Requirements
|
Cardiothoracic
Pathway
|
General Thoracic
Pathway
|
Cardiac
Pathway
|
|
Total
|
Subtotal
|
Total
|
Subtotal
|
Total
|
Subtotal
|
CONGENITAL CARDIAC |
|
|
|
|
|
|
|
|
|
|
|
|
|
Congenital Heart Disease
|
20
|
|
10 |
|
20
|
|
Primary surgeon
|
|
5
|
|
0
|
|
5
|
First assistant
|
|
15
|
|
10
|
|
15 |
Subtotal Congenital Heart Disease
|
20
|
|
10
|
|
20
|
|
|
|
|
|
|
|
|
ADULT CARDIAC
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Acquired Valvular Heart Disease
|
60
|
|
30
|
|
90
|
|
Surgical Aortic Valve Repair/Replacement
|
|
25
|
|
15
|
|
25
|
Mitral Valve Repair/ Replacement
|
|
15 |
|
5
|
|
N/A
|
Mitral Valve Repair
|
|
N/A
|
|
N/A
|
|
10
|
Mitral Valve Replacement
|
|
N/A
|
|
N/A
|
|
5
|
Tricuspid Valve Repair/Replacement, Annuloplasty
|
|
5
|
|
5
|
|
5
|
TAVR as primary
|
|
5
|
|
0
|
|
20
|
TAVR as assistant
|
|
10
|
|
5
|
|
20
|
Transcatheter Mitral/Tricuspid Intervention
|
|
0
|
|
0
|
|
5
|
|
|
|
|
|
|
|
Myocardial Revascularization
|
80
|
|
35
|
|
80
|
|
Primary CABG
|
|
0
|
|
0
|
|
60
|
Complex CABG (Multiple Arterial, Hybrid, Beating Heart, Redo)
|
|
0
|
|
0
|
|
20
|
|
|
|
|
|
|
|
Re-Do Sternotomy1
|
15
|
|
5
|
|
15 |
|
|
|
|
|
|
|
|
Interventional Wire-based Diagnostic Procedures4
|
5
|
|
0
|
|
35
|
|
Left Heart Catheterization, PCI,TEVAR, and Mitral Clip
|
|
5
|
|
0
|
|
N/A
|
Intravascular Ultrasound4
|
|
0 |
|
0
|
|
5
|
Heart Catheterization (coronary angiogram)
|
|
0
|
|
0
|
|
20
|
Transeptal puncture4
|
|
0
|
|
0
|
|
5
|
Ultrasound guided access4 |
|
0
|
|
0
|
|
5
|
|
|
|
|
|
|
|
Conduit Dissection and Preparation2
|
5
|
|
5
|
|
10
|
|
Radial Artery Harvest (open or endoscopic)
|
|
0
|
|
0
|
|
5
|
Saphenous Vein Open Harvest
|
|
0
|
|
|
|
5
|
|
|
|
|
|
|
|
Aortic Procedures3
|
10
|
|
5
|
|
25
|
|
Any combination of Ascending Aorta/Aortic Root Replacement, Descending Aortic Replacement, Aortic Dissection, Aortic Trauma
|
|
10
|
|
5
|
|
0
|
TEVAR and EVAR
|
|
0
|
|
0
|
|
15
|
Aortic Root Replacement (including VSRR or Composite Valve Graft)
|
|
0
|
|
0
|
|
5
|
Replacement of Ascending Aorta, Arch, Descending Aorta; Surgery for Aortic Dissection
|
|
0
|
|
0
|
|
5
|
|
|
|
|
|
|
|
Arrhythmia Surgery3
|
10
|
|
0
|
|
15
|
|
Left Atrial or Biatrial Maze, Pulmonary Vein Isolation, Right-sided Maze, Isthmus Ablation
|
|
5
|
|
0
|
|
10
|
Pacemaker Insertion or Pacemaker Removal
|
|
5
|
|
0
|
|
5
|
|
|
|
|
|
|
|
Cardiopulmonary Bypass set-up and pump run with Perfusionist
|
5
|
|
5
|
|
5
|
|
|
|
|
|
|
|
|
Circulatory Assist4
|
20
|
|
10
|
|
35
|
|
Intra-aortic Balloon Pump
|
|
10
|
|
5
|
|
5
|
Any combination of ECMO, VAD
|
|
10
|
|
5
|
|
N/A
|
Ventricular Assist Device Implant (Temporary Endovascular, Paracorporeal Ventricular Assist or implantable Durable Ventricular Support)
|
|
0
|
|
0
|
|
15
|
Extracorporeal membrane oxygenator support (VA or VV)
|
|
0
|
|
0
|
|
10
|
Thoracic Transplant (Any combination of heart or lung implant, heart or lung procurement)
|
|
0
|
|
0
|
|
5
|
|
|
|
|
|
|
|
Subtotal Adult Cardiac Experience
|
210
|
|
95
|
|
310
|
|
|
|
|
|
|
|
|
GENERAL THORACIC
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Lung |
60
|
|
105
|
|
45
|
|
Any Major Anatomic Resection: Open, VATS, or RATS (Segmentectomy, Lobectomy, Pneumonectomy, Lung Transplantation5)
|
|
30
|
|
50
|
|
30
|
VATS/RATS Lobectomy specifically
|
|
5
|
|
25
|
|
0
|
Open or VATS Lung Biopsy/Wedge Resection
|
|
25
|
|
30
|
|
0
|
MIS Lobectomy, Biopsy, Wedge Resection
|
|
0
|
|
0
|
|
15
|
|
|
|
