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3. Understanding UK medical students' perspectives on a career in cardiothoracic surgery

Author

Axiaq, Ariana, primary, Visser, Renier A.B., additional, Shirke, Manasi, additional, Khashkhusha, Arwa, additional, Zaidi, Sara, additional, Pillay, Raneesha, additional, Goulden, Christopher J., additional, Harky, Amer, additional, Labat, Hugo, additional, Hasan, Khubbaib, additional, Tsun Leung, Marco Shiu, additional, and Nanthakumar, Makishaa, additional

Published
2021
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5. Understanding UK medical students' perspectives on a career in cardiothoracic surgery

Author

Axiaq, Ariana, Visser, Renier Adriaan Binneman, Shirke, Manasi, Khashkhusha, Arwa, Zaidi, Sara, Pillay, Raneesha, Goulden, Christopher J., Harky, Amer, Axiaq, Ariana, Visser, Renier Adriaan Binneman, Shirke, Manasi, Khashkhusha, Arwa, Zaidi, Sara, Pillay, Raneesha, Goulden, Christopher J., and Harky, Amer

Abstract

Objectives The UK postgraduate training program in cardiothoracic surgery is challenging and competitive, with trainees choosing the field for different reasons. This study aims to identify factors that influence medical students in pursuing a career within cardiothoracic surgery. Methods A cross-sectional study was carried out in which a questionnaire was anonymously filled out by medical students across 17 medical schools in the United Kingdom. An online survey platform was used for survey distribution and analysis. A mixed-methods approach was employed to gather quantitative and qualitative data. Data collection consisted of a series of closed questions and 1 open-ended question. The questions focused on the attitudes toward, knowledge of, and exposure to cardiothoracic surgery. Results The survey yielded 265 responses. Interest in cardiothoracic surgery was seen in 45.3% of participants, with the leading factor for pursuing this career being lifestyle factors (50%), closely followed by the career opportunities (42.9%) and the aid of mentors (31%). Some discouraging factors were: Difficulty of learning material (37.7%), length of the training program (27.4%), competition in the field (26%), stress (24.3%), and lifestyle factors (22.1%). Conclusions Whilst UK medical schools try to provide an introduction to specialties like cardiothoracic surgery, there remains a proportion of medical students who do not have access to opportunities needed to make a balanced career decision. Additionally, individual circumstances and aspirations tend to change from students' first year of study to their final year, which can alter their perceptions about the field.

Published
2021

6. The Results of Urgent and Emergent Transcatheter Mitral Valve Repair (MitraClip ® ): A Comparison with Standard Elective Repair.

Author

Al-Tawil M, Sunny JT, Goulden CJ, Akhteruzzaman T, Alqeeq BF, and Harky A

Abstract

Background: Mitral regurgitation (MR) is the most common valvular disease worldwide. MR has been managed surgically, with either a mitral valve replacement or repair. Percutaneous transcatheter mitral valve repair (TMVr) with MitraClip ® insertion has gained wide popularity and success over medical and surgical therapy for MR. Some patients with acute MR or decompensated heart failure could benefit from urgent TMVr. This meta-analysis aims to compare clinical outcomes of urgent versus elective TMVr., Methods: We performed a study-level meta-analysis to compare the clinical outcomes of urgent versus elective TMVr using the MitraClip system. The primary endpoint outcome was all-cause mortality. Additional outcomes included procedural success, postoperative acute kidney injury (AKI), stroke, and length of in-hospital stay., Results: Overall, 30-day mortality was significantly higher in the urgent group (odds ratio [OR]: 2.74; 95% confidence interval [CI] [2.17, 3.48]; P < 0.00001; I ² =0%). However, subgroup analysis of matched cohorts showed no significant difference between both groups (OR: 1.80; 95% CI [0.94, 3.46]; P = 0.08; I ² =0%). One-year mortality was similar between both groups (and: 1.67; 95% CI [0.96, 2.90]; P = 0.07; I ² =0%). Procedural success was similar between both groups (89.4% vs. 89.8%; P = 0.43). Postoperative AKI was significantly higher in the urgent group (OR: 4.12; 95% CI [2.87, 5.91]; P < 0.00001; I ² =0%)., Conclusion: Urgent TMVr should be indicated in select populations as it is considered therapeutic with acceptable outcomes therein., Competing Interests: There are no conflicts of interest., (Copyright: © 2024 Heart Views.)

Published
2024
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