Insert and remove chest tubes and perform thoracentesis outside of the operating room. Serve as primary surgeon, performing sternotomy, cannulation for bypass and conduit procurement. The fellow will have scheduled weekly adult cardiothoracic lectures throughout the year covering core topics in the specialty (i.e. Perform an appropriate, relevant history and physical exam in the ward, ambulatory clinic, and emergency department settings. 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. 7% of time will be dedicated to CABG and other. internal jugular vein, subclavian vein, femoral vein); performs arterial line insertions by appropriate techniques (e.g. Skills: During the course of the program, the fellow: shows an understanding of the appropriate application of statistical tests to the problem; demonstrates an understanding of the appropriate application of other commonly used statistical tests such as univariate analysis, multivariate analysis, analysis of variance, and the use of T-tests for paired data and multiple comparisons, knowing the limitations, deficiencies and proper applications of these commonly used statistical tests; shows evidence of ability to critically analyze major clinical research papers in the thoracic literature which guide practice; applies knowledge of the scientific method to design and execute at least one formal analysis to solve a problem related to thoracic surgery. B. Myocarditis, Cardiomyopathy, Hypertrophic Obstructive Cardiomyopathy and Cardiac Tumors. The fellow will have scheduled weekly adult cardiothoracic lectures throughout the year covering core topics in the specialty (i.e. Critically appraise sources of medical information and be aware available of resources. Fellows are exposed to the pre-operative care of cardiac transplantation patients via the cardiac transplantation conference. h2.alert__item-title { Learn More About Heart and Vascular Contact Us To speak to someone about our heart and vascular research, please call 717-531-5966 or email Sharon O’Brien at [email protected]. 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. Included in this lecture series is a monthly, fellow-directed cardiothoracic journal club and monthly case conferences. Education: New Jersey Medical School. Adult Cardiac Surgery Track. Email us at [email protected]. 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. Service obligations are minimized but not eliminated. Fellows will learn how to recognize and care for critically ill children. 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. 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. During the eighth block, the second-year chief fellow has an elective rotation. 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. Demonstrate knowledge in the interpretation of laboratory investigations, angiography, and echocardiography. - Pediatric Cardiac Surgery Clinical Instructor: Naruhito Watanabe - Pediatric Cardiac Surgery ACGME Fellow: Sergio Carrillo: 2014-15: Residents: Mastaneh Ahmadi-Kashani, George Dimeling Clinical Instructors (Fellows): - Transplant Program: Dana A. Booth, Jama Jahanyar - Pediatric Cardiac Surgery Clinical Instructor: Ali Ibrahimiye Obtain graduated responsibility as first assistant and surgeon in the operating room for common adult cardiac surgery cases including coronary artery bypass grafting, valvular repair and replacement and aortic interventions. Thoracic Surgery Fellowship Penn State Health Milton S. Hershey Medical Center P.O. Understand the importance of and mechanisms to safely utilize resources in a cost-effective manner to benefit all patients. 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 … 1. 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. Learner Objectives: Understands the presentation, evaluation and treatment of blunt and penetrating diaphragmatic injuries; understands the evaluation and management of associated injuries. 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. Learner Objectives: Understands the clinical presentations, types, diagnosis and treatment of esophageal atresia and congenital tracheoesophageal fistula; understands the clinical presentation and diagnosis of esophageal duplication cysts. Premier Training for Future Cardiothoracic Surgeons. Clinical Skills: During the training program the fellow: performs cannulation for extracorporeal bypass using appropriate access routes; uses left and right heart bypass. Understand the principles of cardiac surgery, including hemostasis, wound healing, wound complications, electrolyte and fluid replacement, surgical nutrition, and cardiology. 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. This article examines current literature on end-of-life care in cardiothoracic surgery and in critical care. The trainee will serve as the chief fellow, directing the care of critically ill patients. Penn State Heart and Vascular Institute - IO Silver Clinic. In keeping with this, the institution has an active Office for Diversity, Equity and Inclusion with various programs, networks and resource groups, including: Learn more about the Office for Diversity, Equity and Inclusion, Office for Culturally Responsive Health Care Education. Penn’s … 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. In Penn State Heart and Vascular Institute, the Department of Surgery and Penn State Children’s Hospital, the opportunity to experience other cutting-edge treatment modalities is encouraged. Penn State Health Milton S. Hershey Medical Center He is board certified in Thoracic Surgery. 