Evidence map›Paper›PMID 41473054›Full record

ArticleJTCVS open2025

Understanding our thoracic surgery workforce: Who, what, and where we practice.

Jacob Daniel, Malcolm DeCamp, Jennifer Romano, Betty Tong, Michael Moulton, John Mitchell, Carl Backer, Joseph Cleveland, David T Cooke, Raphael Kella and 10 more

Abstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Jacob DanielDivision of Cardiothoracic Surgery, Department of Minimally Invasive Cardiac Surgery, Miami Cardiac and Vascular Institute, Miami, Fla.
Malcolm DeCampDivision of Cardiothoracic Surgery, UW Hospitals and Clinics, Madison, Wis.
Jennifer RomanoDepartment of Congenital Heart Surgery, University Of Michigan, Ann Arbor, Mich.
Betty TongDepartment of Cardiovascular and Thoracic Surgery, Duke University, Durham, NC.
Michael MoultonDivision of Cardiothoracic Surgery, University of Nebraska Medical Center, Omaha, Neb.
John MitchellDepartment of Cardiothoracic Surgery, University of Colorado Hospital, Aurora, Colo.
Carl BackerDepartment of Surgery, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Winnetka, Ill.
Joseph ClevelandDepartment of Cardiothoracic Surgery, University of Colorado Hospital, Aurora, Colo.
David T CookeDivision of General Thoracic Surgery, University of California, Sacramento, Calif.
Raphael KellaDepartment of Internal Medicine, Florida Atlantic University, Boca Raton, Fla.
Joseph CoselliDepartment of Surgery, Baylor College of Medicine, Houston, Tex.
Jessica DoningtonSection of Thoracic Surgery, University of Chicago Medicine, Chicago, Ill.
Stephanie FullerDivision of Cardiothoracic Surgery, The University of Pennsylvania, Philadelphia, Pa.
Adil HusainSection of Pediatric Cardiothoracic Surgery, University of Utah Hospital, Salt Lake City, Utah.
Chris MalaisrieDivision of Cardiothoracic Surgery, Northwestern Memorial Hospital, Chicago, Ill.
Sandra StarnesDivision of Cardiothoracic Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio.
John StulakDivision of Cardiothoracic Surgery, Mayo Clinic, Rochester, Minn.
Cameron WrightDepartment of Thoracic Surgery, Harvard University, Boston, Mass.
Michael MackDepartment of Cardiothoracic Surgery, Baylor Scott & White Health, Plano, Tex.
Tom C NguyenDivision of Cardiothoracic Surgery, Department of Minimally Invasive Cardiac Surgery, Miami Cardiac and Vascular Institute, Miami, Fla.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: The makeup of the thoracic surgical workforce can influence policy, training, and certification, but it is not well defined. Using data from the American Board of Thoracic Surgery, this study explored practice-based demographics concerning geography, gender, age, subspecialty, and university affiliation. Methods: American Board of Thoracic Surgery Diplomates taking the 10-year Maintenance of Certification examination opted for the cardiac, general thoracic, cardiothoracic, or congenital modular exam. Using module selection as a surrogate for the examinee's predominant clinical practice, we explored the relationship regarding type of practice, geography (metropolitan vs other), gender, age, and university affiliation. Results: A total of 2273 American Board of Thoracic Surgery Diplomates took the Maintenance of Certification exam from 2018 to 2024. Adult cardiac surgery was the predominant subspecialty (46%), followed by cardiothoracic (24%), general thoracic (22%), and congenital surgery (8%). Significant gender disparity persisted, with women constituting 7% of certified Diplomates and 5% of adult cardiac surgeons. Mean ages ranged from 58.0 years (general thoracic) to 63.3 years (cardiothoracic), with younger surgeons trending toward specialized practices (cardiac Conclusions: Thoracic surgery is increasingly subspecializing, with younger surgeons choosing cardiac, general thoracic, or congenital surgery modular Maintenance of Certification exams. The percentage of female Diplomates remains low. Maintenance of Certification exam-eligible diplomates constitute a predominantly older workforce with noticeable urbanization. Understanding our workforce provides important insight for American Board of Thoracic Surgery certification, the development of training paradigms, and anticipating workforce needs.

Indexed as

cardiothoracic surgerygender diversityhealthcare policyMaintenance of Certificationsubspecializationworkforce trends

Identifiers

PMID41473054
PMCPMC12745087

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.