Audible Bleeding

Dr. Ross Naylor (MBChB MD FRCS) is Professor of Vascular Surgery at the Leicester Vascular Institute, Leicester UK. He is a past President of the Vascular Society of Great Britain and Ireland and a past Editor in Chief of the European Journal of Vascular and Endovascular Surgery. He has authored 600 publications and book chapters, co-edited three textbooks of Vascular Surgery and his work has been cited over 17,000 times. He has just recently retired from clinical practice and we were lucky enough to interview him about his career and insights in carotid surgery.

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

Tell us about yourself through our Listener Survey!

July 26th, 2020

Representation Matters: Recruitment and Retention of URM to Vascular Surgery

In this second episode from our series on race and representation in medicine, we focus on the challenges of recruitment and retention of racial and ethnic minority groups that are underrepresented in medicine (URM) to vascular surgery. We are very pleased to have with us a number of guests at different levels of training to discuss their experiences and insights.

Dr. Chelsea Dorsey is faculty in the Section of Vascular Surgery at the University of Chicago and serves as the Director of the UChicago Vein Clinic and Ambulatory Medical Director for Cardiac, Vascular, and Thoracic Surgery.  She is a graduate of the Pritzker School of Medicine, where she developed an interest in health care inequalities. In addition, she volunteered her time helping pipeline programs and outreach activities in the community geared toward increasing the number of underrepresented minorities in the medical field.  After completing her Vascular Surgery training at Stanford University as the first woman and first African American accepted into the training program, she returned as faculty at the University of Chicago Medicine.  She serves as Director of Preclinical Advising in the medical school. She has served on the BSD Faculty Diversity Committee since 2017 and was recently appointed Chair of the Diversity, Equity, and Inclusion Steering Committee in the Department of Surgery.  

Dr. Elsie Ross is a vascular surgeon and research scientist in the Division of Vascular Surgery at Stanford University. She graduated from Stanford University School of Medicine in 2011 and completed her vascular surgery integrated residency at Stanford University School of Medicine in 2018. During her residency, she completed a two-year post-doctoral fellowship in biomedical informatics. Her current research focuses on using machine learning and electronic health records for early disease identification, precision medicine, and evaluating opportunities to engage in patient education beyond the clinic. She is a Fulbright Scholar and a Soros Fellow, and is a recipient of the Young Investigators Award from the Association for Academic Surgery, as well as the Junior Faculty Award from the Society of University Surgeons.

Dr.  Joel L. Ramirez, MD, is the inaugural UCSF Integrated Vascular Surgery resident. He completed his undergraduate education at the University of California, Irvine, and  received his medical degree from the UCSF School of Medicine, graduating with Distinction in Clinical and Translation Research, and as a member of Alpha Omega Alpha. Dr. Ramirez conducted an NIH-funded pre-doctoral research fellowship between his third and fourth years of medical school with the UCSF Division of Vascular and Endovascular Surgery. In 2018, he was awarded first place for the Western Vascular Society Robert Hye Memorial Best Resident Presentation Award, for his research reporting on long term outcomes of endovascular aortic aneurysm repair. Dr. Ramirez has been the recipient of numerous other research fellowships, awards, and honors, including the American Medical Association Foundation Physicians of Tomorrow Award, the Society for Vascular Surgery Foundation Student Research Fellowship for two consecutive years, the American Heart Association Student Scholarship in Cardiovascular Disease, and the Association for Academic Surgery Senior Medical Student Award, among many others.

Dr. Ronald Dalman is the Walter C. and Elsa R. Chidester Professor and Chief of Vascular Surgery at Stanford University. He is also the current President of the Society for Vascular Surgery. Dr. Dalman earned his medical degree at the University of Michigan and completed surgical training at the University of Washington (Seattle) and his vascular fellowship at the Oregon Health and Sciences University. Dr. Dalman joined Stanford directly out of training and has led the vascular program since 2005. He is a member of the Vascular Surgery Board, American Board of Surgery, and a past member of the Residency Review Committee for Surgery, ACGME. At Stanford Health Care he serves as Co-Director and Chief Quality Officer for the Cardiovascular Service Line. At the School of Medicine, Dr. Dalman is a Steering Committee and founding member of the Cardiovascular Institute (CVI). Dr. Dalman's research laboratory studies the pathophysiology of abdominal aortic aneurysm (AAA) disease, and is actively engaged in identifying and validating new treatment measures for AAA. 

