Dr. Shiv Nair
Dr. C.S Hiremath
The past 3.5 months have indeed been eventful in bringing out some changes in streamlining procedures, incorporating pioneering practices and introducing newer elements to the welfare & progress of this profession of cardiothoracic and vascular surgery.
This issue is an interim account of what we have worked towards in the first hundred days, since the election took place in Chennai this February.
An introspection and audit to analyse the performance of the elected executive is the direction for course correction & further outreach.
The practice of cardiothoracic surgery is constantly evolving with technical advancement in the pursuance of better outcomes. At the same time, we continue to meet with challenges that confront the sustenance & progress in a developing country like ours.
As the representation of this fraternity, the onus on the association fervently increases to address issues that have an impact on our practice. It goes a step further in consolidating our position at the global stage.
The executive has been constantly working towards improving modalities that have an outcome in these factors. This issue is a brief of what it has tried to address.
While the past few months have been exhilarating, we look forward to build on the positive note we have started off with. Indeed sustaining quality is more arduous than achieving it; but the team here is there to relentlessly safeguard and pursue the interests of each member, for a bright future.
Dr. Shiv Nair Dr. C.S Hiremath
Indian Association of Cardiovascular-Thoracic Surgeons
Research or Re-Search?
The medical community seems to be confounded and metagrobolized with the term ‘Research’ and quite often confuses it with ‘Re-search’ – at least, that’s the way it looks, when one browses through the manuscripts submitted to our journal. Etymologically, ‘Research’ is derived from the old French term ‘Recerchier’, evolving to the middle French term ‘Recherché’, meaning ‘to go about seeking’. Wikipedia defines it as, ‘Research is creative and systematic work undertaken to increase the stock of knowledge’. Merriam Webster dictionary calls it ‘careful or diligent search’. According to the American Sociologist Earl Robert Babbie, ‘Research is a systematic enquiry to describe, explain, predict and control the observed phenomenon’.
List of definitions is endless, but no matter which definition one takes, the common denominator is that one has to dig in deep to fathom out something new, something unknown and different from the existing. However, we find most manuscripts are more of an audit of a clinical phenomenon, with a view to documenting associations and incidences, rather than trying to explain the mechanistic basis of things. These kind of articles contribute very little to contemporary medicine, as most of these documentations have already been done …. and dusted …. umpteenth time. To the contrary, besides being stimulating to one’s own self, to get involved in something anew, the investigative kind of original articles are widely read and cited, thus adding to the visibility of the authors and surreptitiously serving the cause of the journal too.
Even rarity of a case report doesn’t qualify it to be published, unless it presents some new information, which adds materially to the existing literature, in terms of diagnostics or therapeutics. I therefore goad all my colleagues to kindly allot experiment based, thought provoking topics for their DNB/M Ch students for the thesis and formulate the protocol with a focus to look at the causation, rather than the demographics and associations.
Further the study should be well planned and must undergo a statistical review before it is actually launched. In current practice, the statistical aspects of the data, its applicability, the power of the study, calculation of the sample size are all extremely important for the analysis, validation and the authenticity of the study. Most manuscripts submitted to high impact factor journals undergo statistical review by a professional. We too, at IJTC, now have a high end professional statistician on board and these parameters will be scrutinized in finer details, as we move forwards.
So buck up friends. I look forward to an encounter with you all at the arena of IJTC and promise to make your publishing experience with us, a fulfilling and rewarding one.
Till next ….. Ciao.
Dr. O.P Yadava
Indian Journal of Thoracic & Cardiovascular Surgery
(The Official Publication of the Indian Association of Cardiovascular-Thoracic Surgeons)
QUARTERLY REPORT ON AGENDA UNDERTAKEN
The webpage & website is an integral part in the physiology of the association, that bears the standard of communication & discussion among all fellows and members of the association.
