Audible Bleeding

Vascular Team Talk is back with our second episode! This podcast mini-series is brought to you by the Society of Vascular Surgery Physician Assistant Section and Audible Bleeding. How does your Vascular team communicate or organize the day? Teams can consist of many people who have different responsibilities and due to the busy nature of vascular surgery services, it may be difficult to ensure urgent matters get passed on. In this episode, we focus on the importance of communication and relationships between vascular surgery students, residents, APPs, fellows and attendings.

Jessica Fernandes, PA-C, a Vascular Surgery physician assistant at Boston Medical Center (BMC), interviews Dr. Katie Shean, a vascular surgeon at St. Elizabeth's Medical Center, regarding the importance of communication and the transition from a fellowship to an attending position. Both Jessica and Dr. Shean discuss how they worked together at BMC and compare how Dr. Shean runs her current vascular team at St. Elizabeth's Medical Center.

Show Guests:

- Jess Fernandes, PA-C, is an inpatient physician assistant in the Division of Vascular and Endovascular Surgery at Boston Medical Center. She is also a member of the SVS PA committee and NESVS PA committee. She graduated with her bachelor degree and Master in Physician Assistant Studies from MCPHS University in 2016.

- Katie Shean, MD is a vascular surgeon in the Division of Vascular and Endovascular Surgery at St. Elizabeth's Medical Center in Brighton, Massachusetts. She completed medical school at University of Vermont Medical School in 2013, followed by her general surgery residency at St. Elizabeth's Medical Center and vascular surgery fellowship at Boston Medical Center which she completed in 2022.

Show Links:

SVS Physician Assistant Section

St. Elizabeth's Medical Center Vascular and Endovascular Division

Audible Bleeding editors Wen Kawaji (@WenKawaji), Yasong Yu (@YasongYuMD), and Imani McElroy (@IEMcElroy) are joined by Seth Sankary to discuss their experiences this past year going through the fellowship match process. They discuss the pearls and pitfalls of the interview trail and what influenced their final rank list decisions.

Show Guests:

• Seth Sankary, MD - General Surgery Chief Resident at the University of Chicago

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Audible Bleeding editors Wen (@WenKawaji) and Matt (@chia_md) are joined by Lara Lopes (@laralopesMD), Nitin Jethmalani (@nijethmalani), JVS editor-in-chief Thomas Forbes (@TL_Forbes), and JVS-VS Associate Editor Gale Tang, to discuss two great articles in the JVS family of journals. This month’s articles discuss the outcomes of aortic repair after Medicaid expansion, and the process of developing a novel device for repair of aortic injury. Don’t miss this fantastic discussion with the authors and editors at the forefront of vascular surgery!

Articles:

• Impact of Medicaid expansion on outcomes after abdominal aortic aneurysm repair by Ramadan et al.

• A dumbbell rescue stent graft facilitates clamp-free repair of aortic injury in a porcine model by Kenawy et al.

Show Guests:

• Omar Ramadan, MD - Chief General Surgery Resident at University of Pennsylvania

• Grace Wang, MD MSCE FACS - Director of the Vascular Lab and Associate Professor of Surgery in the Division of Vascular and Endovascular Surgery at the Hospital of the University of Pennsylvania

• Bryan Tillman, MD PhD - Vascular Surgeon Wexner Medical Center, Associate Professor of Surgery and Director of vascular research at the Ohio State College of Medicine

Audible Bleeding Contributors:

• Lara Lopes, MD - Vascular Surgery Integrated Resident, Northwestern University

• Nitin Jethmalani, MD - General Surgery Resident, Vascular Surgery Research Fellow, NYP Cornell

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In the International Series, we interview international vascular surgeons and trainees with the focus of learning and exploring how vascular surgery is practiced around the world and by doing so, gain new insight into how we practice vascular surgery in the United States. In today’s episode, Ezra Schwartz interviews Dr. Ahmed Kayssi, a vascular surgeon in Canada.