Additional Resources:

Dr. Dorsey’s presentation from the VESS paper session at the SVSOnline- 

Update on Workforce Diversity in Vascular Surgery: What has changed in 20 years?

https://cdmcd.co/RqbR89 

Perceptual and Structural Facilitators and Barriers to Becoming a Surgeon: A Qualitative Study of African-American and Latino Surgeons Ulloa et al. Acad Med. 2018 September ; 93(9): 1326–1334. doi:10.1097/ACM.0000000000002282 https://pubmed.ncbi.nlm.nih.gov/29742613/

Structural Solutions for the Rarest of the Rare: Underrepresented-Minority Faculty in Medical Subspecialties Kemi M. Doll, M.D., and Charles R. Thomas, Jr., M.D. N Engl J Med 2020; 383:283-285 DOI: 10.1056/NEJMms2003544

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

Help us improve through our Listener Survey.

Follow us on Twitter: @AudibleBleeding

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

Dr. Lawrence YouTube Video

Articles Discussed:

• Radiofrequency and laser vein ablation for patients receiving warfarin anticoagulation is safe, effective, and durable (CME)
• The 2020 appropriate use criteria for chronic lower extremity venous disease of the American Venous Forum, the Society for Vascular Surgery, the American Vein and Lymphatic Society, and the Society of Interventional Radiology
• Treatment of superficial and perforator reflux and deep venous stenosis improves healing of chronic venous leg ulcers
• In-hospital outcomes of catheter-directed thrombolysis versus anticoagulation in cancer patients with proximal deep venous thrombosis

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

Please provide us with feedback through our Listener Survey!

In our next installment of the JVS Editor’s choice series, Jacob discusses the JVS July Editor’s Choice articles with Senior Editor, Dr. Peter Lawrence. 

Dr. Lawrence YouTube Video

Articles Discussed:

• The Society for Vascular Surgery clinical practice guidelines on the management of visceral aneurysms
• Five-year survival following endovascular repair of ruptured abdominal aortic aneurysms is improving (CME)
• Midterm outcomes of brachial arterio-arterial prosthetic loop as permanent hemodialysis access
• Implications of early failure of isolated endovascular tibial interventions

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

Please provide us with feedback through our Listener Survey!

Dr. Matthew Chia (@chia_md)is an integrated vascular surgery resident at Northwestern Feinberg School of Medicine.  He is currently in his research years working on a T32 NIH grant and has been involved with the vascular surgery extension of the SECOND trial under the mentorship of Dr. Karl Bilimoria and Dr. Dawn Coleman.

Dr. Dawn Coleman (@ColemanDM_vasc) is an associate professor of surgery at the University of Michigan and is the Program Director of the Integrated Vascular Surgery Residency Program and Fellowship.  She is a returning guest and spoke with us previously about her amazing work with the SVS Wellness Taskforce, for which she is chair.

Important Links

• http://www.thesecondtrial.org/
• [email protected]
• Northwestern Vascular Surgery Scientist Training Program

Further Reading

• Bilimoria KY, Chung JW, Hedges LV, et al. National Cluster-Randomized Trial of Duty-Hour Flexibility in Surgical Training. N Engl J Med 2016;374:713-27
• Hu Y-Y, Ellis RJ, Hewitt DB, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. N Engl J Med 2019;381:1741-52.
• Khorfan R, Yuce TK, Love R, et al. Cumulative Effect of Flexible Duty-hour Policies on Resident Outcomes: Long-term Follow-up Results From the FIRST Trial. Ann Surg 2020;271:791-8.
• Zhang LM, Ellis RJ, Ma M, et al. Prevalence, Types, and Sources of Bullying Reported by US General Surgery Residents in 2019. JAMA 2020;323:2093-5.
• Davila VJ, Meltzer AJ, Hallbeck MS, Stone WM, Money SR. Physical discomfort, professional satisfaction, and burnout in vascular surgeons. J Vasc Surg 2019;70:913-20.e2.

Dr. Matthew Edwards and Dr. Cullen McCarthy from Wake Forrest School of Medicine discuss management of Renal Vascular diseases

Script by Dr. Cullen McCarthy

June 22nd, 2020

Race and Representation in Medicine: Addressing Implicit Bias in the Workplace

In light of the events unfolding across the country over the past few weeks, The Society for Vascular Surgery's  Diversity Equity and Inclusion Task Force and the Wellness Task Force sponsored a webinar around race in America and its impact on our field. We at Audible Bleeding thought this was an excellent start, and we would hope to keep the conversation going. As such, this will be the first in a series of episodes on race and representation in medicine. Today we would like to discuss the challenges of addressing implicit bias in the workplace. We are very pleased to have with us a number of guests at different levels of training to discuss their experiences and insights.

