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. decortication, rib resection, Eloesser flap, Claggett procedure, closure of bronchopleural fistula). Graduate. Cardiac Surgery Case Mix The following chart shows the Cardiac Surgery Case Mix for residents in the program. 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. Learner Objectives: Understands the normal and pathologic anatomy of the atrioventricular and semilunar valves; knows the natural history, pathophysiology, and clinical presentation of each major valvular lesion (mitral stenosis and incompetence, aortic stenosis and incompetence, tricuspid stenosis and incompetence); knows the preoperative and postoperative management of patients with valvular heart disease; understands the operative and non-operative therapeutic options for the treatment of each major valvular lesion; knows the techniques for repair and replacement of cardiac valves. Maintain high standards of ethical behavior, demonstrate a commitment to continuity of patient care, and demonstrate sensitivity to age, gender and culture of patients and other health care professionals. Experience. Within the limits of variability found in a clinical practice, an equivalent experience will be afforded each fellow, under the guidance and supervision of qualified teaching staff. Learner Objectives: Understands the physiologic consequences of increased pericardial fluid and the techniques for diagnosis and management; is familiar with the symptoms associated with mediastinal abnormalities; understands the operative management of benign and malignant pericardial neoplasms; understands the physiologic consequences of pericardial constriction and the techniques for diagnosis and management. Fellows are charged with the conduct of daily pre- and post-operative rounds of peri-operative patients, assuring a robust exposure to the in-hospital management of these patients. who first completes a general surgery residency (typically 5–7 years), followed by a cardiothoracic surgery fellowship (typically 2–3 years). Rotations are divided into three-month blocks. Fellowship: Ohio State University, Columbus, Ohio. Assess and triage urgent/emergent adult cardiac surgery patients. Learner Objectives: Understands the indications, contraindications, management and complications of central venous lines and arterial lines. Michael F. Reed, MD, is chief of the Division of Thoracic Surgery at Penn State Health Milton S. Hershey Medical Center, a professor of surgery at Penn State College of Medicine and the program director for the Thoracic Surgery Residency program. Learn the physiology of extracorporeal bypass, techniques for extracorporeal bypass, and indications for mechanical circulatory support. There are outpatient congenital cardiac and thoracic surgical clinics weekly. We can truly help lead the way here. Interested applicants should review the “To Apply” section of their program of interest or contact the program for any additional questions regarding the interview process in light of COVID-19. Cardiothoracic Surgery, Robotic Surgery. There are two adult clinical teams, cardiac and thoracic. 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. The fellows are exposed to congenital cardiac surgery during the first year. 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 Clinical Skills: During the training program the fellow: evaluates and manages patients requiring esophagoscopy; performs rigid and flexible esophagoscopy using various anesthetic techniques; uses ablative techniques via esophagoscopy; understands the use of stents via esophagoscopy. Clinical Skills: During the training program the fellow: performs transvenous and epicardial lead and ICD/pacemaker/biventricular pacemaker insertion using single and dual chamber methodology. In the first year of the program, the fellow begins concentrated exposure to congenital cardiac (block 1) and thoracic (blocks 2 and 3) pathology; however, early exposure time is permitted to acquired cardiac and thoracic great vessel disease cases. Cardiothoracic Surgeon. Learner Objectives: Understands the physiology and mechanics of membrane and bubble oxygenators; understands the mechanics and operation of roller and vortex pumps; understands the physiology of various extracorporeal bypass circuits and the derangements caused by their use; knows the coagulation system and alterations of blood elements. 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. Effectively develop a diagnostic and therapeutic plan for a wide spectrum of surgical diseases. During the fourth block, the fellow transitions to the adult cardiac surgery service (see below, Year Two) while the chief fellow (eighth block) has an elective rotation. 2018-2019 Fellows Dr. Salim Hosein Southern Illinois Healthcare Carbondale, IL. This includes the determination and planning of appropriate operative intervention for these patients. B. Myocarditis, Cardiomyopathy, Hypertrophic Obstructive Cardiomyopathy and Cardiac Tumors. Clinical Skills: During the training program the fellow: reads and interprets mediastinal plain radiographs, CT scans and contrast studies. The two teams work collaboratively, with cross-coverage between the two thoracic surgery fellows on nights, weekends and holidays. With this process, each fellow will develop mature surgical judgment and operative skills which will prepare them to provide independent surgical care to patients with a wide range of cardiac and thoracic disorders in a manner appropriate to a specialist in cardiothoracic surgery and a candidate for certification by the American Board of Thoracic Surgery. Ours is a commitment to health care that is personal. 