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Redmond Burke
Born	November 4, 1958 (1958-11-04) (age 51) Honolulu, Hawaii, United States
Education	Stanford University and Harvard Medical School
Occupation	Pediatric Cardiothoracic Surgeon

Dr. Redmond P. Burke (born 4 November 1958) is a congenital heart surgeon,[1] software developer, author, and founder of The Congenital Heart Institute at Miami Children’s Hospital, and Arnold Palmer Hospital, in Miami and Orlando Florida. He starred in the ABC pilot television show The Miracle Workers[2], a Dreamworks SKG and Renegade 83 production.

Biography

Redmond Burke was born in Honolulu, Hawaii to a US Navy flight navigator, Redmond Joseph Burke, and his wife Claire Lorraine Burke, both from San Francisco, California. He is married to Kim Burke, and they have three daughters.

Burke and his three younger sisters grew up in Cupertino, California. He was educated in public schools - John F. Kennedy Junior High School, and Monta Vista High School, where he co-captained the varsity wrestling and Championship football teams, and won the Outstanding Wrestler award at the Central Coast Section Championships in 1976.^[1] Influential coaches included Patrick Lovell, and Duane "Buck" Shore.

Accepted at Yale University, Brown University and Dartmouth College, he attended Stanford University, majoring in Human Biology. He walked on and made the Varsity Football Team as a freshman under NFL Hall of Fame Coach Jack Christiansen. He co-captained the Varsity Rugby Team, touring New Zealand and Canada, where he played wing forward. He graduated with Honors and Distinction, with election to the Phi Beta Kappa honor society. Distinguished classmates included Pete Higgins, an executive at Microsoft, and Timothy C. Draper, founder of the venture firm Draper Fisher Jurvetson. Notable professors included Nobel Laureates Linus C. Pauling (Chemistry, 1954 and Peace, 1962) and Arthur L. Schawlow (Physics, 1981).

Burke attended medical school at Harvard University from 1980 to 1984.^[2] Influential instructors included Hardy Hendren, Paul Buttenweiser and Judah Folkman.

Burke was selected for General Surgical Residency Training at the Brigham and Women’s Hospital, under then Surgeon in Chief, John A. Mannick MD, Mosely Professor of Surgery at Harvard Medical School. The Brigham training philosophy was "see one, do one, teach one." Notable instructors included Nobel Prize Winner Joseph Murray, who performed the world’s first kidney transplant.

In 1989, after completing his General Surgery training at the Brigham, and in preparation for his cardiac training, Burke spent a year as a research fellow at the Massachusetts Institute of Technology, in the Spectroscopy Laboratory, under Michael S. Feld, PhD. He investigated the use of laser induced tissue fluorescence spectroscopy to diagnose rejection in transplanted cardiac tissue.

Burke was selected for Cardiac Surgery Training at the Brigham and Women’s Hospital. The program had a history of aggressive innovation, beginning with the pioneering work of Dwight Harken, who performed the first successful open heart surgeries, removing shell fragments from the hearts of WWII soldiers. Professors Lawrence H. Cohn and Jack J. Collins built the Cardiac Surgery Residency Training Program at The Brigham and Women's Hospital, and created a remarkable academic training regimen, producing a legion of Chiefs of Cardiac Surgery across the United States. Professor David Sugarbaker built the first Thoracic Surgery Program at the Brigham, and developed the lung transplantation program there during Burke's training period.

Burke spent six months as the Chief Resident in Pediatric Cardiac Surgery under Professor Aldo Castaneda, and attending surgeons, Richard Jonas, John Mayer, and Frank Hanley. When Dr Hanley accepted the position of Chief of Pediatric Cardiac Surgery at the University of California in San Francisco, the group offered Burke his position, and he joined the Children's Hospital Boston attending staff in 1992, becoming an Instructor in Surgery at the Harvard Medical School.