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. 2017-2018 Fellows Participate actively in scheduled rounds and conferences. 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. Know the anatomy, embryology, physiology and pathology of the heart and great vessels. The Allegheny General Hospital West Penn Hospital Medical Education Consortium offers a wide variety of fellowship programs. 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. Senior residents are expected to meet technical cardiothoracic milestones and assume fellowship-level responsibility in ICU management and patient care. Health Care. Understand the arterial and venous cannulation techniques for different intra-cardiac defects, indications for various bypass strategies, techniques of myocardial protection in the neonate and infant, the use of levels of hemodilution and anticoagulation, perfusion flow and pressure control, body temperature manipulation, and deep hypothermic circulatory arrest. Faculty, trainees and staff collectively have responsibility for the safety and welfare of the patients. Learner Objectives: Knows evaluation methods for penetrating injuries of the diaphragm; understands the etiology, diagnosis, and treatment of diaphragmatic paralysis; understands the presentation of diaphragmatic rupture and associated injuries; knows management of infections above and below the diaphragm; understands the etiology, presentation, diagnosis and management of acquired diaphragmatic hernias; understands the primary and secondary tumors of the diaphragm and their management. 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. D. Congenital and Acquired Abnormalities of the Pericardium. Clinical Skills: During the training program the fellow: evaluates and manages patients requiring bronchoscopy; performs rigid and flexible bronchoscopy using various anesthetic techniques; obtains diagnostic material using various biopsy techniques; uses ablative techniques via bronchoscopy; understands the use of stents via bronchoscopy. 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. 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. General Surgery, Washington University School of Medicine- St. Louis, MO. General Surgery, Washington University School of Medicine- St. Louis, MO. The Division of Thoracic Surgery is committed to the ACGME duty hour guidelines. 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. The senior fellow (chief fellow) is assigned to attend the outpatient adult cardiac surgery clinics (blocks 4 to 7). Clinical Skills: During the training program the fellow: performs emergency evaluation and diagnosis of diaphragmatic and associated injuries; performs operative repair of acute and chronic diaphragmatic and associated injuries. Cardiothoracic Surgery Fellowship The Division of Cardiothoracic Surgery provides you with the skills and knowledge to begin a career as a cardiothoracic surgeon. Manage hemodynamic disturbances, cardiac arrhythmias, volume status, and post-operative bleeding. Deliver highest quality care with ethics, integrity, honesty, and compassion. Finally, this rotation will teach surgical and endoscopic techniques. Provide high-quality clinical training in the intraoperative and postoperative management of patients undergoing cardiothoracic surgery, including patients with diverse and complex pathology. Health and Human Development. 10% of time will be dedicated to Isolated AVR. Penn’s continued growth in cardiovascular surgery is driven by tertiary and quaternary referrals for complex surgical procedures. The attending staff directly supervises intra-operative care. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every six months. 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. The two teams work collaboratively, with cross-coverage between the two thoracic surgery fellows on nights, weekends and holidays. At Penn State Health, our approach to health care is bigger than all of us. All applicants are required to apply through the Electronic Residency Matching Service and to participate in the interview process and the National Resident Matching Program (NRMP). B., Mar 2019, In : Journal of Thoracic and Cardiovascular Surgery. 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. Welcome to the Thoracic and Cardiovascular Surgery Integrated Residency and Fellowship Programs at Cleveland Clinic. 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) 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 preoperative evaluation and preparation; manages postoperative care; participates in or performs the major palliative operations for these congenital cardiac anomalies. 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. Provide training and experience in echocardiography to facilitate the certification of the fellow by the National Board of Echocardiography. Cardiothoracic Surgery, MC-H165 Penn State Heart and Vascular Institute Department of Surgery 500 University Drive Hershey, PA 17033 Jessica Moyer, Program Coordinator. He is board certified in Thoracic Surgery. 