Our graduates are equipped with training and experience to commence practice in either or both fields. Exhibit appropriate personal and interpersonal professional behaviors. Work effectively and efficiently in a health care organization. The learning objectives of the first 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: recognizes the normal and abnormal anatomy of the chest wall; reads and interprets tests to diagnose chest wall abnormalities. Fellows will learn how to recognize and care for critically ill patients, including placement of chest tubes and obtaining central venous access. 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. In addition, no moonlighting is permitted for Thoracic Surgery Fellowship fellows. Cardiac surgery training in the United States is combined with general thoracic surgery and called cardiothoracic surgery or thoracic surgery. Penn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. E. Central Venous Lines and Arterial Lines. General Surgery, Washington University School of Medicine- St. Louis, MO. Critique personal practice outcomes and demonstrate recognition of the importance of lifelong learning in surgical practice. decortication, rib resection, Eloesser flap, Claggett procedure, closure of bronchopleural fistula). As primary surgeon, the fellow should perform flexible and rigid bronchoscopy, with understanding of bronchial segmental anatomy. All individuals who have completed the program have successfully passed the examination of the American Board of Thoracic Surgery. We are committed to providing the best academic and clinical training program for our fellows. Clinical Care in the Department of Surgery. Learner Objectives: Understands the types of cardiac tumors and their frequency, anatomic location, physiologic and pathologic derangements, diagnostic methods and surgical management; understands myocarditis and its causes, physiologic changes, treatment, prognosis, and radiographic, EKG and echocardiographic changes; understands hypertrophic cardiomyopathy (HMC) and its genetic linkage, pathologic and anatomic changes, physiologic derangements, clinical features, diagnostic tests, natural history, medical and surgical treatment; knows the types of cardiomyopathies and their causes, natural history, diagnostic methods, operative and nonoperative treatment; understands cardiac transplantation and related immunology/rejection and treatment, physiology, indications, operative techniques, diagnostic techniques in follow-up. Deliver highest quality care with ethics, integrity, honesty and compassion. needle biopsy, fluid analysis); places tube thoracostomy and performs chemical or mechanical pleurodesis; performs VATS as necessary for the diagnosis and treatment of pleural disease; Places tunneled pleural drainage catheters; performs initial drainage procedures and subsequent procedures for empyema (e.g. Stanford Medicine. 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) There is a pediatric cardiac surgery outpatient clinic once weekly, and the junior fellow is expected to include this setting in the core of outpatient clinics, which are to be attended regularly. Penn State Health Thoracic Surgery treats patients with benign and malignant thoracic diseases. A cardiothoracic surgeon in the U.S. is a physician (M.D. Have the medical knowledge, operative skills, judgment, and leadership to perform common adult cardiac, pediatric cardiac and thoracic surgical procedures without supervision. Fellowship: Penn State Milton S. Hershey Medical Center. Interested in learning more about living and working in Hershey, Pa.? Assess and triage urgent/emergent thoracic surgery patients. Thoracic Fellowship Program Message from the Program Director We welcome your interest in Temple University Health System’s ACGME Thoracic Fellowship. Fellows are assigned to these outpatient venues with documentation of this experience. Clinical Skills: During the training program the fellow: knows the history of congenital cardiac surgery and the intellectual development of operations used to manage each cardiac anomaly; interprets angiocardiograms, echocardiograms and other images to diagnose congenital heart disease; uses knowledge to select the ideal procedure for individual patients; applies knowledge of the normal and abnormal anatomy of the heart to the planning and performance of operations. Because the hearts and minds of many, together, can make the most impact. Cardiac Surgery Case Mix The following chart shows the Cardiac Surgery Case Mix for residents in the program. Develop academically and professionally. Thoracic Surgery Fellowship Program Ochsner has a long history of performing surgery and training residents in Louisiana. 