The Currency Question

This essay is an edited version of a presentation made by Mark Shanda at the Fourth Annual OSU Mini-Conference on Excellence in Teaching, held May 21, 2010

How to Approach Multifocal Lung Cancer

<p>Filmed at the 2017 STS Annual Meeting in Houston, Texas, Shanda Blackmon of the Mayo Clinic in Rochester, Minnesota, moderates a discussion on how to approach multifocal lung cancer. Dr Blackmon is joined by Scott Swanson of the Brigham and Women's Hospital in Boston, Massachusetts, Thomas D’Amico of Duke University Medical Center in Durham, North Carolina, and Mark Onaitis of the University of California San Diego in La Jolla, California. The panel discusses adenocarcinoma in situ and microinvasive adenocarcinoma, focusing on their preoperative workup, their initial approaches, when ablation can be beneficial, and what they do when spread through airway spaces is observed.<br></p

Consensus for thoracoscopic left upper lobectomy-essential components and targets for simulation

BACKGROUND: Simulation-based training is a valuable component of cardiothoracic surgical education. Effective curriculum development requires consensus on procedural components and focused attention on specific learning objectives. Through use of a Delphi process, we established consensus on the steps of video-assisted thoracoscopic surgery (VATS) left upper lobectomy and identified targets for simulation. METHODS: Experienced thoracic surgeons were randomly selected for participation. Surgeons voted and commented on the necessity of individual steps comprising VATS left upper lobectomy. Steps with greater than 80% of participants in agreement of their necessity were determined to have established consensus. Participants voted on the physical or cognitive complexity of each, or both, and chose steps most amenable to focused simulation. RESULTS: Thirty thoracic surgeons responded and joined in the voting process. Twenty operative steps were identified, with surgeons reaching consensus on the necessity of 19. Components deemed most difficult and amenable to simulation included those related to dissection and division of the bronchus, artery, and vein. CONCLUSIONS: Through a Delphi process, surgeons with a variety of practice patterns can achieve consensus on the operative steps of left upper lobectomy and agreement on those most appropriate for simulation. This information can be implemented in the development of targeted simulation for VATS lobectomy