Untitled Document

European School for Cardio-Thoracic Surgery

CURRICULUM - THORACIC SURGERY COURSE

Index

I. History
II. Embryology and anatomy of lung and heart
III. Functional patient evaluation
IV Medical therapy of lung and cardiocirculatory functional disorders
V. Preoperative patient care
VI. Anesthesiological management
VII. Mechanical ventilation
VIII. ICU management
IX. Postoperative care
X. Physiotherapy
XI. Extracorporeal bypass, ECMO, blood management
XII. Pain management
XIII. Diagnostic imaging techniques
XIV. Basic oncology
XV. Molecular biology
XVI. Principles of medical t herapy of cancer
XVII. Quality surveillance
XVIII. Feedback and complication reporting
XIX. Statistics
XX. Study design
XXI. Scientific writing
XXII. Thoracic incisions
XXIII. Video-endoscopy basics
XXIV. Neoplastic lung disease
XXV. Complications of lung resection
XXVI. Infectious lung diseases
XXVII. Pneumothorax
XXVIII. Lung transplantation
XXIX. Functional lung disease
XXX. Congenital lung disease
XXXI. Pericardium
XXXII. Mediastinum
XXXIII. Diseases of the pleura
XXXIV. Trachea and larynx
XXXV. Esophagus
XXXVI. Chest wall
XXXVII. Thoracic trauma
XXXVIII. Diaphragm
XXXIX. Ethics - Practice - Outcome

Unit I - HISTORY

UNIT OBJECTIVE:
At the end of the unit the resident has knowledge of the historic development of cardio-thoracic surgery

Unit II - EMBRYOLOGY AND ANATOMY OF LUNG AND HEART

UNIT OBJECTIVE:
At the end of this unit the resident understands the embryology and the anatomy of lungs and heart and their relationships to adjacent structures.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit III - FUNCTIONAL PATIENT EVALUATION

UNIT OBJECTIVE:
At the end of this unit the resident understands lung function, interpretations of pulmonary gas exchange, mechanics of breathing, cardiac and circulatory function, performance status.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit IV - MEDICAL THERAPY OF LUNG AND CARDIOCIRCULATORY FUNCTIONAL DISORDERS

UNIT OBJECTIVE:
At the end of this unit the resident understands medical therapy to treat specific clinical problems.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit V - PREOPERATIVE PATIENS CARE

UNIT OBJECTIVE:
At the end of this unit the resident understands the preoperative management of patients undergoing thoracic surgery.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit VI - ANESTHESIOLOGICAL MANAGEMENT

UNIT OBJECTIVE:
At the end of this unit the resident understands the physiology, methods and techniques of anesthesia in thoracic surgery.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit VII - MECHANICAL VENTILATION

UNIT OBJECTIVE:
At the end of this unit the resident understands the indications for mechanical support, device selection, methods for weaning the patients from support.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit VIII - ICU MANAGEMENT

UNIT OBJECTIVE:
At the end of this unit the resident understands the immediate post-anesthesiological and post-operative evaluation of the patient undergoing thoracic surgery.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit IX - POSTOPERATIVE CARE

UNIT OBJECTIVE:
At the end of this unit the resident understands the management of all aspects of postoperative care.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit X - PHYSIOTHERAPY

UNIT OBJECTIVE:
At the end of this unit the resident understands principles of preoperative and postoperative pulmonary rehabilitation.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XI - EXTRACORPOREAL BYPASS, ECMO, BLOOD MANAGEMENT

UNIT OBJECTIVE:
At the end of this unit the resident understands principles of mechanical circulatory support, oxygenators, techniques of extracorporeal bypass, indications for ECMO, device selection, patient management, methods for weaning the patient from support, and the use of blood component therapy to treat specific clinical problems.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XII - PAIN MANAGEMENT

UNIT OBJECTIVE:
At the end of this unit the resident understands the management of acute and chronic pain after surgery and in inoperable patients.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XIII - DIAGNOSTIC IMAGING TECHNIQUES