Boston

Castaneda encouraged Burke to develop a research interest. He explored the possibility of using endoscopic surgical techniques for congenital heart surgery, designing instruments and techniques in the laboratory. He began clinical applications in 1993, subsequently performing a series of surgical firsts, including the world’s first endoscopic vascular ring division, diaphragm plication, and thoracic duct ligation.[3]Burke became a recognized expert in the field of minimally invasive pediatric cardiac surgery.[4] He developed a series of thoracoscopic surgical instruments with engineers from Pilling Weck, Inc.^[3] Burke and Craig Lillehei, an attending pediatric surgeon, also performed the first three pediatric Heart-Lung Transplantations in New England[5], with the help of colleagues from the Brigham and Women’s Hospital including Malcolm Decamp, and Sari Aranki. In early 1995, Dr Castaneda retired, and Burke was invited to interview for a position as Chief of Pediatric Cardiac Surgery at Miami Children’s Hospital in Miami, Florida.

Miami

At the age of 36, Burke became the Chief of Pediatric Cardiovascular Surgery at Miami Children’s Hospital.[6] Building on lessons learned in Boston and Silicon Valley, his program was designed around two key principles:

1. Reduce the trauma of care for each patient over their lifetime.
2. Use information technology to improve medical outcomes.

Reducing Surgical Trauma

In an effort to reduce cumulative therapeutic trauma, the Miami team unified the efforts of cardiac surgeons and interventional cardiologists, attempting to develop less invasive treatments for a broad range of congenital heart defects. Beginning in 1996, Burke and the interventional cardiology team at Miami Children's Hospital published a series of hybrid approaches, where the surgeons operated in the catheterization laboratory, and the cardiologists performed interventions in the operating room.[7] Many of these procedures utilized the video assisted thoracoscopic techniques Burke developed in Boston.^[7] Burke and associate surgeon Robert Hannan worked with their Director of Perfusion, Jorge W. Ojito, to develop a less traumatic cardiopulmonary bypass technique.[8] They also designed a miniaturized Cardiopulmonary Support circuit, allowing critically ill patients to be transported by plane, helicopter or ambulance over great distances on full heart lung bypass. In 2007, Burke and Zahn, at Miami Children's partnered with cardiac teams in Boston and New York in the first US trial of the Medtronic Melody (tm) Transcatheter Pulmonary Valve, which allows patients with pulmonary valve disease to have their valves replaced without surgery.[9]

Information Technology

When Burke arrived in Miami in 1995, he hired Jeffrey A. White to act as a technology advisor, working with the heart team to find and develop applications of information technology to improve medical outcomes.^[18] This collaboration resulted in a relational database for congenital heart surgery, a web based information system for a medical team, and web based reporting of medical outcomes in real time. The web based information system enabled a unique form of rounds, which they called "internet rounds," enabling information exchange and clinical decision making over the Internet.[10] Beginning in 2002, Burke's surgical team started continuously measuring and reporting their surgical outcomes on the Web.[11] In 2006, Burke and White collaborated with IBM to create a voice activated medical information system for use in hands free hospital environments, like the operating room, allowing the surgeons to access critical information from their electronic medical records with voice activated commands.[12] In 2007, Burke and his team enabled patients and families to access their electronic medical record, also known as a personal health record, any time, anywhere, with any web enabled device.[13]

The Congenital Heart Institute

In 2002, the Arnold Palmer Hospital for Children in Orlando, Florida lost their congenital heart program. Burke initiated meetings with hospital administrator Janet Livingstone, CEO John Hillenmeyer, and Medical Director Mark Swanson MD, proposing that the Miami Children’s Cardiac Team help rebuild the Arnold Palmer Heart Program.^[27] Arnold Palmer, the hospital's founder, approved of the plan, and used his considerable influence to finance the effort. The Congenital Heart Institute at Miami Children’s Hospital and Arnold Palmer Hospital was created, with Redmond Burke and Evan Zahn acting as Co-Directors.[14] The synthesis of Burke's work was to achieve resonance within a congenital heart team, a condition where every member of the team was driven by a common desire to reduce therapeutic trauma.[15] To attain this resonance, the team continues to develop techniques in intensive care, information management, interventional catheterization, and minimally invasive surgery.[16] The human side of Burke's congenital heart team at Miami Children's Hospital has been described in parent's websites http://www.heartandcoeur.com/story/peter_1.php], and in the media.[17]

