Cardiothoracic Specialty Training Courses

Cardiothoracic Specialty Training Courses

Cardiothoracic Surgery Specialty Training Courses Narain Moorjani SCTS Cardiac Surgical Tutor Sri Rathinam SCTS Thoracic Surgical Tutor Overview ST 1 Introduction to Cardiothoracic Surgery for Foundation Year Doctors & Core Trainees 2 Essential Skills in Cardiothoracic Surgery

3 Introduction to Specialty Training in Cardiothoracic Surgery Operative Cardiothoracic Surgery Course 4 Core Cardiac Surgery Course Core Thoracic Surgery Course 5 Intermediate Viva Course Non-Technical Skills for Surgeons (NOTSS)

6 Cardiac sub-specialty course (mitral valve, thoracic aorta, TAVI, heart failure) Thoracic Sub-specialty Course (VATS lobectomy, tracheal surgery, chest wall surgery, oesophageal surgery) 7 FRCS (C-Th) Revision / Viva Course Birmingham Review Course London Core Review Course 8

Cardiac Pre-Consultant Course Professional Development Course Education delivery Interactive small group sessions Wet-lab hands-on experience Live operating simulation High-fidelity Orpheus human factors simulator Viva examinations (during programme & prior to exam) Low fidelity simulator with video feedback Current progress All courses for nationally appointed trainees (ST3-8) successfully run with excellent feedback, delivered free of charge to the trainees first surgical sub-specialty to achieve this.

Currently being written as a manuscript Additional courses run fro Foundation year doctors, core trainees and ST2 trainees on run-through programme Accreditation from RCS Ed - course programmes continuing to evolve Training the trainers course for faculty / ASiT Surgical Education and Training Prize 2016 Winner GROUP - SCTS Education Miss Rhiannon Harries Mr Dev Mittapalli President, ASiT Director of Education, ASiT

ASiT the pursuit of excellence in training 35-43 Lincolns Inn Fields, London, WC2A 3PE Telephone 020 7869 6681 [email protected] Registered Charity Number 274841 Reaction 5 4 3 Teaching Faculty Content & materials Organisation 2 1


Learning 10 10 9 9 8 8 7 7 6 6

5 5 4 4 3 3 2 2 1 1 0

0 ST3A ST4A ST4B ST5A ST5B ST6AB ST7A ST8(C) ST8A(T) Self-confidence pre-course Self-confidence post-course ST3A ST4A ST4B

ST5B ST6AB ST8(C) ST8A(T) Self-competence pre-course Self-competence post-course CPB management 2.3 Decannulation 3.7 2.4 Preparation for termination 3.6 1.9

De-airing and removal of cross clamp 3 Management during bypass 2.3 3.1 2.9 Commencement of bypass 3.9 Checklist for initiation 3.3 4.2 3.1 Preparation for CPB 4.1

0 0.5 1 Post ST3a 1.5 2 pre ST3A 2.5 3 3.5 4 4.5

Wedge resection 3.7 Appropriate closure and drainage 4.3 3.9 Extraction of lung tissue 4.1 3 Ensures pneumostasis 3.4 3.6 Appropriate use of stapling device

4.1 2.7 Orientates and places lung appropriately for resection 3.4 3.3 Tissue handling 4 3.7 Thoracoscope management 4.7 3.6 Appropriate port dissection & insertion 4.4

0 0.5 post ST3 1 1.5 pre ST3A 2 2.5 3 3.5 4

4.5 5 Supervisor assessment of trainees operative skill and confidence Confidence in the operating room technical skills in the OR 1: NO improvement 2 3: Noticeable improvement 4 5: Greatly Improved Supervisors assessment of knowledge and clinical decision making Clinical decisions

perform more of the technical aspects of subsequent operations 1 3 7 5 SCTS Education Operative Video Prizes Cardiothoracic Surgical Trainees (NTN and non-NTN) are invited to produce an operative video, appropriate to their year of training (see attached list overleaf) Prize for the best overall cardiac and thoracic video The videos should be submitted as a high definition (HD), AVI or MPEG-4 video file, 4-8 minutes in duration, and can be made using any recording device, including smart phones, video cameras or professional equipment Please include patient consent and consultant approval with the submission If selected, the videos may be edited and included in an SCTS operative videos app

For further details, please contact Narain Moorjani (SCTS Cardiac Tutor) or Sri Rathinam (SCTS Thoracic Tutor) at [email protected] Closing date 5th January 2017 SCTS Education Operative Video Prizes Every trainee should be encouraged to submit a video Empowers trainees to contribute to their own education Modern method of conveying information Part of ARCP assessment (similar to writing a manuscript or completing an audit)

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