Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study Mara B. Antonoff, MD, Jessica G.Y. Luc, MD, G.

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Presentation transcript:

Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study Mara B. Antonoff, MD, Jessica G.Y. Luc, MD, G. Alexander Patterson, MD, Bryan F. Meyers, MD, MPH, Ralph J. Damiano, MD, Marc R. Moon, MD The Annals of Thoracic Surgery Volume 107, Issue 1, Pages 285-293 (January 2019) DOI: 10.1016/j.athoracsur.2018.07.043 Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Graduate perception of preparedness for (A) the qualifying examination and (B) the certifying examination as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Graduate perception of preparedness for patient care in (A) office-based patient evaluations, (B) cardiothoracic (CT) surgery critical care, (C) in-hospital patient care, (D) postoperative patient care, (E) complications, and (F) long-term patient care and outcomes, as stratified by ultimate clinical focus. The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Graduates’ perception of preparedness in (A) creating a treatment plan, as well as diagnosis and care of patients in (B) adult cardiac surgery, (C) congenital cardiac surgery and (D) general thoracic surgery, as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Graduates’ perception of preparedness of technical training in (A) adult cardiac surgery, (B) general thoracic surgery and (C) congenital cardiac surgery, as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Graduates’ perception of preparedness in performing specific cardiac surgical cases, including (A) coronary artery bypass grafting (CABG), (B) mitral valve, (C) aortic valve, (D) aortic dissection, (E) aortic aneurysm, and (F) heart transplantation surgery, as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Graduates’ perception of preparedness in performing specific thoracic surgical cases, including (A) esophageal, (B) lung transplantation, and (C) pulmonary surgery, as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 7 Graduates’ perception of preparedness for independent practice when stratified across eight time ranges spanning 6 decades (from before 1983 to 2017). The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions

Fig 8 Graduates’ perception of preparedness for (A) independent practice, (B) desired change in length of training, and (C) whether graduates undertook additional training after residency, as stratified by ultimate clinical focus. (CT = cardiothoracic.) The Annals of Thoracic Surgery 2019 107, 285-293DOI: (10.1016/j.athoracsur.2018.07.043) Copyright © 2019 The Society of Thoracic Surgeons Terms and Conditions