Congenital cardiac surgery fellowship training: A status update
Congenital cardiac surgery fellowship training: A status update
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DOI：
10.1016/j.jtcvs.2016.02.039
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发表时间：
2016-06-01
影响因子：
6
通讯作者：
Backer, Carl
中科院分区：
文献类型：
--
作者：
Kogon, Brian;Karamlou, Tara;Backer, Carl
背景：2007年，先天性心脏手术成为美国医学研究生教育认证委员会(ACGME)认可的院士，并获得美国胸科外科委员会(ABTS)的委员会认证。我们强调了当前认证培训体系的优势和劣势。方法：数据收集自项目主管、ACGME和ABTS。此外，还向培训项目毕业生发送了调查问卷。主题包括项目认证状态、每年和每个项目培训的研究员数量、匹配结果、同事操作经验、同事满意度和研究员毕业后就业状况。结果：共有12个有效的认证研究员项目，44名学员完成了认证培训。每个活动项目平均培训了3名研究员(范围为0-7)。手术日志取自44名毕业生中的38名(86%)。病例总数的中位数(最少75例)为136例(范围：75-236例)。对于复杂新生儿(最少5例)，病例的中位数为6例(范围：2-17例)。一些研究员没有达到最低要求。36名毕业生(82%)回答了调查；大多数人对他们的整体手术经验感到满意，但对他们的新生儿手术经验较少。其中84%的人目前从事先天性心脏手术，74%的人在实习结束前找到了工作。结论：自2007年以来，先天性心脏手术培训已获得ACGME的认可。总的来说，训练是统一的，手术经验是稳健的，研究员是满意的。尽管缺点仍然存在，但这项研究突出了当前制度的许多优点。
Background: In 2007, congenital cardiac surgery became a recognized fellowship by the Accreditation Council of Graduate Medical Education (ACGME) and leads to board certification through the American Board of Thoracic Surgery (ABTS). We highlight the strengths and weaknesses in the current system of accredited training.Methods: Data were collected from program directors, the ACGME, and the ABTS. In addition, surveys were sent to training program graduates. Topics included program accreditation status, number of fellows trained per year and per program, match results, fellow operative experience, fellow satisfaction, and post-fellowship employment status.Results: There are twelve active accredited fellowship programs, and 44 trainees have completed accredited training. Each active program has trained a median of 3 fellows (range: 0-7). Operative logs were obtained from 38 of 44 (86%) graduates. The median number of total cases (minimum 75) was 136 (range: 75-236). For complex neonates (minimum 5), the median number of cases was 6 (range: 2-17). Some fellows failed to meet the minimum requirements. Thirty-six (82%) graduates responded to the survey; most were satisfied with their overall operative experience, but less with their neonatal operative experience. Of this total, 84% are currently practicing congenital cardiac surgery, and 74% secured jobs prior to completing their residency.Conclusions: Since 2007, congenital cardiac surgery training has been accredited by the ACGME. In general, the training is uniform, the operative experience is robust, and the fellows are satisfied. Although shortcomings remain, this study highlights the many strengths of the current system.