Biography

Professor Julian Smith is a Cardiothoracic Surgeon in Victoria. He has been Professor of Surgery and Head of the Department of Surgery (School of Clinical Sciences at Monash Health) at Monash University and Head of the Department of Cardiothoracic Surgery at Monash Health since 2001. Additionally in 2006, Professor Smith was appointed as a fellowship-elected Councillor of the Royal Australasian College of Surgeons and served as Chairman of the RACS Professional Development and Standards Board, Chairman of the RACS Division of Research, Audit and Academic Surgery and also is a past-President of the Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS).

Professor Smith is also an Honorary Cardiac Surgeon at Peninsula Health (Frankston Hospital) and an Accredited Cardiothoracic Surgeon at St Frances Xavier Cabrini Hospital, Epworth Hospital, and St John of God Hospital, Berwick.

He is currently President and Governor of the Australia and New Zealand Chapter of the American College of Surgeons. An experienced company director, he serves on the boards of several educational and medical research bodies.

His main clinical and research interests are in less invasive cardiac surgery, robotically assisted surgery, mechanical support of the circulation, cardiothoracic surgery clinical trials/audit/databases, the use of evidence-based medicine by surgeons and in surgical education.

He has received over $17 million in competitive research funding for these endeavours from which over 350 peer-reviewed publications have arisen. He has supervised over 60 Undergraduate and Postgraduate students at Honours, Masters, and PhD levels. He has received international recognition for his contribution to surgical education and training from the Royal College of Surgeons of Edinburgh and from the American College of Surgeons. In 2019, he commenced as Editor-in-Chief of the ANZ Journal of Surgery.

Procedures & Conditions

Procedures Performed
  • Adult Cardiac and Thoracic Surgery
  • Minimally Invasive Cardiac Surgery
  • Mechanical Circulatory Support Devices
Conditions Treated
  • Common Cardiac and Respiratory Disorders Requiring Surgical Management
  • Advanced Heart or Pulmonary Failure

Experience

  • Professor and Head of Department of Surgery
    School of Clinical Sciences at Monash Health, Faculty of Medicine, Nursing and Health Sciences, Monash University 2001 - Present
  • Head of Department of Cardiothoracic Surgery
    Monash Health 2002 - Present
  • Academic Director, Surgery & Interventional Services Program
    Monash Health 2016 - Present
  • Honorary Cardiac Surgeon
    Peninsula Health (Frankston Hospital) 2001 - Present
  • Accredited Cardiothoracic Surgeon
    St Frances Xavier Cabrini Hospital 2002 - Present
  • Accredited Cardiothoracic Surgeon
    Epworth Hospital 2003 - Present
  • Accredited Cardiothoracic Surgeon
    St John of God Berwick Hospital 2017 - Present

Memberships

Professional Memberships and Affiliations
  • 2018

    Member of the Academy of Master Surgeon Educators of the American College of Surgeons

  • 2015

    Fellow of the Faculty of Surgical Trainers of the Royal College of Surgeons of Edinburgh

  • 2012

    Fellow of the Australian Institute of Company Directors

  • 2004

    Fellow of the Cardiac Society of Australia and New Zealand

  • 2001

    Fellow of the American College of Surgeons

  • 1992

    Fellow of the Royal Australasian College of Surgeons (Cardiothoracic Surgery)

  • 1989

    Fellow of the Royal Australasian College of Surgeons (General Surgery)

  • Foundation Member of the University of Melbourne Medical School Alumni Society

  • Member of the Australian Medical Association

  • International Member of The Society of Thoracic Surgeons

  • Member of The European Association for Cardio-Thoracic Surgery

  • Member of the Australian and New Zealand Society of Cardiac and Thoracic Surgeons

  • Member of the Thoracic Society of Australia and New Zealand

  • Member of the National Heart Foundation of Australia (Victoria Edition)

