[HSF] New type of CT surgery residency?

[Ramaiah, Chandrashekar]

This concept has been discussed both in the Surgical and Cardiology
side. Can we do it in the near future is a different thing. There are
some on both sides (CT and Cardiology) think that we need to trains
"cardiovascular interventionalists", who can perform all the catheter
based and open procedures. In that situation patient may get the right
procedure and not what "I can do".
The problem is what kind of pre-requisite training do we need to have
(surgery or medicine) and how many years of Surgery+catheter based
interventions.
I have no influence or control over this other than put this thought in
the minds of people who are in charge at this point (I train residents
but I am not the director).
Chand



-----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of A
Sent: Tuesday, January 30, 2007 12:12 PM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [HSF] New type of CT surgery residency?

Chand:
Keeping in mind the fact that CABG the bread and butter of heart surgery
is
performed less and less ever since the DES came into being. Is there any
thought of incorporating catheter based interventions in the curriculum
of
future CT training? I am thinking mostly of percutaneous valve
procedures.
Another point worth remembering is the fact MRI and CT scans are being
used
for coronary visualization. The way I see this is the future because it
is
less invasive and probably cost less insurance companies love that. The
technology is still young
Cardiologists are keen on this and aim to make these as rotations for
their
residents that they must take. I think surgeons should take advantage of
that and train our residents in these areas too. I firmly believe that
we
should learn from the past and do not give any thing away look at pace
makers case in point. It is a matter of survival for Cardiac surgery 
Your thoughts and member of the forum please


----Original Message-----
From: openheart-l-bounces at lists.hsforum.com
[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ramaiah,
Chandrashekar
Sent: Monday, January 29, 2007 2:18 PM
To: OpenHeart-L at lists.hsforum.com
Subject: RE: [HSF] New type of CT surgery residency?

2 years ago 3 tracks for CT training were approved.
1. Traditional after 5 yrs GS with board certification in both CT and
GS.
2. 5 yrs GS without board certification.
3. 3+3 program.
So far no program has taken up the 3rd track. It does require some
change to
the curriculum like the one Plastics has.
Chand


Chand Ramaiah, MD
Director,Heart Transplantation
Director, Minimally Invasive Cardiac Surgery
University of Kentucky

-----Original Message-----
From: "00 00" <rarax at hotmail.com>
To: "openheart-l at lists.hsforum.com" <openheart-l at lists.hsforum.com>
Sent: 1/29/07 11:22 AM
Subject: [HSF] New type of CT surgery residency?

Supposedly in the near future there will be 6-year combined CT surgery 
residencies (3 years of General Surgery followed by 3 years of CT
surgery).

Some say the quality of the surgeons produced under this new training 
paradigm will not be as competent as with the current model (5 years
General

Surgery + 2-3 years CT surgery).  However others point to the fact that 
Canada has been using the 6 year training model straight out of med
school 
for some time now.

What are you opinions about the impact a shortened training will have?

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