The program accepts two fellows each year in categorical positions for a two year fellowship training program. Fellows rotate on the thoracic surgical service, the adult cardiac surgery service at the Ross Heart Hospital and the congenital heart service at Nationwide Children’s Hospital.
Fellows enter the program in July and will spend six months on thoracic surgery rotations and six months on adult and congenital heart surgery rotations in the first year. During the second year, each fellow will serve as a leader of the cardiothoracic surgery service and be responsible for directing the service and delegating responsibilities for patient care and operative coverage. This includes the responsibility for directing multi-disciplinary rounds with physician assistants, nurse practitioners, surgical associates, fellows and medical students.
At the completion of the second year it is our expectation that fellows will be competent to perform both routine and complex surgical procedures including adult coronary revascularization, routine and complex valve procedures, complex aortic reconstruction, open and minimally invasive thoracic lung resections, esophageal surgery for benign and malignant disease, chest wall resections and reconstruction and have exposure to minimally invasive percutaneous valve procedures, mechanical circulatory support and heart transplantation.
Goals and Objectives
The goal of this training program is to prepare physicians to function as well-qualified, independent specialists in cardiothoracic (CT) surgery. The faculty is committed to the education of the CT fellow in basic science and clinical surgery as it relates to cardiothoracic surgery. We hope to instill in our trainees with the essential elements of success for a career in cardiothoracic surgery including honesty and integrity, objectivity, self-motivation, curiosity, timeliness and a sense of responsibility.
The cardiothoracic surgery fellowship encompasses adult and pediatric cardiothoracic surgery. Objectives of this surgical specialty include the mastery of cardiac and thoracic procedures such as bronchoscopy, thoracotomy, pulmonary resection, pericardiocentesis, coronary bypass, valve repair and replacement, thoracic transplantation and pediatric cardiac surgery. The fellow is expected to demonstrate competent surgical skills to the faculty. Through graded progression over the course of training, the CT fellow will assume more responsibility for critical portions of operative procedures. He or she will be exposed to diagnostic tests appropriate to each condition and will develop an appreciation for the interpretation of these tests including echocardiography, nuclear scans and pulmonary function tests.
Through repetitive exposure to the decision-making process regarding critical care and operative therapy versus medical therapy, it is expected that the CT fellow will develop an understanding of clinical situations to create therapeutic plans and management strategies for his or her own patients. He or she should display a facility in oral and written communication, and will be responsible for maintaining a smoothly functioning service with attendings, general surgery fellows, nursing staff and secretarial staff.