Dr. Bakaeen and his team at MEDVAMC have a very active clinical research program. This program builds on a large and diverse surgical volume at one of the busiest and most successful VA cardiothoracic programs in the nation. The use of electronic medical records in the VA system and having access to rigorous clinical and administrative databases have facilitated the team’s research efforts. Specific areas of clinical research include on- vs. off-pump coronary artery bypass grafting (CABG) and the impact of age, obesity, and peripheral vascular disease on CABG and valve surgery outcomes. In addition, the team conducts ongoing research on aortic stenosis and aortic aneurysm treatment options and outcomes. Research in surgical education and the impact of resident training on surgical morbidity and mortality are also important components of Dr. Bakaeen’s research portfolio. Dr. Bakaeen is actively involved with several multicenter clinical trials being conducted in the VA system, including studies of radial artery grafts and antiplatelet therapy in CABG patients.