Cardiothoracic Surgery Fellowship
The two year Cardiothoracic Surgery Residency Program at the University of Rochester is a mixture of both didactic and clinical service educational experiences, to ensure that our graduates are intellectually capable, and technically and emotionally mature surgeons.
Simulation Course in Cardiac Surgery
CT surgery is developing a national approach to utilize simulation in an organized fashion for resident education. Through the Grateful Donors Program at the University of Rochester Medical Center we have recently purchased a computerized high-fidelity Ramphal pig heart simulator and developed a course to enhance skills for CT residents, general surgery residents and NPs involved in CT critical care. These skill sets are essential for the everyday performance of cardiac surgery and the care of post op patients and simulation represents the most important change in traditional curricula which allows residents and NPS to develop and master new skills outside the pressured environment of the OR or ICU.
First Year Level
Each R6 CT resident will have a 3 month rotation on one of four separate surgical services which include: a) Adult Cardiac A (Drs. Hicks and, Massey), Emphasis on valvular operations, myocardial revascularizations, thoracic aortic operations, heart transplantation and implantation of ventricular assist devices and endovascular surgery b) Adult Cardiac B (Dr. Knight). On this service there is special emphasis on off pump coronary surgery, valvular operations and endovascular surgery, c) Congenital Cardiac (Drs. Alfieris and Gensini) Treatment of congenital heart disease including neonates and adults, d) Thoracic/Foregut Surgery (Watson, Jones, Litle and Peyre). This service includes significant exposure to operations for esophageal cancer, as well as the surgical treatment of reflux disorders & all forms of pulmonary diseases.
Second Year Level
Each R7 CT (Chief) resident will be assigned to the same services through which they rotated during the first year of their training. There are never two cardiothoracic residents on the same service. The R6 and R7 CT residents will have senior responsibility for the day-to-day care of patients and families on the service to which they are assigned. However, a resident may be asked to provide coverage on another CT service and be assigned to cover operations which do not conflict with their responsibilities to their primary service and which provide unusual educational value or operative experience.
To ensure that residents are not required to perform excessive prolong periods of duty, the State of New York and ACGME have mandated an 80 hour limit on in-hospital work hours. To accomplish this, a home beeper schedule for coverage of night and weekend emergencies has been established. Following stabilization of patients on the floor or in the ICU, the resident will be on beeper call at home.
Cardiothoracic Surgery Fellowship Teaching Schedule
||7:00 - 7:30 a.m.
||Weekly Thoracic/Foregut Surgery Teaching Conference (Morton Rm) Topic Case presentations are given by CT residents, General surgical residents attendings or guests. QA cases are discussed monthly.
|7:30 - 8:30 a.m.
||Weekly Thoracic/Foregut QA Conference (Morton RM) Case review of all Thoracic/Foregut patients in hospital.
||6:45 - 7:30 a.m.
||Weekly Cardiac Surgical Conference (Morton Rm 2-6210) Residents review cardiac in-patient service and participate in discussions on Quality Assurance, Benchmarking & Service-related issues. M&M Conference is held the first Tuesday of each month.
||7:00 - 8:30 a.m.
||Case presentations with detailed discussions of EKG, cath data, cines, TEE's, and indications and results of interventional or surgical operations. Dr. Hicks presents surgical results on third week.
||7:00 - 8:00 a.m.
||Weekly Surgical Grand Rounds (Upper S-wing Aud, 3rd Floor)Department of Surgery Rounds with didactic presentations by Visiting Professors or local surgeons. CT Surgery presents 3 to 4 times a year.
|7:30 - 8:30 a.m.
||Weekly Congenital Cardiac Conference (4-5210) Case presentations of preoperative and postoperative patients and discussion of diagnostic studies and decision-making for management
|8:00 - 9:00 a.m.
||Weekly Clinical Pathology Conference (Upper S-wing Aud, 3rd Floor) CT or General Surgery Resident on CT service presents 3 to 4 times a year.
||7:00 - 7:30 a.m.
||Weekly Cardiac Teaching Rounds (Morton Rm 2-6210) Presentations of adult and pediatric cardiac surgery topics using Program for Comprehensive Cardiac Core Curriculum as established by TSDA. Review of national meetings. Combined Aortic Disease Conference to enhance endovascular education once a month.
||Biweekly Transplant Teaching Conference (7-2346) Attended by Cardiac Surgery, Cardiology, Anesthesiology faculty and residents with didactic talks by attendings and visitors.
Links for the Cardiothoracic Surgery Fellowship Program
Cardiac Surgery Division is dedicated to providing the highest quality care to patients with cardiac disorders that require surgery. We are committed to the development of new approaches and techniques offering patients the best surgical alternatives while minimizing hospital stay and health care costs. We provide comprehensive cardiac care to all patients, from infants to adults.
Thoracic and Foregut Surgery Division. Combining the skill and expertise of surgeons from two surgical subspecialties—thoracic surgery and foregut surgery—into a single cohesive team that works hand-in-hand to address the host of interrelated medical conditions that affect these regions of the body. The result? A faster and more accurate patient diagnosis, more insightful and effective surgical treatments, and, most importantly, more promising outcomes for our patients.