The Clinical Fellowship in General Thoracic Surgery is designed to provide broad exposure to all , and in particular the most complex aspects of, General Thoracic Surgery in preparation for an academic career in the field.
The University of Pennsylvania has the busiest General Thoracic Surgery Program in the mid-Atlantic states, performing approximately 1400 major cases per year. We perform many procedures that are not at all or rarely performed elsewhere: eg, anterior approach to pancoast tumors, transcervical thymectomy, VATS lobectomy, extrapleural pneumonectomy, etc. Thus, the fellow will be exposed to the cutting edge in General Thoracic Surgery. The program is divided into two six-month components. A salary commensurate with PGY level is provided by the institution.
During the first six months (Julyl 1- December 31), the fellow will be based at the Hospital of the University of Pennsylvania, where he/she will be a full member of the General Thoracic Surgical team. The fellow will perform operations on the lung, airways, chest wall, esophagus, and mediastinum under supervision of the attending physician staff (Joel Cooper, MD; John Kucharczuk, MD; ). He/she will participate in the pre- and postoperative care of patients in the out-patient clinics, and on the surgical floors and intensive care units as part of a team consisting of the attendings, a cardiothoracic surgical resident, two general surgical residents, and several mid-level practitioners (ie, physician assistants and nurse practitioners). During this first six months, the fellow will take nighttime call in the cardiothoracic surgical intensive care unit on an approximately every 5th night basis, during which time he/she will be the senior in-house physician responsible for both all inpatient cardiac and general thoracic patients.
During the last six months of the fellowship year (Jan 1-June 30), the fellow will be expected to continue clinical activity, but at a significantly slower pace. Surgery and clinical care performed by the fellow during this period will be dependent upon the needs of the attendings who operate at each of the institutions within the University of Pennsylvania Health System. The fellow may be asked, on any given day, to assist in surgery or clinical care at the Hospital of the University of Pennsylvania, Presbyterian Hospital, Pennsylvania Hospital, or the Philadelphia Veterans Administration Medical Center. It is not anticipated that the fellow will be required to take night-time in-house call during these six months. Since the clinical load will be far less during this six month period as compared to the first six months, the fellow will be expected to aggressively participate in the clinical research activities of the Section, with the goal of bringing at least two research projects to presentation/publication. This is expected to be a time that the fellow will become familiar with all aspects of clinical research, including data collection, data analysis, statistics, ethical issues is research, and scientific writing/presentation. His/her presentations and publications will allow him entry into the academic General Thoracic Surgical community in preparation for career-long involvement in clinical research.