During the second year, the trainee focuses their experience in cardiac surgery and complex thoracic surgical cases. The Integrated 6-year Pathway is a comprehensive six-year training program.
Topics | ABSITE Review Course
Each rotation in the thoracic residency incorporates outpatient instruction and responsibility, where pre-, peri- and postoperative care is integrated at various levels. All general thoracic rotations and the majority of the adult cardiac rotations will occur during the first four post graduate years of the proposed 6-year integrated program. The thoracic resident will be involved in the majority of pre-operative assessment, evaluation and care and nearly all perioperative and post-operative care and management.
The faculty sets specific goals for the trainees, the most important being that the residents learn to make appropriate surgical judgments and develop technical skills that will enable them to provide superb cardiothoracic care for their patients upon completion of the program. The faculty of the Division of Cardiothoracic Surgery is responsible for the training of the thoracic residents, and for the general surgical residents and medical students who rotate on the service.
Both categorical and preliminary residents in general surgery rotate on the service. During their initial experience, they are familiarized with techniques in critical care, evaluation of the thoracic patient and basic surgical skills.
All residents participate very actively in the outpatient and inpatient settings. Exposure to all aspects of cardiothoracic surgery including general thoracic surgery, adult cardiac surgery, and pediatric cardiac surgery is provided to the thoracic surgical resident.
Experience obtained in each of these areas has traditionally far exceeded the requirements of the Residency Review Committee for Thoracic Surgery and the American Board of Thoracic Surgery. In addition, there are multiple didactic programs each week covering the entire scope of the cardiothoracic curriculum. Each thoracic resident is encouraged to participate in one clinical research project per year. The division maintains funds to support the presentation of this research material by the thoracic resident at regional and national meetings.
Members of the faculty in Cardiothoracic Surgery are actively involved in both clinical and basic research. The basic lab has had success with multiple presentations and publications in cardiothoracic journals and at national and regional meetings. Previous areas of investigation have included laboratory and clinical studies on myocardial protection, organ donor preservation and management, off pump coronary bypass surgery, esophageal surgery, and lung cancer.
Southeast Michigan Center For Medical Education
Additionally, the division extends its expertise internationally with collaborative programs in St. Petersburg, Russia, traveling to St. Petersburg at least once a year for the past twelve years. The Cardiothoracic Surgery Programs at UC Davis encompass the operative and perioperative care as well as critical care of patients with pathological conditions within the chest.
Included are the surgical care of coronary artery disease, congenital anomalies of the chest and heart and great vessels, traumatic injuries of the chest, neoplasms of the lung, esophagus, chest wall, mediastinum and deformities of the diaphragm. As described above, the program is balanced, offering the three disciplines of cardiothoracic surgery: general thoracic surgery, adult cardiac surgery, and pediatric cardiac surgery.
Over major cardiothoracic surgical procedures are performed each year. The intimate size of the program affords one-on-one interaction between residents and faculty. Advanced surgical technology is being offered to patients on a regular basis including ventricular assist devices, robotic adult cardiac surgery, thoracic endovascular aortic repair or TEVAR, VATS lobectomy and navigational bronchoscopy. In addition, UC Davis is a high volume center for complex esophageal disease, with a top Leapfrog Group rating for esophagectomy, the third highest esophagectomy volume in northern California, and the top volume in the Sacramento area.
The Division of Cardiothoracic Surgery grants interviews after an initial screening process. Thoughtful and insightful discussions can be expected. This has historically been a favorite conference for residents as they prepare for the ABS Certifying Examination. Several ABSITE reviews are held in December and January to help resident surgeons gain insight into areas for improvement as they prepare for the examination. Speakers from around the world are invited by the Department of Surgery to give lectures on a variety of topics.
Grand Rounds are held on a monthly basis and are an educational feast for our residents. Each service has its own, individually-directed educational opportunities for residents. All are welcome to attend any of the many conferences held throughout each week:. Surgical simulation continues to grow and Mizzou has been at the forefront of these efforts. With funded faculty dedicated to improving surgical education, our simulation curriculum is leading-edge. Monthly simulation courses are held for PGY residents that encompass a variety of surgical topics including laparoscopic skills, FLS training, hernia, foregut, hepatobiliary, vascular, trauma and thoracic.
Employing the state-of-the-art Sheldon Clinical Simulation Center, we utilize a number of methods to augment surgical training including high-fidelity simulation, laparoscopic and open tissue training, and benchtop low fidelity methods of simulation. Senior residents participate in biannual aggressive trauma surgical skills simulations that replicate the fast pace and high stress of the multisystem environment. These simulations are a favorite of our residents.
Our rotation schedule is designed to enable residents graduated responsibility throughout their training while being exposed to a variety of surgical subspecialties. We foster growth of surgical skills by expecting an early entry into the operating theatre. All residents are expected to participate in operations from the first day of residency.
Our rotations are divided into 4-week blocks. Our goal is to provide a uniform experience over the course of training to ensure our graduates are prepared to operate independently as consummate surgeons. Our typical schedule is below.
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