Clinical Skills: During the training program the fellow: participates in or performs operative and non-operative management of thoracic aortic disease including aneurysms, dissections, and occlusive disease; plans and directs the use of extracorporeal bypass, hypothermia, and circulatory arrest for aortic diseases; understands the fundamentals of endovascular therapy for the treatment of thoracic aortic disease. Cardiothoracic Surgeon. D. Fundamentals of Coagulation Management and Blood Component Therapy. Assess and triage urgent/emergent congenital cardiac surgery patients. Clinical Skills: During the training program the fellow: interprets esophageal contrast studies, CT scans, manometry, pH studies and EUS; performs esophagoscopy, foreign body removal and biopsy; uses various operative approaches to different parts of the esophagus; performs anti-reflux operations including management of strictures; performs resection and reconstruction using various esophageal substitutes; evaluates and manages patients with esophageal motility disorders, performs myotomy and resection of diverticula; manages the complications of esophageal operations; uses laparoscopy and VATS for esophageal diseases where appropriate; diagnoses, manages and performs operations for esophageal perforation, chemical burns and trauma. Understand the importance of and mechanisms to safely utilize resources in a cost-effective manner to benefit all patients. Learn the natural history of treated and untreated diseases of the specialty, including coronary artery disease, myocarditis, cardiomyopathy, hypertrophic obstructive cardiomyopathy, cardiac tumors, aortic abnormalities, cardiac arrhythmias and valvular heart disease. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every six months. Understand the pharmacology, indications, and complications of drugs commonly used in the specialty, including anti-arrhythmics, diuretics, anticoagulants, vasopressors and inotropes. If the trainee is pursuing the American Board of Thoracic Surgery (ABTS) general thoracic pathway, the fellow will focus on thoracic surgery. Penn State Health Milton S. Hershey Medical Center. A cardiothoracic surgeon in the U.S. is a physician (M.D. The shared goal of Highmark and Penn State Health is to ensure patients in the community are within: Penn State Children’s Hospital (left), Penn State Health Milton S. Hershey Medical Center (center) and Penn State Cancer Institute (right), 500 University Dr., Hershey, Pa., 17033 (Derry Township, Dauphin County), Learn more about Milton S. Hershey Medical Center, 600 University Dr., Hershey, Pa. 17033 (Derry Township, Dauphin County), Learn more about Penn State Children’s Hospital. General Thoracic Surgery Track. 157, 3, p. 1112-1113 2 p. Research output : Contribution to journal › Editorial Animal Models for Pediatric Mechanical Circulatory Support Research at Penn State Health Prepare and present ward rounds in an organized manner. Understand the principles of thoracic surgery including hemostasis, wound healing, wound complications, electrolyte and fluid replacement, surgical nutrition, and oncology. or D.O.) Clinical Skills: During the training program the fellow: performs diagnostic tests and operations on the mediastinum; recognizes the histologic appearance of mediastinal tumors; diagnoses and manages mediastinal infection. Doctor of Medicine, Lewis Katz School of Medicine at Temple University-Philadelphia, Pennsylvania Describe the general principles of pre-operative assessment and post-operative management of adult cardiac surgical patients. Its mission is to improve health through patient care, research, education and community outreach. The cardiothoracic surgery educational program includes two-year and six-year residencies, advanced fellowships, and extends itself to medical school students, both from the University of Pittsburgh as well as outside national and international medical schools who request to rotate on the cardiac, thoracic and pediatric surgery services. Our access to clinical trials brings new therapies and treatment options to patients first. Learner Objectives: Evaluates patients with blunt or penetrating chest wall injury; understands the physiology and mechanics of operative drainage of the thoracic cavity; understands the operative and nonoperative management of chest wall injuries; Understands the pathophysiology of flail chest. Combine fellow mentoring with instruction by faculty, including didactic and Socratic education, hands-on experience, simulation and self-directed learning. Assistant Professor of Surgery Cardiothoracic Surgery Attending, Massachusetts General Hospital Dr. Tony Murante. Understand the physiology of normal fetal circulation, the transition from fetal circulation to the neonatal state, and the physiology of obstructions, intra-cardiac and extra-cardiac shunts, abnormal connections to the heart, and combinations of these anomalies in the fetus, neonate and child. endobronchial ultrasound [EBUS], mediastinoscopy, Chamberlain procedure, video-assisted thoracoscopic surgery [VATS]); knows how to interpret pulmonary function tests and cardiopulmonary exercise testing (CPET); knows how pulmonary function tests are performed; understands the segmental anatomy of the bronchial tree. A new agreement between Penn State Health and Geisinger Holy Spirit provides people living in the West Shore region with increased access to world-class heart surgery. E. Central Venous Lines and Arterial Lines. Penn State Heart and Vascular Institute - IO Silver Clinic. The chief fellow has primary responsibility for administrative duties, including operative case assignments. Clinical Skills: During the training program the fellow: performs central venous line insertions by appropriate techniques (e.g. He is board certified in Thoracic Surgery. 