Cardiac Surgery: Current Issues 3: 003 (Cardiac Surgery Vol. 3)

Congenital heart defect
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All applications for our cardiothoracic surgery residency program must be submitted through ERAS. We will not accept any additional supporting documents by mail. To register, visit the NRMP website.

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Please refer to NRMP for information on registration procedures and deadlines. Step 3: If you are considered for a position, you will be asked to visit Massachusetts General Hospital for an interview with the program director and cardiothoracic faculty. Q: What is the didactic curriculum like? It starts with weekly dedicated didactic sessions for both cardiac and thoracic surgery. In addition, there are multiple additional conferences including a thoracic oncology conference, cardiac catheterization conference and a congenital heart conference which complement the weekly didactic curriculum. Mock oral examinations are held times per year to assist in preparing fellows for the cardiothoracic Board examinations. Q: Are there any elective rotations? A: Elective rotations are available on thoracic surgery and typically constitute months at two other institutions.

Q: What benefits are available to residents? A: Residents are eligible for medical, dental, disability, life insurance and much more. View a comprehensive list of all the benefits available to residents. Q: Will there be an opportunity to discuss my benefits option with a benefits expert? A: Yes.

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During your orientation, you will have the opportunity to meet with Massachusetts General Hospital Human Resources representatives who will explain the medical and dental benefits, as well as the disability and life insurance programs. You may sign up during this time as well. Q: Is there housing assistance available to residents? Q: Are there childcare options available through Partners HealthCare?

Learn more about childcare options. Q: What will my annual salary be? This salary scale applies to all residents across the Partners system, including Mass General.

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Nicoloff, T. In the multivariate analysis, the use of beta-blockers in the preoperative period proved to be a protective factor of postoperative AF. A high-evidence issue in cardiac surgery was written according to a structured protocol. Menghesha , A. In the light of potential risk factors associated with synthetic colloids further clinical research is also urgently needed. Concept and design: D. Previous article Next article.

Q: Will I have to sign an employment contract? Each year, every resident will receive a contract and associated GME and departmental policies. You may preview them at the Partners GME website.

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Q: Does the program offer any financial assistance? We offer several financial benefits to our residents, including:.

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Learn more. The interview process will be conducted amongst all cardiothoracic faculty during the months of August and September and a decision will be made by the faculty. The cardiothoracic surgery group is leading health care with innovative research. Below are some recent publications from the cardiothroacic surgeons:. Research papers are presented at national meetings by residents and fellows. Learn more about the current research in the Department of Surgery. Nathan R. Bates - Private Practice Douglas J. Minnich - General Thoracic Robert E. Merritt - General Thoracic, now Chief.


Call for more information Phone: Back to Top. History of the Program Mass General has a long tradition of excellence in cardiothoracic surgery. Churchill and W. Residency Length The residency program is two and a half years long. The Mass General Division of Cardiac Surgery includes: 8 attending surgeons cardiac residents physician assistants 5 nurse practitioners 2 general surgery residents Data manager Research nurse Program coordinator From an operational standpoint, the cardiac surgery program at Mass General is based on the philosophy of a unified team, bolstered by a longstanding collaborative relationship with the Mass General Division of Cardiology.

Goal of the Cardiac Track of the Cardiothoracic Residency Program The goal of the cardiac track residency program is to offer training on the full breadth of cardiac surgery. Two one-month blocks of vacation are permitted to each resident during training. View the sample schedule for the cardiac track View the sample schedule for the thoracic track Clinical Load The clinical load is robust, so laboratory investigative work by residents is not possible during the cardiothoracic residency.

Instructional Basics Basic science instruction is primarily derived while in the course of the surgical house officers' regular duties. Below are some recent publications from the cardiothroacic surgeons: Hugh Auchincloss - Complications after tracheal resection and reconstruction: prevention and treatment. J Thorac Dis. J Vis Exp.

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Ann Thorac Surg. David Greenhouse - Assessment of a mitral valve replacement skills trainer: a simplified, low-cost approach. J Thorac Cardiovasc Surg. Natalie Lui - Intraoperative Tracheal Injury. Lui N, Wright C.

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Thorac Surg Clin. Cir Cir. It is therefore surprising that important intra- and postoperative approaches, especially regarding fluid and catecholamine administration, differ considerably from department to department, as shown in this survey.

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In general, monitoring tools of macro- and regional hemodynamic parameters are generally used and play a central role in perioperative care in this special patient cohort, not only since the revision of the S3 guideline for intensive care in cardiac surgery patients by Carl and colleagues in was published [13]. It is therefore not surprising that all centers use basic monitoring, supplemented by CVP measurement.

Moreover, every single center routinely uses TEE. PA catheterization and calibrated trend monitoring complete the scope of tools for macrohemodynamic monitoring, but are infrequently used. Comparing our data with previous surveys in cardiothoracic surgical patients [14] , [15] shows that the use of TEE seems to have increased at the expense of PA catheterization procedures.

Beside macrohemodynamic measurements, regional perfusion monitoring systems have become more and more common in perioperative care of critical ill patients [16].

Assessment and pathophysiology of pain in cardiac surgery

The participating centers — especially university hospitals - favour continuous measurement of central- or mixed-venous saturation and the use of cerebral oximetry measurement systems. Nevertheless, widespread routine use of these systems was not evident. Instead, extended monitoring was available, but restricted to specific indications i.

Reviewing the literature, continuous central- or mixed-venous saturation measurement [17] as well as cerebral oximetry [18] may both be valuable tools in monitoring regional perfusion, but need further clinical evaluation to gauge their impact on patient outcome [19]. The majority of patients undergoing cardiac surgery require inotropic or vasopressor support during the perioperative phase. This may be caused by either low cardiac output, volume deficiency or lack of systemic vascular resistance.

Catecholamines use was reported to be very common among university hospitals. The reasons for this finding remain speculative, but it can be assumed that perhaps a higher proportion of patients with complex cardiac diseases and comorbidities present at university hospitals rather than heart centers or maximal care hospitals.