For long, we have trailed in incorporating prudent technical advances and effective computational methodologies in building a formidable online representation for the Indian Association of Cardiovascular Thoracic Surgeons (IACTS).
Now, we have taken steps to change this perspective & implement facets necessary for the revamping & renewal of a website, that suits & fits the hallostone of the association.
Protocols for conferences
Organising annual conferences and continuing medical education programs brings its own set of challenges & arduous tasks. The association has arrived with a list of guidelines & know hows to establish a uniform conduct of conferences to follow suit & in the benefit of organisers.
On the occasion of world water day this year, we planned to organise out functional structure to one that minimises the use of paperwork, & transform it to a digital world space. I am happy to inform you that the Secretariat & executive meetings have seamlessly progressed to conducting paperless transactions. It is our hope that the association as a whole can realise this with the cooperation of fellow members.
Practical hands on exposure is sought by trainers & juniors ardently. To realise this task as a step further the IACTS is dedicated to providing consistent and comprehensive learning modules to help equip our future generations with better and sound skills.
The association has ensured that around 460 members have received their membership cards. The process is on to develop membership cards for all remaining members.
Systemization of emails
For the purpose of data security, confidentiality & integrated team-based work from home, the association is now on GSuiteTM, a platform that offers domain specific features & opportunities that helps keep the interest of the association ahead.
The overall development of our specialty begins with the welfare & nourishment of our trainees. A novel program, the Residents’ Corner is one that seeks to reach out to residents as a partner in learning, applying for positions & the overall development of the resident.
It incorporates features that are student-centric that is a one stop reference for all resources viz., be it videos, texts, articles or operative techniques.
The association has taken up on its priority to represent the interest of cardiothoracic surgery to the educational regulatory institutions to formalise, regularise & fortify the curriculum for Cardiothoracic surgery in India.
The association believes it should go beyond the ambit of professional interests by supporting the community about cardiac diseases, their management & prevention. This social initiative is one to give back to the society & increase awareness in the public domain.
Data is evidence. In the world of evidence-based medicines that progress on the wheels of science & outcomes, maintaining a formidable effort to collect, collate & curate data is essential. As most of our counterparts abroad continue to use data for a variety of purposes, ranging from research to reasoning outcomes & measuring patient care quality to professional learning, the need of the hour finds a method to implement it. IACTS is happy to announce the ongoing development of a secure database & encourages all members to participate in the drive.
Accessibility in research & education is pivotal. The Indian Association of Cardiovascular Thoracic Surgeons and the IJTC have taken the long-sought need for open access into deliberation & have enacted in providing open access modalities to all members of the association at no cost to the member.
Collaborations and networking with fellow counterparts across the world brings not just the league together in tackling diseases, but also goes a long way in promoting camaraderie, progressing scientific research and academics. The IACTS has collaborated with CTSNet® to aggregate, create, and disseminate high quality clinical content and specialty-related news to meet the educational and informational needs of cardiothoracic surgeons and allied health professionals worldwide.
Getting acquainted with wire-skills is an added asset to the cardiac surgeon; not for the impending call to go percutaneous but as an added skillset, which comes in handy for instances that demand it in exigencies or otherwise. With a healthy spirit, the IACTS intends to provide training programs for young cardiac surgeons in collaboration with support from the interventional division of cardiology.
RECENTLY CONCLUDED EVENTS
VIth CTVS CME-UN Mehta
Into its sixth edition, the CTVS Continuing Medical Education (CME) program on cardiothoracic and vascular surgery conducted at UN Mehta Cardiology Institute, Ahmedabad between 26th and 28th of April 2019; drew over 80 young bright minds training in cardiothoracic surgery. The interest and inquisition were palpable from the enthusiasm of the candidates converging from across the country.
