With this process, each fellow will develop mature surgical judgment and operative skills which will prepare them to provide independent surgical care to patients with a wide range of cardiac and thoracic disorders in a manner appropriate to a specialist in cardiothoracic surgery and a candidate for certification by the American Board of Thoracic Surgery. 8% of time will be dedicated to MV Repair. The junior fellow is expected to meet the ABTS index case requirements in congenital heart disease and general thoracic disease for the cardiothoracic pathway during the first year. While fellows are welcome to choose any area of specialty, there are no pre-designated cardiac or thoracic tracks. Clinical Skills: During the training program the fellow: participates in or performs the operative repair of ventricular septal defects; participates in or performs the repair of more complex cardiac anomalies; performs the preoperative evaluation of patients with each of these anomalies. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every 6 months. Additionally, a core curriculum follows the Thoracic Surgery Curriculum established by the Thoracic Surgery Directors Association, covering thoracic, pediatric and adult cardiac surgery annually. pneumoperitoneum, direct incisional and excisional biopsy, VATS); performs operative repair of acquired diaphragmatic abnormalities and provides pre-operative and post-operative care; reconstructs defects of the diaphragm. On the other hand, if the cardiothoracic pathway is chosen, emphasis will be on adult cardiac index cases with the general thoracic surgery cases already completed for the pathway in the previous year (eighth-block elective). Learner Objectives: Knows the anatomy, embryology, and physiology of the most common or important anomalies; knows the operative indications of the most common or important anomalies; knows the technical components of the operative repair of the most common or important anomalies; understands the postoperative care of each anomaly. ... Cardiothoracic Surgery Location(s) Penn State Health Medical Group - Cardiothoracic Surgery. Understand the professional, legal and ethical codes to which physicians are bound. Learner Objectives: Knows the embryology and anatomy of the normal heart; knows the embryology and anatomy of major cardiac anomalies. Graduate. Understand pulmonary function tests, arterial blood gases, ventilation-perfusion tests, PET scans, MVO2 studies, and esophageal motility and manometry studies. Program Overview. Learner Objectives: Understands the anatomy and blood supply of the trachea and bronchi; understands the endoscopic anatomy of the nasopharynx, hypopharynx, larynx, trachea, and major bronchi; understands and interprets pulmonary function studies of the trachea and bronchi; understands the radiologic assessment of the trachea and bronchi. Umar Choudry, MD Plastic Surgery Residency, Mayo Clinic/Rochester, MN Roberto Gonzales -Cruz, MD Plastic Surgery Residency, University of Louisville, KY Muhammad Nuri, MD Cardiothoracic Residency, Penn State University, Hershey, PA Pediatric Congenital Fellowship, Emory University, Atlanta, GA 2003 Email us at firstname.lastname@example.org. It is the chief fellow’s responsibility to conduct daily pre-operative and post-operative rounds for the purpose of both providing patient care and for education of the house staff. The Thoracic Surgery Fellowship program is a two-year traditional program that is accredited for a total of two positions, one per year. space problem, persistent air leak, bronchopleural fistula, empyema, cardiac arrhythmia). The fellow is also expected to become intimately involved with the cardiac transplantation team. The general thoracic surgery first-year experience will serve as the introduction to general thoracic surgery, including pre-operative workup and post-operative care. Penn’s … The two-year Thoracic Surgery Fellowship is divided into three-month rotations with seven blocks assigned and the eighth block offering a choice of elective rotations. Learner Objectives: Understands the types of benign esophageal neoplasms, their clinical presentation, diagnosis, and treatment; understands the types of malignant esophageal neoplasms, their clinical presentation, diagnosis, histologic appearance and treatment; understands the AJCC staging of esophageal cancer; understands the principles of patient management after esophageal resection; understands the nutritional management of patients with esophageal neoplasms; understands the role of chemotherapy and radiotherapy in esophageal cancer; understands the operative approaches, methods and complications of esophageal resection and reconstruction; understands the indications for operative and nonoperative treatment of esophageal cancer. The vision at Penn State College of Medicine and Penn State Health is to equip learners with the knowledge, skills and attitudes they will need to provide culturally excellent health care and research for an