Television

Burke was cast as the host of the ABC network television reality program Miracle Workers, which first aired March 6, 2006.[18] The program followed patients through complex medical treatments, showing the technical and emotional aspects of modern medical care. The program was controversial, as it potentially induced patients to give up their privacy in return for excellent medical care. Reviews were mixed, some finding the program "inspirational and informative" ^[28] and others finding the emotional content to be inappropriate.^[29] Burke wrestled with the ethical conflicts of a medical reality TV show.^[30]

Burke has appeared on CNN (1996),^[31] Good Morning America (1997, 2006), [19]The Today Show (1997), CNN Showbiz Tonight (March 8, 2006)[20], Extra (2006) and Entertainment Tonight (1996) to describe novel medical achievements.

Print and Press

• Boston Herald - Boston, Ma. Merry Christmas, New England Family love is best gift of all. ^[32]

• Boston Herald - Boston, Ma. One tough kid tugs at grandfather's tender heart.^[33]

• Sun Sentinel - Fort Lauderdale: Glad to be back: Last year, Kevin Stenmark had heart surgery. This year he pitched a no-hitter. ^[34]

Miami Herald: Zabriski keeping focus at PGA amid turmoil.^[35]

The New York Times: For the Doctor's Touch, Help in the Hand ^[36]

Associated Press: Doctors Risk Storm to Retrieve Heart For Miami Girl, 14, October 9, 1996 ^[37]

Sun Sentinel, Broward Metro Edition, Heart Surgery is Big Step for Infant. ^[38]

Computerworld: Now we're talking: speech technologies are moving far beyond call centers and into critical corporate applications such as search and security, by Drew Robb, October 2, 2006 ^[39]

Associated Press: Orphan baby finds love in Miami hospital, ^[40]

Forbes.com Medical Innovation: Saving Lives With PDAs, ^[41]

Sun Sentinel - Fort Lauderdale: The Ashley Phillips Story.^[42]

Documentary: The life of a Congenital Heart Surgeon, by Photographer Jon Kral on Jon Kral Photography

Honors

• Blue Angels Flight
• Best Doctors in America
• Who's Who in America [21]
• Valor Award, American Diabetes Association
• Honorary Speaker Federal Bar [22]

Congenital Heart Surgery Videos

• The Congenital Heart Surgery Video Project: Youtube.com
• Aortic Stenosis - Ross Konno Procedure with Aortic Arch Reconstruction
• Fontan Procedure with Hybrid Pulmonary Artery Stent - Hypoplastic Left Heart Syndrome (HLHS)
• Vascular Ring Division
• Patent Ductus Arteriusus (PDA) Division performed on Premature Baby
• Neonatal Repair of TOF/PA
• DCRV repair, Double Chambered Right Ventricle
• Tetralogy of Fallot Repair, TOF
• TAPVC, Total Anomalous Pulmonary Venous Return, Obstructed
• VSD Repair, Perimembranous Ventricular Septal Defect
• Coarctation of the Aorta Repair
• Hypoplastic Left Heart Syndrome
• Arterial Switch Procedure
• HLHS: Hybrid Approach. Comprehensive Stage 2, Part 1

Congenital Heart Surgery Lectures

• Ventricular Septal Defect (VSD) Repair
• Hybrid Procedures for Pulmonary Artery Stenosis
• Hybrid Aortic Arch Stenting
• Electronic Medical Record
• Complete Atrio-Ventricular Canal Repair
• Medical Information Management
• Performance Improvement in a Congenital Heart Surgical Program: Measuring and Improving Outcomes after Congenital Heart Surgery
• Congenital Heart Surgery without the Routine Placement of Temporary Pacing Wires

External links

• Pediatricheartsurgery.com
• The Congenital Heart Surgery Video Project on YouTube
• CardioAccess.com
• Teges.com
• Miami Children's Hospital
• Facebook

References