Thoracic Surgery In The Department of Cardiothoracic Surgery

Rotations


Overview

Rotations are based on the major specialty areas of cardiothoracic surgery. Rotations are set up for three-month block periods of time. In all rotations, residents will cover:

  • preoperative assessment through the history and physical examination
  • assessment of the patient for suitability of operative treatment
  • intraoperative steps that are essential for safe and effective operative treatment
  • postoperative care that is safe, effective, and cost-effective in achieving the best possible patient outcome.

Thoracic Surgery

For this rotation, the continuum of care is related to typical problems of thoracic surgery, including diseases of the chest wall, pleura, mediastinum, diaphragm, lungs, tracheobronchial tree, and esophagus.


Detailed 6-Year Rotation Plan and optional Academic Enrichment rotation

R1
R2
R3
R4
Blue/Green a VA CTS j Peds Cardiac p Peds Cardiac p
Blue/Green a VA CTS j Peds Cardiac p Peds Cardiac p
Blue/Green a Gen Surg-Kaiser k Peds Cardiac p Peds Cardiac p
Gen Surg-trauma b Gen Surg-Kaiser k Blue/Green a Endovascular t
Gen Surg-SCV c Gen Surg-Kaiser k Blue/Green a Endovascular t
Gen Surg-VA d Gen Surg-Kaiser k Blue/Green a Endovascular t
Vasc Surg-VA e Gen Surg-SCV c Thoracic-Kaiser q Thoracic f
Thoracic Surg f Gen Surg-SCV c Interv Cardiology s Thoracic f
Thoracic Surg f CT/MRI/ECHO l Interv Cardiology s Thoracic f
ER g Interv Radiology m   Thoracic f
CCU h Interv Radiology m   Thoracic f
Anesthesia-Card i EP/Pacemakers n   Thoracic f

R5
R6
(Optional)
 
Transplant:Medical u Blue a Academic Enrichment o  
Transplant Surg v Blue a    
Transplant Surg v Blue a    
VA CTS j Blue a    
VA CTS j Blue a    
VA CTS j Blue a    
VA CTS j Green a    
VA CTS j Green a    
VA CTS j Green a    
  Green a    
  Green a    
  Green a    

a Blue/Green: Adult Cardiac Surgery at Stanford: aortic surgery, basic and complex adult cardiac, and adult congenital surgery.

b General Surgery-trauma at Stanford: trauma and consult general surgery at Level 1 trauma center.

c General Surgery at Santa Clara Valley: trauma and general surgery at high volume hospital.

d General Surgery at PAVA: common general surgery patients at Palo Alto Veteran’s Administration Hospital.

e Vascular Surgery at PAVA: open and endovascular surgery at Palo AltoVeteran’s Administration Hospital.

f Thoracic Surgery at Stanford: common and complex general non-cardiac thoracic surgery.

g ER at Stanford: Emergency Room rotation at Level 1 Trauma Center; treatment of a diverse population of medical and surgical adult and pediatric patients.

h Cardiac Care Unit at Stanford: comprehensive critical care medicine for common and complex cardiology patients.

i Cardiac Anesthesia at Stanford: cardiac anesthetic management intra and postoperatively, including instruction in transesophageal echocardiography and cardiovascular pharmacology.

j VA CTS: Cardiothoracic Surgery at Palo Alto Veteran’s Administration Hospital; common cardiac and non-cardiac thoracic surgery.

k General Surgery at Kaiser Santa Clara: common general surgery patients, including experience in open and laproscopic surgery at high volume medical center.

l CT/MRI/ECHO at Stanford: education in reading of cross-sectional (CT/MR) radiology imaging and echocardiography; echocardiography will be taught by cardiologist and cardiac anesthesists.

m Interventional Radiology at Stanford: residents function as a interventional radiology fellow in diagnostic and interventional procedures, gaining wire skill sets necessary for percutaneous interventions.

n EP/Pacemakers at Stanford: residents function as an electrophysiology fellow, instructed in diagnosis, medical, and interventional treatment of arrhythmias; residents will learn indications and insertion technique for pacemaker and AICD devices.

o Academic Enrichment: scholarly research in basic science investigation, clinical or clinical outcomes research, clinical rotations at other institutions, or advanced degrees in business, basic science, education, law, or public health. 

p Pediatric Congenital Cardiac Surgery: residents spend time at both Lucille Packard Children’s Hospital (complex congenital cases) and Oakland’s Children’s Hospital (common congenital cases).

q Thoracic Surgery at Kaiser Santa Clara: common non-cardiac general thoracic surgery at high volume center.

s Interventional Cardiology at Stanford: residents will function as a cardiology fellow, performing diagnostic catheterizations and interventions, gaining skill sets necessary for percutaneous interventions.

t Endovascular Surgery at Stanford: participation in the Stanford Vascular Surgery 3 month mini-fellowship; training in advanced catheter and guidewire skills, diagnostic arteriography, angioplasty and stenting, and endovascular stent-graft repair.

u Transplantation Medical Service at Stanford: inpatient and outpatient medical care of complex group of patients with multiple medical problems, including care of common postoperative complications.

v Transplantation Surgery Service at Stanford: recipient and donor selection, operative and postoperative management, and the treatment of postoperative complications;  residents will perform donor procurements, non-redo heart and lung transplants, and ventricular assist device management.

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