The unique program, organised in collaboration with the Indian Association of Cardiovascular-Thoracic surgeons which has made its mainstay in developing teaching programs on the citadels of quality, constructivism, integrity and reflective applicability, effectiveness had in attendance distinguished faculty from established centers across the country; which included Dr. Shiv K.Nair, Dr. V.V Bashi , Dr. Yugal K.Mishra, Dr. Atul Maslekar, Dr. Chandrashekharan, Dr. V. Devagourou, Dr. Jacob Jamesraj, Dr. Jayant Kumar, Dr. Krishna Manohar, Dr. Prasanna Simha, Dr. Shivprakash, Dr. Sitaram Bhat and Dr. Vinayak Shukla and inhouse established faculty Dr Chirag Doshi, the Organising Chairperson of the event, Dr Amit Mishra and Dr Trushar Gajjar.
The three-day CME started with a day dedicated to wet lab training focusing skills & techniques involved in vascular anastomosis, under the able-guidance of Dr. D Karmekar from Rubyhall, Pune. It was a stirring experience for the young minds to revisit and understand the basics and skills involved to establish anastomosis and good practices in suture handling techniques viz-a-viz hands on training.
The teaching sessions included lectures on cardiac morphology and its relation to embryology and various surgical procedures was emphasized and shown on cadaveric hearts. In depth knowledge on the anatomical complexity and decision making of complex congenital cases, including TOF, Septal defects and the pathophysiology covering the entire spectrum of cyanotic congenital heart disease provided a forum to reflect & establish concepts for the trainees. An interactive session and didactive simulation on conduct of cardiopulmonary bypass with exigent case scenarios was conducted for the benefit of trainees to aptly cognize and handle such situations, while practicing safe measures during pump time.
Additional didactic discussions of clinical case scenarios, deliberations on operative skills and patient management were conducted. The final day concluded with an introduction while rendering outlook on management of complex aortic pathologies, based on foundations build over the last 2 days; with emphasis of the latest and the most innovative trends and modalities in cardiothoracic surgery such as VADs, extra-corporeal support and the revolution around cardiac transplantation. Minimal invasive techniques and robot-assisted procedures with the Da Vinci TM systems were discussed as an evolving trend in developing global scenarios, with benefits and technical advances made in the interest of the patient. The armamentarium of such trending modalities has enabled the paradigm shift we see in cardiac surgery often reflecting in outcomes.
The feedback of the students and that of the faculty have enabled for the improvement & establishment of standards in medical education with renewed methodologies & pedagogy to not just strengthen our faith into continued education but, for the confidence it renders to give this annual event a reason to come back with improved vigour and a unique structure.
IACTS Technocollege Cardiac CME – Pt.BDSUHS, Rohtak
The Indian Association of Cardiovascular-Thoracic Surgeons Cardiac Continuing Medical Education Program was held between 25 & 26 May 2019 at the Pt. B.D Sharma Post Graduate Institute of Medical
Sciences (PGIMS), in the Vedic city of Rohtak, Haryana. The program designed for residents drew over 400 young bright minds training in cardiothoracic surgery, critical care, general surgery, orthopaedic surgery & undergraduates. The interest and inquisition were palpable from the enthusiasm of the candidates converging from across specialties of practices & demographics.
The unique summer teaching module drawn in conjunction with practical exposure and redressing crucial concepts for the development of a professional physician equipped with quality, integrity, constructivism, effectiveness and reflective applicability was supported with the attendance of over 100 faculty from across the length and breadth of the country.
The two-day CME saw in attendance, Prof. Dr. Vinod Paul, member of the NITI Aayog; Dr. Rashmi Kant Dave, Vice President & Executive Director- National Board of Examinations; Mr. Amit Jha, Addl. Chief Secretary- Medical Education & Research(Govt. of Haryana); Prof. Dr. O.P Kalra, Vice Chancellor(UHS, Rohtak) and Dr. Raja Babu Panwar, Vice Chancellor(RUHS, Rajasthan).
