1. Institutional and divisional policies ensure strict duty hour compliance to minimize fatigue and optimize education. B. Congenital Abnormalities of the Mediastinum. Learner Objectives: Understands the indications for cardiac support with mechanical devices or ECMO; Understands alternatives to mechanical support (e.g., intra-aortic and intrapulmonary balloon pumping); understands the principles of weaning patients from these devices; understands federal regulations that apply to the use of these devices. 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. Understand the importance of and mechanisms to safely utilize resources in a cost-effective manner to benefit all patients. Vinay Goyal | MIS Fellowship | Penn State, M.S. Dr. Douglas Johnston, Program Director, Thoracic and Cardiovascular Surgery Residency and Advanced Fellowships provides a review of program achievements for 2019. Learner Objectives: Is familiar with the clinical presentation of benign and malignant diseases of the pleura; understands the types of pleural effusions, their evaluation and treatment; understands the indications, contraindications and complications of VATS and has a working knowledge of the equipment; understands the management of empyema with and without bronchopleural fistula. The senior fellow (chief fellow) is assigned to attend the outpatient adult cardiac surgery clinics (blocks 4 to 7). 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. 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. Education: New Jersey Medical School. Our multidisciplinary team of thoracic surgeons and interventional pulmonologists - based in the region's premier academic medical center - has the … 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. Graduate. 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). Our access to clinical trials brings new therapies and treatment options to patients first. The fellows are exposed to congenital cardiac surgery during the first year. 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. Molly Schultheis, MD Start year : 2017 Graduated in 2019 Learner Objectives: Understands the arterial, venous, and bronchial anatomy of the lungs and their interrelationships; understands the lymphatic anatomy of the lungs, the major lymphatic nodal stations, and lymphatic drainage routes of the lobes; knows the indications for various thoracic incisions, the surgical anatomy encountered, and the physiological impact; knows the indications for plain radiography, CT scan, MRI, and PET scanning for staging of lung cancer; Knows the indications, interpretation, and use of nuclear medicine perfusion scanning to determine the operability of candidates for pulmonary resection; understands the methods of invasive staging (e.g. Nathaniel Langer, MD, MSc. Pre-operative assessment, non-operative management of thoracic pathology, post-operative care, and long-term follow-up of our patients are all part of this environment. 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). who first completes a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years). Penn State Health Milton S. Hershey Medical Center Some cardiothoracic surgeons may specialize in the surgical treatment of children, or focus on a specific organ or surgical procedure. C. Congenital Abnormalities and Thoracic Outlet Syndrome. bronchoscopy, mediastinoscopy, mediastinotomy, EBUS and VATS); performs bedside bronchoscopy and placement of tracheostomies (open or percutaneous); performs operations to extirpate lung cancer (e.g. 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. Deliver highest quality care with ethics, integrity, honesty, and compassion. Order appropriate laboratory, radiological and other diagnostic procedures. Sarasota Memorial Hospital. Critically appraise sources of medical information and be aware available of resources. (5) Interpersonal and communication skills, (7) Practice-based learning and improvement, Method of assessment of fellow performance. Learner Objectives: Understands the anatomy of congenital diaphragmatic hernias; understands the physiologic consequences of diaphragmatic hernias; knows the indications for operative repair of diaphragmatic hernias. Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. 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. Learner Objectives: Recognizes the potential morbidity and mortality associated with aortic aneurysms and develops appropriate treatment plans for their management. Jeremy Song, MD Cardiothoracic Surgeon, Memorial Healthcare System Hollywood, Florida. Email us at comweb@pennstatehealth.psu.edu. C. Acquired Abnormalities of the Mediastinum. 2019-2020 Fellows Dr. Michael Cudworth Chicago, IL. 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. We provide a robust experience in team-based care, fundamental cardiothoracic techniques and the most advanced technology 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. 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. Learner Objectives: Understands the anatomy, embryology, innervation and vascular supply of the esophagus and adjacent structures; understands the physiologic function of the esophagus and pharynx; understands the radiographic evaluation of the esophagus. 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. The fellow also will participate actively with the attending staff in operative planning and decision making for post-operative care. Health Care. Medical School. 