Proposal of International Network System for Young Cardiac Surgeons

1. Proposal of International Network System for Young Cardiac Surgeons Japanese Association of Young Cardiac Surgeons Hiroyuki Tsukui, Shin Takabayashi, Hiroo Takayama, Yasutaka Hirata, Kazuma Okamoto, Mitsuhiro Kawata, Naoto Miyagi

2. Personal experience of international network • 2004-2006 • Thoracic Transplant and Artificial Heart Program Clinical Fellow at UPMC under Dr. Kormos • 2006-2008 • Advanced Adult Cardiac Surgery Fellow at UPMC Passavant under Dr. Pellegrini

3. The frog in the well does not know the ocean For young cardiac surgeons, different culture, mentor and training system will give a different point of view and make them strong as a cardiac surgeon International network system will encourage them and play an important role in the future

4. Overall CVS Procedure Count

5. Number of CVS Sites

6. Isolated CAB count

7. Isolated CAB Mortality

8. Low volume • a large number of cardiac surgeons Quite different circumstances, but almost same outcomes There are many ways to obtain good outcomes for patients High volume a small number of cardiac surgeons

9. J Thorac Cardiovasc Surg 2008; 135: 1306-12 Given the consistently low volume of most Japanese CABG programs, their overall results will come as a surprise to many. Perhaps there are lessons from this extreme example that might be applicable to less extreme but smaller programs in other countries. Unadjusted 30-day mortality rates by CABG procedural volume in JATS database

10. Innovation from Japan OPCAB training simulator: BEAT innovated by Young Kwang Park

11. Each has its strong point Power Speed Eco-friendly

12. In the field of Economics World Economic Forum Founded in 1971 Has annual meeting in Davos, Switzerland. It aims to be: the foremost organization which builds and energizes leading global communities; the creative force shaping global, regional and industry strategies; the catalyst of choice for its communities when undertaking global initiatives to improve the state of the world.

13. United States • Thoracic Surgery Residents Association (TSRA) • Founded in 1997 • Organized under guidance of Thoracic Surgery Director Association (TSDA) • Has regular meeting during STS, AATS and ACS • Provides residency information and education

14. Europe • EACTS Residents Meeting • Organized by the Surgical Training and Manpower Committee (STMC) • Has regular meeting during EACTS annual meeting • Provides international relationship with United States

15. Japan • Japanese Association of Young Cardiac Surgeons (JAYCS) • Established in 2008 • Has regular meetings during annual meeting of JATS and JSCS

16. International Network System

17. Expected Activities Annual meeting at international conferences including ISMICS, AATS, STS, EACTS, and JATS Establish international CT surgery training fellowship Establish exchange programs

18. If we get our wisdoms together… Provide better surgical outcomes for patients Provide better environment for young cardiac surgeons

19. Thank you for your attention