Cardiothoracic Surgery

Rotations


Overview

Rotations are based on the major specialty areas of cardiothoracic surgery. Rotations are set up for three-month block periods of time. In all rotations, residents will cover:

The location for rotations is at the Stanford University Hospital and Clinics, Palo Alto Veterans Administration Health Care System, and Lucile Salter Packard Children’s Hospital.

Adult Cardiac Surgery

For this rotation, the continuum of care is related to the typical problems of adult cardiac surgery, including coronary artery disease, valvular disease, thoracic aortic pathology, heart and lung transplantation, mechanical assist devices, and other types of congenital and acquired cardiovascular disease.

Pediatric Cardiac Surgery

For this rotation, the continuum of care is related to the typical problems of pediatric cardiac surgery, including cyanotic lesions, defects of the septa, developmental defects, volume overload defects, obstructive defects, rhythm abnormalities, and pulmonary developmental problems.

Thoracic Surgery

For this rotation, the continuum of care is related to typical problems of thoracic surgery, including diseases of the chest wall, pleura, mediastinum, diaphragm, lungs, tracheobronchial tree, and esophagus.


Detailed 6-Year Rotation Plan and optional Academic Enrichment rotation

R1
R2
R3
Blue/Green CT/MRI/ECHO Blue/Green
Blue/Green Cardiac Surgery @ VA Blue/Green
Blue/Green Cardiac Surgery @ VA Blue/Green
Thoracic Surgery General Surgery @ VA CT Surgery @ KSC
Thoracic Surgery General Surgery @ VA CT Surgery @ KSC
Cardiac Anesthesia General Surgery @ VA CT Surgery @ KSC
Vascular Surgery @ VA General Surgery @ VA Vascular Surgery @ VA
Surgical Oncology General Surgery @ VA Vascular Surgery @ VA
Surgical Oncology General Surgery @ VA Vascular Surgery @ VA
General Surgery @ SCV EP/Pacemakers Interventional Cardiology
General Surgery @ SCV Blue/Green Interventional Cardiology
Cardiac Care Unit Blue/Green Thoracic Surgery
Acute Care Surgery Interventional Radiology  
R4
R5
R6
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Peds Cardiac @ LPCH CT Surgery @ VA Blue
Thoracic Surgery CT Surgery @ SCV Green
Thoracic Surgery CT Surgery @ SCV Green
Thoracic Surgery CT Surgery @ SCV Green
Thoracic Surgery CT Surgery @ SCV Green
Thoracic Surgery CT Surgery @ SCV Green
Thoracic Surgery CT Surgery @ SCV Green
     
 
(Optional)
 
Academic Enrichment

Blue/Green (Adult Cardiac Surgery at Stanford): aortic surgery, basic and complex adult cardiac surgery, and adult congenital surgery

Surgical Oncology (at Stanford): clinical management of patients with cancers in the abdomen (i.e., pancreatic, liver, colon, etc.)

General Surgery @ SCV (at Santa Clara Valley Medical Center): trauma and general surgery at a high-volume hospital

General Surgery @ VA (at Palo Alto Veteran’s Administration Hospital): common general surgery patients

Vascular Surgery @ VA (at Palo Alto Veteran’s Administration Hospital): open and endovascular surgery

Thoracic Surgery (at Stanford): common and complex general non-cardiac thoracic surgery

Acute Care Surgery (at Stanford): trauma and consult general surgery at Level 1 trauma center

Cardiac Care Unit (at Stanford): comprehensive critical care medicine for common and complex cardiology patients

Cardiac Anesthesia (at Stanford): cardiac anesthetic management intra- and post-operatively, including instruction in transesophageal echocardiography and cardiovascular pharmacology

CT Surgery @ VA (Cardiothoracic Surgery at Palo Alto Veteran’s Administration Hospital): common cardiac and non-cardiac thoracic surgery

Cardiac Surgery @ VA (at Palo Alto Veteran’s Administration Hospital): aortic surgery, basic and complex adult cardiac surgery, adult congenital surgery, and some thoracic cases

CT/MRI/ECHO (at Stanford): education in reading of cross-sectional (CT/MR) radiology imaging and echocardiography; echocardiography will be taught by cardiologist and cardiac anesthetists

Interventional Radiology (at Stanford): residents function as a interventional radiology fellow in diagnostic and interventional procedures, gaining wire skill sets necessary for percutaneous interventions

EP/Pacemakers (at Stanford): residents function as an electrophysiology fellow, instructed in diagnosis, medical, and interventional treatment of arrhythmias; residents will learn indications and insertion technique for pacemaker and AICD devices

Academic Enrichment: scholarly research in basic science investigation, clinical or clinical outcomes research, clinical rotations at other institutions, or advanced degrees in business, basic science, education, law, or public health.

Peds Cardiac @ LPCH (Pediatric Congenital Cardiac Surgery at Lucille Packard Children's Hospital): complex congenital cases

CT Surgery @ KSC (Cardiothoracic Surgery at Kaiser Santa Clara): aortic surgery, basic and complex adult cardiac surgery, adult congenital surgery, and limited thoracic cases

CT Surgery @ SCV (Cardiothoracic Surgery at Santa Clara Valley Medical Center): aortic surgery, basic and complex adult cardiac surgery, adult congenital surgery, and some thoracic cases

Interventional Cardiology (at Stanford): residents will function as a cardiology fellow, performing diagnostic catheterizations and interventions, gaining skill sets necessary for percutaneous interventions

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