Program Details

Educational Goals and Objectives for the Thoracic Surgery Residency Program

The overall goal of the Thoracic Surgery Fellowship is to graduate physicians proficient to provide safe, cost effective, timely, patient centered, high quality care in the following areas: operative, peri-operative, and critical care of patients with pathologic conditions within the chest. This includes the surgical care of: coronary artery disease; diseases of the trachea, lungs, esophagus, and chest wall; abnormalities of the great vessels and heart valves; congenital anomalies of the chest and heart; tumors of the mediastinum; diseases of the diaphragm; and management of chest injuries.

The resident selected into our program will have completed an accredited General Surgery Residency Program. This individual will have the necessary skills and knowledge in surgical principles, techniques, and management of disease processes. The focus of our program is to build on these accomplishments. He/she will be given graduated responsibilities with supervision to diagnose and treat thoracic illnesses, both surgically and non-surgically as indicated, in a patient centered environment. The environment will be conducive to delivering safe, effective, cost efficient, compassionate care while preserving patient confidentiality.

The educational goals and objectives we aim to achieve-

The resident will:

  1. Have intense training in the necessary basic sciences to understand and manage thoracic diseases in general and cardiac diseases in particular.
  2. Gain competence in the following: diagnosis, preparation for a comprehensive treatment plan, counseling and advocating the patient/family regarding the disease, prognosis, treatment options, risks, benefits and alternatives to the plan of therapy and procedure being proposed.
  3. Be adept in preoperative preparation and conduct a safe, efficient and effective surgery as well as postoperative care.
  4. Have the ability to utilize resources and tailor the best treatment for the patient in the current and evolving health care systems (systems-based practice).
  5. Understand his/her own abilities, limitations, and seek help in the best interest of the patient and refer to a place of excellence when appropriate.
  6. Function effectively and collegially in the health care environment.
  7. Maintain a culture of life long education and scholarly activities to remain proficient in the knowledge of established and evolving biomedical, clinical, epidemiological and social behavioral sciences, as well as the application of this knowledge to patient care.
  8. Incorporate practice-based learning to continuously improve patient care.
  9. Learn the methods and participate in quality improvement to implement appropriate changes in patient care throughout their career.
  10. Learn to be compassionate towards the patients and families, respectful of other professionals and colleagues, respect privacy, and maintain integrity and accountability.
  11. Participate in local, regional, and national organizations in thoracic surgery.

In order to achieve the stated goals the program will:

  1. Maintain regular didactic and clinical education sessions.
  2. Provide necessary tools both electronic and otherwise.
  3. Provide assignments at each educational level.
  4. Clearly delineate responsibilities in patient care and assign progressive responsibility as appropriate.
  5. Provide sufficient and constant faculty supervision throughout the program.
  6. Cover all topics and competencies in the curriculum as recommended by ACGME/TSDA.
  7. Assist in accomplishing all procedural skills necessary to become an independent Cardiothoracic Surgeon.
  8. Provide regular faculty member and program director’s evaluation and recommendations.
  9. Organize a clinical competency committee and program evaluation committee to evaluate, assess and improve any deficiencies on an ongoing basis.
  10. Provide the resident with the opportunity to evaluate the program periodically.
  11. Provide the resident with Program Director, faculty member and 360-degree evaluations on a biannual basis at minimum.
  12. Provide clear guidelines for the trainee.

The program will maintain didactic and clinical education, an environment of learning, manage fatigue, provide for work-life balance, while evaluating and counselling on an ongoing basis to facilitate growth towards accomplishment of these goals.