increasingly diverse U.S. population. Maintain high standards of ethical behavior, demonstrate a commitment to continuity of patient care, and demonstrate sensitivity to age, gender and culture of patients and other health care professionals. Demonstrate ability to direct daily fellow work rounds efficiently, including dictation of operative cases performed, daily progress notes, dictation of discharge summary, prescription writing. Michael F. Reed, MD Program Director Chief of Thoracic Division. We have great collaborations with our surgical and medical colleagues, and there is a ton of subspecialty programs within cardiothoracic surgery that would benefit from our involvement. The learning objectives of the first year include planning, implementation and mastering of the clinical skills that are listed in the Competency-Based Goals and Objectives. needle biopsy, fluid analysis); places tube thoracostomy and performs chemical or mechanical pleurodesis; performs VATS as necessary for the diagnosis and treatment of pleural disease; Places tunneled pleural drainage catheters; performs initial drainage procedures and subsequent procedures for empyema (e.g. Cardiac surgery training in the United States is combined with general thoracic surgery and called cardiothoracic surgery or thoracic surgery. Clinical Skills: During the training program the fellow: interprets plain and contrast X-rays, fluoroscopy, CT scans and MRI of the diaphragm; performs diagnostic studies of the diaphragm (e.g. Forbes and West Penn Pharmacy Residency Application Information Benefits ... Hand, Upper Extremity & Microvascular Surgery Fellowship Graduates Faculty Heart Failure Fellowship close Back Heart Failure Fellowship ... Thoracic Surgery Training Programs close Back Thoracic Surgery … Clinical Skills: During the training program the fellow: describes the physiologic changes of circulation during neonatal life; diagnoses clinically important congenital heart diseases in the neonate, infant, and child; applies knowledge of anatomic abnormalities and their physiologic consequences to diagnose congenital heart defects; performs calculations of blood flows and resistances from cardiac catheterization data; manages the physiologic aspects of the neonate, infant and child with congenital heart disease preoperatively, intraoperatively and postoperatively; stabilizes patients who are critically ill with congenital heart disease. Penn State specialists are leading research and clinical trials to improve knowledge, care and treatment options for heart and vascular conditions. Clinical Skills: During the training program the fellow: evaluates and treats cardiac contusion; performs emergency operations and endovascular interventions to repair traumatic transactions of the thoracic aorta and provide post-operative management. They can also participate in an extensive ventricular assist device and artificial heart program if so inclined. Fellows are assigned to these outpatient venues with documentation of this experience. Learner Objectives: Understands the types of cardiac tumors and their frequency, anatomic location, physiologic and pathologic derangements, diagnostic methods and surgical management; understands myocarditis and its causes, physiologic changes, treatment, prognosis, and radiographic, EKG and echocardiographic changes; understands hypertrophic cardiomyopathy (HMC) and its genetic linkage, pathologic and anatomic changes, physiologic derangements, clinical features, diagnostic tests, natural history, medical and surgical treatment; knows the types of cardiomyopathies and their causes, natural history, diagnostic methods, operative and nonoperative treatment; understands cardiac transplantation and related immunology/rejection and treatment, physiology, indications, operative techniques, diagnostic techniques in follow-up. Participate effectively in facilitate learning of patients, teaching house staff, students and other health professionals. OHSU's traditionally formatted two-year Cardiothoracic Surgery Fellowship educational program is designed to emphasize the cooperation of cardiothoracic surgeons with other primary and specialty physicians to diagnose and treat lifelong disease states. The Office for Culturally Responsive Health Care Education was formed to help meet that goal. Penn Division of Cardiovascular Surgery is experienced in multiple areas of surgical expertise, including: The Divisions of Cardiovascular Surgery and General Thoracic Surgery at the University of Pennsylvania provide opportunities for residency training in Cardiothoracic Surgery including a two–year cardiac tract, two–year thoracic tract, and six to eight-year integrated cardiothoracic tract. Clinical Skills: During the training program the fellow: evaluates and manages patients with tracheobronchial trauma; manages the airway of patients with tracheobronchial injuries; performs nonoperative management of pulmonary contusion; performs emergency operations to repair peripheral pulmonary and hilar injuries; uses precautions to avoid air embolism in patients with penetrating and blunt injuries. During the first year, fellows concentrate their attention on the outpatient work-up, operative procedures, and follow-up of thoracic surgical patients. Penn State Heart and Vascular Institute - IO Silver Clinic. P.O. Demonstrate the ability to recognize when to seek assistance from more experienced colleagues. Phone: 717 … Learner Objectives: Knows the types, histology and clinical presentation of tracheal neoplasms; knows the indications for and the use of radiotherapy and chemotherapy. Assess and triage urgent/emergent adult cardiac surgery patients. