joint council on thoracic surgery education
TRANSCRIPT
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Joint Council on Thoracic Surgery Education
Copyright 2014, used with permission from The Society of Thoracic Surgeons. All rights reserved.
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6-year CT surgery Curriculum
Disclosures
None
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Didactic Education
1. Assume ownership
2. Current approach
a. Assigned readings
e.g., TSDA curriculum
b. Conferences
Cardiac/Thoracic
Congenital
Cardiology/Cardiac Surgery
Mortality/morbidity
c. Rotation specific readings/conferences
e.g., General Surgery, Vasc Surgery, etc.
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Thoracic Surgery Curriculum (TSC)
Moodle learning management system
Web-Brain content management
Articles, chapters, videos, case scenarios
Multiple templates
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Thoracic Surgery Curriculum (TSC) (JCTSE, ABTS,TSDA,TSRA)
88 topics
Multiple templates
2-year traditional (3)
3-year traditional (2)
I-6 integrated (2)
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Thoracic Surgery Curriculum (TSC)
Weekly Conference Structure
R1-3: 88 topics over 3 yrs
Basic level
R4-6: 88 topics over 3 yrs
Advanced level
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Thoracic Surgery Curriculum (TSC)
Weekly Conference Structure
One resident assigned to given topic to lead
discussion
One attending assigned to direct discussion
Additional materials (e.g., Web-Brain, case
scenarios, recent cases)
Questions/answer session (SESATS)
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Assessment
Core competencies (e.g., MedHub)
TSDA In-Training Exam
Mock oral exam
SESATS-Moodle
Direct observation
Skills lab
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Skills Lab-Technical Skills
R1-R3:
Fundamentals of surgery
Knot-tying
Basic suturing
Instrument and tissue handling
Aortic cannulation
Vessel anastomosis
Valve sutures
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Skills Lab-Technical Skills
R4-R6:
Cardiopulmonary bypass
AV and MV surgery
Coronary artery anastomosis
Crisis management
Potential complications
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Assessment-Technical Skills
Direct observation
Intraoperative
Skills laboratory
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ANASTOMOSIS SIMULATORS
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Assessment in CT Surgery Technical Skills
Coronary Artery Anastomosis Assessment—Quarterly
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
5
R-1 R-2 R-3 R-4 R-5 R-6 R-7 R-8 R-9 R-10 R-11
Graft orientation
Bite appropriate
Spacing appropriate
Use of needle holder
Use of forceps
Needle angles
Needle transfer
Suture management
Knot-tying
Hand mechanics
Use of both hands
Economy of t/m
Arteriotomy
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DISCUSSION
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RESIDENT PERFORMANCE—VESSEL ANASTOMOSIS ASSESSMENT
0
1
2
3
4
5
6
Graft orientation
Bite appropriate
Spacing appropriate
Use of needle holder
Use of forceps
Needle angles
Needle transfer
Suture management
0
1
2
3
4
5
6
Graft orientation
Bite appropriate
Spacing appropriate
Use of needle holder
Use of forceps
Needle angles
Needle transfer
Suture management
Knot-tying
Arteriotomy
HeartCase
Porcine Heart
Copyright 2014, used with permission from The Society of Thoracic Surgeons.
All rights reserved.