Cardiac Surgery Pre- Consultant Course (ST8 A) Programme

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1 Cardiac Surgery Pre- Consultant (ST8 A) European Surgical Institute, Hamburg Programme Director Sridhar Rathinam Consultant Thoracic Surgeon, University Hospitals of Leicester

2 Faculty List Thoracic Surgery Faculty Kelvin Lau Maninder Kalkat Consultant Thoracic Surgeon St Bartholomew s Hospital London Consultant Thoracic Surgeon Birmingham Heartlands Hospital

3 Monday 11 th April 2016 Day 1 08:30 09:00 Faculty briefing Sridhar Rathinam 09:00 09:15 Welcome Sridhar Rathinam 09:15-12:30 (Coffee 10:15 10:30) Rotation (2 groups, 60 minutes per session) 1. Challenges facing a new Consultant/ surgeon-specific mortality Kelvin Lau 2. Clinical decision making dealing with Maninder S Kalkat high risk patients, 3. Developing a consultant career Sridhar Rathinam 12:30 13:15 Lunch 13:15 14:15 4. Managing intra-operative complication Kelvin Lau 14:15 15:15 5. Principles of surgery for Complex thoracic Sepsis 15:15 16:15 6. Airway interventions/ Principles of Thoracic trauma 16:15 16:45 Questions & Answers Sridhar Rathinam Maninder Kalkat 16:45 17:00 Faculty debrief 19:45 dinner

4 Tuesday 12 th April 2016 Day 2 08:30 09:00 Faculty briefing Sridhar Rathinam 09:00 12:15 (Coffee 11:00 11:15) Rotation (see attached spread sheet) 7. Live operating VATS and Open Surgery dealing with complications. Sleeve Resection. All faculty 8. Wetlab Pancoast, Venacaval resection 12:15 13:00 Lunch 13:00 17:15 (Coffee 15:00 15:15) Rotation (see attached spread sheet) 7.Live operating VATS and Open Surgery dealing with complications. Sleeve Resection. All faculty 8. Wetlab Pancoast, Venacaval resection 17:15 17:45 Questions & Answers 17:45 18:00 Faculty debrief 19:45 dinner

5 Day 3 Wednesday 13 th April :15 11:30 (Coffee 11:00 11:15) Rotation (see attached spread sheet) 9. Live operating Endobronchial intervention, stenting, laser, (Groups 1 & 2) 10. Bronchial Disruption, Central Hilar Stab. Carinal resection 11.Principles of Management Oesophageal Emergencies 12.Multi Specialty Operating & Decision making in Thoracic Surgery 11:30 12:15 Lunch MS Kalkat/ K Lau R Page S Rathinam 12:15 16:15 (Coffee 14:00 14:15) Rotation (see attached spreadsheet) 9. Live operating Endobronchial intervention, stenting, laser, (Groups 1 & 2) 10. Bronchial Disruption, Central Hilar Stab. Carinal resection MS Kalkat/ K Lau 11.Principles of Management Oesophageal Emergencies 12.Multi Specialty Operating & Decision making in Thoracic Surgery 16:15 16:30 Summary & Close R Page S Rathinam Rotation and topics may vary depending in delegate numbers.

6 Learning Objectives: Challenges facing a new Consultant/ surgeon-specific mortality Overview of the challenges facing a new consultant from a senior perspective. Balancing clinical and supporting professional activities. Mentoring The Expectations of a Head of service/ Medical Director Consultant Outcome publication Clinical decision making dealing with high risk patients, Overview of the critical decision making in elective setting Challenges in managing emergency practice. Multidisciplinary interaction and hybrid therapies Developing a consultant career Overview of the challenges facing a new consultant from a younger consultant perspective. Balancing clinical and supporting professional activities. Introducing new techniques Implementing change Avenues to progress in ones career. Managing intra-operative complication Overview of the principles in management of intraoperative complications. Options to manage major bleed in minimally invasive surgery Dealing with on table CPR. Tips to avoid major complications. Principles of surgery for Complex thoracic Sepsis Overview of the principles in management of intra thoracic sepsis. Options to manage desceding mediastinal sepsis Tips in managing BPF. Tips in managing TB and Aspergilloma Airway interventions/ Principles of Thoracic trauma Overview of the principles in management of thoracic trauma. Overview of interventions in Airway palliation Principles of dilatation, stenting, cryotherapy and Laser ablation Fundamentals of PDT Principles of Management Oesophageal Emergencies Overview of the principles in management of Oesophageal emergencies.

7 Interventions in Oesophageal Palliation Principles of foreign body retrieval Oesophageal Perforation Oesophageal diversion Multi Specialty Operating & Decision making in Thoracic Surgery Overview of the principles in critical decision making in thoracic surgery. Interdisciplinary thoracic surgery Collaborative surgery with other specialties Surgery of junctional areas Live and simulated operating: a variety of open and thoracoscopic procedures including: Principles of airway intervention. Intraoperative complications Sepsis Tracheal resection Chest wall surgery Trauma Oesophageal emergencies

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