Teaching sessions focused on procedural methologies, handling imminent pitfalls often encountered by the young-questing surgeons. The didactic lectures revolved around the complexity of the anatomy in most lesions, that required a holistic effort & approach with modern technology & refined skill. The sessions were split and aptly categorised into the surgery for valvular heart diseases, minimally invasive surgery, congenital surgery, coronary care, aortic surgery, cardiac transplantation for heart failure and a session dedicated to trending technologies and newer paradigms in cardiothoracic surgery.
Discussions in the form of panel discussion and debates were organised to acquaint the residents with shifting paradigms in valvular & coronary surgery from conventional techniques to the adaptation of novel hybrid strategies involving a comprehensive heart team.
Latest and the most innovative trends and modalities in cardiothoracic surgery such as VADs, extra-corporeal support and the revolution around cardiac transplantation, with minimal invasive techniques and robot-assisted procedures were discussed and shown. Integrative strategies utilising more capable imaging modalities such as traditional trans-oesophageal echocardiography and three-dimensional echocardiography was of semblance to the audience comprising of residents majoring in anaesthesia, critical care and emergency medicine. The armamentarium of such trending modalities has enabled the effective strategies we see in cardiac surgery today.
A hands-on didactic session on Aortic valve cum root replacement for aneurysmal dilation of the aorta, with Bentall’s procedure was hosted for the perquisite of residents. The interactive practical session was conducted by Dr. C.S Hiremath and Dr. Prasanna Simha to enable trainees to understand the challenges in performing a complicated procedure, with additional perils in the management of cardiopulmonary bypass and minimising incidents for prudent outcomes. The session also revolved around effective root management in David’s procedure, and compatible coronary anastomoses.
A practical session on arterial anastomosis was conducted to acquaint residents from cardiothoracic, general and orthopaedic surgery with the essentials and skills involved in performing appreciable anastomosis. The session was conducted by Dr. K.N Bhonsle, Dr. Sudhir Mehta who guided the participants with the handling of instruments for the procedure and addressed on effective ways to achieving appreciable anastomosis of venous and arterial grafts. The novices of vascular anastomosis had plenty to take home.
In addition, a hands-on workshop on laparoscopic graft harvesting was conducted to demonstrate and enable residents to understand the basics of minimal access techniques, employed in cardiac surgery. The session by Dr. Manoj Pradhan covered issues on instrument medelling, methods to keep harvest simple and safe, tricks and tips for a good outcome.
The reciprocatory learning module with students and teachers has grown to bring in new and effective teaching methodologies within the ambit of resident outreach. It has enabled to redefine and inculcate effective teaching strategies in post-graduate studies with renewed pedagogy. It reaffirms our faith to invest and develop on continuing medical education for the benefit of students and to keep-driving in this direction to establish teaching efforts in cardiothoracic surgery with more prudent techniques. The summer session hopes to come back with renewed fervor in this exciting endeavour.
X Morphology Course – MMM, Chennai
The Tenth Cardiac Morphology Course was successfully conducted by Dr Jacob Jamesraj at the Madras Medical Mission, Chennai on the 20th & 21st of July this year. The event drew a vast audience from across India, Nepal, Sri Lanka, Kenya, Nigeria and Kurdistan. Participants ranged from cardiac surgeons, cardiologists, cardiac anaesthetists, surgical residents, interventional residents, perfusionists, nurses and undergraduate students. The hallmark of the course lay in its ingenious methods of teaching.
Comparative anatomy with hearts of many species were shown and their unique features demonstrated. Coronary anatomy was taught with shadow play of wire models. Scopy and magnified views help understand the structures as they were rather than with opened chambers. Transillumination and special dissections helped understand the relationships and their surgical importance.
Sessions to acquaint surgeons with real-life scenarios in the theatre were given special emphasis. Applied anatomy in the surgical field was stressed upon by all faculty.
Practical demonstrations of flow phenomena were demonstrated by a standby pump dedicated towards this course. Cardiopulmonary bypass consumables were meticulously cut & curated for the benefit of students to understand the internal architecture of extracorporeal circuits.
