Audible Bleeding

Audible Bleeding team Matt Chia (@chia_md) and Gowri Gowda (@GowriGowda11) are joined by the co-principle investigators of the BEST-CLI trial, Dr. Matthew Menard and Dr. Alik Farber. We talk about the results of BEST-CLI, marking what is sure to be the next landmark trial in vascular surgery. Drs. Menard and Farber give their insights on being clinical trialists and surgeons in the modern era, reflecting on challenges in conducting this work and its broad-reaching implications.

Links:

Surgery or Endovascular Therapy for Chronic Limb-Threatening Ischemia

Comprehensive List of BEST-CLI Literature

Show Guests:

Dr. Matthew Menard (@MattMenard6) is the program director for the vascular and endovascular fellowship program and co-director of the Endovascular Surgery Program at Brigham and Women's Hospital. He is a vascular and endovascular surgeon at BWH and an Associate Professor of Surgery at Harvard Medical School.

Dr. Alik Farber is the Chief of the Division of Vascular and Endovascular Surgery at Boston Medical Center and Professor of Surgery and Radiology at Boston University School of Medicine

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Audible Bleeding editor Wen Kawaji (@WenKawaji) is joined by MD/PhD student Rahul Ghosh (@ghoshrx), JVS editor-in-chief Dr. Thomas Forbes (@TL_Forbes) and JVS-VL Editor-in-chief Dr. Ruth Bush to discuss two great articles in the JVS family of journals. This episode hosts Dr. Siracuse and Dr. Chang, the authors of the following papers discussing mental health in CLTI patients and anticoagulation in venous treatments.

Articles:

• Relationship between Wifi stage and quality of life at revascularization in the BEST-CLI trial by Siracuse et al.

• Direct oral anticoagulant agents might be safe for patients undergoing endovenous radiofrequency and laser ablation by Dr. Chang et al.

Show Guests:

• Dr. Chang is an assistant professor of surgery at New York Medical College and a vascular surgeon at Westchester medical center, completed his general surgery training at U mass and vascular fellowship at NYU.

• Dr. Siracuse (@MDsiracuse) is a practicing surgeon in the division of vascular and endovascular surgery at Boston Medical Center and a professor of Surgery and Radiology at Chobanian and Avedisian School of Medicine.

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Vascular Origin Stories is a podcast series that explores the fun and engaging stories that shaped vascular surgery.

Today's episode will be the second part of a multi-episode series exploring how the young battalion surgeons serving in MASH units in the Korean war pioneered wartime vascular repair. Today we'll explore in detail the individual stories of adversity, courage, and perseverance that led to the re-introduction of arterial repair in the military. Representative images, significant sources for the episode, and a complete reference list can be found on the episode webpage.

Author + Host:

Marlene Garcia-Neuer (@GarciaNeuer) is a PGY1 General Surgery Resident at Mayo Clinic Arizona.

We are calling all medical students!

Submit your questions for the mailbag episode! Ask us any question related to vascular surgery, and have it answered on the podcast.

Include the following

• Your name, school, and year

• Who do you want to address the question to (resident, fellow, attending, or someone specific)

• Please send them in writing or voice-recorded format.

Please share your feedback through our Listener Survey!

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Music by ZakharValaha and Kaazom from Pixabay,

Welcome to Vascular Team Talk, a podcast mini-series by the Society for Vascular Surgery Physician Assistant Section and Audible Bleeding. In this podcast, we interview people who work in the vascular world and discuss their roles and life on their vascular team to learn more about how different vascular teams are built and function. We look to highlight the good and learn from the bad so that we can take those experiences back to our teams and make positive changes that will make our teams more robust and improve the care we provide to our patients.

In this first episode, Steve Robischon, PA-C, and Laura Needler, APNP, both advanced practice providers at the Medical College of Wisconsin (MCW), review the history of the physician assistant and nurse practitioner professions, discuss similarities and differences in their training, and describe how they function on their vascular team. They also interview Dr. Nate Kugler, a vascular surgeon at MCW, regarding his experiences working with PAs and NPs both during his training and now as a practicing surgeon.

Show Guests:

• Steve Robischon, PA-C, is a physician assistant in the Division of Vascular & Endovascular Surgery at the Medical College of Wisconsin in Milwaukee, WI, and he's currently the Lead Outpatient APP for the Division. He's also a member of the SVS PA Steering Committee. He received his Master of Physician Assistant Studies from Marquette University in 2007
• Laura Needler, APNP, is a nurse practitioner in the Division of Vascular & Endovascular Surgery at the Medical College of Wisconsin in Milwaukee, WI, and she's currently the Lead Inpatient APP for the Division. Laura received her Master of Science in Nursing from Concordia University of Wisconsin in 2013
• Dr. Nate Kugler is a vascular surgeon and assistant professor in the Division of Vascular & Endovascular Surgery at the Medical College of Wisconsin in Milwaukee, WI. He completed medical school at Southern Illinois University in 2012, followed by both his general surgery residency and vascular surgery fellowship training at MCW which he completed in 2021.

Show Links:

• American Academy of Physician Assistants / Associates (AAPA)
• American Association of Nurse Practitioners (AANP)
• SVS Physician Assistant Section
• Society of Vascular Nursing
• MCW Division of Vascular & Endovascular Surgery

This three-episode mini-series republished a webinar that was recorded by the Easter Vascular Society on important diversity issues in various settings including workplace, academia, training, and education.

In this episode, Dr. Julia Glaser will discuss diversity in education and training. Dr. Julia Glaser is an assistant professor of clinical surgery at University of Pennsylvania department of vascular and endovascular surgery.

