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| The Monthly Pulse |
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| Doctors no longer bound by noncompetes under FTC’s proposed ban
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| The Story |
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| Recently, the FTC proposed a new rule which would ban noncompete clauses in physicians’ employment contracts. The change would lift the ban that currently prevents physicians from practicing for competitors within a certain geographical area or period of time. Nearly half of all physicians are bound by such contracts, so the ban could lead to drastic shifts in the healthcare sector. |
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| What You Should Know |
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| According to the FTC, banning noncompete clauses could be an important step towards reducing healthcare costs while also raising physician earnings. Still, there are questions as to how the new rule would be enforced. For example, non-solicitation clauses would still be lawful under the new rule, and would prevent physicians from soliciting colleagues or former patients to join them in their new practice. Additionally, healthcare attorneys are questioning whether the ban would apply to nonprofit healthcare organizations, as the FTC doesn’t have jurisdiction over nonprofits.
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| Major TAVI Studies Have ‘Methodological Issues,’ INTEGRITTY Group Contends
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| The Story |
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| In a systematic review, a multidisciplinary team of academics known as the INTEGRITTY group discussed the methodological imbalances in clinical trials that compare transcatheter aortic valve replacement to surgery in aortic stenosis. Among the issues they identify are differences in the loss to follow-up, rates of additional procedures, and deviations from the randomly assigned treatment. They note that while the imbalances may have simple explanations, they must still be considered when comparing the risks of TAVR versus surgery.
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| What You Should Know |
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| Authors of the review agree that randomized, controlled clinical trials hold enormous value, but that they should generate discussion instead of being taken as gospel. When determining what’s best for the patient — TAVR or surgery — providers can look to clinical trial data while acknowledging its limitations. There’s no simple answer for eliminating the methodological issues identified altogether. For now, continuing discussions around these two procedures will help to promote the best patient outcomes.
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| Safety and efficacy of two-port thoracoscopic aortic valve replacement |
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| The Story |
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| Sternotomy aortic valve replacement has been the standard treatment method for pure aortic valve disease for several decades. While minimally invasive cardiac surgery has been used to treat atrioventricular valve lesions, total thoracoscopic aortic valve replacement is a new frontier. A recently published report looks at the clinical data from two-part thoracoscopic aortic valve replacement performed on nine patients. |
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| What You Should Know |
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| While the data is limited and the procedure is still in its infancy, two-part thoracoscopic aortic valve replacement appears to be promising so far. Based on operative data and short-term outcomes, including no operative or postoperative deaths or procedural complications, the procedure could be a safe and effective approach for certain patients with aortic valve disease. Further research will be needed, including studies with larger sample sizes and longer follow-up periods.
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| Leadership Reflections |
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Genius and Frustration
Are you working in joy or exhaustion? Our administrative team recently participated in a professional development workshop, provided by HR Reliance, on the concepts from The 6 Types of Working Genius, by Patrick Lencioni. Our brilliance was revealed (I only partially jest).
We uncovered our working geniuses (the areas that give us joy) and our frustrations (the areas that exhaust us) according to the Working Genius assessment. When we plotted our individual results as a team, gaps, strengths, and possibilities emerged. We were given a framework/common language for starting discussions about how and why we do what we do, what the company needs, and how to make some adjustments.
Have you spent time looking at why you do what you do in your work? Satisfaction in work can be linked to an alignment between our intrinsic gifts/way of being and our daily activity/doing. If you have primarily worked based on what came to you, were told you should do, or even what gave you the most money or a certain title - basically, what was culturally required - you may not be working in your genius and might be missing out on joy.
The Working Genius model can apply to all parts of life. I am not recommending an upheaval of your whole world. Our way of being and doing is out of necessity at times. Rather, I am recommending taking time to look at what you do, who you are, and how that shapes your life experience. Give yourself the possibility of more joy.
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| Wisconsin Perfusion Society Annual Spring Meeting |
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| STS Workshop on Robotic Thoracic Surgery |
| Thurs., Apr. 20 - Fri., Apr. 21 |
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| Hoosier Extracorporeal Science Conference |
| Fri. May 26 - Sat. May 27 |
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| 2023 STS Coronary Conference |
| Sat., June 3 - Sun., June 4 |
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| APACVS 42nd Annual Meeting |
| Wed., June 21 - Sun., June 25 |
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