Dr. Ahmed Kayssi is a vascular surgeon at Sunnybrook Health Sciences Centre, an Assistant Professor at the University of Toronto and an associate scientist in evaluative clinical sciences at the Sunnybrook Research Institute. Dr. Kayssi completed his general surgery residency and vascular surgery fellowship at the University of Toronto and a limb preservation and wound care fellowship under the supervision of Dr. Richard Neville. Dr. Kayssi holds a Master’s degree in Public Health from the Harvard Chan School of Public Health and is currently pursuing a Doctorate of Public Health in Health Policy and Management from the Johns Hopkins School of Public Health under the supervision of Dr. Lilly Engineer. Dr. Kayssi recently joined the editorial board of Seminars in Vascular Surgery.

Contact Information: Dr. Ahmed Kayssi

Email: [email protected]

Twitter:

• Dr. Ahmed Kayssi (@ahmedkayssi)
• Dr. Ezra Schwartz (@ezraschwartz10)
• Dr. Morgan Gold (@morgansgold)
• University of Toronto Division of Vascular Surgery

Articles, resources, and societies referenced in the episode:

• Canadian Society of Vascular Surgery Research Committee
• Wounds Canada and Wounds Canada Research Committee
• Canadian Medical Protective Association
• Dr. Charles de Mestral
• University of Toronto Limb Preservation Fellowship
• Dr. Heather Gill, The PREHAAAB Trial, and Preoperative Exercise Rehabilitation in Cardiac and Vascular Interventions
• International Symposium on the Diabetic Foot
• SVS Vascular Annual Meeting 2024
• Canadian Society of Vascular Surgery Annual Conference
• Health Canada. Canada’s Health Care System - Canada.ca.
• Canada: Health system review. Health Systems in Transition

Today, Dr. Ezra Schwartz and Dr. Nakia Sarad continue exploring how vascular surgeons and patients communicate. They discuss how we share stories and what may get lost in translation.

Dr. Rita Charon is a general internist, professor of medicine, and professor and founding chair of medical humanities at Columbia University. Dr. Charon originated the field of narrative medicine and is the founder and executive director of the Program in Narrative Medicine at Columbia. A literary scholar, Dr. Charon completed a Ph.D. in English at Columbia, concentrating on narratology and the works of American-British author Henry James. She is the author of Narrative Medicine: Honoring the Stories of Illness, co-author of Principles and Practice of Narrative Medicine, and co-editor of Stories Matter: The Role of Narrative in Medical Ethics and Psychoanalysis and Narrative Medicine.

Dr. Abraham Fuks is a clinical immunologist, a Professor in the Department of Medicine and Division of Experimental Medicine at McGill University, a Professor of Oncology at the Goodman Cancer Institute, and served as Dean of the McGill University Faculty of Medicine from 1995 to 2006. Dr. Fuks’ has published on the metaphors of medicine and ethics in clinical research. In 2021, Dr. Fuks published a book, The Language of Medicine, in which he explores the ability of language to heal or harm and the potent metaphors prevalent in clinical care, especially military metaphors.

Dr. Anahita Dua is a vascular surgeon at the Massachusetts General Hospital, an associate professor of surgery at Harvard Medical School, and a frequent guest on Audible Bleeding.

Resources:

• Dr. Charon’s related works:
  • Narrative Medicine: Honoring the Stories of Illness
  • The Principles and Practice of Narrative Medicine
  • Stories Matter: The Role of Narrative in Medical Ethics and Psychoanalysis and Narrative Medicine
  • TEDx Talk
• Dr. Fuks’ related works:
  • The Language of Medicine
  • The Mindful Medical Learner Podcast featuring Dr. Fuks
  • Arthur Frank, The Wounded Storyteller: Body, Illness, and Ethics
• Dr. Dua’s related works:
  • Epidemiology of Peripheral Arterial Disease and Critical Limb Ischemia
  • Peripheral Artery Disease: Where We Are and Where We Are Going
• Validated QOL surveys and Patient Reported Outcome Measures:
  • PORTRAIT (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories): Overview of Design and Rationale of an International Prospective Peripheral Arterial Disease Study
  • Patient-Reported Outcomes for Peripheral Vascular Interventions for the Vascular Quality Initiative
  • Eric Cassell & Functionality
  • Vasc QOL Questionnaire
  • PAD QOL Questionnaire
  • Vasc QL-6 Questionnaire
  • European QL 5D 5L Questionnaire