Articles highlighted in episode 3:

1. Discrimination, abuse, harassment, and burnout in surgical residency training by Hu et al. https://doi.org/10.1056/nejmsa1903759
2. Experiences of gender discrimination and sexual harassment among residents in general surgery programs across the US by Schlick et al. https://doi.org/10.1001/jamasurg.2021.3195
3. Experiences of LGBTQ+ residents in US general surgery training programs by Heiderscheit et al. https://doi.org/10.1001/jamasurg.2021.5246

Learn more about us at www.audiblebleeding.com and provide us with your feedback via our listener survey.

This three-episode mini-series republished a webinar that was recorded by the Eastern Vascular Society on important diversity issues in various settings including workplace, academia, training and education.

In this episode, Dr. Vincent Rowe will discuss diversity in academia. Dr. Rowe is a professor of surgery and division chief of vascular and endovascular surgery at UCLA. Dr. Rowe serves as the chair of diversity equity and inclusion committee in the society of vascular surgery.

Articles highlighted in episode 2:

1. Update on workforce diversity in vascular surgery by Dorsey et al. https://doi.org/10.1016/j.jvs.2020.12.063

2. National evaluation of racial/ethnic discrimination in US surgical residency programs by Yuce et al. https://doi.org/10.1001/jamasurg.2020.0260

3. Black vascular surgeons survey: who are they? Where are they? Who do they treat? by Kirksey et al. https://doi.org/10.1016/j.jvs.2021.06.414

Learn more about us at www.audiblebleeding.com and provide us with your feedback via our listener survey.

This three-episode mini-series republish a webinar that was recorded by the Eastern Vascular Society on important diversity issues in various settings including workplace, academia, training and education.

In this episode, Dr. Sharita Golden will discuss diversity in the workplace. Dr. Sharita Golden is a professor of endocrinology and metabolism and vice president and chief diversity officer at Johns Hopkins Medicine.

Articles highlighted in this episode:

1. Diversity improves performance and outcomes by Gomez et al. https://doi.org/10.1016/j.jnma.2019.01.006

2. Diversity, Representation, and Performance: Evidence about Race and Ethnicity in Public Organizations by Pitts et al. https://doi.org/10.1093/jopart/mui033

3. Integrating the 3Ds—Social determinants, health disparities, and healthcare workforce diversity by LaVeist et al. https://doi.org/10.1177/00333549141291s204

Audible Bleeding editor Matt Chia (@chia_md) is joined by MD/PhD student Rahul Ghosh (@ghoshrx), JVS Assistant Editor Dr. Paul Dimuzio (@pdimuziomd), and JVS-VS Associate Editor Dr. John Curci (@CurciAAA) to discuss two great articles

in the JVS family of journals. This episode hosts Dr. Sanuja Bose (@SanujaBose), Dr. Caitlin Hicks (@CaitlinWHicks), and Dr. Elizabeth Chou (@LizChou), the authors of the following papers discussing sex disparities in medical management around carotid revascularization and smooth muscle cell pathobiology in carotid atherosclerosis.

Articles:

• "Females are less likely to receive best medical therapy for stroke prevention before and after carotid revascularization than males" by Bose et al.

• "Vascular smooth muscle cell phenotype switching in carotid atherosclerosis" by Chou et al.

Show Guests:

• Dr. Sanuja Bose (@SanujaBose) is a graduate from University of Rochester School of Medicine and Johns Hopkins Bloomberg School of Public Health. She is currently a postdoctoral research fellow in the Department of Vascular Surgery at Johns Hopkins.

• Dr. Caitlin Hicks (@CaitlinWHicks) is an associate professor of surgery at the Johns Hopkins Department of Vascular and Endovascular surgery and the research director of the multidisciplinary diabetic foot and wound service.

• Dr. Elizabeth Chou (@LizChou) completed her vascular training at Mass General Hospital in 2022 and is currently a vascular surgeon at Cedars Sinai. Dr. Chou's research interests include translational research in therapeutic outcomes of aortic and peripheral vascular disease and vascular disease amongst under-represented minorities and women.

Listeners may also be interested in our episode about getting started using the VQI for research.

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Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey.

On behalf of the Young Surgeons' Section of the SVS, Dr. Saideep Bose and Gowri Gowda sit down with two editors of the JVS journals and take a behind-the-scenes look at the publishing process and tips and tricks for authors and reviewers.

Show Guests

• Dr. Thomas Forbes (Faculty Page) is the Surgeon-in-Chief and Chair of the Sprott Department of Surgery at the University Health Network, and Professor of Surgery at the University of Toronto. He is the current Editor in Chief of the Journal of Vascular Surgery. Email: [email protected]

• Dr. Matthew Smeds (Faculty Page) is a Professor of Surgery at Saint Louis University. He is the current Editor-in-Chief of the Journal of Vascular Surgery – Cases, Innovations, and Techniques. Email: [email protected]

JVS Companion Journal Links:

• JVS Venous and Lymphatic Disorders
• JVS Cases, Innovations and Techniques
• JVS - Vascular Science
• JVS - Vascular Insights

JVS Internship Program: https://vascularspecialistonline.com/bright-future-predicted-for-jvs-internship-program/

As part of the Race & Representation (R&R) Series, we are doing spotlights on vascular trainees and faculty that identify as racial/ethnic minorities underrepresented in medicine (URiM), who have been historically excluded from the field. We hope to amplify these voices as examples of the unique challenges faced by URiMs within vascular surgery and as a source of inspiration and mentorship.

In this episode of Audible Bleeding, we sit down with Chloe Powell and discuss her research in physical resilience, understanding patient treatment goals, and pre-operative evaluation before undergoing major vascular intervention. We also delve into her motivations.

Dr. Chloe Powell is an integrated vascular surgery resident at the University of Michigan.

For more on Dr. Powell's research.

What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at [email protected].

Follow us on Twitter @audiblebleeding

Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.