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This signal brings noise
Last month, my friend Nikhil Kansal detailed in Vascular Specialist why the Association for Program Directors in Vascular Surgery (APDVS) elected to implement Preference Signaling in the upcoming Integrated Vascular Surgery Match. Here I will explain why I think this…
A new signal in the match: Why vascular surgery Is embracing program signaling
The residency and fellowship match processes in vascular surgery have evolved significantly over the past decade, shaped by changes in application behavior and increasing application volume, even as the ratio of applicants to available training positions has remained relatively stable.…
The kids are alright
“I know I gotta get away and I know if I don’t, I’ll go out of my mind; better leave her behind with the kids, they’re alright, the kids are alright.” – Pete Townshend, The Who Mankind harnesses the power…
The Zeigarnik effect
You pull out the key to open the door to your house. You unlock the door and get inside. Then, several hours later, you are looking for the key and wondering where it is. And you discover that you have…
Site neutral payments: Are there winners and losers?
The mantra ‘location, location, location’ in property purchases was supposedly emphasized by Lord Harold Samuel, a British real estate tycoon. Location is also important when Medicare pays for some health care services. Depending on whether services are provided in Hospital…
Fear and loathing in a post-CREST-2 world
Medical editor Malachi Sheahan III, MD, reflects on the release of the CREST-2 results and considers what they may mean for clinical practice. As you likely know, the long-awaited CREST-2 trial results were recently released. While panic and jubilation erupt…
A call for call pay
Medical editor Malachi Sheahan III, MD, makes the case for surgeon call pay, a remuneration he says should be understood more as compensation than reimbursement. The strongest desire of my early youth was to attain an Atari 2600TM video game…
The globalization of aortic innovation: A cautionary tale of U.S. regulatory overreach
In 1954, Dr. Michael DeBakey transformed vascular surgery with a homemade Dacron graft sewn on his wife’s sewing machine. His spirit of innovation laid the foundation for decades of U.S.-led advancement in aortic technology. However, recent trends suggest that this…
Unionization for vascular surgeons: Are you ready to join?
Vascular Specialist readers may wonder why I am now raising this topic amid current challenges facing vascular surgery, like governmental concerns, low reimbursement, specialty competition, the involvement of advanced practice providers without direct affiliation with vascular surgeons, and discussions regarding…
The benefits of a heart and vascular institute
Vikram S. Kashyap, MD, pushes back against a recent editorial from Vascular Specialist medical editor Malachi Sheahan III, MD, in which the latter called into question the value of heart and vascular centers to the vascular surgical specialty. I am…