Objectives: Training in cardiothoracic surgery coincides with a time when many plan their families. Many choose to delay childbearing until the end of training, 33% of women and 20% of men reported using assisted reproductive technology (ART). States have varying laws regarding abortion and ART, which can influence these decisions. Our purpose was to elucidate the intersection of such laws and the training positions available in cardiothoracic surgery.
Methods: We identified abortion laws, abortion laws regarding insurance coverage, personhood laws that potentially influence ART, and insurance coverage of ART using publicly available data. We created choropleth maps with cardiothoracic surgery training positions identified using the National Resident Matching Program Match data for 2024.
Results: We found that 29.4% of cardiothoracic surgery programs (47 out of 160) are situated in states with abortion restrictions. Of 48 integrated training positions, 10 are in states with abortion restrictions. Similarly, 32 of 95 traditional thoracic positions and 5 of 17 congenital positions are in states abortion restrictions. A total of 25.6% of cardiothoracic training programs reside in states that grant personhood before birth, potentially affecting ART. Insurance coverage for abortion and ART are variable.
Conclusions: Valuing reproductive rights like access to abortion, insurance coverage, and ART can potentially influence training opportunities in cardiothoracic surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jtcvs.2024.07.035 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Chest X-ray Overuse in Cardiothoracic Intensive Care Unit per American College of Radiology Criteria.
Ann Thorac Surg Short Rep
September 2023
Division of Cardiac Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Background: A routine chest radiograph (CXR) is frequently incorporated into postoperative clinical pathways. Whereas prior studies evaluated CXR use for specific indications, overall CXR "stewardship" within cardiothoracic surgery remains undescribed. We characterized CXR use within a cardiothoracic intensive care unit (ICU) and quantified X-ray-driven changes in patient management.
View Article and Find Full Text PDFBidirectional Circumferential Intimo-Intimal Intussusception in Acute Aortic Dissection.
Ann Thorac Surg Short Rep
September 2023
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic Foundation, Cleveland, Ohio.
Complete circumferential aortic dissection with bidirectional intimo-intimal intussusception is a rare occurrence in Stanford type A dissections. The antegrade dissection flap can obstruct the left ventricular outflow tract and coronary sinuses, whereas the retrograde flap can obstruct the aortic arch and branch vessels. Sequelae include aortic regurgitation, myocardial ischemia, and neurologic complications.
View Article and Find Full Text PDFAortic Perigraft Seroma After Total Arch Replacement-A Diagnostic Challenge.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiothoracic Surgery, Wellington Regional Hospital, Wellington, New Zealand.
Perigraft seroma is a rare but important complication after aortic surgery. Clinical vigilance is required to differentiate this collection from more serious conditions that warrant surgical intervention. We present the case of a 25-year-old man with Marfan syndrome in whom a large symptomatic aortic arch perigraft seroma developed after a fourth redo cardiac surgery for completion total arch replacement.
View Article and Find Full Text PDFA Systematic Review of Contemporary Randomized Trials in Cardiothoracic Surgery.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.
Background: This analysis was conducted to characterize contemporary randomized controlled trials (RCTs) in cardiothoracic surgery.
Methods: We selected randomized controlled trials published in the journals with the highest impact factor in medicine, general surgery, and cardiothoracic surgery and published between 2008 and 2020. Trial characteristics as well as measures of reporting and quality were summarized and compared.
A Rare Septal Hamartoma of Mature Cardiac Myocytes Manifesting With Cardiac Cachexia in a Teenager.
Ann Thorac Surg Short Rep
September 2023
Department of Cardiothoracic Surgery, Stanford University, Stanford, California.
Hamartomas of mature cardiac myocytes are a rare type of primary cardiac tumor, with only 5 cases of interventricular septal involvement reported to date. They are often challenging to diagnose, and there is currently no standardized approach to surgical resection. Here, we present a rare case of a large 6.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!