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. Understand coronary angiography, echocardiography, ECG, and chest radiography. The fellow also will participate actively with the attending staff in operative planning and decision making for post-operative care. There is a pediatric cardiac surgery outpatient clinic once weekly, and the junior fellow is expected to include this setting in the core of outpatient clinics, which are to be attended regularly. Have a thorough understanding of all components of cardiac and thoracic diseases including diagnostic, therapeutic, and management options. Pediatric Cardiac Surgery & Research Fellowships. Clinical Skills: During the training program the fellow: recognizes the normal and abnormal anatomy of the chest wall; reads and interprets tests to diagnose chest wall abnormalities. Box 850, MC H159 500 University Dr. Hershey, PA 17033. Participate actively in scheduled rounds. Clinical Skills: During the training program the fellow: uses knowledge of the effects of extracorporeal bypass to ensure its safe use; recognizes the correct and incorrect set-up and operation of an extracorporeal circuit; plans and uses extracorporeal circuits in clinical practice; understands and treats physiologic derangements caused by blood-artificial surface interaction. 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. space problem, persistent air leak, bronchopleural fistula, empyema, cardiac arrhythmia). 2. 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. Several areas within the department have achieved accreditation, including the Penn State Breast Center (NAPBC-accredited), Penn State Surgical Weight Loss (MBASQIP-designated Center of Excellence) and Penn State Abdominal Transplant Program (UNOS-certified). Included in this lecture series is a monthly, fellow-directed cardiothoracic journal club and monthly case conferences. 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. Residency: Robert Wood Johnson Medical School. M.S. Our goal is to provide outstanding training to graduate leaders in the field of cardiothoracic surgery. The Fellowship includes 12-months of practice-based experiences and didactic activities to promote professional development in cardiovascular care. As members of one of the premier general thoracic surgery programs in the world, Penn's thoracic surgeons were among the first nationwide to form a separate section within a division of cardiothoracic surgery specializing in non-cardiac thoracic surgery. He completed fellowships in congenital cardiac surgery at … Our graduates are equipped with training and experience to commence practice in either or both fields. Clinical Care in the Department of Surgery. As primary surgeon, the fellow should perform flexible and rigid bronchoscopy, with understanding of bronchial segmental anatomy. Understand common postoperative care issues in the adult cardiac surgery patient, including anticoagulation, cardiac rehabilitation, and indications for skilled nursing/rehabilitation facility. Clinical Skills: During the training program the fellow: evaluates patients with various types of esophageal atresia and tracheoesophageal fistula and recommends management; interprets diagnostic tests of congenital esophageal diseases; performs or participates in the operative repair of tracheoesophageal fistula; performs the operative management of esophageal duplication cysts. Faculty and fellows are taught to recognize the signs of fatigue via the ACGME Core Competencies Lecture Series. 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. Assess and triage urgent/emergent thoracic surgery patients. Prepare clear consultation notes, progress notes, discharge summaries, and clinic notes. Penn State Health Milton S. Hershey Medical Center MS, Penn State University-State College, Pennsylvania. 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. 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. 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). bronchoscopy, mediastinoscopy, mediastinotomy, EBUS and VATS); performs bedside bronchoscopy and placement of tracheostomies (open or percutaneous); performs operations to extirpate lung cancer (e.g. Cardiac Third Year Fellowship. Deliver highest quality care with ethics, integrity, honesty and compassion. Clinical Skills: During the training program the fellow: interprets esophageal plain radiographs, contrast studies, CT scans, and EUS; requests and interprets manometric and pH studies of the esophagus; performs rigid and flexible endoscopy of the pharynx and esophagus. It calls us to learn, achieve, share and lift each other up. Health and Human Development. The program is approved by the Residency Review Committee for Thoracic Surgery of the … Participate effectively in facilitating learning of patients, teaching house staff, students, and other health professionals. Skills to be acquired include those of medical knowledge, patient care, practice-based learning and improvement, communication and interpersonal skills, professionalism, and systems-based practice. Provide training and experience in echocardiography to facilitate the certification of the fellow by the National Board of Echocardiography. 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). who first completes a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years). 