Cardiothoracic Surgery

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Criteria for Minimum Operative Experience

The Board of Cardiothoracic Surgery considers the following to be the minimum requirement for adequate operative experience during the six years of Cardiothoracic Surgery training. The total operative experience must be recorded in the Trainee logbook which will be assessed every six months by the Board of Cardiothoracic Surgery. It is emphasised that these numbers are to be taken as a general guide and that discretion is left with the Board of Cardiothoracic Surgery. Should operative experience be deemed sub-optimal at any stage of training, additional training time may be required to rectify the situation.

Component Procedures (either Assisted or Unassisted - but as a primary operator)

Aorto- coronary Anastomosis 75
Cannulatoin for Bypass 50
Distal Coronary Anastomosis 75
Insertion of Coronary SInus Cannula 50
Internal Mammary Artery Harvest 125
Median Sternotomy 200
Radial Artery Harvest 50
Redo Sternotomy 10
Saphenous Vein Harvest 125
Sternal Closure 200

 

Coronary Artery Bypass Unassisted 10
  Trainee Assisted 30
  First Assistant 300
Aortic Valve Surgery Trainee Assisted 10
  First Assistant 50
Aortic Surgery First Assistant 20
Mitral Valve Surgery Trainee Assistant 5
  First Assistant 30
Other Valve Surgery First Assistant 10
Pacemakers Trainee Assisted 20
Total Major Cardiac Procedures Trainee Unassisted 10
  Trainee Assisted 175
  First Assistant 600
Thoracotomy +/ - Lung Biopsy Trainee Unassisted 5
  Trainee Assisted 10
  First Assistant 10
Pulmonary Resection Trainee Unassisted 5
  Trainee Assisted 20
  First Assistant 20
Total Major Thoracic Procedures Trainee Unassisted 10
  Trainee Assisted 30
  First Assistant 50
VATS Procedures Trainee Unassisted 20
  Trainee Assisted 50
Bronchoscopy Trainee Assisted / Unassisted 80

Guidelines for Operative Experience - End of SET 3

Aorto-coronary Anastomosis 10
Cannulation for Bypass 50
Internal Mammary Artery Harvest 50
Median Sternotomy 80
Radial Artery Harvest 10
Saphenous Vein Harvest 125
Sternal Closure 80

 

Coronary Artery Bypass First Assistant 150
Aortic Valve Surgery First Assistant 20
Mitral Valve Surgery First Assistant 12
Other Valve Surgery First Assistant 4
Total Major Cardiac Procedures First Assistant 200
Thoracotomy +/- Lung Biopsy First Assistant 10

A curriculum in Cardiac or Thoracic Surgery may be obtained upon application to the Royal Australasian College of Surgeons.