X Handles (previously known as Twitter):

• Dr. Anahita Dua (@AnahitaDua)
• Dr. Rita Charon (@RitaCharon)
• Dr. Abraham Fuks (@Abe_McGill)
• Dr. Ezra Schwartz (@ezraschwartz10)
• Dr. Nakia Sarad (@NakSaradDO)

Audible Bleeding editor Wen (@WenKawaji) is joined by 5th year integrated vascular surgery resident Kaitlyn (@DunphyKaitlyn), JVS Assistant Editor Dr. Paul Dimuzio (@pdimuziomd) and JVS-VL assistant editor Dr. Dua (@AnahitaDua) to discuss two great articles in the JVS family of journals regarding Post-operative stroke risk after carotid endarterectomy and use of Varithena in treating venous leg ulcers. This episode hosts Dr. Baohui Xu and Dr. Gregory Modrall, the authors of the following papers:

Articles:

•  Postoperative disability and one-year outcomes for patients suffering a stroke after carotid endarterectomy by Levin et al.
• VIEW-VLU observational study of the effect of Varithena on wound healing in the treatment of venous leg ulcers by Shao et al.

Show Guests:

• Dr. Siracuse- Professor of surgery and radiology at Boston University

• Dr. Shao—vascular surgeon at Swedish hospital, Northshore University Healthsystem in Chicago, IL

• Dr. Levin—plastic and reconstructive surgery fellow at the University of California Davis

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Modern-day evidence-based medicine mandates a strong understanding of current local and international guidelines. Surgeons rely heavily on these reports, but what to do when they differ? We have partnered with the ESVS podcast in creating the Transatlantic Series, where we compare and contrast our respective society guidelines. In this inaugural episode, we explore the SVS carotid artery disease guidelines published in 2022 and the recently updated ESVS guidelines published in 2023.

Representing the American perspective, we are excited to speak with Dr. Ali AbuRahma. Dr. AbuRahma is the former president of the Society of Vascular Surgery, the Chief of Vascular and Endovascular Surgery at the Charleston Area Medical Centre at West Virginia University, and the corresponding author of the latest SVS guidelines on extracranial cerebrovascular disease.

Representing the European perspective, we are delighted to speak with Dr. Barbara Rantner. Dr. Rantner is the co-chair of the 2023 European Society of Vascular Surgery Clinical Practice Guidelines on the Management of Atherosclerotic Carotid and Vertebral Artery Disease and a leading physician at the Ludwig-Maximillian University Hospital in Munich, Germany.

Further reading and links:

• The North American Symptomatic Carotid Endarterectomy Trial (NASCET) & Audible Bleeding Landmark Papers NASCET Episode 

• Randomized trial of endarterectomy for recently symptomatic carotid stenosis: final results of the MRC European Carotid Surgery Trial (ECST)

• The 2nd European Carotid Surgery Trial (ECST-2): rationale and protocol for a randomized clinical trial comparing immediate revascularisation versus optimized medical therapy alone in patients with symptomatic and asymptomatic carotid stenosis at low to intermediate risk of stroke

• European Stroke Organisation (ESO) guideline on endarterectomy and stenting for carotid artery stenosis

• A comparative effectiveness study of carotid intervention for long-term stroke prevention in patients with severe asymptomatic stenosis from a large integrated health system

• SVS Patient Safety Organization (PSO) TCAR Surveillance Project

• SVS Vascular Quality Initiative (VQI) & VQI TCAR Registry

• Important recommendations of the German-Austrian S3 guidelines on the management of extracranial carotid artery stenosis (Paper only available in German) 

Hosts:

• Laurence Bertrand is a 5th-year vascular surgery resident at the Ludwig Maximilian University Hospitals of Munich, Germany.  She is a medical graduate from KULeuven, Belgium, and has a Master of Science in International Health from the London School of Hygiene and Tropical Medicine.   

• Ezra Schwartz (@EzraSchwartz10) is a medical graduate from McGill University pursuing a Master of Medical Science in Medical Education at Harvard Medical School. He is applying to integrated vascular residency programs this year. 

