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Canadian Journal of Cardiology

Cardiac Surgery Training in the Transcatheter Era

Published:August 04, 2022DOI:https://doi.org/10.1016/j.cjca.2022.07.019
      The development of cardiopulmonary bypass during the mid 1900s revolutionized surgical care for cardiac patients. As surgeons all over the world adapted to this new technology, further innovation in the form of less invasive transcatheter approaches was pioneered by colleagues in interventional cardiology and other catheter-based specialties. These techniques have advanced extraordinarily rapidly and not yet been matched by cardiac surgery training programs, which have traditionally focused on open surgical procedures. As such, it is newly challenging for most Canadian cardiac surgery programs to provide their residents with ample exposure to the skills necessary to master these advances. Factors contributing to this issue have included a lack of staff surgeon expertise, insufficiently granular training objectives for residents, underdeveloped training outside of the operating room, and needing to share caseloads with other specialties.

      Muller Moran HR, Maurice-Ventouris M, Alharbi M, Ahn BT, Harley JM, Lachapelle KJ. Pan-Canadian initiative on fundamental competencies for transcatheter cardiac surgery: a modified Delphi consensus study [e-pub ahead of print]. J Thorac Cardiovasc Surg https://doi.org/10.1016/j.jtcvs.2021.07.048. Accessed September 19, 2022.

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      References

      1. Muller Moran HR, Maurice-Ventouris M, Alharbi M, Ahn BT, Harley JM, Lachapelle KJ. Pan-Canadian initiative on fundamental competencies for transcatheter cardiac surgery: a modified Delphi consensus study [e-pub ahead of print]. J Thorac Cardiovasc Surg https://doi.org/10.1016/j.jtcvs.2021.07.048. Accessed September 19, 2022.

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