Recruitment to UK cardiothoracic surgery in the era of public outcome reporting

European Journal of Cardio-thoracic Surgery

Volumn 47, Issue 4, 2015, Pages 679-683

  Westaby, Stephen ^a   Baig, Kamran ^a   De Silva, Ravi ^b   Unsworth White, Jonathan ^c   Pepper, John ^d  

^a JOHN RADCLIFFE HOSPITAL   (United Kingdom)

^b PAPWORTH HOSPITAL   (United Kingdom)

^c PLYMOUTH HOSPITALS NHS TRUST   (United Kingdom)

^d ROYAL BROMPTON HOSPITAL   (United Kingdom)

Author keywords

Mortality; Public reporting; Recruitment; Surgeon specific; Training

Indexed keywords

ARTICLE; CARDIAC SURGEON; CONSULTATION; FEMALE; HUMAN; MALE; MEDICAL EDUCATION; PRIORITY JOURNAL; THORAX SURGERY; UNITED KINGDOM; INTERPERSONAL COMMUNICATION; ORGANIZATION AND MANAGEMENT; PERSONNEL MANAGEMENT; PUBLIC RELATIONS; STATISTICS AND NUMERICAL DATA; SURGEON;

DISCLOSURE; FEMALE; GREAT BRITAIN; HUMANS; MALE; PERSONNEL SELECTION; PUBLIC RELATIONS; SURGEONS; THORACIC SURGERY;

EID: 84926483968     PISSN: 10107940     EISSN: 1873734X     Source Type: Journal    
DOI: 10.1093/ejcts/ezu509     Document Type: Article

References (22)

1. Lebastchi AH, Yuh DD. Nationwide survey of US integrated 6-year cardiothoracic surgical residents. J Thorac Cardiovasc Surg 2014;148:401-7.
2. Society for Cardiothoracic Surgery in Great Britain and Ireland. UK surgeons' results. http://www.scts.org/modules/surgeons/default.aspx (27 July 2014, date last accessed).
3. BRI Inquiry Panel. Learning from Bristol: The Report of the Public Inquiry into children's heart surgery at the Bristol Royal Infirmary 1984-1995. London, UK. www.bristol-inquiry.org.uk/finalreport/2001 (1 September 2014, date last accessed).
4. Paduano M. Revealed the hospitals with the worse death rates in Britain. www.theguardian.com/society/2001/nov/18/health.politics (1 September 2014, date last accessed).
5. Walker K, Neuberger J, Groene O, Gomwell DA, Van der Meulen J. Public reporting of surgeon outcomes: low numbers of procedures lead to false complacency. Lancet 2013;382:1674-77.
6. Safe and Sustainable Independent Reconfiguration Panel 2013. http://www.irpanel.org.uk/ (1 September 2014, date last accessed).
7. Centre for Workforce Intelligence: Cardiothoracic Surgery. http://www.cfwi.org.uk/ (1 September 2014, date last accessed).
8. Nelson RJ, May P, Kerr R, Kitchen N, Jenkins A. Re: Publishing individual surgeons' death rates prompts risk averse behaviour. http://www.bmj.content/349/bmj.g5026/rapid-responses (1 September 2014, date last accessed).
9. Peters K, Ryan M. Machismo in surgery is harming the specialty. http://careers.bmj.com/careers/advice/view-article.html?id=20017462 (1 September 2014, date last accessed).
10. Second National Thorac Surgery Activity and Outcomes Report 2011. www.scts.org/_userfiles/resources/634558869917493937_thoracic_2011_final.pdf (1 September 2014, date last accessed).
11. Bridgewater B. Mortality data in adult cardiac surgery for named surgeons: retrospective examination of prospectively collected data on coronary artery surgery and aortic valve replacement. BMJ 2005;330:506-10.
12. Westaby S. Publishing individual surgeons' death rates prompts risk averse behaviour. BMJ 2014;349:g5026.
13. Shahian DM, Edwards FH, Jacobs JP, Prager RL, Normand SL, Shewan CM et al. Public reporting of cardiac surgery performance: Part 1-history, rationale, consequences. Ann Thorac Surg 2011;92:S2-11.
14. Hannan EL, Cozzens K, King SB, Walford G, Shah NR. The New York State cardiac registries: history, contributions, limitations and lessons for future efforts to assess and publically report healthcare outcomes. J Am Coll Cardiol 2012;59:2309-16.
15. Moffatt-Bruce SD, Ross P, Williams TE. American Board of Thoracic Surgery examination: fewer graduates, more failures. J Thorac Cardiovasc Surg 2014;147:1464-70.
16. Schneider EC, Epstein AM. Influence of cardiac surgery performance reports on referral practices and access to care: a surgery of cardiovascular specialists. N Engl J Med 1996;335:251-6.
17. www.gmc-uk.org/doctors/register/search_stats.asp (September 2014, date last accessed).
18. Graham T, Cooper G, Kendall S, Dalrymple-Hay M, Bridgewater B. Outcomes data: a letter from the executive. Soc Cardiothorac Surg Bull 2014;15. http://www.scts.org/_userfiles/pages/file/Bulletins/SCTS%20Bulletin%20Dec14.pdf (1 September 2014, date last accessed).
19. Reddy HG, Shih T, Englesbe MJ, Shannon FL, Theurer PF, Morley AH. Analyzing 'failure to rescue': is this an opportunity for outcome improvement in cardiac surgery. Ann Thorac Surg 2013;95:1976-81.
20. Francis R. Report of the mid Staffordshire NHS Foundation Trust public enquiry 2013. www.midstaffspublicenquiry.com/report (1 September 2014, date last accessed).
21. Westaby S, De Silva R, Petrou M, Bond S, Taggart D. Does surgeon specific mortality data disguise wider failings in delivery of safe surgical services? Eur J Cardiothorac Surg 2015;47:341-5.
22. Westaby S, Taggart DP. Inappropriate restrictions on life saving technology. Heart 2012;98:1117-9.