Megan Tracci

Vascular Surgeon, Professor, University of Virginia | Health Law, Policy, Advocacy | Medical Director for Surgeon Engagement, American College of Surgeons

[Megan Tracci @MeganTracci]

@johnnythreeeggs @SalaryDr Could they do more? Yet...

More unions- to the extent permitted by law: trainees, employed docs

More lobbying- docs and societies engaging legislators, docs front and center in recent hearings

More "no"- to noncompetes, prior auth...

And yes, more quitting, unfortunately.

[Megan Tracci @MeganTracci]

Always worth trying to keep up!

[UMassVascular @UMassVascSurg]

Dr. Francesco Aiello
may talk fast. Correction, he does talk fast. But every word is worth listening to and you will learn from his presentation at #PNEC2026. Physicians must lead building out OBLs and Vein Centers.

[UMassVascular @UMassVascSurg]

Dr. Francesco Aiello
may talk fast. Correction, he does talk fast. But every word is worth listening to and you will learn from his presentation at #PNEC2026. Physicians must lead building out OBLs and Vein Centers.

[Megan Tracci @MeganTracci]

@UvaVascular @FarivarMD @WDarrinClouse @MedicineUVA @APDVS_ Welcome Vivek and Neil and thank you to your mentors at @methodistdallas and @HMHNewJersey for preparing you for the next step in this journey!

[Chris Childers @cchildersmd]

A 2.5% “efficiency adjustment” wRVU cut is now in effect.

If your institution hasn’t acknowledged it or discussed its impact, that’s a problem.

With Don Selzer, we outline what this means for productivity benchmarks (@JAMASurgery):

https://t.co/1MQdYSLAtG

[Megan Tracci @MeganTracci]

@1980_welsh @TomVargheseJr Congratulations!

[David Welsh @1980_welsh]

At the Indiana Chapter of the American College of Surgeons annual meeting today, I was honored to receive an Excellence in Service Award. The ACS and it's Indiana Chapter are awesome. #ACS #ACSINFACS

[Megan Tracci @MeganTracci]

@cchildersmd Absolutely!

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Collectively, we physicians would like those 4 million hours back.

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

In other news, the sky is blue.

[Yazan Duwayri @YDuwayri]

Health systems that focus on delivering appropriate care for all complex patient conditions invest strongly in vascular surgery. ⁦@VascularSVS⁩ ⁦ https://t.co/nL8tsqRuMI

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Primary care doctors being happy about specialists getting a pay cut is why doctors are so ineffective.

We would rather settle grudges than work together.

If I wanted to keep doctors perpetually at each others' throats, I'd design a system exactly like the RBRVS.

[Megan Tracci @MeganTracci]

@farkomd @TomVargheseJr Working on it...

[Megan Tracci @MeganTracci]

@rowe_vincent @SCVS1969 @VascularSVS When data on 1.7 million operations shows surgeons are doing longer operations on sicker, more complex patients - yet facing a 2.5% reduction in wRVU payment based on flawed assumptions about efficiency...

Wonder why our surgeons are burning out at record rates?

[Megan Tracci @MeganTracci]

Two great papers on tackling inefficiency in the OR at @SCVS1969 from @HMethodistCV @AlanLumsdenMD and @USFvascular @JeanBismuth

Get smart and address these gaps! #ORturnover #wheelsouttowheelsin

[Megan Tracci @MeganTracci]

And a spectacular SCVS Presidential Address by @rowe_vincent When was the last time the surgeons in this room experienced true joy in their work? Why does medicine feel increasingly transactional?

[UCSF Surgery @UCSFSurgery]

‼️Not everything that matters is visible - The hours no one sees. The decisions that carry weight long after the room is quiet. The discipline to show up—steady and precise—when the stakes are anything but. From @UCSFSurgery Happy #NationalDoctorsDay.. 👩🏻‍⚕️👨🏾‍⚕️🧑🏼‍⚕️👩🏿‍⚕️👨🏼‍⚕️🧑🏻‍⚕️👩���‍⚕️

[Megan Tracci @MeganTracci]

@SPuro88 @JamesHBlackMD @aribindi @BobTahara @thesurgerylife @leith_erica ACS workplace standards framework designed precisely to guide these negotiations. @ADuncanVasc and colleagues leading this work for vascular.

[Douglas E Wood @DouglasEWood1]

To help support sustainable surgical careers, the American College of Surgeons recently released a framework of workplace standards that can be customized by surgical discipline.
ACS Releases New Framework of Workplace Standards for Surgeons https://t.co/3Dn8QCNwRH

[Megan Tracci @MeganTracci]

@MazinFotehMD @aribindi @thesurgerylife @BobTahara @VascularSVS @AmCollSurgeons Absolutely need to stop further cuts, BUT we're far past the point of "no cuts" -flat reimbursement- being adequate to sustain practice, the workforce, and access. "No cuts" loses more ground to inflation with each passing year...

[Megan Tracci @MeganTracci]

@MazinFotehMD @aribindi @thesurgerylife @BobTahara @VascularSVS @AmCollSurgeons @leith_erica The system makes tremendous demands on this highly skilled, bold and dedicated workforce- longest hours, unpredictable emergencies, physically and psychologically gruelling.