Dr. Stéphane Manzo-Silberman is an interventional cardiologist at the Institute of Cardiology at Hôpital de la Pitié-Salpêtrière, APHP, Sorbonne University in Paris. Her primary research focus is coronary heart disease in women, having led the first French Metaregistry analyzing over 16,600 patients, highlighting treatment delays and severe prognosis in women with STEMI and PI of the WAMIF study (JAHA 2024). Dr. Manzo-Silberman is also committed to addressing gender discrimination in interventional cardiology and promotes the French group, Interventionn'Elles, which focuses on this mission.
Looking back to your fellowship training, or perhaps considering the current state of fellowship programs, is there a specific therapy area or clinical subject you think fellows should have more experience in?
Currently, fellows have much more experience than we did when I was in training. They are far more prepared in terms of clinical trials and good clinical practice than we were 20 years ago. Additionally, simulation training is a new tool available to today’s fellows. It's really amazing that nowadays, their first time isn't a real procedure on a human being. It provides them with a much higher quality education. That's a major improvement.
You're well-published and have extensive experience in clinical research. For a medical resident or fellow looking to mirror your track record and get more involved in trials or collaborative research, are there a few pointers in terms of where they could start?
In clinical trials, you have to be proactive, not wait around to be chosen. You have to show you're interested in going further. Take initiative, search for information, delve into existing research, and even propose your own ideas – ideas that come from your clinical practice. Every time you're with a patient, ask yourself, “How can this be better treated?” That's the question. That's the topic. Bounce those ideas off your mentors and colleagues, and together you can figure out your research path.
Each patient is different. But, as a skilled interventionist, do you have a protocol for treating calcific plaque?
The first step is to know where the calcium is. Sometimes the angiogram is sufficient, but don't hesitate to go further with intracoronary imaging. You need to know exactly where the calcium is to properly plan your approach. Like a pilot, you should have your plan set beforehand. Anticipate potential complications and use intracoronary imaging.
Sometimes I like to test the cross-ability with a balloon. It's a step-by-step approach before engaging rotational atherectomy or IVL, this provides additional information beyond the images.
So, first, draw your plan. Be prepared. Be on your guard, and then proceed with your sequence. If the angio provides enough information, great. If not, go for intracoronary imaging. Above all, test the lesion for crossability.
When you think about the business side of healthcare, are there a few concepts that you wish you knew coming out of fellowship? Or, similarly, concepts you wish more fellows understood today?
First of all, I'm not very familiar with the term "business." I would call it the world of healthcare.
The most important concept in today's healthcare environment is building strong relationships – both intradisciplinary and interdisciplinary. You can't learn everything by yourself. You need to seek out information and ask for it from the right people.
When you ask for advice from a colleague, often, you already have a partial answer and then you adapt your choice. It's the same when you're a fellow and want to learn something; you need to know what you want to learn, the level, the specific topic. Then, you go and identify the right persons for each question.
Do you have a few tips that have worked especially well for you when building key relationships over your career? What's been most helpful in this area?
First, you have to be available. If you want to work with someone, you need to show interest and availability. Be ready to learn, be humble, and be open-minded. It's really important to be enthusiastic and to pursue the things that really matter to you. Otherwise, you'll be bored, and above all, you won't do well.
Dr. Stéphane Manzo-Silberman is an interventional cardiologist at the Institute of Cardiology at Hôpital de la Pitié-Salpêtrière, APHP, Sorbonne University in Paris. Her primary research focus is coronary heart disease in women, having led the first French Metaregistry analyzing over 16,600 patients, highlighting treatment delays and severe prognosis in women with STEMI and PI of the WAMIF study (JAHA 2024). Dr. Manzo-Silberman is also committed to addressing gender discrimination in interventional cardiology and promotes the French group, Interventionn'Elles, which focuses on this mission.
Looking back to your fellowship training, or perhaps considering the current state of fellowship programs, is there a specific therapy area or clinical subject you think fellows should have more experience in?
Currently, fellows have much more experience than we did when I was in training. They are far more prepared in terms of clinical trials and good clinical practice than we were 20 years ago. Additionally, simulation training is a new tool available to today’s fellows. It's really amazing that nowadays, their first time isn't a real procedure on a human being. It provides them with a much higher quality education. That's a major improvement.
You're well-published and have extensive experience in clinical research. For a medical resident or fellow looking to mirror your track record and get more involved in trials or collaborative research, are there a few pointers in terms of where they could start?
In clinical trials, you have to be proactive, not wait around to be chosen. You have to show you're interested in going further. Take initiative, search for information, delve into existing research, and even propose your own ideas – ideas that come from your clinical practice. Every time you're with a patient, ask yourself, “How can this be better treated?” That's the question. That's the topic. Bounce those ideas off your mentors and colleagues, and together you can figure out your research path.