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. During the first year, fellows concentrate their attention on the outpatient work-up, operative procedures, and follow-up of thoracic surgical patients. Not rated. Participate actively in scheduled morbidity and mortality conferences. Molly Schultheis, MD Start year : 2017 Graduated in 2019 Events. Box 850, MC H159 Fellowship: Ohio State University, Columbus, Ohio. Conditions and Procedures: Robot-Assisted Minimally Invasive: Coronary Artery Bypass; Understand the principles of surgery, including hemostasis, wound healing, wound complications, electrolyte and fluid replacement, and surgical nutrition in the congenital cardiac surgery patient. Utilize resources effectively to balance patient care, learning needs, and outside activities. Write clear consultation notes, progress notes, discharge summaries, and clinic notes. Clinical Skills: During the training program the fellow: performs preoperative evaluation and preparation; manages postoperative care; participates in or performs the major palliative operations for these congenital cardiac anomalies. Despite this, end-of-life care specific to this population has received little attention. Advanced Fellowship in Aortic Surgery Penn Medicine, University of Pennsylvania Health System Philadelphia, Pennsylvania. Working with a dedicated staff of cardiac anesthesiologists and specially-trained advanced practitioners and support staff, Penn’s team collaborates on a detailed process to eliminate complications and ensure patients and their families receive necessary education and support. B. Myocarditis, Cardiomyopathy, Hypertrophic Obstructive Cardiomyopathy and Cardiac Tumors. There is signout between the two teams twice daily. Demonstrate knowledge in the interpretation of laboratory investigations, CXR, ECG, angiography and echocardiography. The Divisions of Cardiovascular and Thoracic Surgery at the University of Pennsylvania provide opportunities for residency training in Cardiothoracic Surgery including a two year Cardiac Tract, two year Cardiothoracic Tract, and six to eight year Integrated Thoracic Surgery Tract . Learner Objectives: Understands the pathophysiology, histology, complications and diagnosis of esophageal reflux; understands the indications for and principles of anti-reflux operations; understands the clinical presentation, diagnosis and management of paraesophageal hernias; knows the clinical presentation, causes, diagnosis and treatment of motility disorders of the esophagus; understands the clinical presentation, diagnosis and management of esophageal perforation; understands the clinical presentation, diagnosis and management of chemical injuries and trauma of the esophagus; understands the indications, methods and operative approaches for esophageal replacement; understands the clinical presentation, diagnosis and management of esophageal foreign bodies; understands the etiology, presentation and management of infections after esophageal injuries and operations. 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. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every 6 months. Clinical Skills: During the course of the program, the fellow: evaluates patients requiring component therapy and develops management strategies to correct abnormalities of the coagulation system; uses appropriate tests to ensure the safety of blood and blood components; uses appropriate blood conservation techniques. Penn’s continued growth in cardiovascular surgery is driven by tertiary and quaternary referrals for complex surgical procedures. Penn State Health celebrates, embraces and supports the diversity of all patients, faculty, staff, students and trainees. Finally, it is expected that the fellow will be able to perform most adult cardiac surgery cases as the operative surgeon with graded responsibility in the operating room as the year progresses. ... Penn State Hobbies: Trail running, ultramarathon running, skiing, horseback riding. Find your next job … Clinical Skills: During the training program the fellow: uses an understanding of abnormal physiologic findings to diagnose pericardial pathology; performs diagnostic tests and therapeutic interventions for the treatment of pericardial tamponade, pericardial effusions, and constrictive pericardial disease; evaluates and manages patients with pericardial cysts or tumors. The fellows additionally will see a portion of daily consults and review these evaluations and associated studies with the attending on-call that day. Our Cardiothoracic Surgery Fellowship Programs focus on: Providing professional education and state-of-the-art care for a broad spectrum of cardiothoracic and foregut diseases. Demonstrate knowledge in the interpretation of laboratory investigations, CXR, ECG, CT scan, MRI and PET scan. The first year of the Thoracic Surgery Fellowship focuses on pediatric cardiothoracic surgery, then general thoracic surgery, including open, minimally invasive (VATS and robotic) and endoscopic interventions for malignant and benign lung, esophageal, mediastinal, tracheal, chest wall, pleural and diaphragmatic disorders. Fellows will learn how to recognize and care for critically ill patients, including placement of chest tubes and obtaining central venous access. Further, the fellows participate in the weekly multi-discipline thoracic case conference, which includes participation by a core group including thoracic oncologists and radiation oncologists, interventional pulmonologists, and thoracic radiologists. Certifications: Cardiothoracic Surgery. Sarasota Memorial Hospital. 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. 3. There are two adult clinical teams, cardiac and thoracic. Welcome to the Thoracic and Cardiovascular Surgery Integrated Residency and Fellowship Programs at Cleveland Clinic. Graduate. 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. Cardiothoracic Surgery, MC-H165 Penn State Heart and Vascular Institute Department of Surgery 500 University Drive Hershey, PA 17033 Jessica Moyer, Program Coordinator. News. General Surgery, Washington University School of Medicine- St. Louis, MO. 3. 