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. General Surgery, Washington University School of Medicine- St. Louis, MO. Penn’s … Health Care That’s Personal – The Human Connection. The Cardiac Third Year Fellowship position in advanced Cardiac Surgery is designed as a true Fellowship and will not duplicate, but will expand the experience gained as a cardiac trainee during the two-year approved residency program. Learner Objectives: Recognizes the potential morbidity and mortality associated with aortic aneurysms and develops appropriate treatment plans for their management. bronchoscopy, mediastinoscopy, mediastinotomy, EBUS and VATS); performs bedside bronchoscopy and placement of tracheostomies (open or percutaneous); performs operations to extirpate lung cancer (e.g. Dr. Douglas Johnston, Program Director, Thoracic and Cardiovascular Surgery Residency and Advanced Fellowships provides a review of program achievements for 2019. Understand the importance of, and mechanisms to, safely utilize resources in a cost-effective manner to benefit all patients. Develop effective self-directed learning strategies for continuing education and assessment of knowledge base. Manage pneumonia, hypoxia, pain, cardiac arrhythmias, and common postoperative conditions (atrial fibrillation/flutter, ventricular tachycardia/fibrillation, sinus bradycardia/tachycardia, wound infections, low urine output, and post-operative bleeding). Penn State College of Medicine and Penn State Health are committed to addressing wellness among residents and fellows, with multiple resources readily available. Learner Objectives: Knows the physiologic characteristics of neonates and small infants; understands the management of infants and children who have undergone operative correction of simple and complex congenital cardiac anomalies; understands the post-operative management of patients with systemic to pulmonary artery shunts; understands the management of patients who have had a right heart bypass operation; understands the physiologic pre-operative and post-operative management of patients with hypoplastic left heart syndrome; understands which infants and children are prone to develop pulmonary hypertensive crisis; knows the prevention, recognition and treatment of pulmonary hypertensive crises. Manage hemodynamic disturbances, cardiac arrhythmias, volume status, and post-operative bleeding. Clinical Skills: During the training program the fellow: performs arterial and venous cannulation and initiates cardiopulmonary bypass; directs the perfusionist in the intraoperative management and conduct of cardiopulmonary bypass; performs or participates in the repair of congenital heart defects using cardiopulmonary bypass. Dr. Mandal comes to the DMC from Penn State Health Milton S. Hershey Medical Center in Hershey, Pa. Write clear consultation notes, progress notes, discharge summaries, and clinic notes. Clinical Skills: During the training program the fellow: evaluates pleural effusions and recommends appropriate therapy; performs invasive diagnostic studies (e.g. 3. who first completes a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years). Graduate. 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. 2019. Some cardiothoracic surgeons may specialize in the surgical treatment of children, or focus on a specific organ or surgical procedure. Penn State Health celebrates, embraces and supports the diversity of all patients, faculty, staff, students and trainees. Cardiothoracic Surgery, Penn State Hershey. The department offers a range of state-of-the-art care to referring physicians and their patients, including Gamma Knife radiosurgery, deep brain stimulation, neurotrauma and critical care, neurosurgical oncology, pediatric neurosurgery and more. 800-243-1455. Learner Objectives: Understands the standard techniques for extracorporeal bypass; understands the techniques of cannulation for extracorporeal bypass; oversees the management of patients undergoing extracorporeal bypass. Know the anatomy, embryology, physiology and pathology of the heart and great vessels. General Thoracic Surgery Track. Know the anatomy, embryology, physiology, and pathology of the trachea, lungs, esophagus, pleura, diaphragm, chest wall, and mediastinum. 2018-2019 Fellows Dr. Salim Hosein Southern Illinois Healthcare Carbondale, IL. Interview Dates: 2/26/2021, 3/11/2021, and 4/7/2021. Clinical Skills: During the training program the fellow: performs central venous line insertions by appropriate techniques (e.g. This rotation will teach surgical and cardiopulmonary bypass techniques. In addition, the institution does not tolerate discrimination, biases, microaggression, harassment or learner mistreatment of any kind, and any concerns are immediately addressed by the Office for a Respectful Learning Environment. 