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PRIMARY SITE DESCRIPTIONS
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| University of Minnesota Medical Center, Fairview (UMMC) |
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 This 432-bed hospital, completed in 1986, overlooks the Mississippi River on the East Bank of the University of Minnesota's main Minneapolis campus. A major regional and national referral center, it draws more than 50% of its patients from outside the Twin Cities. Over 20,000 surgical procedures and 500 solid organ transplants are performed each year.
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| Minneapolis VA Medical Center (VAMC) |
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 This 845-bed hospital, completed in 1988, occupies seven acres near Fort Snelling and the Minneapolis-St. Paul international airport, about 15 minutes (by car) south of the University. As the tertiary referral center for veterans in all of Minnesota, parts of the Dakotas, northern Iowa, and western Wisconsin, it provides all levels of medical, surgical, and short-term psychiatric care.
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ROTATION DESCRIPTIONS
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UMMC Thoracic & Foregut I: The dedicated non-cardiac thoracic surgery rotation includes instruction in all aspects of thoracic oncology, emphysema surgery, esophageal surgery, and thoracoscopy (VATS). The faculty includes Drs. Michael Maddaus, Rafael Andrade, and Jonathan D’Cunha. The strength of the rotation is introduction to advanced minimally invasive techniques. Further there is a breath of exposure to novel approaches for diagnosis and palliation of tumors and include esophageal/airway stenting, endobronchial ultrasound, and endoscopic ultrasound (see novel techniques section below).
VAMC I Cardiac/Thoracic: The first year fellow at VAMC directs the service under the supervision of Dr. Rosemary Kelly as well as the third year fellow with junior staff privileges. Daily activities include ICU and ward rounds, thoracic and cardiac consults, and performing operations in one of the two dedicated cardiothoracic surgical operating rooms. First year fellows become the surgeon of record within the first two months of their instruction, performing distal and proximal anastomoses for coronary revascularization and straightforward valve replacements and repairs. The fellow also performs one half of all non-cardiac thoracic procedures as the operating surgeon or as teaching assistant for general surgery junior residents. The first and third year fellows work in separate rooms and are responsible for their own cases.
Fairview-Southdale Thoracic: This is a dedicated general thoracic surgical private practice rotation with Dr. Louis Jacques at a Fairview affiliate hospital. This is a high volume thoracic practice with a breadth of exposure to community general thoracic surgery including approximately 300 open cases per year. As a fellow on the service, 4 months is spent in a mentored relationship with one of the most experienced thoracic surgeons in our community.
VA II Thoracic/Endovascular: Chief year rotation at the VA with exposure as a junior attending with dedicated responsibilities to general thoracic patients. The resident also has the opportunity to perform endovascular surgical procedures to satisfy newly required board experience for all graduates.
UMMC Thoracic & Foregut II: As a chief on this rotation, the fellow will function as junior faculty and continue to build on his/her previous exposure to complex minimally invasive procedures. This exposure includes a breadth of operative experience in minimally invasive thoracic surgery as well as being trained in technically demanding cases such as VATS lobectomies and minimally invasive esophagectomies. The opportunity to train in this setting with the most complex minimally invasive surgical techniques is outstanding and the fellow is also encouraged to help in development of these novel approaches through research and clinical applications.
Donor Procurement: The donor procurement experience will begin in the 2nd year and continue through the end of the 3rd year of training. The fellow is trained in the procurement of thoracic organs for transplantation. This is a great experience for the fellow as he travels to other institutions and hospitals operating independently and making independent decisions on the quality and suitability of organs for transplantation in recipients at UMMC.
Congenital: The congenital rotation occurs during the second year of fellowship. It is a concentrated experience in congenital heart disease with Dr. Cynthia Herrington and Dr. James St. Louis. The cardiothoracic residents are exposed to a diverse population of infants and children with congenital heart disease. They fully participate in the preoperative, operative, and postoperative care of the patients. The strengths in this rotation include training the fellows in complex hemodynamic evaluations of cardiothoracic disease, involving them in hybrid procedures in the cath lab, and having them becoming accustomed to handling very delicate tissues.
Endovascular Surgery: The requirement set forth by the American Board of Thoracic Surgery is that the residents have an experience in endovascular stenting. During this rotation, it is our desire that the residents successfully complete the minimum volumes for cardiac surgeons to qualify them for future credentialing. Our goal is to see the resident successfully perform and participate in catheter interventions involving guide wire technology and steering catheters, participate in the successful placement of abdominal and thoracic aortic endovascular stent grafts or a combination thereof, gain experience with placement of large bore catheters into peripheral arteries, and gain experience with retroperitoneal exposure of the iliac and femoral arteries for endovascular procedures. During their second year of training, we will support the residents in completion an STS, AATS, or SBS sponsored endovascular training course. We are aware that the total volumes may not be achieved during their rotation but the goal is to perform as many of these procedures as is possible.
Teaching staff: Steven Santilli M.D., Rosemary Kelly M.D.
VA Chief: The VA chief cardiothoracic rotation provides the resident with junior attending responsibilities for the cardiothoracic surgical patient. It is a transition rotation, leading the resident from supervised to independent activity. He/she will perform many procedures or crucial portions of procedures independently. He/she will also provide guidance and mentoring to a first year cardiothoracic resident. Thoracic aortic disease will occupy a major portion of this rotation as will complex valve repair and replacement techniques. The chief rotation will give the resident the depth of knowledge and experience necessary to prepare for a future leadership role in cardiothoracic surgery. Residents will be fully prepared to independently offer safe and effective cardiothoracic care upon graduation.
UMMC Cardiac/Heart Failure/Heart Transplant: This rotation provides the resident with a saturated experience in the medical and surgical therapies for heart failure as well as cardiac transplantation. It provides a high measure of independence on this service and provides our residents with mastery of the procedures of VAD placement, extracorporeal support, and cardiac transplantation.
Mercy Hospital (elective): The concentrated cardiothoracic rotation in one of the most well-established private practice programs in the Twin Cities. This rotation is under the direction of Dr. Lyle Joyce and includes a broad array of cardiac, aortic, and thoracic procedures. The fellows are involved with preoperative, operative, and postoperative care and hone their skills of intraoperative and postoperative management in a private practice setting. Beating heart surgery (OPCAB) is a major component of this rotation.
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Last modified on Friday Jun 15, 2007
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