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. Cardiothoracic Surgery Fellowship Welcome and thank you for your interest in the Cardiothoracic Surgery training program at Rush University Medical Center. Utilize resources effectively to balance patient care, learning needs and outside activities. Demonstrate the ability to be honest, reliable, and respectful of the religious, racial, and gender characteristics of patients, their families, and other members of the health care team. Stanford Medicine. B. Congenital Abnormalities of the Mediastinum. Post-operative care is coordinated with the attending staff, and additionally includes the Heart and Vascular Institute Intensive Care Unit staff. Assess and triage urgent/emergent adult cardiac surgery patients. Residents Current Residents. Our physicians offer an advanced level of expertise and provide care via endoscopic, minimally invasive, and complex open surgeries and interventions. Premier Training for Future Cardiothoracic Surgeons. Information Sciences and Technology 10% of time will be dedicated to Isolated AVR. The final year of the curriculum allows for concentration in a specific field of cardiothoracic surgery, with emphasis on independent operating and full intraoperative responsibilities. Thoracic Surgery Fellowship Program Ochsner has a long history of performing surgery and training residents in Louisiana. Cardiothoracic Surgery, Penn State Hershey. C. Acquired Abnormalities of the Mediastinum. Medical School. Perform VATS pleurodesis and tunneled pleural catheter placement as primary surgeon. Find a Doctor Find a Location College of Medicine . Hershey Medical Center, PA Sandeep Sainathan | Cardiac Fellowship | Yale New Haven Hospital Vikram Vattipally | MIS Fellowship | Penn State, M.S. Vinay Goyal | MIS Fellowship | Penn State, M.S. Clinical Skills: During the training program the fellow: performs cannulation for extracorporeal bypass using appropriate access routes; uses left and right heart bypass. The outpatient setting allows for an enriching exposure to congenital cardiac and thoracic pathology. In keeping with the Coalition for Physician Accountability guidelines for the 2020-2021 residency application cycle, Penn State College of Medicine Interim Dean Dr. Kevin Black announced in June 2020 that all interviews for College of Medicine programs, including graduate medical education, will be virtual this year. 10 minutes of a Penn State Health primary care provider, 20 minutes of Penn State Health specialty care, 30 minutes of a Penn State Health acute care facility, The health system’s 548-bed flagship teaching and research hospital, The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center, Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units, Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year, More than 1,300 faculty members and more than 650 residents and fellows, Approximately 28,500 admissions, 75,000 emergency department visits, 1.1 million outpatient visits and 32,000 surgical procedures annually, Designated as a Magnet hospital three times, A five-story, 263,000-square-foot-facility built in 2013, Three-floor expansion opened in November 2020, Level IV (highest-level) neonatal intensive care unit, Level I (highest-level) pediatric trauma center designation, More than 150,000 pediatric outpatient visits and approximately 5,000 pediatric patient discharges annually, Regular talks and lectures on diversity, equity and inclusion, Periodic town halls on topics such as eradicating racism and creating a culture of inclusiveness, Disability Affinity Resource Network Group, Interfaith Affinity Resource Network Group, LGBTQ and Allies Affinity Resource Network Group, Military/Veterans Affinity Resource Network Group, Multicultural Affinity Resource Network Group, A new organization specifically for trainees, the. The second-year cardiothoracic surgery fellow is assigned to run the service as chief fellow. Learner Objectives: Understands AJCC staging of lung carcinoma and its application to the diagnosis, therapeutic planning and management of patients with lung cancer; evaluates and diagnoses pulmonary malignancy, using a knowledge of the histologic appearance of the major types; knows the signs of inoperability; understands the complications of pulmonary resection and their management; understands the indications for resection of benign lung lesions; understands the indications for resection of pulmonary metastases; understands the therapeutic options for patients with lung malignancy; understands the role of adjuvant therapy for lung cancer. A new-for-2020 virtual tour showcases locations across Penn State Health and Penn State College of Medicine in Hershey, Pa. A new-for-2020 guide to the Hershey, Pa., area showcases the highlights of life in central Pennsylvania. In this setting, they will be intimately involved in the pre-operative and post-operative evaluation of patients. Have the medical knowledge, operative skills, judgment, and leadership to perform common adult cardiac, pediatric cardiac and thoracic surgical procedures without supervision. We can truly help lead the way here. The program accepts one resident per year. 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. The fellow will have scheduled weekly adult cardiothoracic lectures throughout the year covering core topics in the specialty (i.e. Our program director is Christopher W. Seder, MD, and the associate program directors are Antone Tatooles, MD, and Nicole M. Geissen, DO. Learner Objectives: Understands the physiology and mechanics of membrane and bubble oxygenators; understands the mechanics and operation of roller and vortex pumps; understands the physiology of various extracorporeal bypass circuits and the derangements caused by their use; knows the coagulation system and alterations of blood elements. Learn the physiology of extracorporeal bypass, techniques for extracorporeal bypass, and indications for mechanical circulatory support. 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