Thinking Thoracic

In this second special joint episode of Thinking Thoracic and the American Association for Bronchology and Interventional Pulmonology (AABIP), Dr. Erin Gillaspie is joined by interventional pulmonologist Dr. Sameer Avasarala of Case Western Reserve University and infectious disease specialist Dr. Renuga Vivekanandan of Creighton University to discuss the multidisciplinary management of pleural space infections. The conversation emphasizes early recognition, prompt source control, and seamless multidisciplinary collaboration. Following the clinical course, the panel discusses diagnosis, fluid sampling, targeted antimicrobials, drainage, intrapleural fibrinolytics, and risk stratification. They also explore when to pivot to surgical intervention, including VATS decortication, as well as the management of complex cases such as bronchopleural fistulas.

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.

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.

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.

Jonathan Villena-Vargas, MD, sits down with Thinking Thoracic podcast host 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 Part 2 of Thinking Thoracic's annual review of the year's most influential thoracic oncology research, Drs. Jeff Yang and Linda Martin examine practice-changing studies in perioperative care, lung cancer treatment, and multidisciplinary cancer management. The discussion covers emerging evidence on cryoanalgesia, preoperative fasting, targeted therapies for EGFR-mutated lung cancer, and other key clinical trials and consensus recommendations that are influencing patient care today.

In Part 1 of this special Thinking Thoracic episode, Dr. Jeff Yang welcomes Dr. Linda Martin for a discussion of groundbreaking research spanning immunotherapy, lung cancer epidemiology, and screening. Together, they explore emerging organ-preserving strategies for mismatch repair-deficient cancers, the growing population of patients with lung cancer who have never smoked, and new data highlighting opportunities to improve screening eligibility and uptake. Hear expert analysis of the studies shaping the future of thoracic oncology and what these findings mean for surgeons and patients alike.

Host Dr. Erin Gillaspie is back with a new season of the popular Best of Lung Cancer Science video podcast series. In this episode, featuring Dr. Jonathan Spicer, they break down key takeaways from the European Lung Cancer Congress, including evolving surgical approaches and how biology, AI, and real-world data are reshaping lung cancer care.

In recognition of National Women’s Health Month, this episode of Thinking Thoracic analyzes the evolving landscape of female-specific lung cancer care. Co-hosts Dr. Erin Gillaspie and Dr. Jane Yanagawa sit down with guest Dr. Leah Backhus to discuss a critical disparity: lung cancer is the leading cause of cancer death among women, yet screening practices remain inequitable.    This timely episode moves beyond smoking history to examine the rise of lung cancer in never-smokers and Asian women. From the "stigma" of a diagnosis to innovative solutions like co-scheduling screenings with mammograms, providing a powerful call to action for more inclusive, biomarker-driven care.