Cardiothoracic Surgical Log Book

RoyalAustralasianCollege of Surgeons

2011 Logbook

Summary of Operative Experience

CARDIOTHORACIC SURGERY

1. NAME:______

SET Level / 1st
Term / 2nd
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: ______

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 Specialisttraining. 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:

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).

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

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.

SUMMARY OF CARDIOTHORACIC OPERATIONS

LEVEL OF ASSISTANCE
COMPONENT PROCEDURES:
(only one per patient) / Aor B / Total this Rotation / Total Entire training

Saphenous vein harvest

/ ∕100

Radial artery harvest

/ ∕50

Median sternotomy

/ ∕150

Internal mammary artery harvest

/ ∕75

Cannulation for bypass

/ ∕50

Insertion coronary sinus cannula

/ ∕50

Aorto-coronary anastomosis

/ ∕75

Other proximal anastomosis,

e.g. T graft.

Distal coronary anastomosis

/ ∕75

Sternal closure

/ ∕100

Re-Do sternotomy

/ ∕10
CORONARY BYPASS SURGERY / A / B / C
Off Pump coronary bypass. (No. of patients) / /5
Allcoronary bypass surgery . (No. of patients)
TOTAL (this rotation)
TOTAL (entire training experience) / ∕10 / ∕60 / ∕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
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) / /20
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) / /10

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 INSERTIONS / A / B / C
Total Systems
Dual Chamber
Biventricular
Generator Change/Removal
TOTAL (this rotation)
TOTAL (entire training experience) / ∕20
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) / /5
ADJUVANT OPERATIONS/PROCEDURES / A / B / C
1.IABP insertion / /5 / /10
2.Femoral cannulation (for bypass) / /5
3.Axillary cannulation (for bypass) / /5
4.Re-op for bleeding (intra-thoracic) / /10
5.CVP/Swan Ganz insertion / /10
TOTAL (this rotation)
TOTAL (entire training experience)
Congenital Cardiac / A / B / C
Cases without cardiopulmonary bypass
Cases with cardiopulmonary bypass
Cases with circulatory arrest
TOTAL (this rotation)
TOTAL (entire training experience) / /10

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
SUB 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
SUB TOTAL (this rotation)
TOTAL (entire training experience) / ∕50 / ∕100

Longitudinal Training Requirements

ICUcomponent 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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