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every six months. Communicate effectively with allied health care professionals. During the fourth block, the fellow transitions to the adult cardiac surgery service (see below, Year Two) while the chief fellow (eighth block) has an elective rotation. During the eighth block, the second-year chief fellow has an elective rotation. Understand the pharmacology, indications, and complications of drugs commonly used in the specialty, including anti-arrhythmics, diuretics, anticoagulants, vasopressors and inotropes. Penn’s continued growth in cardiovascular surgery is driven by tertiary and quaternary referrals for complex surgical procedures. Learner Objectives: Understands the indications, techniques and complications of rigid and flexible esophagoscopy. Learner Objectives: Understand the ethical components of surgical practice; understands and will be able to use clinical database and outcome analysis; Understand organizational structure and mechanics of solo practice, group specialty practice, multi-specialty practice, and academic practice; knows the structure, responsibilities and requirements of managed care, capitation payment, contractual agreements, physician-hospital organizations, and independent practice agreements. Learner Objectives: Understands the major blood groups, the clotting cascade and the pathophysiology of clotting; understands the specific hemorrhagic and thrombotic complications of cardiac surgery and their management; understands the methods used in blood component storage and the measures taken to ensure a safe blood supply; understands the use of specific blood components to treat abnormalities of red cell quantity and quality, platelet quantity and quality, and coagulation function; knows the pre-operative risk factors for excessive blood loss and blood utilization; understands the operative and post-operative techniques to ensure blood conservation. Learner Objectives: Understands clinical presentation and radiologic findings of tracheobronchial injury; understands the principles of airway management; understands the bronchoscopic findings of tracheobronchial and pulmonary injury; understands the injuries associated with tracheobronchial and pulmonary injury. Clinical Skills: During the training program the fellow: performs the operative and non-operative management of patients with atrial arrhythmias; participates in or performs operative management of patients with ventricular arrhythmias, including placement of automatic implantable cardioverter/defibrillator. The senior fellow (chief fellow) is assigned to attend the outpatient adult cardiac surgery clinics (blocks 4 to 7). The department offers a range of state-of-the-art care to referring physicians and their patients, including Gamma Knife radiosurgery, deep brain stimulation, neurotrauma and critical care, neurosurgical oncology, pediatric neurosurgery and more. Clinical Skills: During the training program, the fellow: reads and interprets plain radiographs, CT scans and contrast studies of congenital abnormalities of the mediastinum; diagnoses and manages patients with congenital abnormalities of the mediastinum. Clinical Skills: During the training program the fellow: performs or assists in pacemaker insertion, systemic-to-pulmonary artery shunting for pulmonary atresia or stenosis (with or without VSD), and pulmonary artery banding for large left-to-right shunts; evaluates angiocardiograms, echocardiograms and cardiac catheterizations of the above anomalies; develops treatment plans for the above anomalies; participates in or performs operative treatment for the above anomalies; manages postoperative care for the above anomalies. Cardiac Third Year Fellowship. Thoracic Surgery Fellowship . This includes the determination and planning of appropriate operative intervention for these patients. … The Cardiac Third Year Fellowship position in advanced Cardiac Surgery is designed as a true Fellowship and will not duplicate, but will expand the experience gained as a cardiac trainee during the two-year approved residency program. We provide a robust experience in team-based care, fundamental cardiothoracic techniques and the most advanced technology including off-pump strategies, robotic surgery, POEM, and endoscopic/bronchosocpic interventions. Learner