Cardiothoracic Surgery Specialty Training Courses Narain Moorjani SCTS

Cardiothoracic Surgery Specialty Training Courses Narain Moorjani SCTS Cardiac Surgical Tutor Sri Rathinam SCTS Thoracic Surgical Tutor

ST Overview 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 Thoracic 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 (ST 3 -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 ST 2 trainees on run-through programme • Accreditation from RCS Ed - course programmes continuing to evolve • ‘Training the trainers’ course for faculty

Reaction 5 4 3 Teaching Faculty Content & materials Organisation 2 1 0 ST 3 A ST 3 B ST 4 A ST 4 B ST 5 A ST 5 B ST 6 AB ST 7 A ST 8 A - C ST 8 A - T ST 8 B

Learning 10 10 9 9 8 8 7 7 6 6 5 5 4 4 3 3 2 2 1 1 0 ST 3 A ST 4 B ST 5 A Self-confidence pre-course ST 5 B ST 6 AB ST 7 A ST 8(C) ST 8 A(T) Self-confidence post-course 0 ST 3 A ST 4 B Self-competence pre-course ST 5 B ST 6 AB ST 8(C) ST 8 A(T) 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 1. 5 pre ST 3 A 2 Post ST 3 a 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 1 pre ST 3 A 1. 5 post ST 3 2 2. 5 3 3. 5 4 4. 5 5

Supervisor assessment of trainee’s 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

Supervisor’s assessment of knowledge and clinical decision making Clinical decisions 1: NO improvement Knowledge 2 3: Noticeable improvement 4 5: Greatly Improved

“I felt more confident to allow the trainee to 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 tutor@SCTS. org • Closing date 5 th 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)