Resident Education Program in Thoracic Surgery

Learner Objectives

Evaluation of a resident’s understanding of a specific topic will be reviewed (in part) at the time of the operation during resident-faculty interaction. Feedback will be verbal and immediate. 

At the end of each rotation, residents will be evaluated by faculty, in writing, based upon the programs goals and objectives and ACGME core competencies. Additional evaluations will be conducted by the faculty to measure each resident's operative skill performance. 

Residents, in turn, will evaluate faculty’s teaching and education efforts. They will also evaluate each rotation at its conclusion. 

Questions or comments can be directed to Karen Kennedy, Resident Program Coordinator at (615) 343-2951 or to Dr. Putnam, Program Director at (615) 343-9202. 
 

Learner Objectives will be taught through:

• The TSDA (Thoracic Surgery Directors Association) Comprehensive PreRequisite Thoracic Surgery Curriculum.
   
• Specific lectures pertaining to the topics in the TSDA (Thoracic Surgery Directors Association) Comprehensive Requisite Thoracic Surgery Curriculum  
   
• Didactic and other conferences
  
  
• Perioperative and operative management
   
• Self-education and reading
  
  
• Faculty demonstration of ACGME core competencies coupled with resident counseling on a daily or as needed basis

Evaluation Tools

Evaluation instruments include:   

• Faculty Evaluation of Resident
• Assessment of Operative Skills
• Cardiac Rotations
  Fundamentals of Cardiac Surgery
  Aortic Valve Replacement
  Aorto-coronary Revascularization
  Mitral Valve Repair or Replace
  
   
• Resident Evaluation of Faculty 
• Resident Evaluation of Rotation
• Resident Evaluation of Program
• Daily feedback from faculty to resident
  • Conferences
    • Non-patient care settings
    • Other
  • Patient care settings
    • Operating room
    • Intensive care unit
    • General care wards
    • Outpatient clinics
    • OtherDaily feedback from faculty to resident

Evaluation of Core Competencies

Program Core Competencies

1. Patient Care - OP Skills

2. Medical Knowledge - Didactic Skills

3. Practice-Based Learning & Improvement - Practice Management & Improvement PMI/QI Conferences

4. Interpersonal & Communication Skills - Demonstrated by Faculty, Observed by Resident, Practiced by Resident, Evaluated by Faculty, Daily Feedback as Needed

5. Professionalism - Demonstrated by Faculty, Observed by Resident, Practiced by Resident, Evaluated by Faculty, Daily Feedback as Needed

6. Systems-Based Practice - Patient Mgmt Pre-Op Conf

Operative Skill Evaluation for Thoracic Residents

1. Defined Skills
2. Evaluate skills performed (Faculty evaluates resident)
3. Evaluate skills taught (Resident evaluates faculty)
4. Feedback
5. Committee Review & recommendations (q rotation)
6. If success for year of training, continue to next year
7. If failure for year of training, proceed with counseling
8. then Additional Educational Opportunities
9. then Additional performance experience
10. then additional performance time
11. Reevaluate by committee
12. If success, continue to next year
13. if Failure, reevaluate and further action as necessary
    
    

Patient Care / OP Skills 
 

1. Defined Skills
2. Resident evaluates teaching
3. Faculty evaluates resident
4. Written review
5. Action
   
   

Medical Knowledge 
 

1. Defined Didactic Curriculum 
2. Resident learns curriculum, resident evaluates faculty, resident evaluates rotation
3. Faculty teaches curriculum, faculty evaluates resident
4. Committee review
5. Action
   
   

Practice-Based Learning & Improvement 
 

1. Measure with performance improvement initiatives and questions
2. Evaluation in each rotation
3. ACGME/IOM Matrix
4. Patient Mgmt Pre-Op Conf
   
   

Interpersonal & Communication Skills 
 

1. Demonstrated by Faculty, Observed by Resident, Practiced by Resident, Evaluated by Faculty, Daily Feedback as Needed
2. Evaluation recorded at end of rotation
   
   

 System Based Practice

1. Demonstrated by Faculty, Observed by Resident, Practiced by Resident, Evaluated by Faculty, Daily Feedback as Needed
2. Evaluation recorded at end of rotation