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. Be the operating surgeon on complex procedures assisted by the surgical attending. Learner Objectives: Understands the natural history, evaluation and treatment of coronary anomalies, congenital complete heart block, hypoplastic left heart syndrome, pulmonary atresia (with and without VSD), “corrected transposition,” single ventricle, cor triatriatum and cardiac tumors. Additionally, a core curriculum follows the Thoracic Surgery Curriculum established by the Thoracic Surgery Directors Association, covering thoracic, pediatric and adult cardiac surgery annually. Thoracic Fellowship Program Message from the Program Director We welcome your interest in Temple University Health System’s ACGME Thoracic Fellowship. Learn more about the Office for a Respectful Learning Environment, Thoracic Surgery Fellowship Provide training and experience in echocardiography to facilitate the certification of the fellow by the National Board of Echocardiography. Location(s) Several Fellowship Programs provide state-of-the-art patient care and professional education for a broad spectrum of cardiothoracic diseases. Clinical Skills: During the training program the fellow: performs operative treatment of adults with delayed presentation of diaphragmatic hernias; manages eventration of the diaphragm in children and adults; understands diagnosis and management of infants and adults with diaphragmatic hernias. Cardiothoracic Surgery Fellowship Program 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. 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. Graduate. Hershey Medical Center, PA 2012 Residents. This six-year program accepts one resident each year in a categorical position. Trainees can expect to perform at least 350 operations as primary surgeon. Faculty and fellows are taught to recognize the signs of fatigue via the ACGME Core Competencies Lecture Series. Learner Objectives: Evaluates primary and metastatic chest wall tumors, knows their histologic appearance, and understands the indications for incisional versus excisional biopsy; knows the radiologic characteristics of tumors; understands the diagnosis and management of various chest wall infections; Knows the types of chemotherapy and radiotherapy of chest wall tumors and the indications for pre-operative and post-operative therapy. Obtain graduated responsibility as first assistant, as well as surgeon when feasible, in the operating room for common congenital cardiac surgery cases including sternotomy, arterial and venous cannulation for bypass, ASD and VSD repair, and other congenital cardiac anomalies. For each rotation, the primary operative experience, secondary operative experience (if no operative cases of significant educational benefit are available for the primary experience) and clinical service are defined. 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. Self-care is a skill which must be continually practiced and reinforced. At that time, the second-year chief fellow (fifth through seventh blocks) runs the cardiac service. John L. Myers, MD 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. Understand the professional, legal, and ethical codes to which physicians are bound. Fellowship: Ohio State University, Columbus, Ohio. Understand common postoperative care issues in the thoracic surgery patient, including pain management, exercise expectations/limitations, need for home oxygen, indications for a skilled nursing/rehabilitation facility. Medical School. 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. Develop academically and professionally. See details here: Wellness, including emotional, spiritual, social and physical health, is a crucial component to training and to becoming a professional, compassionate and resilient physician. Attendings round daily with house staff on their own patients; intensivists in the cardiovascular intensive care unit round independently with the cardiothoracic surgery team, concurrently managing ICU patients. Walter E. Pae, Jr., MD Chief of Cardiac Division. We are committed to providing the best academic and clinical training program for our fellows. 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. The final four clinical years focus on clinical training in Cardiothoracic Surgery including senior and chief rotations on vascular and endovascular surgery as well as additional training in cardiac imaging. Clinical Skills: During the training program the fellow: evaluates patients with angina pectoris, unstable angina pectoris, and acute myocardial infarction; reads and interprets invasive and non-invasive tests of patients with ischemic heart disease; performs operative and non-operative management of patients with ischemic heart disease, including coronary artery bypass grafting using the internal mammary and radial arteries; participates in or performs surgery for the complications of myocardial infarction. Division of Cardiac Surgery; Penn State Heart and Vascular Institute; Person: Academic. The Allegheny General Hospital West Penn Hospital Medical Education Consortium offers a wide variety of fellowship programs. Practice high quality, cost effective patient care, demonstrate knowledge of risk-benefit analysis, and demonstrate an understanding of the role of different specialists and other health care professionals in overall patient management. Interested applicants should review the “To Apply” section of their program of interest or contact the program for any additional questions regarding the interview process in light of COVID-19. Penn State College of Medicine's Department of Neurosurgery is dedicated to providing the highest quality neurosurgical care possible. 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) The fellow will have scheduled weekly adult cardiothoracic lectures throughout the year covering core topics in the specialty (i.e. 157, 3, p. 1112-1113 2 p. 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