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: performs rigid and flexible bronchoscopy for diagnosis and endobronchial resection; uses ablative techniques in the management of endoluminal tumors; Uses stents, tracheal T-tubes, and tracheostomy tubes in the management of tracheal neoplasms; uses adjunctive therapy for the management of tracheal tumors. Contact. Our goal is to provide outstanding training to graduate leaders in the field of cardiothoracic surgery. Clinical Skills: During the training program the fellow: describes the physiologic changes of circulation during neonatal life; diagnoses clinically important congenital heart diseases in the neonate, infant, and child; applies knowledge of anatomic abnormalities and their physiologic consequences to diagnose congenital heart defects; performs calculations of blood flows and resistances from cardiac catheterization data; manages the physiologic aspects of the neonate, infant and child with congenital heart disease preoperatively, intraoperatively and postoperatively; stabilizes patients who are critically ill with congenital heart disease. E. Central Venous Lines and Arterial Lines. Perform an appropriate, relevant history and physical exam in the ward, ambulatory clinic, and emergency department settings. 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. The fellows additionally will see a portion of daily consults and review these evaluations and associated studies with the attending on-call that day. Demonstrate ability to perform daily fellow work rounds efficiently, including dictation of operative cases performed, daily progress notes, dictation of discharge summary, prescription writing. Clinical Skills: During the training program the fellow: uses an understanding of abnormal physiologic findings to diagnose pericardial pathology; performs diagnostic tests and therapeutic interventions for the treatment of pericardial tamponade, pericardial effusions, and constrictive pericardial disease; evaluates and manages patients with pericardial cysts or tumors. Dr. Douglas Johnston, Program Director, Thoracic and Cardiovascular Surgery Residency and Advanced Fellowships provides a review of program achievements for 2019. ... Cardiothoracic Surgery Location(s) Penn State Health Medical Group - Cardiothoracic Surgery. 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: 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. Cardiothoracic Surgery Fellowship Welcome and thank you for your interest in the Cardiothoracic Surgery training program at Rush University Medical Center. Understand common postoperative care issues in the adult cardiac surgery patient, including anticoagulation, cardiac rehabilitation, and indications for skilled nursing/rehabilitation facility. Provide training and experience in echocardiography to facilitate the certification of the fellow by the National Board of Echocardiography. 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) 10 minutes of a Penn State Health primary care provider, 20 minutes of Penn State Health specialty care, 30 minutes of a Penn State Health acute care facility, The health system’s 548-bed flagship teaching and research hospital, The only medical facility in Pennsylvania accredited as both an adult and a pediatric Level I (highest-level) trauma center, Dedicated surgical, neuroscience, cardiovascular, trauma and medical intensive care units, Accredited Life Lion critical-care transport providing more than 1,100 helicopter and approximately 750 ground ambulance transports per year, More than 1,300 faculty members and more than 650 residents and fellows, Approximately 28,500 admissions, 75,000 emergency department visits, 1.1 million outpatient visits and 32,000 surgical procedures annually, Designated as a Magnet hospital three times, A five-story, 263,000-square-foot-facility built in 2013, Three-floor expansion opened in November 2020, Level IV (highest-level) neonatal intensive care unit, Level I (highest-level) pediatric trauma center designation, More than 150,000 pediatric outpatient visits and approximately 5,000 pediatric patient discharges annually, Regular talks and lectures on diversity, equity and inclusion, Periodic town halls on topics such as eradicating racism and creating a culture of inclusiveness, Disability Affinity Resource Network Group, Interfaith Affinity Resource Network Group, LGBTQ and Allies Affinity Resource Network Group, Military/Veterans Affinity Resource Network Group, Multicultural Affinity Resource Network Group, A new organization specifically for trainees, the. The Cardiothoracic Surgery Traditional Fellowship is designed to provide fellows with focused, hands on experience and is divided equally between Cardiac and Thoracic surgery. As primary surgeon, the fellow should perform flexible and rigid bronchoscopy, with understanding of bronchial segmental anatomy. Despite this, end-of-life care specific to this population has received little attention. The chief fellow has primary responsibility for administrative duties, including operative case assignments. Contact Us 500 University Dr. Learn the natural history of treated and untreated diseases of the specialty, including coronary artery disease, myocarditis, cardiomyopathy, hypertrophic obstructive cardiomyopathy, cardiac tumors, aortic abnormalities, cardiac arrhythmias and valvular heart disease. Manage hemodynamics, inotropic support, cardiac arrhythmias, and common postoperative conditions (atrial fibrillation/flutter, ventricular tachycardia/fibrillation, sinus bradycardia/tachycardia, wound infections, low urine output, and post-operative bleeding). The Division of Thoracic Surgery is committed to the ACGME duty hour guidelines. 