Audible Bleeding

Happy New Year! In this month’s episode of our JVS - VL Editor’s Choice series, Jacob discusses January’s selected articles with Senior Editor, Dr. Peter Lawrence.

Dr. Lawrence YouTube Video

Articles Discussed:

• A randomized controlled noninferiority trial comparing radiofrequency with stripping and conservative hemodynamic cure for venous insufficiency technique for insufficiency of the great saphenous vein (CME)
• Classification and treatment of endothermal heat-induced thrombosis: Recommendations from the American Venous Forum and the Society for Vascular Surgery (Editor’s Choice)
• Results of polidocanol endovenous microfoam in clinical practice
• Randomized clinical trial of radiofrequency-induced thermotherapy combined with transilluminated powered phlebectomy versus high ligation and stripping for the treatment of lower limb varicose veins  

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Happy holidays everyone! In this month’s episode of our JVS - Arterial Editor’s Choice series, Jacob discusses January’s selected articles with Editor-in-Chief, Dr. Peter Gloviczki.

Dr. Gloviczki YouTube Video

Articles Discussed:

• Evaluating the prevalence of abdominal aortic aneurysms in the United States through a national screening database (Editor’s Choice) 
• The benefit of deferred carotid revascularization in patients with moderate-severe disabling cerebral ischemic stroke (CME)
• Meaningful change in 6-minute walk in people with peripheral artery disease
• Outcomes of rotational atherectomy in complex lesions of the superficial femoral artery 

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Drs. Tracci, Sideman, Connolly, and Mattos, representing the Society for Vascular Surgery (SVS) Policy and Advocacy Council, Government Relations Committee (GRC), and the Political Action Committee (PAC), join Adam Johnson and Nicole Rich to discuss how they became involved and specifically their work regarding the United States Centers for Medicare & Medicaid Services (CMS) Payment Reforms that will go into effect in January 2021.

The updated physician fee schedule will substantially alter the Evaluation and Management (E/M) Codes that physicians use to bill for office-based services provided to Medicare patients. Our panelists detail how these changes will decrease reimbursement for surgical procedures, impact the field of vascular surgery, and the importance of surgeon involvement in the advocacy process.

Panel Members

• Dr. Megan Tracci (@MeganTracci) is an associate professor of surgery at the University of Virginia (UVA) Health in Charlottesville, VA, and the chair of the SVS government relations committee (GRC).
• Dr. Matthew Sideman (@UTHSAvascular) is an associate professor of surgery at UT Health San Antonio in San Antonio, TX, and is the chair of the SVS Policy and Advocacy Council, as well as the SVS Representative to the RVS Update Committee (RUC).
• Dr. Peter Connolly (@phcvascular) is an associate professor of surgery at Weill Cornell Medical College in New York City, NY, and co-chair of the SVS Political Action Committee (PAC).
• Dr. Mark Mattos is a self-employed vascular surgeon, the program director for the vascular surgery fellowship at Michigan Vascular Center in Flint, MI, and co-chair of the SVS Political Action Committee (PAC).

Learn more about Payment Reform:

• SVS Town Hall: Financial Implications of Impending Payment Reform
• SVS 2021 Medicare Physician Fee Schedule One-Pager
• SVS Advocacy Resources for Members
• Surgical Care Coalition
• Vascular Specialist: Advocating for our Members
• CMS Newsroom Factsheet: Final Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2021

Get involved in Policy and Advocacy through the SVS:

• Voter Voice: Contact Congress via the SVS
• SVS Virtual Coding & Reimbursement Workshop
• SVS Vascular Surgery Trainee Advocacy Travel Scholarship
• SVS Councils & Committees

This episode is the first of our series working with the SVS political organizations.  Future topics may include coronavirus response legislation, student debt, prior authorization, and red tape reduction.

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 protected].

With the interview season underway amidst a pandemic, we sought out advice for students applying to the integrated vascular surgery residency from three experts. 

Dr. Chelsea Dorsey was recently on the podcast discussing recruitment and retention of under-represented minorities at all levels. Dr. Dorsey attended medical school at the University of Chicago Pritzker School of Medicine, and completed an integrated vascular surgery residency at Stanford University.  She serves as Director of Preclinical Advising in the medical school - a role that allows her to have significant facetime with 1st and 2nd year students. Of note, she also serves as Director of the MS3 Surgical Simulation Course and was recently nominated to the Academy of Distinguished Medical Educators at the University. She currently sits on a number of regional and national education committees, including the SVS, COVERS, and MVSS.

Dr. Murray Shames (@MurrayShames)  is the current President of the Association for Program Directors in Vascular Surgery, as well as the Division Chief of Vascular Surgery and former Program Director at the University of South Florida. His teaching experience includes developing models for the Fundamentals of Vascular Surgery and Fundamentals of Endovascular Surgery courses. He has been the course Co-Director for the Introduction to Academic Vascular Surgery Course in Tampa since 2012, and has served as an instructor/preceptor to dozens of residents since coming back to USF in 2002. 

Dr. Arash Fereydooni (@Arash_Fere) is currently one of the first-year integrated vascular surgery residents at Stanford University. Dr. Fereydooni completed a BS and MS in Molecular, Cellular and Developmental Biology at Yale.  He then received his medical degree in 2020 from Yale School of Medicine where he did a Howard Hughes Medical Institute Fellowship under the mentorship of Dr. Alan Dardik. He currently serves on the Student Education committees of SVS and VESS. In 2019, he started the annual SVS Integrated Vascular Surgery Match webinar.