Dr. Vincent Rowe is a Professor of Surgery at the Keck School of Medicine of USC. He is the Program Director of the Vascular Surgery Residency. He earned his medical degree from the University of Southern California School of Medicine, and trained in general surgery at Kaiser Permanente Medical Center in Los Angeles. He subsequently completed a two-year Vascular Surgery Fellowship at the University of Tennessee Medical Center in Knoxville Tennessee.

Dr. Olamide Alabi is an Assistant Professor of Surgery in the Division of Vascular Surgery and Endovascular Therapy at the Emory University School of Medicine. She received her medical degree from the University of Nebraska College of Medicine, trained in general surgery at Loma Linda University Medical Center in Southern California, and completed a fellowship in Vascular Surgery at Oregon Health and Science University.

Dr. Nina Bowens is an Assistant Professor in Surgery, UCLA School of Medicine, and a member of the Division of Vascular and Endovascular Surgery at Harbor-UCLA. She earned her medical degree at Weill Cornell Medical College and trained in general surgery at the University of Pennsylvania. She completed her Vascular Surgery fellowship at the New York Presbyterian Hospital.  

Dr. Osarumen Okunbor is a graduate of Meharry Medical College, completed his General surgery at Louisiana State University in New Orleans, and will be starting his Vascular Surgery fellowship at University of Washington in Seattle. 

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

Help us improve through our Listener Survey.

Follow us on Twitter: @AudibleBleeding

Visit them at wiserpodcast.com

Follow them on Instagram and Twitter @WISERpodcast

Listen on Apple Podcasts, Spotify, or stream on their website

Dr. Victoria Teodorescu (Dr. T) grew up in New Jersey but really claims Nebraska as her home. Her summers as a child in Nebraska were spent chasing after cows, swimming in the irrigation ditches, and finding snakes in the backyard. Dr. T’s road to medicine definitely wasn’t straight. She knew she loved science and math, but Dr. T remembers that “the girls in my high school hadn’t been expected to do much of anything and even if you really want to do something with your life, there is no guidance.”

She attributes her guidance and determination to the women in her family who had the fortunate opportunity to graduate from college back in the 1920s. After graduating from college at NYU, Dr. T took on different jobs including working on Wall Street and even joining the Fashion Institute, before medicine called her home.

Dr. T recounts the people that tried to discourage her on her road to medicine, including her own program director who had told her that “women with children don’t belong in surgery.” Despite all the obstacles, Dr T was able to become Chief of Vascular Surgery at Bronx VA Medical Center where she instituted a diabetic foot clinic to combat emergency amputations for foot infections.

Dr. T joined Emory School of Medicine in 2016 and is currently an associate professor of surgery in the Division of Vascular Surgery and Endovascular Therapy.

Hosts: Amanda Fobare, Deema Elcoufi

Editor: Patience Timi

Producer: Alex Speak

In this latest installment of our JVS collaboration, Jacob discusses the June Editor’s Choice articles with Editor-in-Chief of the Journal of Vascular surgery, Dr. Peter Gloviczki.

Dr. Gloviczki YouTube Video

Articles Discussed:

• Population-based long-term outcomes of open versus endovascular aortic repair of ruptured abdominal aortic aneurysms (CME and Editor’s Choice)
• Hemodynamic events during carotid stenting are associated with significant periprocedural stroke and adverse events
• Prospective nonrandomized study to evaluate cone beam computed tomography for technical assessment of standard and complex endovascular aortic repair
• A randomized controlled trial of drug-coated balloon angioplasty in venous anastomotic stenosis of dialysis arteriovenous grafts

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

Help us improve through our Listener Survey!

Follow us on Twitter: @AudibleBleeding

May 25th, 2020

Cerebrovascular Trauma with Dr. Todd Rasmussen

Episode 4 of 6 for our Vascular Trauma series.

Kevin and Nicole discuss the management of ceberbrovascular trauma, primarily blunt and penetrating injuries to the carotid and vertebral arteries. 

Dr. Rasmussen is a Colonel in the United States Air Force and is a Professor of Surgery and Associate Dean of Research at the Uniformed Services University of the Health Sciences and an attending vascular surgeon at Walter Reed National Military Medical Center. 

Dr. Rasmussen has been deployed numerous times to Iraq and Afghanistan and cared for many traumatic vascular injuries at Walter Reed Medical Center. Through his experience and research, he has become one of the foremost leaders on the management of vascular trauma and recently published the third edition of Rich’s Vascular Trauma.

EAST Blunt Cerebrovascular Injury Guidelines

https://www.east.org/education/practice-management-guidelines/blunt-cerebrovascular-injury

Check out Rich’s Vascular Trauma

https://www.elsevier.com/books/richs-vascular-trauma/9781455712618

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

Tell us about yourself through our Listener Survey!