Special emphasis and exposure were rendered towards the holistic management of double outlet right ventricle. Dr Latha & team enlightened & rendered spectacular dissection of various malformations in DORV in foetal hearts. Dr Bashi, Dr Hiremath, Dr Devagourou, Dr Ravi Agarwal, Dr Krishna Manohar, Dr Trushar Gajjar, Dr Ezhilan, , Dr Sanjay Theodore Dr Latha, Dr Rani, Dr Sheba Jacob, Dr Prashanth Shah and Dr David Jayakar from Texas were part of the esteemed faculty who helped expound surgical relevance of the illustrated anatomy to the audience. Interesting demonstrations on transcatheter techniques and wire skills were conducted by Dr Jayakar and Dr. Nandakumar respectively.
Indeed, in this phrontistery the dead worthily teach the living!
- SCALPEL 2019
3-4 August 2019
SSSIHMS, Bengaluru, Course coordinator: Dr. C.S Hiremath
Contact: email@example.com/ +91 9481119696
- IACTS Cardiac CME & Midterm GBM,
Organising Secretary: Dr. Vivek Kanhere
Contact: firstname.lastname@example.org/ +91 70009 17926
17-18 August 2019
Chirayu Medical College & Hospital, Bhopal
- SfHFTCon 2019
23-25 August 2019
Grand Hyatt, Mumbai, Organising Chair: Dr. Anvay Mulay
Contact: email@example.com/ +91 93201 74093
- TACS -TAVR Academy for Cardiac Specialists,
5-6 September 2019
- INSHLT Conclave 2019
1-2 October 2019
New Delhi, Organising Secretary: Dr. Kewal Krishan
Contact: firstname.lastname@example.org/ +91 96503 00500
- IACTS Thoracic CME 2019
15-16 Nov 2019
Jammu, Organising Secretary: Dr. Arvind Kohli
Contact: email@example.com/ +91 94191 83529
- liveSURGE: Repair & Restore 19th Annual Live Workshop
22,23 November 2019
GKNM Hospital, Coimbatore, Organising Secretary: Dr. Chandrasekar Padmanabhan
Contact: firstname.lastname@example.org/ +91 94430 47152
- 5th Amrita Heart Conclave: Total Endoscopic Mitral Valve Repair
14-15 Dec 2019
Kochi, Organising Secretary: Dr. Praveen Varma
Contact: email@example.com/ +91 96336 71289
The Indian Association of Cardiovascular-Thoracic Surgeons mourns the passing away of the following members, with grief and dolour. It thanks them for their service to mankind through the practice of Cardiothoracic Surgery, and prays for the bereaved to find strength and solace at this difficult hour.
- Dr. Shekhar Tandon
Dr. Shekhar Tandon served as Professor of Cardiothoracic & Vascular Surgery at the King George Medical College, Lucknow. He completed his bachelors and masters from AMU Aligrah before training in Cardiothoracic Surgery from PGIMER Chandigarh and proceeded to handle academic positions at institutions across Uttar Pradesh, predominant of which was 23 years at KGMC, Lucknow. The association mourns the loss of a senior and respected faculty as Dr. Tandon.
- Dr. Gangadhar TB
Dr. Gangadhar T.B served as a senior consultant with Aster Hospitals, Bengaluru. He completed his bachelors and masters in surgery from Karnataka Medical College, Hubli before proceeding to train in Cardiothoracic & vascular surgery at the PGIMER, Chandigarh. He was associated with Aster Hospitals, in addition to his time at Jain hospitals, Fortis healthcare and Manipal hospitals in Bengaluru. He is survived by his parents, wife and son. The association mourns the loss of this able clinician.
