Graduate Subspecialty and Perceptions of Cardiothoracic Surgery Training: A 60-Year Retrospective Study

Antonoff, Mara B.; Luc, Jessica G.Y.; Patterson, G. Alexander; Meyers, Bryan F.; Damiano, Ralph J.; Moon, Marc R.

doi:10.1016/j.athoracsur.2018.07.043

Cited by 12 publications

(5 citation statements)

References 28 publications

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“…The ability of the new faculty member to honestly recognize their comfort levels with specific surgical procedures which they will be required to perform is of utmost importance. Antonoff and colleagues 9 recently published a study evaluating cardiothoracic surgery graduates' perceived readiness for independent practice throughout a variety of areas, but importantly, technical training. They found that despite specialization into either cardiac or thoracic tracking, not all graduates feel prepared to perform what can be classified as standard cardiothoracic surgical cases.…”

Section: Identify Your Technical Starting Point and Grow From Therementioning

confidence: 99%

Entering the great unknown: Transition to academic practice

Fiedler

Sihag

2020

The Journal of Thoracic and Cardiovascular Surgery

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Section: Identify Your Technical Starting Point and Grow From Therementioning

confidence: 99%

Entering the great unknown: Transition to academic practice

Fiedler

Sihag

2020

The Journal of Thoracic and Cardiovascular Surgery

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“…In many cases, however, these curricula are limited by the examination being "low stakes," with faculty members examining trainees from their home institution, not affording the ability to simulate a more "high stakes MOE" experience. 1,7 The coronavirus disease 2019 (COVID-19) pandemic has highlighted the ability for us as cardiothoracic surgeons to communicate and collaborate via Internet platforms like Zoom. In doing so, we have the enhanced capability to bring together faculty and trainees from across the country.…”

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confidence: 99%

“…Successfully preparing for, taking, and passing The American Board of Thoracic Surgery (ABTS) certifying and qualifying examinations and becoming a board-certified cardiothoracic surgeon is a challenging endeavor and a major accomplishment for graduates of Accreditation Council for Graduate Medical Education (ACGME)-accredited cardiothoracic surgery training programs. 1 , 2 , 3 To become ABTS-certified, trainees must successfully complete the qualifying examination (Part I) followed by the certifying oral examination (Part II). Part II is a high-stakes examination administered by board-certified cardiothoracic surgeons from across the country.…”

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confidence: 99%

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Multi-institutional collaborative mock oral (mICMO) examination for cardiothoracic surgery trainees: Results from the pilot experience

et al. 2020

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Objective: The American Board of Thoracic Surgery-certifying examination is challenging for applicants. Single institutions have reported good results with a mock oral examination (MOE) for trainees. General surgery literature has demonstrated success with in-person multi-institutional MOE examinations. Due to small numbers of cardiothoracic training programs and significant geographic variability, we hypothesized that a multi-institutional, collaborative remotely administered MOE (mICMO) pairing faculty with trainees from different institutions would provide an important educational experience. Methods: mICMOs were conducted via the Zoom virtual platform across 6 institutions. Descriptive results via post-experience survey were analyzed and reported. Results: In total, 100% of trainees found mICMO useful. The majority would recommend to a peer, and 100% of faculty examiners found mICMO useful and would participate in another examination. Conclusions: Faculty and trainees found the experience to be effective with respect to creating a high-stakes environment, educationally beneficial, and productive. These results support the continued use of mICMO and encourage expansion and collaboration with additional institutions across the country. (JTCVS Open 2020;3:128-35) Drs Antonoff and Fiedler examine a trainee during the pilot mICMO examination. CENTRAL MESSAGE mICMO is a collaborative effort across institutions to virtually simulate a high-stakes MOE of the ABTS qualifying examination to educate and prepare our trainees for board certification. PERSPECTIVE The ABTS-certifying examination is challenging for applicants. An MOE has been shown to improve trainees' performance. Creating a simulated, virtual, high-stakes MOE with trainees examined by faculty outside their home institution has not been investigated. We found that this multiinstitutional collaborative effort is useful and educationally beneficial. See Commentaries on pages 136 and 138. Successfully preparing for, taking, and passing The American Board of Thoracic Surgery (ABTS) certifying and qualifying examinations and becoming a board-certified cardiothoracic surgeon is a challenging endeavor and a major accomplishment for graduates of Accreditation Council for Graduate Medical Education (ACGME)-accredited cardiothoracic surgery training programs. 1-3 To become

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“…However, it does not happen passively; this requires a focused and concerted effort. Taking, for example, the 90-year history of cardiothoracic surgery training at Washington University School of Medicine, where our study in this journal was performed, 2,11 1 woman and (and no trainees of any other underrepresented minorities) completed cardiothoracic surgical training between 1929 and 2003. In contrast, of the 50 graduates who completed cardiothoracic surgical training at the same institution between 2003 and 2019, 28% have been women or underrepresented minorities.…”

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confidence: 99%