  • Member of the James IV Association of Surgeons

Awards
  • 2019

    Collaborative Leadership Award, Safer Care Victoria

  • 2018

    Fellowship, National Heart Foundation of Australia

  • 2018

    Outstanding Service Award, Editorial Board, Heart Lung and Circulation

  • 2017

    Australian Clinical Trials Alliance (ACTA) Trial of the Year 2016

  • 2014

    R.P. Jepson Lecturer, Surgical Research Society of Australasia

  • 2006, 2016

    Certificate of Outstanding Service, Royal Australasian College of Surgeons

  • 1999

    Kendall (NZ) Pty Ltd Prize for the best Cardiothoracic Paper, RACS ASC, Auckland

  • 1993

    H.J. Windsor Prize, Royal College of Surgeons of England

Research & Publications

Publications

Theses 
1. Smith JA. The detection and modification of murine cardiac transplant rejection. Master of Surgery, University of Melbourne, 1986.

2. Smith JA. Threshold concepts and troublesome knowledge in cardiothoracic surgeons – challenges in the commencement of consultant practice. Master of Surgical Education, University of Melbourne, 2014.

Books
1. Smith JA, McCarthy PM, Sarris GE, Stinson EB, Reitz BA (Eds). The Stanford Manual of Cardiopulmonary Transplantation. Futura Publishing Co., Inc., Armonk, New York 1996.

2. Tjandra JJ, Clunie GJA, Kaye AH, Smith JA (Eds). Textbook of Surgery. 3rd edition. Blackwell Science Asia, Carlton, Australia 2006.

3. Smith JA, Fox JG, Saunder AS, Yii MK (Eds). Hunt and Marshall’s Clinical Problems in Surgery. 2nd edition. Elsevier Australia, Sydney, 2010.

4. Smith JA, Fox JG, Saunder AS, Yii MK (Eds). Hunt and Marshall’s Clinical Problems in Surgery. 3rd edition. Elsevier Australia, Sydney, 2016.

5. Smith JA, Kaye AH, Christophi C, Brown WA (Eds). Textbook of Surgery. 4th edition. Wiley, Oxford, 2019 (In press).

Recent original research publications

1. O’Brien J, Saxena A, Reid CM, Tran L, Baker R, Newcomb AE, Smith JA, Huq M, Duffy SJ. Thirty-day outcomes in indigenous Australians following coronary artery bypass grafting. Int Med J 2018;48:780-785.

2. Shi WY, Oldfield Z, Tam R, Cochrane AD, Smith JA. Cardiothoracic training in Australia and New Zealand. J Thorac Cardiovasc Surg 2018;156:718-725.

3. Kosasih M, Almeida AA, Smith JA. Early outcomes of sutureless aortic valve replacement with the Perceval S bioprosthesis. Heart Lung Circulation 2018 May 18. pii: S1443-9506(18)30458-X. doi:10.1016/j.hlc.2018.04.287. [Epub ahead of print]

4. Windsor JA, Garrod T, Tan L, Talley NJ, Churchill JA, Farmer E, Smith JA. Progress towards a sustainable clinical academic training pathway. ANZ J Surg 2018;88:952-953.

5. Cochrane AD, Antippa P, Almeida AA, Smith JA. ANZSCTS ASM 2017 – international perspectives on
contemporary issues in cardiothoracic surgical practice. Heart Lung Circulation 2018;27:909-910.

6. Meneguzzi J, Kilpin M, Zhu YY, Doi A, Reid CM, Tran L, Hayward P, Smith JA. Impact of discontinuation of antiplatelet therapy prior to isolated valve and combined coronary artery bypass graft and valve procedures on short and intermediate term outcomes. Heart Lung Circulation 2018;27:878-884.

7. Ariyaratne TV, Ademi Z, Huq M, Rosenfeldt FL, Duffy SJ, Parkinson B, Yap C-H, Smith JA, Billah B, Brennan AL, Tran L, Reid CM. The real-world cost-effectiveness of coronary artery bypass surgery versus stenting in high-risk patients: propensity score matched analysis of a single-centre experience. Applied Health Economics and Health Policy 2018; https://doi.org/10.1007/s40258-018-0407-5

8. Myles PS, Dieleman JM, Forbes A, Heritier S, Smith JA. Dexamethasone for cardiac surgery trial (DECS-II): rationale and a novel, practice preference-randomized consent design. Am Heart Journal 2018;204:52-57.

