Heart surgeons have so much malpractice insurance, a lot of them are leaving private practice and joining large medical groups. It's a dicey environment to find a well-heeled doc who would rather drop cash on a domain than a golf excursion at Pebble Beach. Also, most people find heart surgeons by medical referral, or by a trip to the ER, all within a local or nearby community, so it would be best for a (rare) practice that is starting a national push. Further, heart surgeons have had a lot of trouble lately because medicated stents have flunked the six month test. I think the advice to wait until the climate changes may be a good one. Hopefully you'll get lucky in the meantime and find a doc, or med group who gets it.