Survey of resident training in beating heart operations

Marco Ricci, Hratch L. Karamanoukian, Giuseppe D'Ancona, Jacob DeLaRosa, Raffy L. Karamanoukian, Sue Choi, Jacob Bergsland, Tomas Salerno

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background. 'Off-pump' coronary artery operations are done with increasing frequency in the treatment of coronary artery disease. As a result, residents in thoracic surgery have been confronted with the necessity of gaining experience in this innovative approach to coronary surgery. The aim of this study was to assess the importance of training in minimally invasive coronary revascularization as it was perceived by thoracic surgery residents. Methods. A postal, multiple-choice survey questionnaire was sent to all cardiothoracic surgery residents (n = 327) of accredited training programs in the United States. Responses were tabulated and analyzed. Results. The overall response rate was 68% (222 of 327 residents). The attending staff was very interested (37%), or had some interest (63%), in beating heart coronary revascularization. Ninety-eight percent of the programs had at least one surgeon performing off-pump procedures. Although 88% of the responding residents showed some interest in off-pump coronary operations, only 22% of them had performed more than 20 off-pump cases, and even less (12%) had performed more than 20 cases of off-pump complete revascularization, or off-pump circumflex revascularization (4%). Sixteen percent of them had no clinical experience with these techniques. Regarding career intentions, 88% of the residents indicated that off-pump coronary operations were expected to be part of the practice, and 58% of them were interested in pursuing additional training in less invasive heart procedures. Conclusions. The results of this survey suggest that training in off-pump coronary revascularization is variable across training programs, and that the majority of residents may not reach proficiency in coronary procedures on the beating heart during their residency. This may adversely affect their future expectations, as 88% of them would like to practice off-pump coronary surgery once the training is completed. (C) 2000 by The Society of Thoracic Surgeons.

Original languageEnglish
Pages (from-to)479-482
Number of pages4
JournalAnnals of Thoracic Surgery
Volume70
Issue number2
DOIs
StatePublished - Sep 6 2000
Externally publishedYes

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Thoracic Surgery
Education
Internship and Residency
Coronary Artery Disease
Coronary Vessels
Surveys and Questionnaires
Therapeutics
Surgeons

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Ricci, M., Karamanoukian, H. L., D'Ancona, G., DeLaRosa, J., Karamanoukian, R. L., Choi, S., ... Salerno, T. (2000). Survey of resident training in beating heart operations. Annals of Thoracic Surgery, 70(2), 479-482. https://doi.org/10.1016/S0003-4975(00)01543-5

Survey of resident training in beating heart operations. / Ricci, Marco; Karamanoukian, Hratch L.; D'Ancona, Giuseppe; DeLaRosa, Jacob; Karamanoukian, Raffy L.; Choi, Sue; Bergsland, Jacob; Salerno, Tomas.

In: Annals of Thoracic Surgery, Vol. 70, No. 2, 06.09.2000, p. 479-482.

Research output: Contribution to journalArticle

Ricci, M, Karamanoukian, HL, D'Ancona, G, DeLaRosa, J, Karamanoukian, RL, Choi, S, Bergsland, J & Salerno, T 2000, 'Survey of resident training in beating heart operations', Annals of Thoracic Surgery, vol. 70, no. 2, pp. 479-482. https://doi.org/10.1016/S0003-4975(00)01543-5
Ricci M, Karamanoukian HL, D'Ancona G, DeLaRosa J, Karamanoukian RL, Choi S et al. Survey of resident training in beating heart operations. Annals of Thoracic Surgery. 2000 Sep 6;70(2):479-482. https://doi.org/10.1016/S0003-4975(00)01543-5
Ricci, Marco ; Karamanoukian, Hratch L. ; D'Ancona, Giuseppe ; DeLaRosa, Jacob ; Karamanoukian, Raffy L. ; Choi, Sue ; Bergsland, Jacob ; Salerno, Tomas. / Survey of resident training in beating heart operations. In: Annals of Thoracic Surgery. 2000 ; Vol. 70, No. 2. pp. 479-482.
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abstract = "Background. 'Off-pump' coronary artery operations are done with increasing frequency in the treatment of coronary artery disease. As a result, residents in thoracic surgery have been confronted with the necessity of gaining experience in this innovative approach to coronary surgery. The aim of this study was to assess the importance of training in minimally invasive coronary revascularization as it was perceived by thoracic surgery residents. Methods. A postal, multiple-choice survey questionnaire was sent to all cardiothoracic surgery residents (n = 327) of accredited training programs in the United States. Responses were tabulated and analyzed. Results. The overall response rate was 68{\%} (222 of 327 residents). The attending staff was very interested (37{\%}), or had some interest (63{\%}), in beating heart coronary revascularization. Ninety-eight percent of the programs had at least one surgeon performing off-pump procedures. Although 88{\%} of the responding residents showed some interest in off-pump coronary operations, only 22{\%} of them had performed more than 20 off-pump cases, and even less (12{\%}) had performed more than 20 cases of off-pump complete revascularization, or off-pump circumflex revascularization (4{\%}). Sixteen percent of them had no clinical experience with these techniques. Regarding career intentions, 88{\%} of the residents indicated that off-pump coronary operations were expected to be part of the practice, and 58{\%} of them were interested in pursuing additional training in less invasive heart procedures. Conclusions. The results of this survey suggest that training in off-pump coronary revascularization is variable across training programs, and that the majority of residents may not reach proficiency in coronary procedures on the beating heart during their residency. This may adversely affect their future expectations, as 88{\%} of them would like to practice off-pump coronary surgery once the training is completed. (C) 2000 by The Society of Thoracic Surgeons.",
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AU - D'Ancona, Giuseppe

