The Beat With Joel Dunning Ep. 120: Improving Institutional Processes and Metrics

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Robert Cerfolio, Chief of the Division of Thoracic Surgery at NYU Langone Health, about NYU Langone Health’s rise in hospital rankings.

Chapters

00:00 Intro

02:19 Best Hospitals Report

08:52 JANS 1, Physician Compensation

13:54 JANS 2, International Challenges

18:36 Career Center

19:40 JANS 3, Rib Fracture Guidelines

23:16 JANS 4, Endovasc Concepts & Devices

26:05 Video 1, Redo Aortic Root David

26:43 Video 2, Removal of LAM

28:16 Video 3, Posterior MAD Correction

30:23 Dr. Cerfolio Interview

51:29 Upcoming Events

53:18 Resident Video Competition

54:10 Closing

They discuss the process that contributed to this improvement, including the efficiency quality index and the benefits of discharging patients on postoperative day one while maintaining constant communication with them as opposed to keeping them hospitalized for extended stays. Additionally, they emphasize the importance of patients going home to a safe environment, postoperative protocols, and the future of NYU Langone Health. 

Joel also highlights recent JANS articles on the 2025 Doximity Physician Compensation Report, the current landscape and challenges facing international medical graduates in cardiothoracic surgery training, Chest Wall Injury Society guidelines for surgical stabilization of rib fractures, and foundational endovascular concepts and devices for cardiac surgeons.  

In addition, Joel explores the David procedure in a patient with a previous Type A dissection surgery, removal of a left atrial myxoma with a ministernotomy, and surgical correction of the posterior mitral annular disjunction associated with structural abnormalities of the mitral valve. Before closing, Joel highlights upcoming events in CT surgery.  

JANS Items Mentioned 

1.) Physician Compensation Report 2025 

2.) The Current Landscape and Challenges Facing International Medical Graduates in Cardiothoracic Surgery Training 

3.) Chest Wall Injury Society Guidelines for Surgical Stabilization of Rib Fractures: Indications, Contraindications, and Timing 

4.) Foundational Endovascular Concepts and Devices for Cardiac Surgeons 

CTSNET Content Mentioned 

1.) Redo Aortic Root Surgery: The David Procedure in a Patient With a Previous Type A Dissection Surgery 

2.) Removal of a Left Atrial Myxoma With a Ministernotomy 

3.) Surgical Correction of the Posterior Mitral Annular Disjunction Associated With Structural Abnormalities of the Mitral Valve 

Other Items Mentioned 

1.) Best Hospitals for Cardiology, Heart & Vascular Surgery 

2.) NYU Langone Health Leads the Nation with Four No. 1–Ranked Specialties by U.S. News & World Report 

3.) Cardiac Surgical Arrest—An International Conversation Series   

4.) Resident Video Competition 

5.) Career Center  

6.) CTSNet Events Calendar 

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