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. Recommend practices to effectively utilize resources including undertaking studies to assess effectiveness of standard care procedures. Responsibilities include familiarity with peri-operative management of patients undergoing cardiac transplant, as well as techniques of mechanical circulatory support, including the total artificial heart, extracorporeal membrane oxygenation (ECMO) and a cadre of ventricular assist devices (VADs). Faculty, trainees and staff collectively have responsibility for the safety and welfare of the patients. Penn State specialists are leading research and clinical trials to improve knowledge, care and treatment options for heart and vascular conditions. Learner Objective: Understands the anatomy and physiology of obstructive anomalies of the left and right sides of the heart and aorta, their diagnosis, management and postoperative care, and performs the operative and non-operative treatment; knows the anatomy and physiology of each anomaly; knows the methods of diagnosis; understands the role of medical management and interventional cardiology; understands the principles of postoperative care; knows the technical components of operative repair; knows the expected outcome, long-term results and complications. Learner Objectives: Understands the indications, techniques, and complications of rigid and flexible bronchoscopy of the larynx and tracheobronchial tree. Fellows are expected to follow patients post-operatively and to work in concert with the attending Pediatric Cardiac Surgeons, the Pediatric Cardiology Service, and the Pediatric Cardiac Intensivists. Some highlights include: 1. Surgeons perform nearly 3,000 procedures annually with superior outcomes. Learner Objectives: Is able to diagnose mediastinal cysts. Health and Human Development. Participate effectively in facilitating learning of patients, teaching house staff, students and other health professionals. Clinical Care. - Pediatric Cardiac Surgery Clinical Instructor: Naruhito Watanabe - Pediatric Cardiac Surgery ACGME Fellow: Sergio Carrillo: 2014-15: Residents: Mastaneh Ahmadi-Kashani, George Dimeling Clinical Instructors (Fellows): - Transplant Program: Dana A. Booth, Jama Jahanyar - Pediatric Cardiac Surgery Clinical Instructor: Ali Ibrahimiye Clinical Skills: During the training program the fellow: performs diagnostic tests and operations on the mediastinum; recognizes the histologic appearance of mediastinal tumors; diagnoses and manages mediastinal infection. Producing fully trained, competent, innovative, and compassionate CT surgeons in their chosen subspecialties. The Detroit Medical Center continues to strengthen its heart and vascular care team with the addition of two renowned experts. Office for Diversity, Equity and Inclusion. 2020-2021 Fellows : Dr. Joyce Jhang. Prepare clear consultation notes, progress notes, discharge summaries, and clinic notes. The second-year cardiothoracic surgery fellow is assigned to run the service as chief fellow. Clinical Skills: During the training program the fellow: performs operative treatment of adults with delayed presentation of diaphragmatic hernias; manages eventration of the diaphragm in children and adults; understands diagnosis and management of infants and adults with diaphragmatic hernias. See more information on duty hours policy here. 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. Deliver highest quality care with ethics, integrity, honesty and compassion. In December 2017, the system partnered with Highmark Health to facilitate creation of a value-based, community care network in the region. 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. Jeremy Song, MD Cardiothoracic Surgeon, Memorial Healthcare System Hollywood, Florida. Penn State Health is a multi-hospital health system serving patients and communities across 29 counties of Pennsylvania. 3. Browse 192 PHILADELPHIA, PA CARDIOTHORACIC SURGERY PHYSICIAN ASSISTANT job ($108K-$198K) listings hiring now from companies with openings. The junior fellow is expected to meet the ABTS index case requirements in congenital heart disease and general thoracic disease for the cardiothoracic pathway during the first year. 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. Dr. Mandal comes to the DMC from Penn State Health Milton S. Hershey Medical Center in Hershey, Pa. 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. In keeping with the Coalition for Physician Accountability guidelines for the 2020-2021 residency application cycle, Penn State College of Medicine Interim Dean Dr. Kevin Black announced in June 2020 that all interviews for College of Medicine programs, including graduate medical education, will be … MS, Penn State University-State College, Pennsylvania. As members of one of the premier general thoracic surgery programs in the world, Penn's thoracic surgeons were among the first nationwide to form a separate section within a division of cardiothoracic surgery specializing in non-cardiac thoracic surgery. C. Acquired Abnormalities of the Mediastinum. Demonstrate knowledge in the interpretation of laboratory investigations, CXR, ECG, CT scan, MRI and PET scan. Pediatric Cardiac Fellowships. Kaushik Mandal, M.D., and Yusuke Terasaki, M.D., both cardiothoracic surgeons, have joined the DMC Heart Hospital. For Providers Careers Residencies and Fellowships . The Office for Culturally Responsive Health Care Education was formed to help meet that goal. Perform an appropriate, relevant history and physical exam in the ward, ambulatory clinic and emergency department settings. Among graduates of the General Surgery program, 11 have served as presidents of the American Association for Thoracic Surg… Penn State specialists are leading research and clinical trials to improve knowledge, care and treatment options for heart and vascular conditions. Demonstrate knowledge in the interpretation of laboratory investigations, angiography, and echocardiography. Seek opportunities for the fellow to acquire an in-depth knowledge and advanced skill in cardiac and thoracic surgical techniques. Location(s) Provide training and experience in echocardiography to facilitate the certification of the fellow by the National Board of Echocardiography. 2017-2018 Fellows Advanced Fellowship in Aortic Surgery Penn Medicine, University of Pennsylvania Health System Philadelphia, Pennsylvania. Clinical Skills: During the training program the fellow: evaluates and manages patients with tracheobronchial trauma; manages the airway of patients with tracheobronchial injuries; performs nonoperative management of pulmonary contusion; performs emergency operations to repair peripheral pulmonary and hilar injuries; uses precautions to avoid air embolism in patients with penetrating and blunt injuries. 