CARDIOTHORACIC SURGICAL LOG BOOK

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					                ROYAL AUSTRALASIAN COLLEGE OF SURGEONS
                       Summary of Operative Experience


                                      CARDIOTHORACIC SURGERY


1. NAME:                     ____________________________________________________________

2.
                          Year of Specialist Training    1st                 2nd
                          (exclude General Surgery year) Term                Term


3.         Period of Training covered by this Summary
                 Day             Month           Year                  Day          Month           Year
  From                                                           To


4.         Tick appropriate box
     NSW           NT           QLD         SA          TAS           VIC      WA           NZ     OTHER




5. Name of Supervisor:             ________________________________________________________



6. Hospital for this Training Period: ___________________________________________________



7. Signature of Trainee:              __________________________________            Date: _____________



8. Signature of Supervisor:           __________________________________            Date: _____________

           Confidential                                 Page 1                              8/28/2006
                                           -2-


 CARDIOTHORACIC SURGICAL LOG BOOK SUMMARY
This logbook summary is a record of operative statistics compiled during Specialist
Training in Cardiothoracic Surgery. Operative procedures performed during the General
Surgical component of training should be recorded in the format used for General
Surgery trainees. Beginning in January 2003, the guide to Specialist Cardiothoracic
Training prescribes minimum numbers and case-mix that needs to be achieved in a given
year of Specialist training. The new logbook summary reflects those pre-requisites (in
the case of thoracic surgical training those case figures are spread over a two year
period).

The Cardiothoracic Board believes that trainees should be adequately supervised for all
operative procedures and this logbook recognises three levels of operative assistance:

       A.      Operation or component skill performed BY TRAINEE without the
               surgeon in charge actually assisting with that operation or part of the
               procedure. (The surgeon will decide the appropriate oversight for that
               patient and trainee and may be in the operating room). The operative
               procedure or skill in question may be only part of the main procedure (e.g.
               cannulation for bypass or radial artery harvest).

       B.      Trainee Assisted, by senior member e.g. Fellow or surgeon, to perform a
               particular procedure.

       C.      Trainee is the First assistant for the procedure.

       Do not record procedures or operations where you are the 2nd assistant. This
       operative list is comprehensive but will not include every conceivable cardiac
       procedure. Procedures not listed will be entered in the “OTHER” category.

The trainee will present this summary of clinical experience, when advised, twice each
year for review by the entire Board at its meetings. The trainee will need to keep all raw
data regarding clinical experience in a form that would allow verification of the caseload
and casemix at a later date if that should be required. The data should be kept in a
fashion that is consistent with College guidelines regarding patient privacy (identifier by
MRN only).


This document must be signed before being submitted, by the trainee and
the Supervisor of Cardiothoracic Surgical Training and as such indicates
that this is an accurate record. Forms will not be reviewed if they are not
signed by both parties. Failure to submit an appropriate record at the
correct time may lead to time in training not being recognised for that
period.
                                         -3-

                   SUMMARY OF CARDIOTHORACIC OPERATIONS




                                                    LEVEL OF ASSISTANCE
COMPONENT PROCEDURES:                             A or B  Total this   Total
    (only one per patient)                                Rotation    Entire
                                                                     training
   1.     Saphenous vein harvest                                          ⁄100
   2.     Radial artery harvest                                             ⁄70
   3.     Median sternotomy                                               ⁄175
   4.     Internal mammary artery harvest                                   ⁄90
   5.     Cannulation for bypass                                            ⁄50
   6.     Insertion coronary sinus cannula                                  ⁄50
   7.     Aorto-coronary anastomosis                                        ⁄85
   8.     Other proximal anastomosis,
             e.g. T graft.
   9.     Distal coronary anastomosis                                        ⁄100
   10.    Sternal closure                                                    ⁄100
   11.    Re-Do sternotomy                                                     ⁄10

CORONARY BYPASS SURGERY                             A          B         C

Off Pump coronary bypass. (No. of patients)
All coronary bypass surgery . (No. of patients)
       TOTAL (this rotation)

         TOTAL (entire training experience)             ⁄10        ⁄90       ⁄400

AORTIC VALVE SURGERY                                A          B         C
  1. Aortic Valve Replacement
       Mechanical prosthesis
       Stented bioprosthesis
       Stentless valve
       Homograft
  *2. Aortic Valve Repair
      TOTAL (this rotation)

         TOTAL (entire training experience)                        ⁄10        ⁄80
                                                   -4-