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AU - Choi, Sue

AU - Bergsland, Jacob

AU - Salerno, Tomas

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N2 - Background. 'Off-pump' coronary artery operations are done with increasing frequency in the treatment of coronary artery disease. As a result, residents in thoracic surgery have been confronted with the necessity of gaining experience in this innovative approach to coronary surgery. The aim of this study was to assess the importance of training in minimally invasive coronary revascularization as it was perceived by thoracic surgery residents. Methods. A postal, multiple-choice survey questionnaire was sent to all cardiothoracic surgery residents (n = 327) of accredited training programs in the United States. Responses were tabulated and analyzed. Results. The overall response rate was 68% (222 of 327 residents). The attending staff was very interested (37%), or had some interest (63%), in beating heart coronary revascularization. Ninety-eight percent of the programs had at least one surgeon performing off-pump procedures. Although 88% of the responding residents showed some interest in off-pump coronary operations, only 22% of them had performed more than 20 off-pump cases, and even less (12%) had performed more than 20 cases of off-pump complete revascularization, or off-pump circumflex revascularization (4%). Sixteen percent of them had no clinical experience with these techniques. Regarding career intentions, 88% of the residents indicated that off-pump coronary operations were expected to be part of the practice, and 58% of them were interested in pursuing additional training in less invasive heart procedures. Conclusions. The results of this survey suggest that training in off-pump coronary revascularization is variable across training programs, and that the majority of residents may not reach proficiency in coronary procedures on the beating heart during their residency. This may adversely affect their future expectations, as 88% of them would like to practice off-pump coronary surgery once the training is completed. (C) 2000 by The Society of Thoracic Surgeons.

AB - Background. 'Off-pump' coronary artery operations are done with increasing frequency in the treatment of coronary artery disease. As a result, residents in thoracic surgery have been confronted with the necessity of gaining experience in this innovative approach to coronary surgery. The aim of this study was to assess the importance of training in minimally invasive coronary revascularization as it was perceived by thoracic surgery residents. Methods. A postal, multiple-choice survey questionnaire was sent to all cardiothoracic surgery residents (n = 327) of accredited training programs in the United States. Responses were tabulated and analyzed. Results. The overall response rate was 68% (222 of 327 residents). The attending staff was very interested (37%), or had some interest (63%), in beating heart coronary revascularization. Ninety-eight percent of the programs had at least one surgeon performing off-pump procedures. Although 88% of the responding residents showed some interest in off-pump coronary operations, only 22% of them had performed more than 20 off-pump cases, and even less (12%) had performed more than 20 cases of off-pump complete revascularization, or off-pump circumflex revascularization (4%). Sixteen percent of them had no clinical experience with these techniques. Regarding career intentions, 88% of the residents indicated that off-pump coronary operations were expected to be part of the practice, and 58% of them were interested in pursuing additional training in less invasive heart procedures. Conclusions. The results of this survey suggest that training in off-pump coronary revascularization is variable across training programs, and that the majority of residents may not reach proficiency in coronary procedures on the beating heart during their residency. This may adversely affect their future expectations, as 88% of them would like to practice off-pump coronary surgery once the training is completed. (C) 2000 by The Society of Thoracic Surgeons.

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