9. Myles PS, Smith JA, Kasza J, Silbert B, Jayarajah M, Painter T, Cooper JD, Marasco SF, McNeil JJ, Bussieres JS, McGuiness S, Chan MT, Wallace S, Forbes A for the ATACAS investigators and the ANZCA Clinical Trials Network. Aspirin in coronary artery surgery: one year results of the ATACAS trial. J Thorac Cardiovasc Surg 2019;157:633-640.

10. Myles PS, Smith JA, Kasza J, Silbert B, Jayarajah M, Painter T, Cooper JD, Marasco SF, McNeil JJ, Bussieres JS, McGuiness S, Byrne K, Chan MT, Landoni G, Wallace S, Forbes A for the ATACAS investigators and the ANZCA Clinical Trials Network. Tranexamic acid in coronary artery surgery: one year results of the ATACAS trial. J Thorac Cardiovasc Surg 2019;157:644-652.

11. Nag N, Tran L, Fotis K, Smith JA, Shardey GC, Baker RA, Reid CM. Structured feedback: acceptability and feasibility of a strategy to enhance the role of clinical quality registry to drive change in cardiac surgical practice. Heart Lung Circulation 2019;28:1253-1260.

12. Zhang J, Hills J, Zhong Y, Shirinzadeh B, Smith JA, Gu C. Temperature-dependent thermomechanical modelling of soft tissue deformation. Journal of Mechanics in Medicine and Biology 2018;18: https://doi.10.1142/S0219519418400213

13. Zhang J, Hills Y, Zhong Y, Shirinzadeh B, Smith JA, Gu C. GPU-accelerated finite element modelling of bio-heat conduction for simulation of thermal ablation. Journal of Mechanics in Medicine and Biology 2018;18:https://doi.org/10.1142/S0219519418400122

14. Zhang J, Hills Y, Zhong Y, Shirinzadeh B, Smith JA, Gu C. Modelling of soft tissue thermal damage based on GPU acceleration. Computer Assisted Surgery 2019:24:1-8.

15. Zhang J, Zhong Y, Smith JA, Gu C. Neural dynamics-based Poisson propagation for deformable modelling. Neural Computing and Applications 2019;31:1091-1101.

16. Thakur U, Muthalay RG, Comella A, Wong NC, Velusamy R, Cameron JD, Harper RW, Smith JA, Brown AJ. Off- versus on-pump coronary rtery bypass grafting long-term survival is driven by incompleteness of revascularisation. Heart Lung Circulation 2019 Dec 13. pii: S1443-9506(18)32006-7. doi:10.1016/j.hlc.2018.11.019. [Epub ahead of print]

17. Sher I, Daly C, Oehme D, Chandra RV, Sher M, Ghosh P, Smith JA, Goldschlager T. Novel application of the Pfirrmann disc degeneration grading system to 9.4T MRI: higher reliability compared to 3T MRI. Spine 2019 (In press).

18. Saad MI, Alhayyani S, McLeod L, Yu L, Alanazi M, Deswaerte V, Tang K, Jarde T, Smith JA, Prodanovic Z, Tate MD, Balic JJ, Watkins DN, Cain JE, Bozinovski S, Algar E, Kohmoto T, Ebi H, Ferlin W, Garbers C, Ruwanpura S, Sagi I, Rose-John S, Jenkins BJ. ADAM17 selectively activates the IL-6 trans-signalling/ERK MAPK axis in KRAS-addicted lung cancer. EMBO Mol Med 2019 Apr;11(4). pii: e9976. doi: 10.15252/emmm.201809976.

19. Tran L, Williams-Spence J, Shardey GC, Smith JA, Reid CM. The Australian and New Zealand Society of Cardiac and Thoracic Surgeons Database Program – Two decades of quality assusrance. Heart Lung Circulation 2019;28:1459-1462.

