New Operative Index Case Requirements Cameron D. Wright, MD ABTS - PowerPoint PPT Presentation

American Board of Thoracic Surgery New Operative Index Case Requirements Cameron D. Wright, MD ABTS Chair

Effective Date • Effects Residents who start their training on or after July 1, 2017 • In general, more granular, subtle changes, reflects changes in practice • Includes: • Traditional (5/2 or 5/3) • Integrated (PGY-5) • 4/3 Residents

Congenital Cardiac-new Cardiac – old General Thoracic General Thoracic new old 10 primary 5 primary 10 1 st asst 15 1 st asst 10 1 st asst 10 primary or 1st Total 20 Total 20 Total 10 Total 10 CABG Cardiac-new Cardiac-old GT-new GT-old 80 80 35 40

Acquired Valvular Heart Disease Cardiac-new Cardiac-old GT-new GT-old AVR-25 AVR-15 MVR,repair-15 MVR,repair-5 TVR,repair-5 TVR,repair-5 TAVR-primary-5 TAVR-asst-10 TAVR-asst-5 Total-60 Total-50 Total-30 Total-25

New Arrhythmia Surgery • Arrhythmia surgery-maze, PV isolation, other ablation – Cardiac-5 • Pacemakers-insertion or removal Cardiac – 5 (New)

Interventional Procedures • Minimum Requirements now for: • Left Heart Catheterization, PCI, TEVAR, Mitral Clip Cardiac - 5 • Intra-aortic Balloon Pump Cardiac – 10; GT-5

Lung Cardiac-new Cardiac-old GT-new GT-old Major-VATS, RATS, Major-30 Major-VATS, RATS, Major-50 open-30 open-50 VATS lobe-5 Major VATS-5 VATS lobe-25 Major VATS-10 Open/VATS wedge- Open/VATS wedge- Open/VATS wedge- Open/VATS wedge- 25 25 30 40 Total-60 Total-60 Total-105 Total-100

Esophagus Cardiac-new Cardiac-old GT-new GT-old Esophagectomy-5 Esophagectomy-10 Esophagectomy-20 Esophagectomy-20 Benign-5 Benign-5 Benign-10 Benign-10 Lap HH-5 Total-10 Total-15 Total-35 Total-30

New General Thoracic • Pleura Interventional-In-dwelling Pleural Catheter Insertion General Thoracic – 5 • Esophagus Laparoscopic Hiatal or Paraesophageal Repair General Thoracic - 5

Other Requirement Changes • Consultations – 50 total (was 100) New Patients – 25 Follow-up Patients – 25 • No FLS, ATLS, or ACLS Certification

I-6 Junior Years Requirements • 150 ABS core cases in PGY 1-3; • 125 CT cases in PGY 1-3 (50 can be component cases); • Additional 100 cases can be ABS or CT; • Total Cases for PGY 1-3 should meet or exceed 375

ABS Index Cases for I-6 • Head/Neck, trauma, plastics-15 • Eliminated individual case requirements for H/N-5, Plastic-5, Operative Trauma-5 to allow for greater flexibility

Summary • Visit the ABTS web site (www.abts.org) for additional Case Index Requirements