- Dr. Trushar Patel
Dr. Trushar Fuljibhai Patel worked as a consultant at Sterling Hospital, Ahmedabad. He completed his training in cardiothoracic surgery under the guidance of Prof. Sukumar Mehta. His interests included coronary surgery, MICS and surgery for ischaemic mitral lesions. He is survived by his wife, a daughter and a son. The association mourns the passing away of this budding and innovative surgeon.
- Dr. Chandrashekhar Kadli
Dr. Chandrashekhar Kadli served in the faculty of Vydehi Institute of Medical Sciences and Research Center, Bengaluru. He completed his education at KLE Belgaum, before working under the guidance of Prof. Durgaprasad Reddy. He was involved in the teaching and training programs at his institute. He is survived by his wife and daughter. The association mourns the passing away of this dedicated soul.
We are in the process of reconstructing a new website, one that truly mirrors the standards of excellence and is based on tenets of prudence & cutting edge technology. The Secretary requests all members to take time out to review the existing website & provide inputs on changes/ innovations we can incorporate in the new edition.
The Association wishes to announce that Dr. Vijay Shewale, final year resident at LMTMMC & Govt. Hospital(Mumbai) was awarded the Best Poster Award for his work on ‘Cold alert during cardiopulmonary bypass’ presented at the combined 65th IACTSCON & 27th ASCVTSCON, held between 21st and 24th February 2019 at Chennai.
Congratulations Dr. Shewale!
THE TEAM AT WORK
Dr. Shiv K. Nair
Dr. Nair has exemplified great interest in taking up causes for integrated collaborations among initiatives. His diplomatic approaches to challenges that come in our way by sustaining and auditing actions we take on a daily basis.
Dr. Bashi V. Velayudhan
Senior Vice President
Dr. Velayudhan’s efforts in team-building have come a long way in maintaining democratic practice in our daily affairs. His compassionate outlook and camaraderie among fellow members brings a sense of togetherness in our collective actions.
Dr. Krishna S. Iyer
Junior Vice President
Dr. Iyer brings with him decades of administrative experience with constant efforts towards consolidating our practice at the global stage. His technical prowess and involvement enable the association to climb greater heights.
Dr. Rajendra Umbarkar
Joint Secretary & Treasurer
Dr. Umbarkar’s task of maintaining transparency and audit in accounting is a daunting task. His constant involvement and upkeep in matters of good-financial practice shall go a long way in sustaining credibility & ethos among our league.
Dr. O.P Yadava
Dr. Yadava’s constant motivation and critique aids in upholding the highest standards of performance. He has made relentless contributions towards establishing the IJTC as a benchmark for credible scientific practice and probity in maintaining clinical practice of rectitude.
Dr. Anand Sancheti
Senior Past President
Dr. Sancheti initiated the IACTS-accredited fellowship programs for the benefit of residents and young surgeons. His thoughts in establishing our practice with uprightness and virtue enable the association in driving it forward.
Dr. Yugal K. Mishra
Junior Past President
Dr. Mishra has made credible efforts in developing collaborations with our counterparts from the Eastern world. His constant support for innovation in daily practice has enabled the association to incorporate the same.
Dr. Chandrasekar P
Dr. Chandrasekar’s constant drive to maintain standards in education of healthcare is reflected in the first coronary fellowship program we have started. He has contributed towards the many teaching initiatives that the association has been involved in.
Dr. Manoj Durairaj
Dr. Durairaj has brought in the philanthropic outlook to the association, in ensuring that the society does not forget those who do not have access to quality healthcare. He has greatly contributed in ensuring we pursue inclusiveness and adaptiveness in all initiatives.
Dr. A. Rathinavel
Dr. Rathinavel has been greatly supportive in making changes that the association has sought from time to time. His unrelenting spirit has given morale to all fellow-members in ensuring that regardless of how arduous the task remains, we shall persevere.
Dr. Sundar Ramanathan
Dr. Ramanathan has been greatly involved in taking up causes of education and training for constant auditing of standards. His efforts in taking forward the association on tertiles of quality, sustenance and introspection enable amends for progress.