Block Schedule

1st Year

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

June

Rotation Name

Adult cardiac and congenital heart

Adult cardiac and thoracic

Adult cardiac and thoracic

Adult cardiac and congenital heart

Site

Site 1

Site 2

Site 2

Site 1

2nd Year

July

Aug

Sept

Oct

Nov

Dec

Jan

Feb

Mar

Apr

May

June

Rotation Name

Adult cardiac and congenital heart

Adult cardiac and congenital heart

Adult cardiac and congenital heart

Adult cardiac and congenital heart

Site

Site 1

Site 1

Site 1

Site 1

Notes:
Site 1 – Newark Beth Israel Medical Center (NBIMC)
Site 2 – Saint Barnabas Medical Center (SBMC)
Site 3 - Cleveland Clinic Foundation (CCF) - current resident will rotate April-June of 2020. This rotation will not be available as of 2021

Adult and Congenital Cardiac:

Adult and congenital cardiac training will take place at NBIMC concurrently with adult cardiac surgery. Residents will also participate in general thoracic surgery cases at this site when they are on call, for emergency cases and for complex cases to gain additional experience.

The emphasis during the first three month rotation at Site 1 is mainly to gain experience in critical care of the cardiac surgical patient, while completing all required courses for the hospital, system and graduate medical education.

During the last 18 months of residency, the resident will be at Site 1 for adult and congenital cardiac surgical rotation. During this time the emphasis is on adult cardiac surgical training, while the resident is expected to participate in the care of congenital cardiac and complex thoracic surgical patients to gain required exposure and training in these areas.

General Thoracic:

At the end of the first three month rotation at Site 1, there will be a dedicated six-month block of time during which residents will rotate at St. Barnabas Medical Center to gain experience in adult cardiac surgery and general thoracic surgery. This includes esophageal surgery and complex thoracic surgery. During this time the resident has the opportunity to strengthen his/her skills and knowledge, in the procedural and perioperative care of both cardiac and thoracic surgical patients.

Outpatient:

During all rotations, residents will spend about twenty percent of their time in outpatient clinic. They will have (on average) one day per week dedicated to managing pre- and postoperative patients during office hours.

Research:

Residents will participate in clinical research during all rotations. This is not structured research time. The research projects will be individually assigned by and discussed with the program director on a monthly basis. Residents will work on research during their off-duty time.

Vacation:

Residents will have four weeks of vacation time per year. This will be taken in four seven-day periods, time depending on resident preference. Seven vacation days as one block is allowed during each three month period both while at the Site 1 and 2.

Conference Schedule

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Week 1

730 M&M/Faculty development

4pm to 6pm: TSDA curriculum

7-9 didactic lecture/conference(O)

Cardiology

7:30 am: Structural heart conference

Alternate time for didactics 4 pm to 5pm

8 am-11 am Heart transplant meeting (O)

7:30 Congenital cardiac meeting

12 noon – Thoracic tumor board

4pm to 6pm :TSDA curriculum

Week 2

730 Business meeting/ Faculty development(O)

4pm to 6pm: TSDA curriculum

7-9 didactic lecture/ conference(O)

Cardiology

7:30 am: Structural heart conference

7:30 Lung Transplant meeting

(O)

Alternate time for didactics 4 pm to 5pm

8 am-11 am Heart transplant meeting (O)

7:30 Congenital cardiac meeting

12 noon – Thoracic tumor board

4pm to 6pm:TSDA curriculum

Week 3

730 M&M/Faculty development

730 QA

4pm to 6pm: TSDA curriculum

7-9 didactic lecture/ conference­(O)

Cardiology

7:30 Grand Rounds

8:30 am: Structural heart conference

Alternate time for didactics 4 pm to 5pm

630p Journal club

7:30 8:30am Vascular Grand Rounds

8 am-11 am Heart transplant meeting (O)

7:30 Congenital cardiac meeting

12 noon– Thoracic tumor board

4pm to 6pm: TSDA curriculum

Week 4

730 QI/Faculty development

4pm to 6pm: TSDA curriculum

7-9 didactic lecture/ conference­(O)

Cardiology

7:30 am: Structural heart conference

7:30 am Lung Transplant meeting (O)

Alternate time for didactics 4 pm to 5pm

8 am-11 am Heart transplant meeting (O)

7:30 Congenital cardiac meeting

12 noon – Thoracic tumor board

4pm to 6pm: TSDA curriculum

O: optional Alternate session: In case the didactics are cancelled due to emergencies on Monday and Friday, will make up this session on Wednesday evening. Faculty development will be last ten minutes of the Monday morning conferences - Only faculty need to attend.