                                                                    LEVEL OF ASSISTANCE
AORTIC SURGERY                                                      A        B        C
   1. Ascending aorta (supracoronary)
** 2. Aortic valve plus supracoronary aorta
   3. Bental/Cabrol/Valve Sparing Root*
   4. Aortic arch replacement
   5. Descending aorta procedure
   6. Thoraco abdominal repair
   7. Aortic Dissection:
      TypeA
      TypeB
   8. Co-arctation repair
      TOTAL (this rotation)

         TOTAL (entire training experience)

MITRAL VALVE SURGERY                                                 A               B               C
  1. Mitral Valve Repair
  2. Mitral Valve Replacement
      Mechanical prosthesis
      Bioprosthesis
     TOTAL (this rotation)

         TOTAL (entire training experience)                                                ⁄5            ⁄30

OTHER VALVE SURGERY                                                  A               B               C
  1. Tricuspid Valve Procedure
  2. Double Valve Procedure
  3. Triple Valve Procedure
     TOTAL (this rotation)

         TOTAL (entire training experience)
In combined cases e.g. AVR with CABG then each component will be recorded separately under Aortic
valve surgery and coronary artery bypass surgery.
*Aortic valve repair will include leaflet repairs, patches, decalcification and valve sparing root replacement.
** This excludes General aortic valve replacement.

PACEMAKER AND DEFIBRILLATOR                                          A               B               C
INSERTIONS
Total Systems
   Dual Chamber
   Biventricular
Generator Change/Removal
       TOTAL (this rotation)

         TOTAL (entire training experience)                                              ⁄20
                                    -5-
                                           LEVEL OF ASSISTANCE
OTHER MAJOR CARDIAC OPERATIONS             A        B        C
  1. Infarct VSD/ rupture
  2. Cardiac Tumors
         Myxoma
         Other
  3. Cardiac transplantation
  4. VAD insertion
  5. Pulmonary embolectomy
  6. Surgery for atrial fibrillation
  7. Miscellaneous major procedures
     TOTAL (this rotation)

      TOTAL (entire training experience)




ADJUVANT OPERATIONS/PROCEDURES             A       B        C
  1. IABP insertion
  2. Femoral cannulation (for bypass)
  3. Axillary cannulation (for bypass)
  4. Re-op for bleeding (intra-thoracic)
  5. CVP/Swan Ganz insertion
     TOTAL (this rotation)

      TOTAL (entire training experience)




PAEDIATRIC                                 A       B        C
  Cases without cardiopulmonary bypass
  Cases with cardiopulmonary bypass
  Cases with circulatory arrest
     TOTAL (this rotation)

      TOTAL (entire training experience)
                                         -6-
                  GENERAL THORACIC SURGERY


                                                LEVEL OF ASSISTANCE
MAJOR PROCEDURES                                A        B        C
  1. Lobectomy
  2. Pneumonectomy
  3. Sleeve resection
  4. Decortication
  5. Mediastinal tumor
  6. Lung volume reduction surgery
  7. Transplantation - lung, combined
      heart/lung
  8. Other Thoracic Major, ie Pleurectomy or
      Chest Wall
  9. Oesophageal resection
  10. Other oesophageal procedures
      TOTAL (this rotation)

       TOTAL (entire training experience)                   ⁄30        ⁄50


OTHER THORACIC                                  A       B         C
  1. VATS diagnostic
  2. VATS pleurodesis
  3. VATS wedge resection
  4. Other VATS
  TOTAL VATS for 1-4 (this rotation)

   TOTAL VATS for 1-4 (entire training
experience)
   5. Mediastinoscopy
   6. Bronchoscopy            -Flexible
                              -Rigid
                              -Therapeutic
       (stent placement, laser therapy, etc.)
   7. Oesophagoscopy          -Flexible
                              -Rigid
                              -Therapeutic
       (stent placement, laser therapy, etc.)
   8. Other Thoracic Minor
       TOTAL (this rotation)

       TOTAL (entire training experience)                   ⁄50       ⁄100
                                        -7-

Longitudinal Training Requirements
ICU component completed…………………… No                  …….Yes       …Date:………..…….

Cardiac Echo component completed………… No             …….Yes       …Date:………..…….

Research component completed………           … No      …….Yes       …Date:………..…….

Trainees are requested to note that presentation at the ASCTS Meeting is a compulsory
training component. List below a cumulative record of ALL Research Projects,
Presentations or Publications undertaken during the entire period of Specialist
Cardiothoracic Surgical Training

Research/ Presentation/ Publication:
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