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Coronary Revascularization and Timing of Treatment: A PhD Research Plan

November 8, 2017 @ 12:00 pm – 1:00 pm
Hurlburt Auditorium, St. Paul's Hospital
1081 Burrard Street

Sean Hardiman, MHA, CHE, FACHE
PhD Candidate, UBC SPPH
Research Trainee, Centre for Clinical Epidemiology and Evaluation


Sean Hardiman is a PhD Candidate in the Division of Health Services and Policy at the University of British Columbia’s School of Population and Public Health, and a Research Trainee at the Vancouver Coastal Health Research Institute’s Centre for Clinical Epidemiology and Evaluation. His career in health services has included senior leadership roles at Northern Health and Fraser Health, alongside clinical service as a paramedic with the BC Ambulance Service. Currently, Sean is the provincial clinical director for the coronary revascularization and acute heart failure programs at Cardiac Services BC, where he is responsible for province-wide planning and quality of cardiac surgery and interventional cardiology services. Sean holds a Master of Health Administration degree from UBC, is a Certified Health Executive through the Canadian College of Health Leaders, and is a Fellow of the American College of Healthcare Executives.


Abstract: Patients who have multi-vessel coronary artery disease that is refractory to medical therapies have two options available to them to reduce their risk of mortality: coronary artery bypass graft (CABG) surgery, or percutaneous coronary intervention (PCI), also known as angioplasty. Patients who have CABG generally have better survival than PCI, but CABG often requires the patient to wait for their surgery. PCI, on the other hand, is usually immediately available. It is unknown whether the therapeutic benefits of CABG extend to times when patients must wait beyond recommended waiting times, or whether PCI is the preferred strategy in these situations. This talk will present a PhD research plan to respond to these questions, and will include a discussion of the therapeutic approaches to coronary revascularization, the evidence base for each, and the health services system configurations that lead to variable access. Questions and feedback on the proposed approach are welcomed!

Work in Progress (WiP) presentations take place at St. Paul’s Hospital in the Hurlburt Auditorium on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.

View the 2017-2018 WiP schedule.

Health research in the heart of Vancouver