Objectives: Understands the etiology and presentation of esophageal trauma; understands the methods of assessment and diagnosis of esophageal trauma; understands the management of injuries that disrupt the esophagus. Learner Objectives: Knows the embryologic origin of the diaphragm; understands the anatomy of the diaphragm and adjacent structures; understands the neural and vascular supply of the diaphragm and the pathologic consequences of injury; understands imaging studies for assessing the diaphragm; understands the consequences of incisions in the diaphragm; understands developmental anomalies of the diaphragm. Institutional and divisional policies ensure strict duty hour compliance to minimize fatigue and optimize education. Some cardiothoracic surgeons may specialize in the surgical treatment of children, or focus on a specific organ or surgical procedure. Fellows will learn how to recognize and care for critically ill patients, including placement of chest tubes and obtaining central venous access. The Thoracic Surgery Fellowship at Penn State Health Milton S. Hershey Medical Center is a two-year, ACGME-accredited program that admits one fellow per year, with the expectation for certification by the American Board of Thoracic Surgery. The second year concentrates on adult cardiac surgery, including heart failure surgery, valvular surgery, aortic surgery, coronary artery bypass grafting, endovascular interventions and cardiac transplantation. Cardiothoracic Surgery Fellowship The department is led by Michael J. Liptay , MD, The Mary and John Bent Professor of Surgery and Chairman of the Department of Cardiovascular and Thoracic Surgery. Insert internal jugular, subclavian, and femoral central venous catheters; insert radial and femoral arterial lines in the ICU with supervision. Doctor of Medicine, Lewis Katz School of Medicine at Temple University-Philadelphia, Pennsylvania Penn State Health celebrates, embraces and supports the diversity of all patients, faculty, staff, students and trainees. Learner Objectives: Understands the physiologic consequences of increased pericardial fluid and the techniques for diagnosis and management; is familiar with the symptoms associated with mediastinal abnormalities; understands the operative management of benign and malignant pericardial neoplasms; understands the physiologic consequences of pericardial constriction and the techniques for diagnosis and management. The fellows additionally will see a portion of daily consults and review these evaluations and associated studies with the attending on-call that day. Learner Objectives: Understands the anatomic boundaries of the mediastinum and the structures found within each region; understands the embryologic development of structures within the mediastinum and the variations and pathologic consequences of abnormally located structures; understands the radiologic assessment of the mediastinum including CT scan, contrast studies and angiography; understands the aberrations caused by pericardial abnormalities and their effects on the heart and circulation; applies knowledge of mediastinal anatomy and physiology to the diagnosis of mediastinal abnormalities; applies knowledge of pericardial physiology to the diagnosis of pericardial abnormalities. Kaushik Mandal, M.D., and Yusuke Terasaki, M.D., both cardiothoracic surgeons, have joined the DMC Heart Hospital. The adult cardiac surgery second-year experience will serve as the completion of cardiac surgery training (common and tertiary care patients), including pre-operative work-up and post-operative care. Clinical Skills: During the training program the fellow: performs a variety of surgical incisions to expose components of the chest wall and internal thoracic organs; performs surgical resections of primary and secondary chest wall tumors; identifies the need for major flaps of the chest wall. Clinical Skills: During the training program the fellow: evaluates diagnostic tests of the trachea and bronchi; performs laryngoscopy and bronchoscopy of the trachea and bronchi, including dilation of stenoses; performs tracheostomy; evaluates patients for tracheal resection and plans the operation. Hershey Medical Center and Penn State University General Surgery Residency (1977-1983) M.S. D. Fundamentals of Coagulation Management and Blood Component Therapy. 500 University Drive Hershey, PA 17033 1-800-243-1455. The Cardiothoracic Surgery Traditional Fellowship is designed to provide fellows with focused, hands on experience and is divided equally between Cardiac and Thoracic surgery. Penn’s faculty members have made countless breakthroughs in basic and translational cardiovascular research, molecular biology and gene therapy. Order appropriate laboratory, radiological and other diagnostic procedures. Faculty and fellows are taught to recognize the signs of fatigue via the ACGME Core Competencies Lecture Series. Penn State Health Milton S. 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