Premier Training for Future Cardiothoracic Surgeons. If the trainee is following the ABTS cardiothoracic surgery pathway, the fellow will focus on advanced cardiac surgery (mechanical circulatory support and/or minimally invasive cardiac surgery) or congenital cardiac surgery. Most often this means heart or lung surgery, but it can also include surgery on the esophagus, breastbone, or chest wall. Fellows participate in the performance of transplant and circulatory assistance procedures, as well as donor organ procurements. Dr. Joseph Eid. We can truly help lead the way here. Prepare and present scheduled rounds and conferences. 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. Understand the principles of cardiac surgery, including hemostasis, wound healing, wound complications, electrolyte and fluid replacement, surgical nutrition, and cardiology. The program accepts one resident per year. Contact. Fellows are expected to follow patients post-operatively and to work in concert with the attending Pediatric Cardiac Surgeons, the Pediatric Cardiology Service, and the Pediatric Cardiac Intensivists. Cardiothoracic Surgery, Robotic Surgery. Prepare clear consultation notes, progress notes, discharge summaries, and clinic notes. space problem, persistent air leak, bronchopleural fistula, empyema, cardiac arrhythmia). Hershey, PA  17033. In addition, the institution does not tolerate discrimination, biases, microaggression, harassment or learner mistreatment of any kind, and any concerns are immediately addressed by the Office for a Respectful Learning Environment. Learner Objective: Understands the anatomy and physiology of obstructive anomalies of the left and right sides of the heart and aorta, their diagnosis, management and postoperative care, and performs the operative and non-operative treatment; knows the anatomy and physiology of each anomaly; knows the methods of diagnosis; understands the role of medical management and interventional cardiology; understands the principles of postoperative care; knows the technical components of operative repair; knows the expected outcome, long-term results and complications. Critique personal practice outcomes and demonstrate recognition of the importance of lifelong learning in surgical practice. Therefore, if the fellow has chosen the general thoracic pathway, they will complete the index adult cardiac cases for that pathway and then focus on increasing general thoracic cases to meet required operative experience (eighth-block elective). Participate actively in scheduled morbidity and mortality conferences. Sarasota Memorial Hospital. Learner Objectives: Understands the standard techniques for extracorporeal bypass; understands the techniques of cannulation for extracorporeal bypass; oversees the management of patients undergoing extracorporeal bypass. Ancillary staff members, including a cadre of nurse practitioners and physician assistants, assist with health care service. In December 2017, the system partnered with Highmark Health to facilitate creation of a value-based, community care network in the region. During this period, while the first-year trainee is starting adult cardiac surgery and directing the clinical service, the second-year trainee will direct the thoracic surgery service. Clinical Skills: During the training program the fellow: recognizes the varied presentations of thoracic outlet syndrome and interprets diagnostic tests; reads and interprets diagnostic X-ray and performs physiologic examinations for congenital chest wall defects and thoracic outlet syndromes; evaluates and treats patients with congenital chest wall malformations; performs the operative reconstruction of selected chest wall defects; performs first rib and cervical rib resection and repairs or releases vascular and neural abnormalities associated with thoracic outlet syndrome; evaluates patients with congenital lung abnormalities; performs operations for congenital lung abnormalities and their complications. Describe the general principles of preoperative assessment and postoperative management of thoracic surgical patients. Hershey Medical Center and Penn State University Thoracic Surgery Residency (1983-1985) Children's Hospital of Philadelphia, Pediatric Cardiovascular Fellowship (1985) Harley Street Clinic, Registrar, London, UK (1986) 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. Learn the general principles of pre-operative assessment and post-operative management of pediatric cardiac surgical patients. The first-year fellow takes over direction of the cardiac service at the fourth block, while the second-year chief fellow (on elective rotation, eighth block) directs the thoracic service. Clinical Skills: During the training program the fellow: evaluates malignant and benign esophageal tumors and recommends overall management, including neoadjuvant therapy; performs diagnostic tests for esophageal neoplasms and correlates the results with clinical staging; performs esophagectomy through various approaches; performs reconstruction with various esophageal substitutes; diagnoses and manages complications of esophageal surgery; manages nutritional needs after esophageal surgery; performs palliative intervention for obstructing esophageal lesions; recommends appropriate postoperative or alternate therapy for advanced or recurrent disease. Write clear consultation notes, progress notes, discharge summaries, and clinic notes. Understand the professional, legal, and ethical codes to which physicians are bound, particularly when caring for children. Fellows are charged with the conduct of daily pre- and post-operative rounds of peri-operative patients, assuring a robust exposure to the in-hospital management of these patients. internal jugular vein, subclavian vein, femoral vein); performs arterial line insertions by appropriate techniques (e.g. If the trainee is following the ABTS cardiothoracic surgery pathway, the fellow will focus on advanced cardiac surgery (mechanical circulatory support and/or minimally invasive cardiac surgery) or congenital cardiac surgery. At that time, the second-year chief fellow (fifth through seventh blocks) runs the cardiac service. or D.O.) 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. The fellow is also expected to become intimately involved with the cardiac transplantation team. Learn the physiology of extracorporeal bypass, techniques for extracorporeal bypass, and indications for mechanical circulatory support. Learner Objectives: Understands operative and non-operative management; knows the indications for and techniques of electrophysiologic studies and the application of this information to patient management. Fellowship: Ohio State University, Columbus, Ohio. Penn State University General Surgery Residency (1996 - 2003) Penn State University William S. Pierce Research Fellow in Artifical Organs (1999-2000) Penn State University Critical Care Surgery Fellowship (2000-2001) Medical University of South Carolina Cardiothoracic Residency (2004-2007) Our program director is Christopher W. Seder, MD, and the associate program directors are Antone Tatooles, MD, and Nicole M. Geissen, DO. Its mission is to improve health through patient care, research, education and community outreach. In addition, no moonlighting is permitted for Thoracic Surgery Fellowship fellows. ... Cardiothoracic Surgery Location(s) Penn State Health Medical Group - Cardiothoracic Surgery. 