This application is for renewal of a research training grant in cardiothoracic surgery that has been continuously funded since 1994. It is anticipated that in the next ten years there will be a shortage of cardiothoarcic surgeons. To meet the future needs it is essential that we train an increased number of academic surgeons. An essential element is training these individuals to be independent investigators. Therefore, the overall aims of the program are to provide a stimulating environment and research training for academic cardiothoracic surgeons. The specific goals are to:1)attract the most innovative, inquisitive, diverse, and motivated candidates;2) provide them with the highest possible level of training in the basic science of cardiovascular and pulmonary physiology and pathology;and 3)foster critical thought to prepare the trainees for an independent academic career and leadership role. A strength of the program is its interdisciplinary approach to scientific problem solving in which clinically recognized problems are studied in animal models of human disease at the integrative, cellular, and molecular levels, which can then be translated to clinical solutions. A key component of this training program is the faculty, which includes 26 faculty members with over $22 million of NIH support and extensive experience with research mentoring. They represent four separate departments with a history of collaborative research. Over the last 25 years, our laboratory has trained 72 postdoctoral research fellows. Of these 46 (64%) are in academic medicine. Six are division chiefs or department chairpersons, and one is a principal investigator at the NIH. The NIH T32 training grant has been key support for this training. Prior to the start of the present NIH training grant only 7% of trainees were female and 3% were from underrepresented minorities. Since the start of this training grant in 1994, 26% of trainees have been female and 10% have been minorities. Many of them are in leadership positions in their institutions. We propose to continue this training program and request support for five trainees.

Public Health Relevance

It is anticipated that there will be a shortage of heart and lung surgeons in the next decade. To meet this need it is essential that there are strong medical school programs to train surgeons. These surgeons need to be independent researchers so that they can advance the practice of cardiac and lung surgery and train the next generation of surgeons.

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Institutional National Research Service Award (T32)
Project #
5T32HL007776-17
Application #
8324182
Study Section
NHLBI Institutional Training Mechanism Review Committee (NITM)
Program Officer
Carlson, Drew E
Project Start
1994-07-01
Project End
2016-06-30
Budget Start
2012-07-01
Budget End
2013-06-30
Support Year
17
Fiscal Year
2012
Total Cost
$264,905
Indirect Cost
$18,289
Name
Washington University
Department
Surgery
Type
Schools of Medicine
DUNS #
068552207
City
Saint Louis
State
MO
Country
United States
Zip Code
63130
Khiabani, Ali J; Adademir, Taylan; Schuessler, Richard B et al. (2018) Management of Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting: Review of the Literature. Innovations (Phila) 13:383-390
Semenkovich, Tara R; Meyers, Bryan F; Kozower, Benjamin D et al. (2018) The role of a decision analysis in treatment of T2N0 esophageal cancer. J Thorac Dis 10:S3309-S3310
Manghelli, Joshua L; Carter, Daniel I; Khiabani, Ali J et al. (2018) Outcomes After the MitraClip Procedure in Patients at Very High Risk for Conventional Mitral Valve Surgery. Innovations (Phila) 13:433-437
Semenkovich, Tara R; Meyers, Bryan F (2018) Understanding the impact of neoadjuvant chemoradiation on health-related quality of life in esophageal cancer. Video Assist Thorac Surg 3:
Musharbash, Farah N; Schill, Matthew R; Hansalia, Vivek H et al. (2018) Minimally Invasive Versus Full-Sternotomy Septal Myectomy for Hypertrophic Cardiomyopathy. Innovations (Phila) 13:261-266
Semenkovich, Tara R; Olsen, Margaret A; Puri, Varun et al. (2018) Current State of Empyema Management. Ann Thorac Surg 105:1589-1596
Musharbash, Farah N; Schill, Matthew R; Sinn, Laurie A et al. (2018) Performance of the Cox-maze IV procedure is associated with improved long-term survival in patients with atrial fibrillation undergoing cardiac surgery. J Thorac Cardiovasc Surg 155:159-170
Semenkovich, Tara R; Panni, Roheena Z; Hudson, Jessica L et al. (2018) Comparative effectiveness of upfront esophagectomy versus induction chemoradiation in clinical stage T2N0 esophageal cancer: A decision analysis. J Thorac Cardiovasc Surg 155:2221-2230.e1
Ruaengsri, Chawannuch; Schill, Matthew R; Khiabani, Ali J et al. (2018) The Cox-maze IV procedure in its second decade: still the gold standard? Eur J Cardiothorac Surg 53:i19-i25
Musharbash, Farah N; Schill, Matthew R; Henn, Matthew C et al. (2017) Minimally Invasive Septal Myectomy for Hypertrophic Obstructive Cardiomyopathy. Innovations (Phila) 12:489-492

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