Related Experiment Video
Updated: Aug 22, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
Published on: January 15, 2017
Cardiothoracic surgery leadership and learning are indispensable to each other
Mohamad Bashir1,2, Matti Jubouri3, Edward P Chen4
1Department of Vascular and Endovascular Surgery, Velindre University NHS Trust, Health Education and Improvement Wales (HEIW), Cardiff, UK.
Insights
Cardiothoracic surgery faces leadership and training challenges globally. Attracting and retaining young surgeons through mentorship, diversity, and modern training is crucial for the specialty's future.
Area of Science:
- Cardiothoracic Surgery
- Surgical Education
- Medical Leadership
Background:
- Global cardiothoracic surgery faces significant challenges including an aging patient population and a shortage of surgeons.
- Diminishing interest among students and trainees, coupled with training obstacles and work-life imbalance, threaten the specialty.
- Issues such as discrimination, bullying, lack of diversity, and a gap between innovation and training further complicate the landscape.
Purpose of the Study:
- To identify key challenges in global cardiothoracic surgery leadership and training.
- To propose strategies for attracting and retaining young surgeons in the field.
- To outline a vision for cultivating future leaders and ensuring the specialty's sustainability.
Main Methods:
- This study is a review and synthesis of current challenges and proposed solutions in cardiothoracic surgical training.
- It analyzes factors impacting trainee recruitment, retention, and professional development.
- The paper emphasizes leadership strategies and the importance of a unified heart team approach.
Main Results:
- The survival of cardiothoracic surgery depends on effective leadership that can attract and retain young talent.
- Key strategies include robust mentorship, leading by example, addressing work-life balance, and adapting training models.
- Embracing diversity and fostering a respectful environment are essential for nurturing future leaders.
Conclusions:
- Strengthening the unity of the heart team is paramount for training future cardiothoracic surgeons.
- A nurturing environment that values diversity and addresses trainee needs will ensure high-quality patient care.
- Proactive leadership and adaptive training are vital for a fulfilling career path and the future of cardiothoracic surgery.
Abstract:
Cardiothoracic surgery is facing a multitude of challenges in leadership and training on the global scale, these being a complex and aging patient population, shortage of cardiac surgeons, diminishing student interest and trainee enthusiasm, increasingly challenging training obstacles and work-life imbalances, suboptimal job prospects, reports of discrimination and bullying and lack of diversity as well as gap between innovation and technology, clinical application, and training of future surgeons. The survival of cardiac surgery hinges on the leadership attracting and retaining young surgeons into the specialty. Mentoring, leading through example, recognizing the work-life imbalances, adapting to diverse and modern training models and embracing diversity with respect to gender and race, will ultimately be required to create and cultivate a nurturing environment of training and preparing future leaders. The vision for training future generations of cardiothoracic surgeons must rely heavily on strengthening the unity of the heart team. In doing so we can provide the best possible care for our patients and a most fulfilling career for the future generation of cardiac surgeons.
Related Concept Videos
Cardiomyopathy VII: Pre and Post Operative Nursing Management
Cardiopulmonary Resuscitation II: ACLS Airway Management
Endoscopic Studies II: Thoracocentesis
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Obedience