Each patient is different. But, as a skilled interventionist, do you have a protocol for treating calcific plaque?
The first step is to know where the calcium is. Sometimes the angiogram is sufficient, but don't hesitate to go further with intracoronary imaging. You need to know exactly where the calcium is to properly plan your approach. Like a pilot, you should have your plan set beforehand. Anticipate potential complications and use intracoronary imaging.
Sometimes I like to test the cross-ability with a balloon. It's a step-by-step approach before engaging rotational atherectomy or IVL, this provides additional information beyond the images.
So, first, draw your plan. Be prepared. Be on your guard, and then proceed with your sequence. If the angio provides enough information, great. If not, go for intracoronary imaging. Above all, test the lesion for crossability.
When you think about the business side of healthcare, are there a few concepts that you wish you knew coming out of fellowship? Or, similarly, concepts you wish more fellows understood today?
First of all, I'm not very familiar with the term "business." I would call it the world of healthcare.
The most important concept in today's healthcare environment is building strong relationships – both intradisciplinary and interdisciplinary. You can't learn everything by yourself. You need to seek out information and ask for it from the right people.
When you ask for advice from a colleague, often, you already have a partial answer and then you adapt your choice. It's the same when you're a fellow and want to learn something; you need to know what you want to learn, the level, the specific topic. Then, you go and identify the right persons for each question.
Do you have a few tips that have worked especially well for you when building key relationships over your career? What's been most helpful in this area?
First, you have to be available. If you want to work with someone, you need to show interest and availability. Be ready to learn, be humble, and be open-minded. It's really important to be enthusiastic and to pursue the things that really matter to you. Otherwise, you'll be bored, and above all, you won't do well.
Dr. Stéphane Manzo-Silberman is an interventional cardiologist at the Institute of Cardiology at Hôpital de la Pitié-Salpêtrière, APHP, Sorbonne University in Paris. Her primary research focus is coronary heart disease in women, having led the first French Metaregistry analyzing over 16,600 patients, highlighting treatment delays and severe prognosis in women with STEMI and PI of the WAMIF study (JAHA 2024). Dr. Manzo-Silberman is also committed to addressing gender discrimination in interventional cardiology and promotes the French group, Interventionn'Elles, which focuses on this mission.
Looking back to your fellowship training, or perhaps considering the current state of fellowship programs, is there a specific therapy area or clinical subject you think fellows should have more experience in?
Currently, fellows have much more experience than we did when I was in training. They are far more prepared in terms of clinical trials and good clinical practice than we were 20 years ago. Additionally, simulation training is a new tool available to today’s fellows. It's really amazing that nowadays, their first time isn't a real procedure on a human being. It provides them with a much higher quality education. That's a major improvement.
You're well-published and have extensive experience in clinical research. For a medical resident or fellow looking to mirror your track record and get more involved in trials or collaborative research, are there a few pointers in terms of where they could start?
In clinical trials, you have to be proactive, not wait around to be chosen. You have to show you're interested in going further. Take initiative, search for information, delve into existing research, and even propose your own ideas – ideas that come from your clinical practice. Every time you're with a patient, ask yourself, “How can this be better treated?” That's the question. That's the topic. Bounce those ideas off your mentors and colleagues, and together you can figure out your research path.
Each patient is different. But, as a skilled interventionist, do you have a protocol for treating calcific plaque?
The first step is to know where the calcium is. Sometimes the angiogram is sufficient, but don't hesitate to go further with intracoronary imaging. You need to know exactly where the calcium is to properly plan your approach. Like a pilot, you should have your plan set beforehand. Anticipate potential complications and use intracoronary imaging.
Sometimes I like to test the cross-ability with a balloon. It's a step-by-step approach before engaging rotational atherectomy or IVL, this provides additional information beyond the images.
So, first, draw your plan. Be prepared. Be on your guard, and then proceed with your sequence. If the angio provides enough information, great. If not, go for intracoronary imaging. Above all, test the lesion for crossability.
When you think about the business side of healthcare, are there a few concepts that you wish you knew coming out of fellowship? Or, similarly, concepts you wish more fellows understood today?
First of all, I'm not very familiar with the term "business." I would call it the world of healthcare.
The most important concept in today's healthcare environment is building strong relationships – both intradisciplinary and interdisciplinary. You can't learn everything by yourself. You need to seek out information and ask for it from the right people.
When you ask for advice from a colleague, often, you already have a partial answer and then you adapt your choice. It's the same when you're a fellow and want to learn something; you need to know what you want to learn, the level, the specific topic. Then, you go and identify the right persons for each question.
