Integrated Thoracic Surgery Residency Program
The University of Cincinnati College of Medicine offers two training programs in cardiothoracic surgery. Our training programs provide balanced education in all aspects of cardiothoracic surgery, with an emphasis on minimally-invasive procedures. Our goal is to develop, train and mentor the next leaders in our field.
The traditional program provides three continuous years of clinical training in cardiothoracic surgery after applicants complete an ACGME-accredited general surgery residency, with one new resident starting each year. Residents rotate on adult cardiac surgery at the University of Cincinnati Medical Center and the Good Samaritan Hospital, on general thoracic surgery at the University of Cincinnati Medical Center (UCMC), on pediatric cardiac surgery at Cincinnati Children’s Hospital Medical Center, and on endovascular surgery at UCMC.
Our integrated 6-year (I-6) program started in July 2014 and provides six years of training after completion of medical school, with one resident starting each year.
During the first 3 years, in collaboration with the Department of Surgery, residents rotate through general surgery, surgical oncology, transplant surgery, pediatric surgery, plastic surgery, critical care, trauma surgery, cardiac surgery, thoracic surgery and congenital cardiac surgery. During the last three years, the program mirrors the traditional three-year program and residents are educated in all aspects of cardiothoracic surgery including adult cardiac surgery, general thoracic surgery and congenital cardiac surgery. Additionally, the trainees also gain experience with dedicated rotations in echocardiography, cardiothoracic anesthesia, and cardiothoracic critical care.
During the last three years, the program mirrors the traditional three-year program and residents are educated in all aspects of cardiothoracic surgery including adult cardiac surgery, general thoracic surgery and congenital cardiac surgery. Additionally, the trainees also gain experience with dedicated rotations in echocardiography, cardiothoracic anesthesia, and cardiothoracic critical care.
Adult Cardiac Surgery
Residents rotate on the adult cardiac surgery service at both the University of Cincinnati Medical Center and Good Samaritan Hospital. They gain expertise in all aspects of cardiac surgery, including coronary artery disease, valvular heart disease, thoracic aortic disease and heart failure, including mechanical circulatory support and ECMO. The residents also gain a very unique experience with robotic cardiac surgery, including valve surgery and coronary artery bypass surgery. Two robotic cardiac surgeons perform over 100 robotic cases annually. With a dual console robots and dedicated robotic cardiac surgery laboratory facility, residents may become robotically certified. In addition, residents gain experience and training in transcatheter aortic valve replacement (TAVR) and thoracic endovascular aortic repair (TEVAR).
General Thoracic Surgery
During the thoracic surgery rotation, residents are trained in all aspects of general thoracic surgery and thoracic oncology, including benign and malignant lung diseases, esophageal diseases, airway diseases, and mediastinal tumors. The general thoracic rotation has a focus on advanced minimally invasive techniques such as thoracoscopic lobectomies for lung cancer, minimally-invasive esophagectomies, and robotic thoracic surgery. Residents are also trained in advanced airway and esophageal endoscopic procedures such as airway/esophageal stents, endobronchial ultrasound (EBUS), endoscopic mucosal resection (EMR) and endoscopic radiofrequency ablation.
Congenital Heart Surgery
Residents rotate on the congenital cardiac surgery service at Cincinnati Children’s Hospital. During this rotation, they are exposed to the preoperative, intraoperative and postoperative care of children with congenital cardiac disease, including ventricular assist devices, heart and lung transplantation. Cincinnati Children’s Hospital Medical Center has a high profile as a leader in the management of cardiac problems in children including newborn corrective operations, management of complex single ventricle cardiac anomalies, and management of infants and children with severe heart failure which includes expertise in cardiac transplantation and ventricular assist device utilization. In addition, in collaboration with the Aerodigestive Center at Cincinnati Children’s, the division has the world’s most extensive experience with complex tracheal reconstruction in infants and children. Cincinnati Children’s consistently ranks in the top 10 in the nation for cardiology and heart surgery as measured by U.S. News & World Report.
Residents will spend a dedicated rotation in the area of endovascular surgery at the University of Cincinnati Medical Center with the Division of Vascular Surgery faculty who are leading experts in endovascular techniques with over 500 endovascular procedures performed annually.
Sandra L. Starnes, MD, Program Director
Julian Guitron, MD, Associate Program Director