{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:57:09Z","timestamp":1790744229151,"version":"4.1.0"},"reference-count":12,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100005294","name":"Massachusetts General Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100005294","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["annalsthoracicsurgery.org","clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Annals of Thoracic Surgery"],"published-print":{"date-parts":[[2019,7]]},"DOI":"10.1016\/j.athoracsur.2019.02.008","type":"journal-article","created":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T06:08:41Z","timestamp":1552543721000},"page":"262-267","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":32,"title":["Cardiac Surgery Trainees as \u201cSkin-to-Skin\u201d Operating Surgeons: Midterm Outcomes"],"prefix":"10.1016","volume":"108","author":[{"given":"Jordan P.","family":"Bloom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elbert","family":"Heng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hugh G.","family":"Auchincloss","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serguei I.","family":"Melnitchouk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"D\u2019Alessandro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio A.","family":"Villavicencio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thoralf M.","family":"Sundt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"Jr.","given":"George","family":"Tolis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.athoracsur.2019.02.008_bib1","doi-asserted-by":"crossref","first-page":"710","DOI":"10.1016\/j.jtcvs.2008.11.038","article-title":"Effect of work-hour restriction on operative experience in cardiothoracic surgical residency training","volume":"137","author":"Connors","year":"2009","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib2","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1016\/j.cursur.2005.04.001","article-title":"Effect of work-hour reforms on operative case volume of surgical residents","volume":"62","author":"Ferguson","year":"2005","journal-title":"Curr Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib3","doi-asserted-by":"crossref","first-page":"759","DOI":"10.1016\/j.jtcvs.2013.06.004","article-title":"Cardiothoracic surgery residency training: past, present, and future","volume":"146","author":"Vaporciyan","year":"2013","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib4","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.ejcts.2010.06.035","article-title":"Training and assessment of technical skills and competency in cardiac surgery","volume":"39","author":"Lodge","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib5","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1136\/bmj.39517.686956.47","article-title":"Teaching procedural skills","volume":"336","author":"Grantcharov","year":"2008","journal-title":"BMJ"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib6","doi-asserted-by":"crossref","first-page":"2058","DOI":"10.1016\/j.jtcvs.2017.11.109","article-title":"Teaching operative cardiac surgery in the era of increasing patient complexity: can it still be done?","volume":"155","author":"Tolis","year":"2018","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib7","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1001\/jamainternmed.2013.12844","article-title":"Coronary artery bypass grafting vs percutaneous coronary intervention and long-term mortality and morbidity in multivessel disease: meta-analysis of randomized clinical trials of the arterial grafting and stenting era","volume":"174","author":"Sipahi","year":"2014","journal-title":"JAMA Intern Med"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib8","doi-asserted-by":"crossref","first-page":"773","DOI":"10.1001\/jama.290.6.773","article-title":"Predictors of readmission for complications of coronary artery bypass graft surgery","volume":"290","author":"Hannan","year":"2003","journal-title":"JAMA"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib9","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1001\/archsurg.133.4.442","article-title":"Reexploration for hemorrhage following coronary artery bypass grafting: incidence and risk factors. Northern New England Cardiovascular Disease Study Group","volume":"133","author":"Dacey","year":"1998","journal-title":"Arch Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib10","first-page":"386","article-title":"Postoperative complications of patients undergoing cardiac surgery","volume":"22","author":"Ball","year":"2016","journal-title":"Curr Opin Crit Care"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib11","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.ijsu.2014.11.049","article-title":"Council of the Association of Surgeons in Training. Publication of surgeon specific outcome data: a review of implementation, controversies and the potential impact on surgical training","volume":"13","author":"Radford","year":"2015","journal-title":"Int J Surg"},{"key":"10.1016\/j.athoracsur.2019.02.008_bib12","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1093\/ejcts\/ezy346","article-title":"Cardiac surgical operative training: a disincentivized necessity","volume":"55","author":"Tolis","year":"2019","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["The Annals of Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497519303455?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0003497519303455?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T03:57:55Z","timestamp":1757735875000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0003497519303455"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7]]},"references-count":12,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2019,7]]}},"alternative-id":["S0003497519303455"],"URL":"https:\/\/doi.org\/10.1016\/j.athoracsur.2019.02.008","relation":{},"ISSN":["0003-4975"],"issn-type":[{"value":"0003-4975","type":"print"}],"subject":[],"published":{"date-parts":[[2019,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Cardiac Surgery Trainees as \u201cSkin-to-Skin\u201d Operating Surgeons: Midterm Outcomes","name":"articletitle","label":"Article Title"},{"value":"The Annals of Thoracic Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.athoracsur.2019.02.008","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 by The Society of Thoracic Surgeons Published by Elsevier","name":"copyright","label":"Copyright"}]}}