Cardiac Residency

Adult Cardiac Surgery

The thoracic surgery resident spends a total of eighteen months on the adult cardiac service (six months is during the first year).

During the rotation on the Adult Cardiac Surgical service, the thoracic resident gains experience in pre-and post-operative care, as well as increasing amounts of intraoperative responsibility. Time is dedicated to understanding various aspects of diagnostic and therapeutic studies within the cardiac catheterization laboratory. In addition, the resident is taught to interpret echocardiograms and electrocardiograms and receives formal instruction in the use of the heart-lung machine, including actual participation in its application.

The resident first acts as an assistant in cardiac surgical procedures and rapidly progresses to proficiency in putting patients on cardiopulmonary bypass and supervising removal from cardiopulmonary bypass. Within the first two weeks of training, the resident begins doing parts of cardiac procedures and within four weeks is responsible for the essential parts of many operations. During the rotations, it is expected that the resident will have no difficulty achieving satisfactory numbers of surgical cases.

The chief resident is also responsible for the weekly Resident Teaching Conference along with the weekly Mortality and Morbidity Conference.

During the chief's year, it is anticipated that the resident will assume full responsibility for running of the service and perform increasingly complex surgical procedures, including coronary artery bypass reoperation, aortic valve homograft replacements, mitral valve repairs and surgery for aneurysms of the thoracic aorta.

General Thoracic Surgery

Four three-month rotations are devoted to the general thoracic surgical service at Robert Wood Johnson University Hospital in the first two years. The program is supported by a NCI designated Cancer Center, Regional Perinatal Center, a Radiology Therapy Unit and three MRI facilities. The educational mission is enhanced by weekly Thoracic Surgery/Radiology Conferences and the Mortality and Morbidity Conferences.

On this service, the thoracic surgery resident carries out the initial evaluation of all in-patients and is responsible for their post-operative care. This service comprises the full range of general thoracic surgery, including esophageal surgery and pediatric general thoracic surgery. Early on the resident assumes responsibility as primary surgeon for general thoracic surgery cases commensurate with experience and technical ability. The resident is also afforded the opportunity to perform a number of flexible bronchoscopy examinations and to do flexible esophagoscopy, both under local anesthesia. During this period, instruction is provided in the intricacies of reading pulmonary function studies.

Cases assigned to the resident are presented weekly at the aforementioned Thoracic Surgery/Radiology Conference. The resident also takes part in the Thoracic Surgery Radiology-Pulmonary Medicine Conference each week. On the fourth Friday of the month, this conference is dedicated to unusual cases presented by a pulmonary pathologist.

Pediatric Cardiac Surgery

The resident spends three months at The Medical University of South Carolina in Charleston, South Carolina learning the intricacies of cardiac surgery of infants and children.

The Pediatric experience will be provided by Dr. Fred A. Crawford, Jr. who will be the resident’s mentor. Dr. Crawford is the Program Director and Chairman of the Department of Surgery, as well as, the current President of the American Association of Thoracic Surgery.

Dr. Crawford heads a large Pediatric Cardiology Surgery Program with approximately 240-250 open-heart pediatric cardiac surgery cases. Residents will rotate for three months on his service. On this rotation, their responsibility is solely directed toward pediatric surgery and during this rotation they do not compete with the Medical University of South Carolina’s thoracic residents for cases.

Elective Rotation

During the third year, optional time is available for additional experience in congenital heart disease or in surgical treatment of heart failure, cardiac electrophysiology, and complex thoracic surgery as a three-month elective.

Primary Teaching Hospital

The primary clinical facility is the modern 416 bed Robert Wood Johnson University Hospital, the major tertiary care referral facility in central New Jersey. The hospital features a Level I Trauma Center, one of only three in the state, a new cancer hospital which opened in 2002 and a free standing Bristol-Myers Squibb Children’s Hospital.

Operative Experience