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

▶

Mar 31, 2023 165 likes •308 views

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,

SLIDE 1

American Board of Thoracic Surgery New Operative Index Case Requirements

Cameron D. Wright, MD ABTS Chair

SLIDE 2

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

SLIDE 3

Congenital

Cardiac-new Cardiac –old General Thoracic new General Thoracic

10 primary 5 primary 10 1st asst 15 1st asst 10 1st 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

SLIDE 4

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

SLIDE 5

New Arrhythmia Surgery

Arrhythmia surgery-maze, PV isolation, other

ablation

– Cardiac-5

Pacemakers-insertion or removal

Cardiac – 5 (New)

SLIDE 6

Interventional Procedures

Minimum Requirements now for:
Left Heart Catheterization, PCI, TEVAR, Mitral

Clip

Cardiac - 5

Intra-aortic Balloon Pump

Cardiac – 10; GT-5

SLIDE 7

Lung

Cardiac-new Cardiac-old GT-new GT-old Major-VATS, RATS,

pen-30

Major-30 Major-VATS, RATS,

pen-50

Major-50 VATS lobe-5 Major VATS-5 VATS lobe-25 Major VATS-10 Open/VATS wedge- 25 Open/VATS wedge- 25 Open/VATS wedge- 30 Open/VATS wedge- 40 Total-60 Total-60 Total-105 Total-100

SLIDE 8

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

SLIDE 9

New General Thoracic

Pleura

Interventional-In-dwelling Pleural Catheter Insertion

General Thoracic – 5

Esophagus

Laparoscopic Hiatal or Paraesophageal Repair

General Thoracic - 5

SLIDE 10

Other Requirement Changes

Consultations – 50 total (was 100)

New Patients – 25 Follow-up Patients – 25

No FLS, ATLS, or ACLS Certification

SLIDE 11

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

SLIDE 12

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

SLIDE 13

Summary

Visit the ABTS web site (www.abts.org) for