The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1317-1326.e1 , June 2009

Weathering the storm: How can thoracic surgery training programs meet the new challenges in the era of less-invasive technologies?

  • Sunil M. Prasad, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
    • Corresponding Author InformationAddress for reprints: Sunil M. Prasad, MD, Division of Cardiothoracic Surgery, The University of Illinois at Chicago, 840 S. Wood Street, CSB Suite 417 (MC 958), Chicago, IL 60612.
  • ,
  • Malek G. Massad, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Edgar G. Chedrawy, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Norman J. Snow, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Joannie T. Yeh, MS

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Himalaya Lele, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Ahmed Tarakji, MD

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • Hersh S. Maniar, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Christiana Care Health System, Newark, Del
  • ,
  • Heather Herren, RN, MPH

      Affiliations

    • Division of Cardiothoracic Surgery, University of Illinois at Chicago, Chicago, Ill
  • ,
  • William A. Gay, MD

      Affiliations

    • Division of Cardiothoracic Surgery, Washington University School of Medicine, St Louis, Mo

Received 8 May 2008 ,Revised 7 January 2009 ,Accepted 16 February 2009.

References 

  1. Kron IL, Mathisen D. Caring for the residents: the view of two program directors. Ann Thorac Surg. 2004;78:17
  2. Pennington DG. The impact of new technology on cardiothoracic surgical practice. Ann Thorac Surg. 2006;81:10–18
  3. Kypson AP, Nifong LW, Chitwood WR. Robot-assisted surgery: training and re-training surgeons. Int J Med Robot. 2004;1:70–76
  4. Grabo DJ, DiMuzio PJ, Kairys JC, et al. Have endovascular procedures negatively impacted general surgery training?. Ann Surg. 2007;246:472–480
  5. Vassiliades TA, Block PC, Cohn LH, et al. The clinical development of percutaneous heart valve technology: a position statement of the Society of Thoracic Surgeons (STS), the American Association for Thoracic Surgery (AATS), and the Society of Cardiovascular Angiography and Intervention (SCAI). Catheter Cardiovasc Interv. 2005;65:73–79
  6. Kouchoukos NT. Cardiothoracic surgery in the new millennium: challenges and opportunities in a time of paradox. Ann Thorac Surg. 2000;69:1303–1311
  7. Orringer MB. The Thoracic Surgery Directors Association (TSDA): focus upon curriculum for resident education. Semin Thorac Cardiovasc Surg. 1998;10:173–177
  8. Gay WA. Graduate education in thoracic surgery and the American Board of Thoracic Surgery. Semin Thorac Cardiovasc Surg. 1998;10:178–180
  9. Gardner TJ. Residency training for the future, not the past. Ann Thorac Surg. 2004;78:1519–1521
  10. Salazar JD, Lee R, Wheatley GH, et al. Are there enough jobs in cardiothoracic surgery? The Thoracic Surgery Residents Association job placement survey for finishing residents. Ann Thorac Surg. 2004;78:1523–1527
  11. Levitsky S. Navigating the new “flat world” of cardiothoracic surgery. Ann Thorac Surg. 2007;83:361–369
  12. Morishita K, Naraoka S, Miyajima M, et al. Medical students' views on thoracic surgery residency programs in a Japanese medical school. Jpn J Thorac Cardiovasc Surg. 2003;51:475–477
  13. Barden CB, Specht MC, McCarter MD, et al. Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195:531–538
  14. STS Executive Summary 2006. Available at: www.sts.org. Accessed January 10, 2008.
  15. Verrier ED. Who moved my heart? Adaptive responses to disruptive challenges. J Thorac Cardiovasc Surg. 2004;127:1235–1244
  16. Shemin RJ, Dziuban SW, Kaiser LR, et al. Thoracic surgery workforce: snapshot at the end of the twentieth century and implications for the new millennium. Ann Thorac Surg. 2002;73:2014–2032
  17. DaRosa DA, Fullerton DA, Kron IL, Orringer MB. Content of thoracic residency training and its relevance to the practice of medicine. Ann Thorac Surg. 2000;69:1321–1326
  18. Grillo HC. Education or training in cardiothoracic surgery?. Ann Thorac Surg. 2000;69:1319–1320
  19. Hance J, Aggarwal R, Stanbridge R, et al. Objective assessment of technical skills in cardiac surgery. Eur J Cardiothorac Surg. 2005;28:157–162
  20. American Board of Thoracic Surgery. Operative case requirements. Available at: www.abts.org/sections/Certification/Operative_Requirements/index.html. Accessed January 2008.
  21. Takeuchi K, Otaki M, Kitamura N, et al. Thoracic surgery residency program and health care system in the United States. Jpn J Thorac Cardiovasc Surg. 2004;52:401–406
  22. O'Kane H. Training of cardiothoracic surgeons in the UK. Jpn J Thorac Cardiovasc Surg. 2005;53:332–335
  23. Acar C. Training in thoracic and cardiovascular surgery in France. Jpn J Thorac Cardiovasc Surg. 2005;53:328–329
  24. Geha AS. Medical education and the training of cardiothoracic surgeons in the United States of America. Jpn J Thorac Cardiovasc Surg. 2004;52:401–406
  25. Chiu RC. Training program for thoracic and cardiovascular surgeons in Canada. Jpn J Thorac Cardiovasc Surg. 2005;53:324–327
  26. Lytle B, Mack M. The future of cardiac surgery. Ann Thorac Surg. 2005;79:1470–1472

PII: S0022-5223(09)00358-4

doi: 10.1016/j.jtcvs.2009.02.029

The Journal of Thoracic and Cardiovascular Surgery
Volume 137, Issue 6 , Pages 1317-1326.e1 , June 2009