Re-Think the Training in Congenital Cardiac Surgery Do Things ...

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file time: 2008-02-16

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Re-Think the Training in Congenital Cardiac Surgery 
Do Things Right in Disruptive Times 

By The EACTS

Congenital Heart Disease Committee

 
 
 
 
 

Objectives 

Evaluation of Pediatric/Congenital Cardiac Surgery Training in Europe. Propose a Training Curriculum Guidelines approved by EACTS (& National Societies). Predict the Needs in the next 10 years. Consider a Congenital Certification.  
 
 
 
 

Factors Influencing Training Programs 

Patients Surgical Population Social Regulations Quality Evaluations Cardiac Surgery Expectations  
 
 
 
 

Hypothetical Solutions 

Re-Structuration C-T Residency Re-Elaborate the Fellowship Attract the 00est & Brightest00/font> Designated 00ducation Units00/font> Use Communication Tools  
 
 
 
 

Congenital Cardiac Surgery Training Survey 

Paper Professionals EACTS Postgraduate Course Leipzig EACTS Congenital Business Meeting Leipzig ECHSA 73 sheets  
Electronically Trainees CTSNET EACTS Juniors Committee 45 feed-backs  
 
 
 
 

Questionnaire  

1. Considering that the theoretically 00lassical00European Residency in Cardio-thoracic Surgery is 5 years long and includes 2 years of General Surgery and 3 of C-T surgery, please answer these questions:

 
 
 
 
 

a. Do you agree that as a first approach to Congenital Cardiac Surgery the Classical European Residency include 3/6 months rotation?

 
 
 
 
 

b. Do you think that for a complete training in Congenital Cardiac Surgery 1 or 2 years fellowship after the classical residency is enough?

 
 
 
 
 

b00 Yes

 
 
 
 
 

c. If you could modify the classical residency to improve the Congenital Cardiac Surgery training would you reduce General surgery to 1 year?

 
 
 
 
 

d. Or/And, If you could modify the classical residency to improve the Congenital Cardiac Surgery training would you reduce C-T surgery to 1 or 2 year?

 
 
 
 
 

d00 Yes

 
 
 
 
 

e. If you have modified the classical residency to improve the Congenital Cardiac Surgery training in 1 or 2 years, Would you keep the fellowship after the residency?

 
 
 
 
 

e00 Yes

 
 
 
 
 

2. According to you, Which are the most important problems in the Congenital Cardiac Training programs? 

p: 0.03

 
 
 
 
 

200/font>. Global

 
 
 
 
 

3. Do you think that a fellow in congenital cardiac surgery should perform a Switch operation before finishing his/her training?

 
 
 
 
 

4. Following the Aristotle score, What do you think should be the most difficult case a fellow could do during his/her training?

 
 
 
 
 

5. Do you think that a Congenital Cardiac Surgery Certification is necessary/useful?

 
 
 
 
 

6. Do you think that it is necessary to define/designate 00ducation Units00

 
 
 
 
 

7. Do you think that the Education Units need a National or European regulation?

 
 
 
 
 

Survey Inferences (1) 

Residency (5 years) 1st General Surgery 2nd C-T 3rd 6/9 months C-T      3/6 months Congenital 4th C-T 5th Congenital Fellowship Congenital (2 years)  
 
 
 
 

Survey Inferences (2) 

Adapt to new Patients Surgical Population Improve Congenital Cardiac Surgery Expectations Aristotle, Level 3 (Switch / Fontan...) Educational Units National-European Regulation Congenital Certification  

Thank you Bohdan. Dear Friends & Collegues, first of all I would to make a comment.

This presentation should be considered a starting point, and also maybe we don00 have to be too rigid, but yes do things right.

 

The Objectives as you have seen in the paper are:

To evaluate the Pediatric/Congenital Cardiac Surgery training in Europe.

To propose a training curriculum guidelines approved by EACTS, and if is possible by the Nacional Societies.

To predict the needs in the next 10 years.

And finally to consider a congenital certification.

 

The factors influencing training programs are summarized here.

They are related to:

Patients surgical population.

Social regulations.

Quality evaluations.

Cardiac surgery expectations.

 

The Real Hypothetical Solutions are:

- to re-structure the C-T Residency

- to re-elaborate the fellowship

- to attract the 00est & brightest00/font>

- to designate 00ducation Units00/font>

and to use communication tools.

 

To Designate Education Units,

We can refer to our Optimal Structures Units, with minimal volumen & outcome standards Requirements.

We would need Coordinated Support Services.

And we could create a Regulatory Board.

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