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Cardiothoracic Surgery Training Program

Acceptance in the two-year Cardiothoracic Surgery residency requires satisfactory completion of a five-year General Surgery program. In addition, prospective Cardiothoracic residents are encouraged to spend a year or two in laboratory research prior to beginning their specialty training. Four Chief Residents comprise the Residency Training Program with two being appointed each year.
     In addition to the Cardiothoracic training program, the Division of Cardiothoracic Surgery has educational programs for residents in the PGY-1 and PGY-2 years.

Working Environment
The Division of Cardiothoracic Surgery is staffed by full-time faculty members based at the UCLA Medical Center and at the West Los Angeles VA Medical Center. Faculty members from Surgical Oncology and Pediatric Surgery also participate in the program. Clinical faculty members provide additional teaching support.
     The surgical residents attend numerous interdisciplinary weekly conferences with participation by Cardiology, Radiology, Pathology, etc., as well as daily teaching rounds led by faculty members.

Patient Mix
The patient mix is balanced between those with general thoracic problems (of the lung, esophagus, and mediastinum) and those with cardiac lesions (coronary artery disease, valve malfunction, congenital heart disease, etc.). Residents have the opportunity to work with both adult and pediatric patients. They participate in the pediatric and adult heart transplant program, the heart/lung transplant program, and the lung transplant program.

Core Training
Training in cardiac surgery focuses on mastering accurate assessment of cardiac performance and effective medical management of myocardial dysfunction. Management methodologies considered include pacing, drugs, and application of intra-aortic balloons and left ventricular assist devices. Residents also become knowledgeable in fluid and electrolyte management relative to the endocrine response to stress, blood chemistry interpretation, and renal dysfunction. Pathology staff provide histologic reviews of surgical specimens to help residents correlate pathologic findings with intraoperative observations. The residents also become familiar with those problems in pulmonary function that require the interpretation of perfusion and ventilation abnormalities, understanding of lung compliance, and blood gas analysis.
     Basic Surgical Training Program residents in the PGY-1 and PGY-2 years have ample opportunity to perform thoracentesis and pericardiocentesis. During their rotation in Cardiothoracic Surgery, they place chest tubes, central venous catheters, and intra-arterial lines. The resident will assist in the operating room, and will be trained to appropriately handle tissues, repair arteriotomies, open and close thoracotomy incisions, perform lung biopsies, tracheostomies and bronchoscopies, and insert pacemakers. The resident assists the senior surgeon on major operations.
     Constant emphasis is placed on the principles involved in making patient management decisions. Under supervision, the resident is responsible for postoperative patient care. Residents are expected to acquire skill in diagnosing and treating patients with hypovolemia, depressed cardiac performance, arrhythmias, pericardial tamponade, oliguria, arterial hypertension, and respiratory insufficiency.

Richard Shemin, M.D.
Director, Cardiothoracic Surgery
Residency Program

 

Cardiothoracic Surgery

Length of Program:
Two years

Positions Available:
Two per year at the PGY-6 level.

Eligibility Requirements:
Successful completion of the USMLE Steps 1 - 3

Completion of five years of General Surgery

Board Eligible in General Surgery

Application Deadlines:
January 30

Application Requirements:
Electronic Residency Application Service (ERAS)

Registration with the National Residency Matching Program

Curriculum Vitae

USMLE Step 1 - 3 Scores

Three Letters of Recommendation

Dean's Letter

Match Date:
May 27
 

General Thoracic Surgery
The UCLA Division of Cardiothoracic Surgery has a rich tradition of dedicated Thoracic Surgeons that provide expert surgical services to patients with all types of benign and malignant diseases of the chest. Thoracic Surgery is an integral part of the Division of Cardiothoracic Surgery and to the educational program of residents and fellows. It provides a broad and diversified experience in benign and malignant non-cardiac thoracic pathology with over 900 surgical procedures performed annually at UCLA and its affiliated hospitals.
This includes, but is not limited to, the following conditions and operations:
  • Lung volume reduction surgery for emphysema
  • Thoracic sympathectomy for hyperhidrosis
  • First rib resection for thoracic outlet syndrome
  • Surgical removal of benign and malignant tumors
    • Airway Tumor
    • Barrett's Esophagus
    • Chest Wall Tumor
    • Esophageal Cancer
    • Germ cell tumor
    • Lung nodule, lung cancer, and lung metastasis
    • Mediastinal tumor
    • Mesothelioma
    • Neurogenic tumor
    • Sarcoma
  • Surgical repair of chest wall deformity: pectus excavatum, pectus carinatum
  • Surgery for benign esophageal diseases: achalasia, gastroesophageal reflux disease

  •      There are two weekly clinics that provide an invaluable exposure of these thoracic pathologies to Cardiothoracic Surgery and General Surgery Residents. The residents learn to carefully evaluate patients as potential surgical candidates. They learn the roles played by thoracoscopy, bronchoscopy, pulmonary function studies, and other invasive and non-invasive procedures in making that determination. The program emphasizes multimodality and multidisciplinary protocols involving radiation therapy, chemotherapy, surgery, and biologic therapy. The proper use of these modalities alone and in combination is discussed and illustrated.
         There are several conferences hosted by Thoracic Surgery that provide a unique educational outlet. The “Thoracic Teaching Conference” is held weekly and led by an attending surgeon. This is a formal didactic teaching session. The “Thoracic Oncology Program Tumor Board” occurs weekly where new and established patients with complex thoracic malignancies are presented. From these discussions, our multidisciplinary team comprised of thoracic surgeons, radiation oncologists, medical oncologists, pathologists, pulmonologists, and radiologists, makes a treatment recommendation specific for each patient situation. The residents actively participate in this conference and present patients for discussion. The “Gastrointestinal Tumor Board” provides a forum where patients with esophageal cancer from the Center for Esophageal Diseases are presented. Residents are encouraged to attend this conference. The "Thoracic Morbidity and Mortality" Conference is held monthly and residents present cases for discussion with a didactic focus.

    For more information, please contact: Thoracic Surgery (310) 794-7333 or Cardiac Surgery (310) 206-8232.
     

Cardiothoracic Surgery


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