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. Department of Pharmacy Management and Clinical Pharmacists at West Penn and Forbes Hospitals General Information ... Cardiothoracic Imaging Fellowship close Back ... Upper Extremity & Microvascular Surgery Fellowship Graduates Faculty Heart Failure Fellowship close Cardiothoracic Surgery Fellowship Welcome and thank you for your interest in the Cardiothoracic Surgery training program at Rush University Medical Center. Thoracic Fellowship Program Message from the Program Director We welcome your interest in Temple University Health System’s ACGME Thoracic Fellowship. This article examines current literature on end-of-life care in cardiothoracic surgery and in critical care. C. Acquired 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. Penn’s continued growth in cardiovascular surgery is driven by tertiary and quaternary referrals for complex surgical procedures. Learner Objectives: Understands normal fetal circulation; understands the transitional nature of circulation as the fetus becomes a neonate; understands the physiology of obstructions, of intracardiac and extracardiac shunts, of abnormal connections to the heart, and of combinations of these anomalies in the fetus, neonate and child. Clinical Skills: During the training program the fellow: performs arterial and venous cannulation and initiates cardiopulmonary bypass; directs the perfusionist in the intraoperative management and conduct of cardiopulmonary bypass; performs or participates in the repair of congenital heart defects using cardiopulmonary bypass. 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. … Provide an excellent clinical education and graduated clinical advancement accomplished by directed expert clinical, academic, and social instruction promoting self-directed education, and fostering the refinement of the individual fellow’s clinical, professional, social and academic pursuits. Learner Objectives: Understands the anatomy and physiology of the cutaneous, muscular, and bony components of the chest wall and their anatomic and physiologic relationships to adjacent structures; understands the anatomy of the vascular, neural, muscular, and bony components of the thoracic outlet; knows the surgical anatomy, neural, vascular, and skeletal components of the chest wall, as well as the major musculocutaneous flaps; knows all operative approaches to the chest wall. When serving an educational purpose, the thoracic surgery fellows are encouraged to participate in cases on the secondary service. Dr. Tony Murante. Mass General has a long tradition of excellence in cardiothoracic surgery. 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. Clinical Skills: During the training program the fellow: evaluates and treats chest wall injuries; performs emergency operations to repair chest wall injuries and provides postoperative management. Describe the general principles of pre-operative assessment and post-operative management of adult cardiac surgical patients. 1540 S. Tamiami Trail, Suite 303 ... Thoracic Surgery, including robotic-assisted surgery for benign or cancerous conditions of the lung, chest and esophagus ... Allegheny General Hospital, Pittsburgh, Penn. The trainee will serve as the chief fellow, directing the care of critically ill patients. Clinical Skills: During the training program the fellow: evaluates patients with lung cancer and recommends therapy based on their functional status, pulmonary function, staging, and tumor type; performs staging procedures (e.g. Included in this lecture series is a monthly, fellow-directed cardiothoracic journal club and monthly case conferences. 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. Clinical Skills: During the training program the fellow: knows the history of congenital cardiac surgery and the intellectual development of operations used to manage each cardiac anomaly; interprets angiocardiograms, echocardiograms and other images to diagnose congenital heart disease; uses knowledge to select the ideal procedure for individual patients; applies knowledge of the normal and abnormal anatomy of the heart to the planning and performance of operations. Learner Objectives: Understands the physiology of coronary circulation and the physiologic derangements caused by stenosis and obstruction; understands the risks and complications of coronary artery bypass operations, coronary angiography and percutaneous coronary artery interventions; understands the pre-operative and post-operative care of patients undergoing coronary artery bypass grafting; understands the rationale for and techniques of coronary artery bypass operations as well as the use of various conduits. Email us at comweb@pennstatehealth.psu.edu. Penn’s faculty members have made countless breakthroughs in basic and translational cardiovascular research, molecular biology and gene therapy. Information Sciences and Technology Clinical Skills: During the training program the fellow: reads and interprets pulmonary function studies, perfusion scans, pulmonary arteriograms and arterial blood gases, and correlates the results with operability; applies knowledge of thoracic anatomy to the physical examination of the chest, heart, and vascular tree; uses knowledge of chest, pulmonary and cardiac physiology to interpret tests involving the thoracic cavity and to understand and treat diseases of the chest and its contents; reads and interprets plain radiography, CT scans, MRI and PET scanning of the chest; applies knowledge of thoracic anatomy to flexible and rigid endoscopy; understands the performance of cardiopulmonary exercise testing and pulmonary function tests. He is board certified in Thoracic Surgery. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every 6 months. The transplant program has a close relationship with the congestive heart failure cardiology team, who render concurrent daily care of all transplant and assist device patients, providing an example of strong interdisciplinary support. Manage the patient throughout as much of the hospital stay as possible, demonstrating knowledge and ability to recognize potential complications of the disease process and operative procedures. Responsibilities include familiarity with peri-operative management of patients undergoing cardiac transplant, as well as techniques of mechanical circulatory support, including the total artificial heart, extracorporeal membrane oxygenation (ECMO) and a cadre of ventricular assist devices (VADs). 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. Have a thorough understanding of all components of cardiac and thoracic diseases including diagnostic, therapeutic, and management options. For Providers Careers Residencies and Fellowships . Phone: 717 … Inform patients and families about their condition at an appropriate and understandable level. 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). Know the anatomy, embryology, physiology and pathology of the heart and great vessels. 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. 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