157, 3, p. 1112-1113 2 p. Research output : Contribution to journal › Editorial Animal Models for Pediatric Mechanical Circulatory Support Research at Penn State Health The core curriculum continues to follow the Thoracic Surgery Curriculum established by the Thoracic Surgery Directors Association, covering thoracic, pediatric and adult cardiac surgery. Penn State specialists are leading research and clinical trials to improve knowledge, care and treatment options for heart and vascular conditions. Learner Objectives: Knows the types, histology and clinical presentation of tracheal neoplasms; knows the indications for and the use of radiotherapy and chemotherapy. Ours is a commitment to health care that is personal. Contact Us Learner Objectives: Is able to diagnose mediastinal cysts. At Penn State Health, our approach to health care is bigger than all of us. Obtain and synthesize relevant history from patients and family. Handle tissues and surgical instruments in an appropriate manner and demonstrate adherence to sterile techniques. Faculty, trainees and staff collectively have responsibility for the safety and welfare of the patients. Residency: Robert Wood Johnson Medical School. The shared goal of Highmark and Penn State Health is to ensure patients in the community are within: Penn State Children’s Hospital (left), Penn State Health Milton S. Hershey Medical Center (center) and Penn State Cancer Institute (right), 500 University Dr., Hershey, Pa., 17033 (Derry Township, Dauphin County), Learn more about Milton S. Hershey Medical Center, 600 University Dr., Hershey, Pa. 17033 (Derry Township, Dauphin County), Learn more about Penn State Children’s Hospital. (5) Interpersonal and communication skills, (7) Practice-based learning and improvement, Method of assessment of fellow performance. Cardiothoracic Surgery, MC-H165 Penn State Heart and Vascular Institute Department of Surgery 500 University Drive Hershey, PA 17033 Jessica Moyer, Program Coordinator. Learner Objectives: Understands the indications, contraindications, management and complications of central venous lines and arterial lines. 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 … Learner Objectives: Knows the embryologic origin of the diaphragm; understands the anatomy of the diaphragm and adjacent structures; understands the neural and vascular supply of the diaphragm and the pathologic consequences of injury; understands imaging studies for assessing the diaphragm; understands the consequences of incisions in the diaphragm; understands developmental anomalies of the diaphragm. Doctor of Medicine, Lewis Katz School of Medicine at Temple University-Philadelphia, Pennsylvania The Cardiothoracic Surgery Traditional Fellowship is designed to provide fellows with focused, hands on experience and is divided equally between Cardiac and Thoracic surgery. M.S. Deliver highest quality care with ethics, integrity, honesty, and compassion. During the eighth block, the second-year chief fellow has an elective rotation. Learner Objectives: Understands the anatomy and blood supply of the trachea and bronchi; understands the endoscopic anatomy of the nasopharynx, hypopharynx, larynx, trachea, and major bronchi; understands and interprets pulmonary function studies of the trachea and bronchi; understands the radiologic assessment of the trachea and bronchi. Hazem El-Khatib, MD received his medical degree from the American University of Beirut School of Medicine and completed his cardiothoracic surgery fellowship at the University of Iowa Hospital and Clinics. Penn State College of Medicine's Department of Neurosurgery is dedicated to providing the highest quality neurosurgical care possible. Obtain graduated responsibility as first assistant and surgeon in the operating room for common thoracic surgery cases, including lobectomy (open and VATS), VATS wedge resection/biopsy, decortication, mediastinoscopy and esophagectomy. 34% of time will be dedicated to Isolated CABG. Participate actively in scheduled rounds. Most often this means heart or lung surgery, but it can also include surgery on the esophagus, breastbone, or chest wall. Pediatric Cardiac Fellowships. Umar Choudry, MD Plastic Surgery Residency, Mayo Clinic/Rochester, MN Roberto Gonzales -Cruz, MD Plastic Surgery Residency, University of Louisville, KY Muhammad Nuri, MD Cardiothoracic Residency, Penn State University, Hershey, PA Pediatric Congenital Fellowship, Emory University, Atlanta, GA 2003 Understand the professional, legal, and ethical codes to which physicians are bound. Understand the physiology of normal fetal circulation, the transition from fetal circulation to the neonatal state, and the physiology of obstructions, intra-cardiac and extra-cardiac shunts, abnormal connections to the heart, and combinations of these anomalies in the fetus, neonate and child. Jamie G. Evans, CRNP . 