Do you have a few tips that have worked especially well for you when building key relationships over your career? What's been most helpful in this area?
First, you have to be available. If you want to work with someone, you need to show interest and availability. Be ready to learn, be humble, and be open-minded. It's really important to be enthusiastic and to pursue the things that really matter to you. Otherwise, you'll be bored, and above all, you won't do well.
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Given your extensive experience presenting at conferences and training other doctors, what key skills do you think are essential for success in these roles?
First off, try to do better than I did. But in all seriousness, the important thing is knowing what you are interested in, what you are good at, and then concentrating on your specific area. Be simple, be well prepared and talk only about things you really know and that really matter to you.
Let's switch gears to some fun, rapid-fire questions. In the cath lab or interventional suite, do you listen to music? If so, what are some of your go-to songs?
We don't play music in the cath lab where I've been working for the last two years. But previously, we did. I always asked patients to choose the music they wanted to listen to during the procedure. I discovered many new artists and songs through their suggestions. Otherwise, I go for jazz, like Brubeck, or classical piano like Chopin.
How about movies? If you have a weekend off, are there a few go-to movies or any favorites of all time?
I don't have much time. When you're an interventionalist with three kids, movies become a faraway memory. But if I had to choose, I'd say The Jungle Book and Breakfast at Tiffany's.
Take us back to your mid- to late-20s, or maybe shortly after you graduated medical school. Is there one thing that you'd tell the younger version of yourself?
“Be focused.” I wish I'd been more focused back then. In my early days, I spread myself a bit thin across too many areas. Be selective about your work and what you take on.
Lastly, are there any events, congresses, or clinical research initiatives that you want to mention or raise more awareness for?
I believe EuroPCR is the premier event for interventional cardiologists worldwide, especially for fellows, as there is a dedicated track for them, which is really unique.
Given your extensive experience presenting at conferences and training other doctors, what key skills do you think are essential for success in these roles?
First off, try to do better than I did. But in all seriousness, the important thing is knowing what you are interested in, what you are good at, and then concentrating on your specific area. Be simple, be well prepared and talk only about things you really know and that really matter to you.
Let's switch gears to some fun, rapid-fire questions. In the cath lab or interventional suite, do you listen to music? If so, what are some of your go-to songs?
We don't play music in the cath lab where I've been working for the last two years. But previously, we did. I always asked patients to choose the music they wanted to listen to during the procedure. I discovered many new artists and songs through their suggestions. Otherwise, I go for jazz, like Brubeck, or classical piano like Chopin.
How about movies? If you have a weekend off, are there a few go-to movies or any favorites of all time?
I don't have much time. When you're an interventionalist with three kids, movies become a faraway memory. But if I had to choose, I'd say The Jungle Book and Breakfast at Tiffany's.
Take us back to your mid- to late-20s, or maybe shortly after you graduated medical school. Is there one thing that you'd tell the younger version of yourself?
“Be focused.” I wish I'd been more focused back then. In my early days, I spread myself a bit thin across too many areas. Be selective about your work and what you take on.
Lastly, are there any events, congresses, or clinical research initiatives that you want to mention or raise more awareness for?
I believe EuroPCR is the premier event for interventional cardiologists worldwide, especially for fellows, as there is a dedicated track for them, which is really unique.
Given your extensive experience presenting at conferences and training other doctors, what key skills do you think are essential for success in these roles?
First off, try to do better than I did. But in all seriousness, the important thing is knowing what you are interested in, what you are good at, and then concentrating on your specific area. Be simple, be well prepared and talk only about things you really know and that really matter to you.
Let's switch gears to some fun, rapid-fire questions. In the cath lab or interventional suite, do you listen to music? If so, what are some of your go-to songs?
We don't play music in the cath lab where I've been working for the last two years. But previously, we did. I always asked patients to choose the music they wanted to listen to during the procedure. I discovered many new artists and songs through their suggestions. Otherwise, I go for jazz, like Brubeck, or classical piano like Chopin.
How about movies? If you have a weekend off, are there a few go-to movies or any favorites of all time?
I don't have much time. When you're an interventionalist with three kids, movies become a faraway memory. But if I had to choose, I'd say The Jungle Book and Breakfast at Tiffany's.
Take us back to your mid- to late-20s, or maybe shortly after you graduated medical school. Is there one thing that you'd tell the younger version of yourself?
“Be focused.” I wish I'd been more focused back then. In my early days, I spread myself a bit thin across too many areas. Be selective about your work and what you take on.
Lastly, are there any events, congresses, or clinical research initiatives that you want to mention or raise more awareness for?
I believe EuroPCR is the premier event for interventional cardiologists worldwide, especially for fellows, as there is a dedicated track for them, which is really unique.