20. Ganhewa AD, Wu R, Chae MP, Tobin V, Miller GS, Smith JA, Rozen WR, Hunter-Smith D. Failure rates of base of thumb arthritis surgery: a systematic review. J Hand Surg Am 2019;44:728-741.

21. Paramo JC, Welsh D, Kirby J, Andreone P, DuCoin C, Smith JA, Butsch DW. 2018 ACS Governors Survey: the disruptive and impaired surgeon. Bull Am Coll Surg 2019;104(5):21-27.

22. Ngo JP, Lankadeva YR, Zhu MZ, Martin A, Kanaki M, Cochrane AD, Smith JA, Thrift AG, May CN, Evans RG. Factors that confound the prediction of renal medullaryoxygen and the risk of acute kidney injury from measurement of bladder urinary oxygen tension. Acta Physiol (Oxf). 2019 Sep;227(1):e13294. doi:10.1111/apha.13294. Epub 2019 Jun 2.

23. Welsh DJ, Aziz HA, Paramo JC, Andreone P, Butsch DW, Smith JA. 2018 ACS Governors Survey: Burnout – a growing challenge. Bull Am Coll Surg 2019:104(6):19-24.

24. Canty DJ, Kim M, Guha R, Pham T, Royse AG, Clarke-Errey, Smith JA, Royse CF. Comparison of cardiac output of both two-dimensional and three-dimensional transoesopjageal echocardiography with transpulmonary thermodilution during cardiac surgery. J Cardiothorac Vasc Anaesth 2019 Jun 13. pii: S1053-0770(19)30520-8. doi: 10.1053/j.jvca.2019.06.007. [Epub ahead of print]

25. Si S, Hillis GS, Briffa T, Sanfilippo F, Smith JA, Tran L, Reid CM. Surgical aortic valve replacement in Australia: temporal changes in clinical practice, patient profiles and outcomes. ANZ J Surg 2019;89:1061-1067.

26. Shi WY, Smith JA. Editorial commentary: a tried-and-true method for producing the next generation of innovators. J Thorac Cardiovasc Surg 2019 (In press).

27. Irving AH, Arora R, Harris A, Petrie D, Higgins L, Smith JA, McQuilten Z. Impact of patient blood management guidelines on blood transfusions and patient outcomes during cardiac surgery. J Thorac Cardiovasc Surg 2019 (In press).

28. Aziz HA, Ducoin C, Welsh DJ, Paramo JC, Andreone P, Butsch DW, Smith JA, Pories S, Baxter NN. 2018 ACS Governors Survey: Gender inequality and harassment remain a challenge in surgery. Bull Am Coll Surg 2019:104(9):21-30.

29. Alramadan MJ, Karim MN, Hossain MN, Smith JA, Cochrane A, Reid CM, Billah B. Renal disease is associated with poor outcomes following isolated coronary artery bypass grafting. Glob Heart. 2019 Sep 12. pii: S2211-8160(19)30159-0. doi: 10.1016/j.gheart.2019.08.002. [Epub ahead of print]

30. Litton E, Bass F, Delaney A, Hillis G, Marasco S, McGuinness S, Myles PS, Reid CM, Smith JA, PINBALL study investigators and the ANZICS CTG. Corrigendum to six-month outcomes after high-risk coronary artery bypass graft surgery and preoperative intra-aortic balloon counterpulsation use: an inception cohort study (Journal of Cardiothoracic and Vascular Anesthesia, Volume 32, Issue 5, October 2018, Pages 2067-2073). J Cardiothorac Vasc Anesth 2019;33:2368.

More research publications available upon request.