10% of time will be dedicated to Isolated AVR. Know the indications for cardiac transplantation, recognize the signs and symptoms of cardiac rejection and know the appropriate management, understand the evaluation and management of organ donors, and know the methods of organ harvest and preservation. Manage the patient throughout as much of the hospital stay as possible demonstrating knowledge and ability to recognize potential complications of the disease process and operative procedures. See more information on duty hours policy here. Fellows participate in the performance of transplant and circulatory assistance procedures, as well as donor organ procurements. Meet the faculty of the Division of Thoracic Surgery. Because we know when we change the lives of patients, we are also cha Clinical Skills: During the training program the fellow: recognizes the varied presentations of thoracic outlet syndrome and interprets diagnostic tests; reads and interprets diagnostic X-ray and performs physiologic examinations for congenital chest wall defects and thoracic outlet syndromes; evaluates and treats patients with congenital chest wall malformations; performs the operative reconstruction of selected chest wall defects; performs first rib and cervical rib resection and repairs or releases vascular and neural abnormalities associated with thoracic outlet syndrome; evaluates patients with congenital lung abnormalities; performs operations for congenital lung abnormalities and their complications. The fellow is also expected to become intimately involved with the cardiac transplantation team. Understand the professional, legal, and ethical codes to which physicians are bound, particularly when caring for children. Penn’s faculty members have made countless breakthroughs in basic and translational cardiovascular research, molecular biology and gene therapy. Know the anatomy and embryology of the normal heart and of major cardiac anomalies. Participate effectively in facilitating learning of patients, teaching house staff, students and other health professionals. Critically appraise sources of medical information and be aware of resources available. Certifications: Cardiothoracic Surgery. Thoracic Surgery Fellowship . Rotations are divided into three-month blocks. Program Specifics The Ohio State University Department of Surgery is now offering an integrated cardiothoracic surgery residency program (0+6). Understand the principles of cardiac surgery, including hemostasis, wound healing, wound complications, electrolyte and fluid replacement, surgical nutrition, and cardiology. The first year of the Thoracic Surgery Fellowship focuses on pediatric cardiothoracic surgery, then general thoracic surgery, including open, minimally invasive (VATS and robotic) and endoscopic interventions for malignant and benign lung, esophageal, mediastinal, tracheal, chest wall, pleural and diaphragmatic disorders. Perform an appropriate, relevant history and physical exam in the ward, ambulatory clinic, and emergency department settings. space problem, persistent air leak, bronchopleural fistula, empyema, cardiac arrhythmia). For Providers Careers Residencies and Fellowships . Hershey Medical Center, PA 2012 Residents. The fellow will have major responsibilities for operative, intra-operative and post-operative patient care and clinical decision-making. 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. Establish an effective relationship with patients and families. General Surgery Residency: St. Joseph’s Hospital and Medical Center, Phoenix, AZ Eugene Won, MD Start year: 2020 Medical School: Penn State College of Medicine, Hershey, Pennsylvania General Surgery Residency: UC Irvine Health, Orange, CA Graduated Residents. Insert internal jugular, subclavian, and femoral central venous catheters; insert radial and femoral arterial lines in the ICU with supervision. Patients undergoing cardiothoracic surgery face a small but significant mortality risk. Clinical Skills: During the course of the program, the fellow: evaluates patients requiring component therapy and develops management strategies to correct abnormalities of the coagulation system; uses appropriate tests to ensure the safety of blood and blood components; uses appropriate blood conservation techniques. Learner Objectives: Understands the clinical presentations, types, diagnosis and treatment of esophageal atresia and congenital tracheoesophageal fistula; understands the clinical presentation and diagnosis of esophageal duplication cysts. Have questions, or suggestions for missing content? The 2020/2021 CV APP Fellowship will begin on Monday, November 2nd, 2020 and complete on Friday, October 30th, 2021. Box 850, MC H159 500 University Dr. Hershey, PA 17033. Amudham Pugalenthi | Clinical