Advertisement
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.

      H.R. Muller Moran, M. Maurice-Ventouris, M. Alharbi, B.T. Ahn, J.M. Harley, K.J. Lachapelle. Pan-Canadian initiative on Fundamental Competencies for Transcatheter Cardiac Surgery: A modified Delphi consensus study. J Thorac Cardiovasc Surg. Published online August 2021.

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Canadian Journal of Cardiology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

      1. H.R. Muller Moran, M. Maurice-Ventouris, M. Alharbi, B.T. Ahn, J.M. Harley, K.J. Lachapelle. Pan-Canadian initiative on Fundamental Competencies for Transcatheter Cardiac Surgery: A modified Delphi consensus study. J Thorac Cardiovasc Surg. Published online August 2021.

        • Lockyer J.
        • Carraccio C.
        • Chan M.-K.
        • Hart D.
        • Smee S.
        • Touchie C.
        • et al.
        Core principles of assessment in competency-based medical education.
        Med Teach. 2017; 39: 609-616
        • Asgar A.W.
        • Ouzounian M.
        • Adams C.
        • Afilalo J.
        • Fremes S.
        • Lauck S.
        • et al.
        Canadian Cardiovascular Society Position Statement for Transcatheter Aortic Valve Implantation.
        Can J Cardiol. 2019; 35: 1437-1448https://doi.org/10.1016/j.cjca.2019.08.011
        • Noly P.E.
        • Rubens F.D.
        • Ouzounian M.
        • Quantz M.
        • Shao-Hua W.
        • Pelletier M.
        • et al.
        Cardiac surgery training in Canada: Current state and future perspectives.
        J Thorac Cardiovasc Surg. 2017; 154: 998-1005
        • Levin D.
        • Mackensen G.B.
        • Reisman M.
        • McCabe J.M.
        • Dvir D.
        • Ripley B.
        3D Printing Applications for Transcatheter Aortic Valve Replacement.
        Curr Cardiol Rep. 2020; 22: 23