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. Learner Objectives: Understands congenital abnormalities and idiopathic diseases of the trachea; understands the etiology, presentation and management of acquired tracheal strictures and their prevention; understands the radiologic evaluation of tracheal abnormalities; Knows the methods of airway management, anesthesia, and ventilation for tracheal operations; understands the etiology, presentation and principles of airway trauma management. Understand common postoperative care issues in the adult cardiac surgery patient, including anticoagulation, cardiac rehabilitation, and indications for skilled nursing/rehabilitation facility. Learn more about the Office for Culturally Responsive Health Care Education, Office for a Respectful Learning Environment. All individuals who have completed the program have successfully passed the examination of the American Board of Thoracic Surgery. 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. General Thoracic Surgery Track. P.O. Events. The core curriculum continues to follow the Thoracic Surgery Curriculum established by the Thoracic Surgery Directors Association, covering thoracic, pediatric and adult cardiac surgery. Kaushik Mandal, M.D., and Yusuke Terasaki, M.D., both cardiothoracic surgeons, have joined the DMC Heart Hospital. 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: Knows the embryology and anatomy of the normal heart; knows the embryology and anatomy of major cardiac anomalies. 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) 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. Michael F. Reed, MD, is chief of the Division of Thoracic Surgery at Penn State Health Milton S. Hershey Medical Center, a professor of surgery at Penn State College of Medicine and the program director for the Thoracic Surgery Residency program. The Office for Culturally Responsive Health Care Education was formed to help meet that goal. Understand the professional, legal, and ethical codes to which physicians are bound, particularly when caring for children. Understand the pharmacology, indications, and complications of drugs commonly used in the specialty, including anti-arrhythmics, diuretics, anticoagulants, bronchodilators, and analgesics. The fellow also will participate actively with the attending staff in operative planning and decision making for post-operative care. If the trainee is pursuing the American Board of Thoracic Surgery (ABTS) general thoracic pathway, the fellow will focus on thoracic surgery. Demonstrate knowledge in the interpretation of laboratory investigations, CXR, ECG, angiography and echocardiography. 34% of time will be dedicated to Isolated CABG. disease/surgery management, echocardiography topics). As in the first year, the learning objectives of the second year include planning, implementation and mastering of the clinical skills that are listed in the Competency-Based Goals and Objectives. 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. 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. Penn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. Its mission is to improve health through patient care, research, education and community outreach. Inform patients and families about their condition at an appropriate and understandable level. The final assessment of whether these objectives are being achieved is made by the program director as recommended by the faculty of the Division of Thoracic Surgery. MS, Penn State University-State College, Pennsylvania. Allocate finite health care resources wisely. … 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. 500 University Drive Hershey, PA 17033 1-800-243-1455. Understand coronary angiography, echocardiography, ECG, and chest radiography. Dr. Joseph Eid. Learner Objectives: Understands diagnostic procedures used to evaluate non-neoplastic lung disease; Knows the common pathogens that produce lung infections, including their presentation and pathologic processes, and knows the treatment and indications for operative intervention; understands the natural history, presentation and treatment of chronic obstructive lung disease; understands the pathologic results and alterations of pulmonary function due to bronchospasm; understands the mechanisms by which foreign bodies reach the airways, how they cause pulmonary pathology, and the management of patients with airway foreign bodies; knows the indications for bullectomy, lung reduction, and pulmonary transplantation; Understands the principles of surgical resection for non-neoplastic lung disease; understands the causes, physiology, evaluation and management of hemoptysis. Learner Objectives: Knows the types, histology and clinical presentation of tracheal neoplasms; knows the indications for and the use of radiotherapy and chemotherapy. Learn the physiology of extracorporeal bypass, techniques for extracorporeal bypass, and indications for mechanical circulatory support. 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. Describe the general principles of pre-operative assessment and post-operative management of adult cardiac surgical patients. Penn State Health Thoracic Surgery treats patients with benign and malignant thoracic diseases. Dr. Hershey, Pa. common postoperative care issues in the U.S. is a Medical Group cardiothoracic... 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