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Current and future trainees face several challenges that transcend national borders. To foster collaboration and adoption of best practices, we highlight international strengths and weaknesses of various nations in terms of workforce selection, trainee operative experience and assessment, board certification, and preparation for future changes anticipated in cardiothoracic surgery. OBJECTIVE We aim to evaluate the survival outcomes of primary cardiac sarcoma in a US nationwide cancer database. METHODS The Surveillance, Epidemiology, an