Research Fellowship | Memorial Sloan Kettering Cancer Center, NY D. Congenital and Acquired Abnormalities of the Pericardium. Learner Objectives: Knows arterial and venous cannulation techniques for different intracardiac defects; knows the indications for the various techniques of bypass; understands the techniques of myocardial protection in the neonate and young infant; understands the use of varying levels of hemodilution and anticoagulation; understands perfusion flow and pressure control; knows the methods of body temperature manipulation, and the indications for, and techniques of, profound hypothermia with and without total circulatory arrest. The pediatric cardiac surgery first year (three-month) rotation will serve as the exposure to congenital cardiothoracic surgery including pre-operative work-up and post-operative care. We provide a robust experience in team-based care, fundamental cardiothoracic techniques and the most advanced technology This article examines current literature on end-of-life care in cardiothoracic surgery and in critical care. Therefore, if the fellow has chosen the general thoracic pathway, they will complete the index adult cardiac cases for that pathway and then focus on increasing general thoracic cases to meet required operative experience (eighth-block elective). Learner Objectives: Evaluates primary and metastatic chest wall tumors, knows their histologic appearance, and understands the indications for incisional versus excisional biopsy; knows the radiologic characteristics of tumors; understands the diagnosis and management of various chest wall infections; Knows the types of chemotherapy and radiotherapy of chest wall tumors and the indications for pre-operative and post-operative therapy. A thoracic surgery fellow is seen in surgery in February 2016. The fellows are exposed to congenital cardiac surgery during the first year. This includes the determination and planning of appropriate operative intervention for these patients. The trainees are expected to communicate with the attending staff about operative planning, pre- and post-operative management, and all clinical care decisions for each case in which they participate. The cardiothoracic surgery educational program includes two-year and six-year residencies, advanced fellowships, and extends itself to medical school students, both from the University of Pittsburgh as well as outside national and international medical schools who request to rotate on the cardiac, thoracic and pediatric surgery services. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every 6 months. The training program focuses on flexibility by exposing you to a wide spectrum of patients and procedures over 3 years. The Divisions of Cardiovascular Surgery and General Thoracic Surgery at the University of Pennsylvania provide opportunities for residency training in Cardiothoracic Surgery including a two–year cardiac tract, two–year thoracic tract, and six to eight-year integrated cardiothoracic tract. Dr. Sarah Samreen University of Texas Medical Galveston, TX. A new-for-2020 virtual tour showcases locations across Penn State Health and Penn State College of Medicine in Hershey, Pa. A new-for-2020 guide to the Hershey, Pa., area showcases the highlights of life in central Pennsylvania. Finally, it is expected that the fellow will be able to perform most adult cardiac surgery cases as the operative surgeon with graded responsibility in the operating room as the year progresses. Learner Objectives: Understands diagnostic procedures used to evaluate non-neoplastic lung disease; Knows the common pathogens that produce lung infections, including their presentation and pathologic processes, and knows the treatment and indications for operative intervention; understands the natural history, presentation and treatment of chronic obstructive lung disease; understands the pathologic results and alterations of pulmonary function due to bronchospasm; understands the mechanisms by which foreign bodies reach the airways, how they cause pulmonary pathology, and the management of patients with airway foreign bodies; knows the indications for bullectomy, lung reduction, and pulmonary transplantation; Understands the principles of surgical resection for non-neoplastic lung disease; understands the causes, physiology, evaluation and management of hemoptysis. If the trainee is following the ABTS cardiothoracic surgery pathway, the fellow will focus on advanced cardiac surgery (mechanical circulatory support and/or minimally invasive cardiac surgery) or congenital cardiac surgery. The final assessment of whether these objectives are being achieved is made by the program director as recommended by the faculty of the Division of Thoracic Surgery. 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