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Cardiothoracic Surgery Residency Curriculum (Integrated)

The IU School of Medicine Cardiothoracic Surgery Residency accepts one resident each year for the six-year program that trains for proficiency in all aspects of clinical cardiothoracic surgery.

Program Progression

First-year cardiothoracic surgery residents gain eight months of experience in areas of transplant, vascular, pediatric, trauma, surgical intensive care and general surgery, including one month of night float. The remaining four months are spent with the cardiothoracic surgery program at IU Health Methodist Hospital and Roudebush Veterans Affairs Hospital. The goal of the first year curriculum is to introduce residents to basic skills while creating a strong surgical foundation for future skills. PGY1 residents in the cardiothoracic surgery program participate in the general surgery skills lab curriculum throughout the first year of training and work in the cardiothoracic surgery skills lab.

The second year of resident training in the cardiothoracic surgery program builds upon the first-year curriculum. Residents participate in surgical intensive care for surgery and cardiac units and general surgery, including one month of night float and one month of endoscopy. The remaining rotations are cardiothoracic surgery-focused at IU Health University Hospital, IU Health Methodist Hospital and Roudebush Veterans Affairs Hospital. PGY2 residents continue to participate in the general surgery skills lab and the cardiothoracic surgery skills lab.

The third year of cardiothoracic surgery residency training expands on the general surgery foundation, as it is the final year of general surgery-focused training before the resident transitions into the final years of vascular specific rotations. Experience is gained in trauma, surgical intensive care, transplant and general surgery, including one month of night float. The remaining rotations are focused on cardiothoracic and congenital cardiac experience at IU Health Methodist Hospital, IU Health University Hospital, Riley Hospital for Children, Sidney and Lois Eskenazi Hospital, and Roudebush Veterans Affairs Hospital. PGY3 residents continue to participate in the general surgery skills lab and the cardiothoracic surgery skills lab.

In this first full year of cardiothoracic surgery training, PGY4 residents rotate between IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children and Roudebush Veterans Affairs Hospital. Rotations are paired in two-month blocks, when possible, to enable trainees to provide continuity of care for patients with increased autonomy from faculty attendings. Fourth-year cardiothoracic surgery residents participate in the cardiothoracic surgery skills lab curriculum. By the end of the fourth year, residents in this program should know which pathway (s)he wants to pursue: the cardiothoracic surgery track, the thoracic surgery only track, or congenital cardiac surgery track, which prepares the trainee for a congenital cardiac surgery fellowship.

In the fifth year of cardiothoracic surgery residency training, PGY5 residents rotate between IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children and Roudebush Veterans Affairs Hospital. Rotations are paired in two-month blocks, when possible, to enable the resident to provide continuity of care for patients with increased autonomy from faculty attendings. Schedules are adjusted based on the resident’s preferred track for training. PGY5 residents participate in the cardiothoracic surgery skills lab curriculum.

The final year of training for cardiothoracic surgery chief residents focuses on the trainee’s chosen track, with rotations blocked so the resident spends the latter part of the sixth year on rotations that prepare him/ her for job placement and/or fellowship training. Rotations at IU Health University Hospital, IU Health Methodist Hospital, Riley Hospital for Children and Roudebush Veterans Affairs Hospital continue. PGY6 chief residents participate in the cardiothoracic surgery skills lab and assist in the teaching of labs geared toward the PGY1-3 residents and PGY6 (junior fellow).