|
|
|
|
Pleura
|
10
|
|
25
|
|
10
|
|
Major (Empyema Decortication, Pleurectomy Decortication, other Pleural Tumor Resection)
|
|
0
|
|
5
|
|
0
|
Minor (Biopsy, Pleurectomy, VATS Sympathectomy, VATS Bleb Resection, VATS Pleurodesis, Evacuation of Hemothorax)
|
|
0 |
|
15
|
|
0
|
Interventional: In-dwelling Cuffed Pleural Catheter Insertion
|
|
0
|
|
5
|
|
0
|
|
|
|
|
|
|
|
Chest Wall and Diaphragm
|
5
|
|
10
|
|
3
|
|
Chest Wall Resection6, Rib Resection, Rib Plating, Pectus Repair, Diaphragm Resection or Plication, Repair of Morgagni, Bochdalek, Traumatic Hernia
|
|
5 |
|
10 |
|
3
|
|
|
|
|
|
|
|
Mediastinum
|
5
|
|
10
|
|
0
|
|
Tumor/Cyst/Mass Resection via Open, VATS, or Robotic Technique
|
|
5
|
|
10
|
|
0
|
|
|
|
|
|
|
|
Tracheobronchial – Airway Surgery7
|
0
|
|
5
|
|
0
|
|
Tracheal Resection, Laryngotracheal Resection, Sleeve Lobectomy, Carinal Pneumonectomy, Transplantation Airway Anastomosis
|
|
0
|
|
5
|
|
0
|
|
|
|
|
|
|
|
Esophagus
|
10
|
|
35
|
|
5
|
|
Esophagectomy (Open or MIE)
|
|
5
|
|
20
|
|
0
|
Benign Esophagus-Repair of Perforation, Drain Perforation, Diverticulectomy, Myotomy, Hiatial Hernia Repair
|
|
5
|
|
10
|
|
0
|
Laparoscopic Hiatal or Paraesophageal Repair
|
|
0
|
|
5
|
|
0
|
|
|
|
|
|
|
|
Subtotal General Thoracic Experience |
90
|
|
190
|
|
63
|
|
|
|
|
|
|
|
|
TOTAL MAJOR OPERATIVE EXPERIENCE
|
320
|
|
295
|
|
393
|
|
|
|
|
|
|
|
|
MINOR PROCEDURES8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Bronchoscopy
|
30
|
|
40
|
|
20
|
|
Simple (BAL, Diagnostic, TBBx, Bx) |
|
0
|
|
30
|
|
0
|
Complex (Laser, Dilation, Stent, Navigational Bronchoscopy, Photodynamic Therapy, Cryotherapy)
|
|
0
|
|
10
|
|
0
|
|
|
|
|
|
|
|
UGI Endoscopy
|
10
|
|
30
|
|
5
|
|
Simple (Diagnostic, Bx)
|
|
0
|
|
20
|
|
0
|
Complex (Dilation, Stent, EUS, EMR)
|
|
0
|
|
10
|
|
0
|
|
|
|
|
|
|
|
Mediastinal Assessment
|
15
|
|
55
|
|
10
|
|
Mediastinoscopy, Chamberlain (Mediastinotomy)
|
|
5
|
|
15
|
|
0
|
EBUS/FNA
|
|
0
|
|
10
|
|
0
|
Mediastinal Node Dissection/Systematic Sampling during Lung Resection
|
|
10
|
|
30
|
|
0
|
|
|
|
|
|
|
|
Subtotal Minor Procedures
|
55
|
|
125
|
|
35
|
|
|
|
|
|
|
|
|
ADDITIONAL REQUIREMENTS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consultation Experience
|
50
|
|
50
|
|
50
|
|
New Patients
|
|
25
|
|
25
|
|
25
|
Follow-up Patients
|
|
25
|
|
25
|
|
25
|
|
|
|
|
|
|
|
Multidisciplinary Patient Management Conferences
|
20
|
|
20
|
|
55
|
|
Any combination of Tumor Board, Cardiac Catheterization Conference, Multidisciplinary Clinics, Transplant Selection Committee Meetings, etc.
|
|
20
|
|
20
|
|
20
|
Structural Heart Team Conference
|
|
N/A
|
|
N/A
|
|
25
|
Coronary Disease Heart Team Conference
|
|
N/A
|
|
N/A
|
|
10
|
|
|
|
|
|
|
|
Cardiac Imaging (Assist with Interpretation)
|
N/A
|
|
N/A
|
|
60
|
|
TAVR CT
|
|
N/A
|
|
N/A
|
|
25
|
Transesophageal Echocardiography
|
|
N/A
|
|
N/A
|
|
25
|
Cardiac MRI
|
|
N/A
|
|
N/A
|
|
10
|
|
|
|
|
|
|
|
Cardiothoracic Critical Care Case Management experience (Provide log sheet for each case with at least one case from each of the seven categories. See details below)
|
75
|
|
75
|
|
75
|
|
General Thoracic
|
|
20
|
|
20
|
|
10
|
Cardiac and Congenital
|
|
20
|
|
20
|
|
30
|
Any additional Cardiothoracic Critical Care case
|
|
35
|
|
35
|
|
35
|
|
|
|
|
|
|
|
Simulation (Hours required from any technique-based simulation curriculum or simulation of Cardiopulmonary Bypass Management)
|
20 hrs
|
|
20 hrs
|
|
20 hrs
|
|