Thomas Forbes, MD - Vascular Surgery in Canada, Sub-specialization, Regionalization and the "Fireman" Vascular Surgeon

Dr. Thomas Forbes is a professor of surgery and RJ Elliot Chair and Division Head of Vascular Surgery at the University of Toronto (@UofTVascular), and the program director of the Advanced Aortic Surgery Fellowship at the University of Toronto. He is also an associate editor of the Journal of Vascular Surgery and the chair of the Document Oversight Committee of the Society for Vascular Surgery. He joins us to discuss the application of new technologies in vascular
surgery, insight into Canadian vascular surgery, vascular surgical training, subspecialization and regionalization, personalized medicine, and the personality of the vascular surgeon.

(0:20) Full biography: https://surgery.utoronto.ca/content/thomas-forbes
(5:57) Dr. Wayne Johnson - Founding Chair in the Division of Vascular Surgery at the University of Toronto Division, founder of the Canadian Society for Vascular Surgery: https://www.uhn.ca/PMCC/media/Globe_Mail/Pages/forefather_vascular_surgery_Canada_globe-2016.aspx
(7:28) Dr. Jim May of the Royal Prince Alfred Hospital, Australia, one of the early pioneers of endovascular surgery: http://sydney.edu.au/medicine/people/academics/profiles/james.may.php
(8:27) “Iliac on a stick”; terminology for removing devices of the time: https://bit.ly/2SvtXaW
(10:08) A model approach that allows Canadian surgeons to implement new technologies in practice: The PMCC Innovation Committee, co-founded by a vascular surgeon, Dr. Barry Rubin: https://www.uhn.ca/PMCC/media/Globe_Mail/Pages/Peter-Munk-Cardiac-Centre-Innovation-Committee-2017.aspx
(11:28) Recent FDA proposed changes to device approval process spark fears of dangers of rapid device adoption: https://vascularnews.com/us-fda-plan-shakeup-of-its-510k-clearance-programme/
(13:44) Regionalization of fenestrated endovascular device practice patterns: https://www.ncbi.nlm.nih.gov/pubmed/29843567
(19:08) Advanced Aortic Surgery fellowship at the University of Toronto: https://surgery.utoronto.ca/fellowships-division-vascular-surgery
(29:55) Centers of Excellence: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5516836/pdf/12913_2017_Article_2340.pdf
(31:26) SVS Clinical Practice Guideline: https://vascular.org/research-quality/guidelines-and-reporting-standards/clinical-practice-guidelines
(33:18) Leapfrog initiative: http://www.leapfroggroup.org/about
(33:23) The Volume Pledge: https://www.healthleadersmedia.com/clinical-care/surgical-specialization-may-trump-volume-measure-quality
(35:31) “Personalized vascular surgery”: https://www.mdedge.com/vascularspecialistonline/article/106142/vascular-surgery-its-personal
(38:43) Dr. Forbes on heart health: “Let’s be more active”: https://www.youtube.com/watch?v=KhhW_E9cAr4
(40:28) Vascular surgeons are the firefighters of the surgery world: https://bit.ly/2G7UFF5
(42:51) MEGS: The Montefiore endovascular grafting system: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1421179/figure/f1-2/?report=objectonly