In order to fulfill residency training in two of the six core competencies (Patient Care and Medical Knowledge), The University of Texas MD Anderson Cancer Center developed a didactic course structured around the Thoracic Surgery Director’s Association Comprehensive Cardiothoracic Curriculum. With the assistance of the training programs at the Baylor College of Medicine and the Texas Heart Institute as well as the congenital heart surgery faculty at Texas Children’s Hospital, a complete curriculum in cardiothoracic surgery is now in place for all cardiothoracic trainees in the Texas Medical Center.
The goals of these educational sessions are to prepare trainees for in-service examination and subsequent American Board of Thoracic Surgery qualifying examinations by providing an organized review of relevant topics in adult cardiac, congenital and general thoracic surgery; stimulate a culture of life-long independent education through textbook reading assignments.
Completion of their educational objectives will be assessed by resident performance on the American Board of Thoracic Surgery (ABTS) in-service examinations, ABTS qualifying and certification exams. In addition, the MDACC oral examinations (part of the trainees’ rotations at MDACC) and a Texas Medical Center mock oral examination will also be used to evaluate the impact of this educational program.
The TSDA Comprehensive Cardiothoracic Curriculum provides a framework upon which this didactic curriculum is structured. The TSDA Comprehensive Requisite Cardiothoracic Curriculum divides the field of cardiothoracic surgery into 15 units. Both the didactic and the clinical objectives for each unit are clearly stated. The reading assignments from three separate textbooks were chosen to help trainees fulfill these objectives. The textbooks include Kirklin/Barrat-Byes Cardiac Surgery, Third Edition, and General Thoracic Surgery by Shields (6th edition). In addition, questions from SESATS are provided when appropriate to demonstrate example questions on each topic. In this fashion the TSDA Comprehensive Requisite Cardiothoracic Curriculum is completed in 52 weeks and repeated each year.
The sessions meet weekly and last 60-75 minutes. Faculty members chosen on their desire to participate in resident education proctor each session. The formats vary depending on that week’s topic. Lectures are discouraged and every effort is made to maintain direct participation of all the residents. Commonly employed methods include a socratic review of the reading assignments, case presentation (similar to an oral board examination), or review of SESATS questions. Frequently all three methods are used in a single session. Trainee feedback is essential is helping identify formats with the greatest educational value.
Texas Medical Center Cardiothoracic Didactic Curriculum
The Adult Cardiac Section of the Thoracic Surgery Core Curriculum Conferences takes place every Wednesday morning at 6 a.m. in the Telemedicine Conference Room C-030 of the Texas Heart Institute at Baylor St. Luke's Medical Center, The Denton A. Cooley Building (B-1 Level).
The Congenital Section of the Thoracic Surgery Core Curriculum Conferences will take place every Wednesday morning at 6 a.m. in the Taussig Auditorium, 19th Floor, Room B19536 in the Texas Children's Hospital West Tower Building.
The General Thoracic Section of the Thoracic Surgery Core Curriculum Conferences – details to be determined.
Refreshments will be provided. Please contact Patricia Carpenter, Thoracic Surgery Residency Program Coordinator in the Thoracic Surgery Education Office at (713) 798-6078 or by email at Jaye.Chambers@bcm.edu if you have any questions.
Department of Surgery Grand Rounds
The Michael E. DeBakey Department of Surgery hosts local faculty and outstanding regional or national speakers, who present on a range of surgical topics in weekly grand rounds. Surgery Grand Rounds are held every Wednesday, 7-8 a.m. in the Baylor College of Medicine, Alkek Building, N315, One Baylor Plaza.
Please contact the Surgery Education Office at (713) 798-6078 or if you have any questions regarding Grand Rounds.
Institutional Morbidity and Mortality Conferences
Thoracic surgery residents are encouraged to attend Morbidity and Mortality Conferences held at the affiliated institutions. Updated schedules will be provided.