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CARDIOTHORACIC SURGERY: Goals and Objectives
Competency-Based Performance Objectives for Residents | [Restricted Access] |
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Residents
PGY-2 and -3
Overall Objectives
l To learn pathophysiology of the cardiothoracic surgical patient
l To learn the evaluation of a patient for cardiothoracic surgery
l To learn the indications for cardiothoracic surgical intervention
l To learn fundamental cardiothoracic surgical procedures and techniques
l To learn the postoperative management of cardiothoracic surgical patients
Specific Objectives
PGY-2
l Preoperative workup
n Concentration areas for history, physical exam and laboratory workup
o Cardiac
o Pulmonary
o Esophageal
l Operative intervention
n Fundamental procedures in cardiac surgery
o Coronary revascularization
o Valve repair and replacement
o Aortic replacement
n Fundamental procedures in thoracic surgery
o Lung resection
o Esophageal resection
l Postoperative care
n Cardiovascular/hemodynamic management
n Pulmonary/respiratory management
n Complications
o Diagnosis
o Treatment
l Procedures
n Insertion of chest tube
n Insertion of central venous line
n Insertion of pulmonary artery catheter
n Insertion of arterial monitoring catheter, femoral and radial
n Saphenous vein harvest
n Removal of intra-aortic balloon pump
n Emergency sternotomy
n Lateral thoracotomy and closure
PGY-3 (Much of this is building on the PGY-2 curriculum)
l Preoperative workup
n Review of specific tests and criteria
o Coronary angiograms
o Pulmonary function tests
o Esophageal manometry, pH
o Aortography, CT, MRI/MRA
l Operative intervention
n Advanced procedures in cardiac surgery
o Arrhythmia surgery
o Ventricular volume reduction
o MID-CABG
n Advanced procedures in thoracic surgery
o Colonic interposition
o Pulmonary segmentectomy
o Chest wall resection
l Postoperative care
n Intra-aortic balloon pump management
n Ventricular assist device management
n Open chest resuscitation
n Advanced methods of ventilation
l Procedures
n Insertion of IABP
n Femoral artery cutdown
n Sternotomy and closure
n Lobar resection
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