Nominate someone for the SVS Excellence in Community Service Award!

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The Journal of Vascular Surgery has been piloting online journal clubs and would like to open them up to a broader audience.  Two JVS Editors join us to discuss this innovative approach to critically reviewing impactful research in vascular surgery and how to get involved.

• Paul DiMuzio, MD (@pdimuziomd)- Assistant editor of the Journal of Vascular Surgery and the Director of the Division of Vascular and Endovascular Surgery at Jefferson Health in Philadelphia, PA.
• Misty Humphries, MD (@mhumphriesmd) - on the editorial board of the Journal of Vascular Surgery and Associate Professor of Surgery at UC Davis in Sacramento, CA.

*Click here to sign up to host a monthly journal club in 2021*

*Click here to register for the December virtual journal club (Wed 12/16/2020 9pm Eastern on Zoom)*

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In this month’s episode of our JVS - Arterial Editor’s Choice series, Jacob and our newest team member, Aakanksha Gupta, discuss December’s selected articles with Senior Editor, Dr. Peter Lawrence.

Dr. Lawrence YouTube Video

Articles Discussed:

• Surgical management of pediatric renin-mediated hypertension secondary to renal artery occlusive disease and abdominal aortic coarctation (CME)
• Extended screening guidelines for the diagnosis of abdominal aortic aneurysm (Editor’s Choice)
• Natural history of acute pediatric iliofemoral artery thrombosis treated with anticoagulation
• Midterm results of percutaneous arteriovenous fistula creation with the Ellipsys Vascular Access System, technical recommendations, and an algorithm for maintenance  

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November 18th, 2020

Audible Bleeding Joins the SVS Family of Publications!

The Audible Bleeding team is proud to announce that we are joining the Society for Vascular Surgery (SVS) family and will be a formal publication of the vascular society.  Three leaders in the SVS join us to discuss the goals and process for this transition.

• Ken Slaw, PhD (@almostyoda) is a first time guest on the podcast and the executive director of the SVS.
• Ron Dalman, MD (@stanfordvasc) is a returning guest, president of the SVS and chief of vascular surgery at Stanford health care.
• Amy Reed, MD is a returning guest, chair of the communications committee, and chief of vascular surgery at the University of Minnesota.

We want to learn more about how the vascular surgery community uses podcasts and how we can improve - Click here to fill out our Listener Survey 2.0

Let us know if you want to give more detailed feedback and be more involved by leaving your email at the end of the survey.

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In this month’s episode of our JVS - Arterial Editor’s Choice series, Jacob, Tomaz and Soni discuss November’s selected articles with Editor-in-Chief, Dr. Peter Gloviczki.

Dr. Gloviczki YouTube Video

Articles Discussed:

• Adverse cardiac events after vascular surgery are prevalent despite negative results of preoperative stress testing (Editor’s Choice and CME)
• Lumbar drain complications in patients undergoing fenestrated or branched endovascular aortic aneurysm repair: Development of an institutional protocol for lumbar drain management
• Stroke rate after endovascular aortic interventions in the Society for Vascular Surgery Vascular Quality Initiative
• External validation of the Vascular Quality Initiative prediction model for survival in no-option chronic limb-threatening ischemia patients

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November 16th, 2020

Debate: Who Should Manage Vascular Trauma?

Today’s debate is inspired by the recent opinion piece published in the Annals of Surgery, Beyond the Crossroads: Who Will be the Caretakers of Vascular Injury Management? : Annals of Surgery

This episode is a collaboration between Audible Bleeding, Behind The Knife, and Trauma ICU Rounds. Subscribe to all 3 on any podcasting platform!

Vascular Surgery

Dr. Benjamin Starnes is a Professor of Vascular Surgery, Chief of the Division of Vascular Surgery and Vice Chair of the Department of Surgery for UW Medicine. Additionally he is a former military surgeon with combat experience.

Dr. Westley Ohman is an Assistant Professor of Vascular Surgery at Barnes-Jewish Hospital which is a level 1 trauma center where he is routinely involved in the care of complex vascular trauma.

Trauma Surgery

Dr. Tanya Zakrison is an Associate Professor of Surgery and a Trauma and Acute Care Surgeon at the University of Chicago medical center, which is a level 1 trauma center.

Dr. Matthew Martin is a Professor of Surgery at Scripps Medical Center in San Diego, a former Army Surgeon who is recognized as a leader in trauma care, and has served on 5 combat deployments.

Moderators

Dr. Dennis Kim is an Associate Professor of Surgery and an Acute Care and Trauma Surgeon at UCLA School of Medicine and is the host of the podcast Trauma ICU rounds

Dr. Kevin Kniery is a Vascular Surgeon at Brooke Army Medical Center.

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In our next installment of the bi-monthly JVS-Venous/Lymphatic series, Jacob discusses the November 2020 editor’s choice articles with Senior Editor, Dr. Peter Lawrence.

Dr. Lawrence YouTube Video

Articles Discussed:

• Five-year extension study of patients from a randomized clinical trial (VeClose) comparing cyanoacrylate closure versus radiofrequency ablation for the treatment of incompetent great saphenous veins (Editor’s Choice and CME)
• • Link to original VeClose trial 
• The clinical relevance of anterior accessory great saphenous vein reflux
• The biomechanical impact of hip movement on iliofemoral venous anatomy and stenting for deep venous thrombosis
• Interim results of bleomycin-polidocanol foam sclerotherapy as a highly efficient technique for venous malformations

If you enjoy our content, please contribute to Support Audible Bleeding!

Help us improve through our Listener Survey!

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