500 University Dr. General Surgery, Washington University School of Medicine- St. Louis, MO. Health Care That’s Personal – The Human Connection. Evaluation by all faculty, as well as ICU staff, nurses, PAs, NPs (360-degree), using New Innovations every six months. Understand the pharmacology, indications, and complications of drugs commonly used in the specialty, including anti-arrhythmics, diuretics, anticoagulants, bronchodilators, and analgesics. Program Overview. 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. Tufts Medical Center, the primary teaching hospital of the Tufts University School of Medicine, offers a two-year ACGME accredited residency in Thoracic Surgery. Penn State Health Thoracic Surgery is a medical group practice located in Hershey, PA that specializes in Cardiothoracic Surgery. The fellow will have scheduled weekly adult cardiothoracic lectures throughout the year covering core topics in the specialty (i.e. When serving an educational purpose, the thoracic surgery fellows are encouraged to participate in cases on the secondary service. 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) Thoracic Surgery Fellowship Program Ochsner has a long history of performing surgery and training residents in Louisiana. 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. Perform heart procurement and cardiac transplantation. Penn State Health Thoracic Surgery treats patients with benign and malignant thoracic diseases. Manage hemodynamic disturbances, cardiac arrhythmias, volume status, and post-operative bleeding. Communicate effectively with allied health care professionals. Learner Objectives: Understands the arterial, venous, and bronchial anatomy of the lungs and their interrelationships; understands the lymphatic anatomy of the lungs, the major lymphatic nodal stations, and lymphatic drainage routes of the lobes; knows the indications for various thoracic incisions, the surgical anatomy encountered, and the physiological impact; knows the indications for plain radiography, CT scan, MRI, and PET scanning for staging of lung cancer; Knows the indications, interpretation, and use of nuclear medicine perfusion scanning to determine the operability of candidates for pulmonary resection; understands the methods of invasive staging (e.g. The chief fellow has primary responsibility for administrative duties, including operative case assignments. Communicate effectively with other health care professionals, counsel and educate patient and families, and effectively document practice activities. Not rated. It is the chief fellow’s responsibility to conduct daily pre-operative and post-operative rounds for the purpose of both providing patient care and for education of the house staff. 10% of time will be dedicated to Isolated AVR. Walter E. Pae, Jr., MD Chief of Cardiac Division. 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. All individuals who have completed the program have successfully passed the examination of the American Board of Thoracic Surgery. Clinical Skills: During the training program the fellow: manages organ donors; performs organ harvest and preservation; evaluates transplant recipients for signs of rejection or infection and initiates appropriate therapy. 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. Included in this lecture series is a monthly, fellow-directed cardiothoracic journal club and monthly case conferences. Learner Objectives: Understands clinical presentation and radiologic findings of tracheobronchial injury; understands the principles of airway management; understands the bronchoscopic findings of tracheobronchial and pulmonary injury; understands the injuries associated with tracheobronchial and pulmonary injury. Penn State Hershey faculty since 1985, has been in the practice of pediatric and congenital heart surgery. The transplant program has a close relationship with the congestive heart failure cardiology team, who render concurrent daily care of all transplant and assist device patients, providing an example of strong interdisciplinary support. Meet the faculty of the Division of Thoracic Surgery. 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. Penn State is an equal opportunity, affirmative action employer, and is committed to providing employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Cardiothoracic surgery is the medical specialty that provides surgical care for the chest. Arrive at an acceptable plan of management for the disease process, including differential diagnosis. Clinical Skills: During the training program the fellow: evaluates and treats chest wall injuries; performs emergency operations to repair chest wall injuries and provides postoperative management. Information Sciences and Technology Clinical Skills: During the training program the fellow: evaluates and participates in the pre-operative and post-operative management of patients requiring mechanical support; manages the complications from the use of mechanical support and ECMO; manages the anticoagulation of patients on mechanical support and ECMO; uses appropriate mechanical cardiac support and ECMO; weans patients from mechanical support and ECMO; manages patients bridging to transplantation. The first-year fellow takes over direction of the cardiac service at the fourth block, while the second-year chief fellow (on elective rotation, eighth block) directs the thoracic service. Have the medical knowledge, operative skills, judgment, and leadership to perform common adult cardiac, pediatric cardiac and thoracic surgical procedures without supervision. Nathaniel Langer, MD, MSc. Provide high-quality clinical training in the intraoperative and postoperative management of patients undergoing cardiothoracic surgery, including patients with diverse and complex pathology. Assistant Professor of Surgery Cardiothoracic Surgery Attending, Massachusetts General Hospital Demonstrate the ability to recognize when to seek assistance from more experienced colleagues. 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. 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