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Training Program
THORACIC SURGERY

Cardiac Third Year Fellowship
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. The Cardiac Third Year Fellow will not supplant the cardiac residents in their operative and clinical experiences but will augment the cardiac resident group as described below. The Cardiac Chief Resident (second year resident) will maintain responsibility for and authority over operating room case allocation in consultation with the attending surgeons and the Cardiac Division Chief.
Operating Room
  1. The Cardiac Third Year Fellow will have priority on cardiopulmonary transplant cases. This includes lung and heart transplant procedures, including harvest. The role of the Cardiac Third Year Fellow during these procedures will be dictated by the Attending Surgeon. If heart and lung transplant occur simultaneously, then the Cardiac Third Year Fellow will have his choice of those cases depending on the complexity of his own UNOS certification priorities.
  1. The Cardiac Third Year Fellow has priority for assisting on complex thoracic aortic procedures.
  1. The Cardiac Third Year Fellow will assume the duties of the Cardiac Resident when one of the Cardiac Residents is away. As far as operating room responsibilities are concerned, this means:
    1. If the Thoracic Resident is away; Cardiac Third Year Fellow will assume the Chief Resident responsibilities of the Thoracic Surgical service including rounds, and assume the role of the main Thoracic Surgical resident and perform all major cases as necessary.
    2. If the Junior Cardiac Surgery Resident is away: the Cardiac Third Year Fellow will assume the position of junior Cardiac Surgical resident and will assume, including rounds, the operative case load of the “second” cardiac operating room after the Chief Cardiac Surgical Resident has chosen his case(s).
    3. If the Chief Cardiac Surgery Resident is away; the Cardiac Third Year Fellow will assume all the duties, including rounds, of the Cardiac Surgery Chief Resident and direct and assign operating room responsibilities for the Cardiac Surgical Service and will have operating room priority over the more Junior Cardiac Surgical Resident.
  1. Overflow: If an overflow situation occurs on the cardiac surgical service (i.e. opening up a third room), then the Chief Cardiac Surgical Resident has both the responsibility and right to request operating room assistance on the Cardiac Surgical Service from the Cardiac Third Year Fellow. This situation is operative if the two regular Cardiac Surgical Residents are in the operating room. Other possibilities within this category include: a major cardiac trauma case during the day when all cardiac and thoracic residents are unavailable or a third room opening up on either the Cardiac or Thoracic Surgical Services. Note: It is the responsibility of the Chief Cardiac and Thoracic Residents to ask for overflow operating room assistance.
  1. If a particularly difficult case is encountered on either the cardiac or thoracic surgical service which would otherwise require the presence of two attendings, then the attending may request the services of the Cardiac Third Year Surgical Fellow for this advanced type of case (i.e. double or triple redo operations, LVADs, complex multiple procedures, VIP, etc.).
On-Call Responsibilities
  1. The Cardiac Third Year Fellow will not take routine in-house call.
  2. The Cardiac Third Year Fellow will take first call from home on all cardiopulmonary transplantations.
  3. The Cardiac Third Year Fellow will have “off” from cardiopulmonary transplant call every other weekend (defined as: 6pm Friday to 6am Monday morning).
  4. The Cardiac Third Year Fellow will assume his position within the regular in-house on-call schedule for cardiac surgery residents when one of the cardiac surgical residents is gone.
Service Responsibilities
  1. The advanced Cardiac Third Year Fellow will be responsible to give one Friday, 7am Grand Rounds talk per six months.
  2. The Cardiac Third Year Fellow will be responsible for a “standard” Attending position within the Cardiac or Thoracic Case Conference schedule (i.e. this approximates giving one Professor Rounds talk to junior residents and medical students every two months. These can be either didactic sessions in 5 Founders SICU or “true classic” teaching patient rounds.).
Educational Service
  1. He/she will be responsible for attending all 7am-8am conferences: Monday Case Conferences, Tuesday Cardiac Transplant, Wednesday Cardiac Service and Cardiovascular Conferences, Thursday Lung Transplant, and Friday Cardiac Grand Rounds.
  2. The CardiacThird Year Fellow occasionally will be responsible for presentation of cases at Wednesday Combined Cardiac Surgery/Cardiology Conference if he/she was involved in the case.
Out-patient Activity
  1. The Cardiac Third Year Fellow will be expected to experience a broad out-patient exposure.
    1. He/she will be expected to attend with Dr. Bavaria and Aortic Surgery team the Aortic Surgery Clinic.
    2. He/she will be expected to attend occasional out-patient cardiopulmonary transplant initiatives as requested by the Directors of Lung Transplantation and Cardiac Transplantation.
Miscellaneous
  1. Vacation time – two weeks vacation allowed.
  2. Job interviews – a liberal policy holds as long as Dr. Acker or service chief is aware.
  3. Professional meetings – one professional meeting will be allowed, at Division expense, for the Cardiac Third Year Fellow.
 

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