery Database that are reshaping how lymph node evaluation is performed in lung cancer surgery. The panel explores current guidelines, quality standards, and how more comprehensive nodal evaluation can improve staging accuracy while maintaining patient safety. The discussion highlights national trends in surgical quality, the importance of surgeon-pathologist collaboration, and the future of personalized lymph node evaluation, including the potential role of emerging technologies such as radiomics, genomic markers, and AI.

Effective leadership requires the ability to bring together individuals with different backgrounds, experiences, and perspectives. In this blog post, Evan Alicuben, MD, of the University of Pittsburgh Medical Center, reflects on a recent STS Leadership Institute session on leading diverse teams and implicit bias, where case-based discussions with peers explored practical approaches to fostering inclusion and navigating challenging workplace situations. Dr. Alicuben writes, "Only by purposefully leading will we bring success to a diverse team." 

Jonathan Villena-Vargas, MD, sits down with Erin Gillaspie, MD, to examine key findings from the American Society of Clinical Oncology (ASCO) Annual Meeting, including advances in targeted therapy, dual-pathway immunotherapy, artificial intelligence, and adaptive treatment strategies that are reshaping thoracic oncology.

In this special joint episode of the STS Thinking Thoracic podcast and the American Association for Bronchology and Interventional Pulmonology (AABIP), Dr. Erin Gillaspie is joined by interventional pulmonologist Dr. Sameer Avasarala, of University Hospitals, and head and neck surgeon Dr. Britney Scott, of the CHI Health Clinic, to discuss the multidisciplinary management of malignant airway obstruction. The conversation emphasizes multidisciplinary collaboration among specialists, noting that treatment decisions depend not only on anatomy but also on patient-specific factors such as frailty, pulmonary function, and overall cardiopulmonary status. Using a top-to-bottom anatomic approach, the discussion explores management of tumors involving the upper trachea, mid-trachea, and carina, covering bronchoscopy, tumor debulking, stenting, tracheostomy, and surgical resection. They also discuss preoperative planning, postoperative airway care, and the value of multidisciplinary tumor boards and real-time collaboration.

In this episode, co-hosts Dr. Sara Pereira and Dr. Ian Bostock celebrate the 20th anniversary and impact of the STS Looking to the Future (LTTF) Scholarship Program by speaking with three rising stars pursuing careers in cardiothoracic surgery: Tyler Wilson, MD, a general surgery resident at the University of Chicago; Molly Shields, MD, a general surgery resident at Walter Reed National Military Medical Center; and Tyrone Hill, a medical student at Meharry Medical College. Reflecting on their unique journeys into medicine, the LTTF scholars share how attending the STS Annual Meeting and participating in the scholarship program provided invaluable access to mentors, expanded their professional networks, and reinforced their confidence in pursuing a highly competitive specialty. The guests share their perspectives on wellness, family planning, and maintaining outside interests like running, cooking, and camping. They emphasize that success in cardiothoracic surgery isn't a single path, but is built on resilience, community, and mentorship—illustrating how programs like Looking to the Future make the specialty more inclusive and supportive for aspiring surgeons.