TY - JOUR
T1 - Global perspectives on cardiothoracic, cardiovascular, and cardiac surgical training
AU - Nissen, Alexander P
AU - Smith, Julian A
AU - Schmitto, Jan Dieter
AU - Mariani, Silvia
AU - Almeida, Rui M S
AU - Afoke, Jonathan
AU - Asai, Tohru
AU - Luc, Jessica G Y
AU - Shapira, Oz M
AU - Mennander, Ari
AU - Tanaka, Akiko
AU - Kaleda, Vasily I
AU - Wan, Song
AU - Wick, Alexander
AU - Reichenspurner, Hermann
AU - Cohn, Benjamin M
AU - Nguyen, Tom C
N1 - Copyright © 2020 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.
PY - 2020/12/28
Y1 - 2020/12/28
N2 - OBJECTIVE: Various methods for cardiothoracic, cardiovascular, and cardiac surgical training exist across the globe, with the common goal of producing safe, independent surgeons. A comparative analysis of international training paradigms has not been undertaken, and our goal in doing so was to offer insights into how to best prepare future trainees and ensure the health of our specialty.METHODS: We performed a comparative analysis of available publications offering detailed descriptions of various cardiothoracic, cardiovascular, and cardiac surgical training paradigms. Corresponding authors from previous publications and other international collaborators were also reached directly for further data acquisition.RESULTS: We report various approaches to common challenges surrounding (1) selection of trainees and plans for the future surgical workforce; (2) trainee assessments and certification of competency before independent practice; and (3) challenges related to a changing practice landscape.CONCLUSIONS: Cardiothoracic surgery remains a dynamic and rewarding specialty. Current and future trainees face several challenges that transcend national borders. To foster collaboration and adoption of best practices, we highlight international strengths and weaknesses of various nations in terms of workforce selection, trainee operative experience and assessment, board certification, and preparation for future changes anticipated in cardiothoracic surgery.
AB - OBJECTIVE: Various methods for cardiothoracic, cardiovascular, and cardiac surgical training exist across the globe, with the common goal of producing safe, independent surgeons. A comparative analysis of international training paradigms has not been undertaken, and our goal in doing so was to offer insights into how to best prepare future trainees and ensure the health of our specialty.METHODS: We performed a comparative analysis of available publications offering detailed descriptions of various cardiothoracic, cardiovascular, and cardiac surgical training paradigms. Corresponding authors from previous publications and other international collaborators were also reached directly for further data acquisition.RESULTS: We report various approaches to common challenges surrounding (1) selection of trainees and plans for the future surgical workforce; (2) trainee assessments and certification of competency before independent practice; and (3) challenges related to a changing practice landscape.CONCLUSIONS: Cardiothoracic surgery remains a dynamic and rewarding specialty. Current and future trainees face several challenges that transcend national borders. To foster collaboration and adoption of best practices, we highlight international strengths and weaknesses of various nations in terms of workforce selection, trainee operative experience and assessment, board certification, and preparation for future changes anticipated in cardiothoracic surgery.
U2 - 10.1016/j.jtcvs.2019.12.111
DO - 10.1016/j.jtcvs.2019.12.111
M3 - Article
C2 - 32111431
SN - 0022-5223
JO - The Journal of thoracic and cardiovascular surgery
JF - The Journal of thoracic and cardiovascular surgery
ER -