Today is Friday, Jul. 20, 2018

Department of

Surgery

Integrated Thoracic Surgery Residency Program

The University of Cincinnati College of Medicine offers two training programs in cardiothoracic surgery. Our 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 cardiac and thoracic surgery.

Traditional Program

The traditional program provides three continuous years of clinical training in cardiothoracic surgery following completion of an ACGME-accredited general surgery or vascular surgery residency. Residents rotate on adult cardiac surgery at the University of Cincinnati Medical Center and TriHealth’s Good Samaritan and Bethesda North Hospitals, on general thoracic surgery at the University of Cincinnati Medical Center, and on pediatric cardiac surgery at Cincinnati Children’s Hospital Medical Center.

Integrated Program

Our integrated program (I-6) started in July 2014 and provides 6 years of training after completion of medical school. In collaboration with the Department of Surgery, residents rotate through general surgery, surgical oncology, vascular surgery, transplant surgery, pediatric surgery, critical care, trauma surgery, cardiac surgery, thoracic surgery and congenital cardiac surgery during the first three years of the program to establish strong fundamentals of surgical practice. 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 resulting in well-rounded and independent thoracic surgeons. Additionally, the trainees also gain experience with dedicated rotations in echocardiography, cardiac catheterization, interventional pulmonary, and cardiothoracic critical care.

Applicants for our ACGME-accredited advanced training programs in cardiothoracic surgery are selected through the National Resident Matching Program (NRMP).

Clinical Rotations

Adult Cardiac Surgery

Residents rotate on the adult cardiac surgery service at both the University of Cincinnati Medical Center and TriHealth’s Good Samaritan and Bethesda North Hospitals. They gain expertise in all aspects of cardiac surgery, including coronary artery disease, valvular heart disease, thoracic aortic disease and heart failure including heart transplantation, mechanical circulatory support and ECMO. The residents also gain a very unique experience with robotic cardiac procedures, including valve surgery and coronary artery bypass grafting. Two robotic cardiac surgeons perform over 100 robotic cases annually. With a dual console robot and a 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 and esophageal diseases, airway diseases and mediastinal tumors. The general thoracic rotation has a focus on advanced minimally invasive techniques such as thoracoscopic (VATS) lobectomy for lung cancer, minimally-invasive esophagectomy, and robotic thoracic procedures. Residents are also trained in advanced airway and esophageal endoscopic procedures such as laser interventions, stent placement and management, and endobronchial ultrasound (EBUS).

Congenital Heart Surgery

Residents rotate on the congenital cardiac surgery service at Cincinnati Children’s Hospital Medical Center. They are exposed to the preoperative, intraoperative and postoperative care of children with congenital cardiac diseases, ventricular assist devices and heart and lung transplantation among several other complex conditions. 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. 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.

Education

The thoracic residency has a robust didactic program. A structured weekly cardiothoracic teaching conference covers all topics included in the Thoracic Surgery Core Curriculum and utilizes the Society of Thoracic Surgeons on-line learning management system, monthly quizzes and a case-based conference series. In addition, we have a monthly debate-style journal club, mock oral examinations, and morbidity and mortality conference. Residents participate in a structured simulation program, with a series of animal and cadaver laboratories throughout the year, with sessions for open and thoracoscopic lobectomy, chest wall resection, tracheal resection, sleeve lobectomy, coronary artery bypass, valve repair/replacement and robotics.

Program Administration:
Sandra L. Starnes, MD, Program Director
Julian Guitron, MD, Associate Program Director

 

Congenital Cardiac Surgery Fellowship Program

The University of Cincinnati College of Medicine and Cincinnati Children’s Hospital Medical Center offer a one-year accredited fellowship in congenital cardiac surgery. We are one of only 12 programs in the country accredited by the ACGME, leading to eligibility for subspecialty certification in Congenital Cardiac Surgery by the American Board of Thoracic Surgery. Our fellows received intensive training in all aspects of congenital heart surgery including heart and lung transplantation. The Division performs over 400 cardiac surgeries annually and Cincinnati Children’s Hospital Medical Center ranks sixth in the nation for cardiology and heart surgery as measured by U.S. News & World Report 2016-17 Best Children’s Hospitals.

Applications for the fellowship can be found at: http://www.tsda.org/the-tsda/congenital-match.

Program Administration:
James Tweddell, MD, Program Director
Tiffany Whatley, Program Coordinator (tiffany.whatley@cchmc.org)
Dr. Guitron in CSI

Program Coordinator

Andrea Anderson, C-TAGME,
Division of Thoracic Surgery
University of Cincinnati College of Medicine
231 Albert Sabin Way (ML0558)
Cincinnati, OH 45267-0558
andrea.anderson@uc.edu
513-584-1387