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We are delighted to review the SVS VAM Diversity and Resident/Medical Student travel scholarships in today's episode. Dr. Ezra Schwartz and Dr. Nakia Sarad speak with three scholarship recipients to explore their reasons for applying, their experience at the 2023 Vascular Annual Meeting, and the impact of their attendance on their goals and aspirations. 

• Nathaniel Forrester (@Nathaniel_For) is a fourth-year medical student at Emory University SOM from Lawrenceville, GA. He will be applying to vascular residencies in this cycle. He received the Diversity Scholarship to attend his first VAM. 
• Gayatri Pillai (@GayatriPillai10) is a third-year medical student from Geisinger Commonwealth School of Medicine. She, too, received the SVS Diversity Scholarship to attend her first VAM.
• Carlo Angello Sánchez Montaño (@carlo_angello) is a first-year vascular surgery resident who transferred from a general surgery program. He is a November 20th National Medical Center trainee in Mexico City, Mexico. He received the General Surgery Resident/Medical Student Travel Scholarship to attend his first VAM.

VAM 2024 will be held in Chicago June 19-22, 2024. The following are links for more information on SVS Awards and Scholarships offered. We encourage you to apply! 

• SVS Awards and Scholarship Page
• SVS General Surgery Resident/Medical Student Vascular Annual Meeting Travel Scholarship
• SVS Diversity Medical Student Vascular Annual Meeting Travel Scholarship

Twitter:

• Dr. Ezra Schwartz (@Ezraschwartz10)
• Dr. Nakia Sarad (@NakSaradDO)
• Nathaniel Forrester (@Nathaniel_For)
• Gayatri Pillai (@GayatriPillai10)
• Dr. Carlo Angello Sánchez Montaño (@carlo_angello)

Vascular Origin Stories (VOS) is a podcast series that explores the fun and engaging stories that shaped vascular surgery. Today we are kicking off a new origin stories series: the vascular offspring stories, where we interview practicing vascular surgeons about their vascular surgeon parents.

In this episode, we chat with Dr. Alan Dardik about his father, a pioneering vascular surgeon, Dr. Herbert Dardik.  Dr. Alan Dardik recollects many great stories of his father and how he ultimately followed in his footsteps.

Further reading and links:

• Herbert Dardik 1935-2020, Leaders in Vascular Surgery, Journal of Vascular Surgery
• Remembering Dr. Herbert Dardik, The JewishStandard
• Dr. Alan Dardik, Yale Profile

Host:  Marlene (@GarciaNeuer) is a first-year integrated vascular surgery resident at the Mayo Clinic in Scottsdale, AZ. 

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Today, Dr. David Ebertz (@EbertzDavid), a rising vascular fellow at St Louis University, and Dr. Jason Turner (@JasonTyTurner), a graduating integrated vascular resident from Case Western Cleveland Medical Center, discuss with multiple leaders in vascular surgery about VESS (@VESurgery) and SVS (@VascularSVS). The Vascular & Endovascular Surgery Society, commonly called VESS, is one of the foremost societies within vascular surgery that was started in 1976. Its mission is to improve the quality and safety of vascular & endovascular surgical procedures and general vascular care through education, scholarship, advocacy & leadership. This episode will feature VESS's history, current status, and pearls of wisdom, from finding mentors to navigating social media to becoming a leader within societies. 

Faculty Guests:

• Dr. Leigh Ann O'Banion (@limbsalvagedr) - Assistant Professor of Vascular Surgery at UCSF-Fresno, California
• Dr. Vikram Kashyap (@VikKashyapMD) - Vice President and Frederik Meijer Chair, Meijer Heart and Vascular Institute in Grand Rapids, Michigan
• Dr. Nick Mouawad (@NickMouawadMD) – Chief of Vascular Surgery at McLaren Health Systems in Bay City, Michigan
• Dr. Saideep Bose (@academicaorta) – Assistant Professor of Vascular Surgery at St Louis University, Missouri
• Dr. Matthew Smeds (@mattsmeds) – Professor of Vascular Surgery at St Louis University, Missouri

Additional Links: 

• VESS Student Mentor Program
• VESS Mentorship Program for young surgeons
• SVS Mentorship Match