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Presentations

  • Dalvand MM, Shirinzadeh B, Qin Y, Schwalb W, Smith JA, Zhong Y. Motion analysis of a robotic assisted surgery and microsurgery system – experimental verification. Paper presented at the 16 th International Conference on Mechatronics Technology, Tianjin, China, 2012.
  • McQuilten Z, Andrianopoulos N, Wood E, Cole-Sinclair M, McNeil JJ, Cameron PA, Reid CM, Newcomb AE, Smith JA, Phillips L. Wide variation in transfusion practice in cardiac surgery: results from the ANZSCTS Cardiac Surgery Database. Paper presented at the ANZSCTS ASM, Hobart, 2012.
  • Viana FF, Troupis JM, Cochrane AD, Choong CK, Moshinsky RA, Pick AW, Almeida AA, Goldstein J, Smith JA. Four dimensional (4D) chest computed tomography (CT) imaging for re-entry risk assessment in re-do sternotomy. Paper presented at the ANZSCTS ASM, Hobart, 2012.
  • McQuilten Z, Enticott J, Wood E, Cole-Sinclair M, McNeil JJ, Cameron PA, Reid CM, Newcomb AE, Smith JA, Phillips L, Andrianopoulos N. Development of a risk prediction model for large volume red cell transfusion in cardiac surgery. Poster presented at the ANZSCTS ASM, Hobart, 2012.
  • Shi WY, Yap CH, Newcomb AE, Tran L, Reid CM, Shardey GC, Smith JA. Impact of socioeconomic status and rurality on early outcomes and mid-term survival after coronary artery bypass grafting: insights from a multicentre registry. Poster presented at the ANZSCTS ASM, Hobart, 2012.
  • Lok Z, Chen Y, Baxter H, Almeida AA, Smith JA, Cochrane AD. Outcomes of adolescent and adult congenital heart surgery in a general adult cardiothoracic surgical unit. Poster presented at the RASC ASC, Auckland, 2013.
  • Oldfield Z, Beasley SW, Smith JA, Watt A, Anthony A. Improving trainee selection has potential to improve the efficiency of training. Paper presented at the RACS ASC, Auckland, 2013.
  • Tran L, Shardey GC, Newcomb AE, Wolfenden H, Buxton BF, Davis BB, Smith JA, Reid CM on behalf of the ANZSCTS Registry. Future directions of the ANZSCTS Database Program. Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Billah B, Huq MM, Shardey GC, Smith JA, Newcomb AE, Sufi F, Reid CM. AusSCORE II in predicting 30-day mortality after isolated CABG in Australia. Paper presented at the ANZSCTS ASM, Darwin, 2013. Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Viana FF, Trou[pis JM, Pick Aw, Narayanan H, Cochrane AD, Moshinsky RA, Almeida AA, Goldstein J, Smith JA. 4-D chest CT imaging for determination of operability of lung cancer – a technical innovation. Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Ch’ng S, Cochrane AD, Smith JA, Wolfe R, Reid CM. Do hospitals and surgeons performing more CABG have better outcomes? Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Ch’ng S, Cochrane AD, Smith JA, Wolfe R, Reid CM. Improved patient outcome associated with a larger valve-specific volume of surgery. Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Cochrane AD, Ng S, Sanagou M, Wolfe R, Smith JA. Prediction of acute kidney within 30 days of cardiac surgery. Paper presented at the ANZSCTS ASM, Darwin, 2013.
  • Ch’ng S, Cochrane AD, Wolfe R, Reid CM, Smith CI, Smith JA. Procedure-specific cardiac surgeon volume associated with patient outcome following valve surgery, but not solated coronary artery bypass graft surgery. Paper presented at the 50th Annual Meeting of the Society of Thoracic Surgeons, Orlando, Florida, 2014.
  • Niumsawatt, N, Smith JA, Shayan R, Hunter-Smith D. Lymphatic pattern in primary cutaneous squamous cell carcinoma (SCC) of the head and neck. Poster presented at the RACS ASC, Singapore, 2014.
  • Tan H, Tan S, Smith JA. Engaging students in a surgical career: a perspective from a student-run surgical interest group. Poster presented at the RACS ASC, Singapore, 2014.