Dr. B. Ravindra Setty
Dr. Setty brings with him a keen sense to collaborate with our counterparts on the medical side. His interests on wire-skills and percutaneous training for the evolving surgeon enable us in remaining involved & evolved to progress.
Dr. Vivek V. Pillai
Dr. Pillai is the youngest member of this team. His youthfulness and spirit brings dynamism and energy to this team, in addition to the umpteen scientific and technical experience he brings with himself through numerous practices of clinical-workshop action.
ENDSAY-FOR A NEW BEGINNING
An audit was performed to reflect on holistic performance of our organization to study any lacunae in the basic ideals of planning, consensus, implementation in phases, review and complete implementation and sift away any differences in the form of errors through course correction.
We realized in the process that many shortcomings in running the association exist amidst our daily routine. We see a nearly insurmountable load of cardiac lesions ranging across coronary artery disease, valvular heart disease, congenital heart disease and heart failure.
This makes India a breeding ground for not just cardiac diseases, but also a vast array of thoracic diseases such as tuberculosis, interstitial lung disease, and numerous forms of lung metastases.
Although many slogans have been raised & promises made, very little has happened on developing a database from scratch. Making this a priority the day I was elected, I have come to realise that the task is more arduous and demanding than seen from the coast. The batter has to be made from scratch and so the database needs to be started off from designing a nomenclature scheme, all the way to protecting the privacy and integrity of participants in this process. I am optimistic in sharing with you that a plan for the prudent national database that works will be projected at the upcoming midterm GBM in Bhopal, to have a curtain raiser at Ahmedabad.
I believe this will enable us in analyzing our outcomes, bringing to order expenses and enabling allied research to obtain coherent numbers to draw up a national figure, for it’d be time for us to draw up our indigenous figures, ones that have been obtained in manner of morality and virtue. This will enable IACTS to consolidate its say in matters of administration at national & state levels.
Let me be honest in stating this. The future of cardiothoracic surgery in India looks very bleak, oblivious and unsatisfying. Let’s not entirely blame our cardiology counterparts for getting our hands tied in matters of say. We need to acknowledge the conundrum that exists in training our cardiac surgeons of the future. The quality of training has simply fallen over the years, for the free wheel of reasons.
Despondency, incompetence, lack of propensity to perform, lack of opportunities has gutted the standards we seek to see in our successors. A climate of qualm has set in, with the state of affairs, for the residents are not to blame. It is the responsibility of every surgeon in academia, or one with a fire to teach to uplift that caliber that has fallen.
There is no rethinking to be done, in understanding the apathy of the same students who are unable to thrive and cut the mark to be certified as CT surgeons. Grimace looms, misery sets in, lives end- there is no dearth to these incidents we see.
I wish to assure each one of you, particularly those among the younger league, that this association shall bear the responsibility to create avenues and opportunities for young cardiac surgeons and residents to gain the flair, finesse and experience to serve the society better.
In the past five months, I have realized that there are more forays to falter than get through to make change. Although one is ready for obstacles, he realizes the size of hurdles only when he gets through.
There is a deep sense of optimism that we shall be able to alter the course we are headed in, and with a deep sense of solicitation, I request all members to be more involved in association activities, for the association is merely flat without the lively buzzling of its members.
I believe while there is a star behind those clouds, ready to burn itself for the future lets prepare ourselves to harvest the crop.
Looking forward to your engagement,
Dr. C.S Hiremath MCh
Indian Association of Cardiovascular-Thoracic Surgeons
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Dr. C.S Hiremath MCh,
Indian Association of Cardiovascular-Thoracic Surgeons
Sri Sathya Sai Institute of Higher Medical Sciences
EPIP Area, Whitefield, Bengaluru – 560066, INDIA
Ph: +91 9481119696/ 080 2800 4426/4720(25/26)