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. Assess and triage urgent/emergent congenital cardiac surgery patients. Learner Objectives: Understands the scientific method as it applies to basic and clinical research; knows how to access the literature including computerized and conventional library searches; is able to interpret published material critically; understands the role of statistics in validating scientific inferences, including the appropriate application of statistical tests commonly used in the thoracic literature, their limitations and deficiencies; understands the role of power, significance, and sample size in interpreting data; knows how to develop and design a research proposal and complete the process of solving a problem scientifically; reads published material and listens to presentations critically; demonstrates understanding of the essential steps of the research process by preparing and submitting a manuscript for publication in a peer-reviewed journal (either an oral or a written presentation is appropriate). Organize staff conferences as well as departmental conferences as assigned. Penn State Heart and Vascular Institute - IO Silver Clinic. B. Congenital Abnormalities of the Mediastinum. The fellow is also expected to become intimately involved with the cardiac transplantation team. Recommend practices to effectively utilize resources including undertaking studies to assess effectiveness of standard care procedures. Producing fully trained, competent, innovative, and compassionate CT surgeons in their chosen subspecialties. Sarasota Memorial Hospital. Health Care. The fellows are mentored by a staff surgeon in this setting and participate actively in the evaluation and care of these 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 … Traumatology, Surgical Critical Care and Emergency Surgery, Vascular Surgery and Endovascular Therapy, Harrision Department of Surgical Research. 10% of time will be dedicated to Isolated AVR. Clinical Skills: During the training program the fellow: interprets esophageal contrast studies, CT scans, manometry, pH studies and EUS; performs esophagoscopy, foreign body removal and biopsy; uses various operative approaches to different parts of the esophagus; performs anti-reflux operations including management of strictures; performs resection and reconstruction using various esophageal substitutes; evaluates and manages patients with esophageal motility disorders, performs myotomy and resection of diverticula; manages the complications of esophageal operations; uses laparoscopy and VATS for esophageal diseases where appropriate; diagnoses, manages and performs operations for esophageal perforation, chemical burns and trauma. Clinical Skills: During the training program the fellow: interprets esophageal plain radiographs, contrast studies, CT scans, and EUS; requests and interprets manometric and pH studies of the esophagus; performs rigid and flexible endoscopy of the pharynx and esophagus. At Penn State Health, our approach to health care is bigger than all of us. 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. 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. Clinical Skills: During the training program the fellow: evaluates diagnostic tests of the trachea and bronchi; performs laryngoscopy and bronchoscopy of the trachea and bronchi, including dilation of stenoses; performs tracheostomy; evaluates patients for tracheal resection and plans the operation. This residency education program encompasses the operative, perioperative and critical care of patients with pathologic conditions within the chest. Participate effectively in facilitating learning of patients, teaching house staff, students, and other health professionals. Seek opportunities for the fellow to acquire an in-depth knowledge and advanced skill in cardiac and thoracic surgical techniques. Perform an appropriate, relevant history and physical exam in the ward, ambulatory clinic and emergency department settings. Hershey, PA  17033. Provide a robust, appropriately supervised setting in which advanced, highly skilled education in adult cardiac surgery, pediatric cardiac surgery, and thoracic surgery will take place. 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