  • Smith JA, Blackburn S, Nestel D. Threshold concepts and troublesome knowledge in cardiothoracic surgeons commencing practice. Paper presented at the Victorian Showcase: Educational Research in the Health Professions, Melbourne, 2014.
  • Smith JA, Blackburn S, Nestel D. Crossing the thresholds: challenges in the commencement of consultant cardiothoracic surgical practice. Paper presented at the ANZSCTS ASM, Gold Coast, 2014.
  • Smith JA, Blackburn S, Nestel D. Uncertainty at the commencement of consultant surgical practice: a qualitative study. Paper presented at the RACS ASC, Perth, 2015.
  • Meneguzzi J, Hayward P, Kilpin M, Zhu YY, Doi A, Reid C, Tran L, Smith JA. Impact of discontinuation of antiplatelet therapy prior to isolated valve and combined coronary artery bypass graft and valve procedures on short and intermediate term outcomes. Paper presented at the ANZSCTS ASM, Adelaide, 2015.
  • Chia RH, Smith JA, Wolfe RS, Almeida AA. Impact of mild-moderate mitral regurgitation on outcomes of isolated aortic valve replacement. Paper presented at the World Society of Cardiothoracic Surgery 25th Anniversary Congress, Edinburgh, 2015. Award to Chia RH for best paper by a medical student.
  • Arivaratne TV, Ademi Z, Huq M, Duffy SJ, Rosenfeldt FL, Billah B, Yap CH, Parkinson B, Smith JA, Brennan A, Tran L, Yan BP, Reid CM. The real-world cost-effectiveness of coronary artery bypass surgery versus stenting in high-risk patients. Poster presented at the 21 st Annual International Meeting of the International Society for Pharmacoeconomics and Outcomes Research, Washington DC, USA, 2016.
  • Cochrane AD, Alramadan M, Reid CM, Tran L, Smith JA, Billah B. Chronic kidney disease is assosciated with poor outcomes after isolated coronary artery bypass grafting. Paper presented at the ANZSCTS ASM,Cairns, 2016.
  • Newcomb A, Farag J, Lo E, Shi W, Barnes H, Joshi P, Davis P, Tran L, Reid CM, Smith JA. Bilateral versus single internal thoracic artery grafting in diabetic patients with triple vessel disease: analysis of a multicentre database. Paper presented at the ANZSCTS ASM, Cairns, 2016.
  • Litton E, Reid CM, Smith JA, Yarad L, Bass F, Delaney A, Hillis G, Jacques T, Marrow N, McGiffin D, McGuinness S, Playford H. Prophylactic intra-aortic balloon counterpulsation in high risk cardiac surgery: the PINBALL programme of research and linked-data pilot RCT. Paper presented at the ANZSCTS ASM, Cairns, 2016.
  • Lo E, Farag J, Shi W, Rashid H, Gooley R, Joshi P, McCormick L, Meredith IM, Smith JA. Surgical aortic valve replacement versus trans-femoral aortic valve implantation using the Lotus bio-prosthesis: early and mid-term outcomes. Paper presented at the ANZSCTS ASM, Cairns, 2016.
  • Zhu M, Cochrane AD, Smith JA, Harrop G, Evans R. Relationship between urinary oxygen tension during cardiopulmonary bypass and development of acute kidney injury. Paper presented at the ANZSCTS ASM, Cairns, 2016. Winner, Young Achiever’s Award, 2016.
  • Canty D, Joshi P, Royse C, McMillan J, Tayeh S, Smith JA. Transoesophageal echocardiography guidance of antegrade cardioplegia delivery for cardiac surgery. Poster presented at the ANZSCTS ASM, Cairns, 2016.
  • Sher I, Daly C, Oehme DA, Chandra RV, Ghosh P, Sher M, Smith JA, Goldschlager T. Could the transitional zone be the key to predicting degenerative disease? Paper presented at the 32 nd Annual Meeting of the North American Spine Association, Orlando, 2017 (Best Paper, Section on Biologics and Basic Research).
  • Alwan M, Brookes J, Mathew M, Ingram B, Smith JA. Predictors and sequelae of post-cardiac surgery cardiac arrest. Paper presented at the RACS ASC, Bangkok, 2019.

More presentations available upon request. 

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