UNIT OBJECTIVE:
At the end of this unit the resident understands the use of diagnostic imaging techniques for evaluation of thoracic diseases, lung cancer staging, preoperative and postoperative functional evaluation.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XIV - BASIC ONCOLOGY

UNIT OBJECTIVE:
At the end of this unit the resident understands principles of cancer biology, etiology, theories of carcinogenesis, indication for neoadjuvant, adjuvant and primary chemotherapy, principles of combined radio and chemotherapy.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XV - MOLECULAR BIOLOGY

UNIT OBJECTIVE:
At the end of this unit the resident understands general principles of molecular biology of tumors.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XVI - PRINCIPLES OF MEDICAL THERAPY OF CANCER

UNIT OBJECTIVE:
At the end of this unit the resident understands the state of art of non small cell lung cancer chemotherapy, radiotherapy and other therapeutic approaches.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XVII - QUALITY SURVEILLANCE

UNIT OBJECTIVE:
At the end of this unit the resident understands the non-clinical elements of a thoracic surgical practise.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

Unit XVIII - FEEDBACK AND COMPLICATION REPORTING

UNIT OBJECTIVE:
At the end of this unit the resident understands

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

Unit XIX - STATISTICS

UNIT OBJECTIVE:
At the end of this unit the resident understands the basic medical statistical concepts and the appropriate application of statistical tests to the problem.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XX - STUDY DESIGN

UNIT OBJECTIVE:
At the end of this unit the resident is able to design a scientific approach to the solution of unsolved problem in thoracic surgery.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXI - SCIENTIFIC WRITING

UNIT OBJECTIVE:
At the end of this unit the resident understands the essential steps of the research process in preparing and submitting a manuscript for publication.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

Unit XXII - THORACIC INCISIONS

UNIT OBJECTIVE:
At the end of this unit the resident understands the various types of surgical approaches to the chest.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXIII - VIDEO-ENDOSCOPY BASICS

UNIT OBJECTIVE:
At the end of this unit the resident understands the general principles, indications, operative room setup, equipment and techniques for endoscopic surgery, has a working knowledge of the equipment.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXIV - NEOPLASTIC LUNG DISEASE

UNIT OBJECTIVE:
At the end of this unit the resident understands basic, evaluation, diagnosis and therapeutic options for patients with lung neoplasms.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXV - COMPLICATIONS OF LUNG RESECTION

UNIT OBJECTIVE:
At the end of this unit the resident understands postoperative minor, major, early and late complications.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXVI - INFECTIOUS LUNG DISEASES

UNIT OBJECTIVE:
At the end of this unit the resident knows suppurative diseases and their diagnoses and operative and non-operative management.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXVII - PNEUMOTHORAX
UNIT OBJECTIVE:
At the end of this unit the resident understands classification, diagnosis and evolution of therapy for pneumothorax.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXVIII - LUNG TRANSPLANTION

UNIT OBJECTIVE:
At the end of this unit the resident understands indications, donor/recipient selection criteria, pre and postoperative management, operative techniques and complications, immunosuppressive therapy, short and long-term follow-up in lung transplantation.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXIX - FUNCTIONAL LUNG DISEASE

UNIT OBJECTIVE:
At the end of this unit the resident understands natural history, presentation and treatment of chronic obstructive lung disease and giant bullous emphysema.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXX - CONGENITAL LUNG DISEASE

UNIT OBJECTIVE:
At the end of this unit the resident understands embryology, pathology and principles of management of congenital lung abnormalities.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXI - PERICARDIUM

UNIT OBJECTIVE:
At the end of this unit the resident understands recognition of pericardial disease and invasive and non invasive tests to patient management.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXII - MEDIASTINUM

UNIT OBJECTIVE:
At the end of this unit the resident understands embryology and anatomy of the mediastinum; radiological investigation, diagnosis and treatment of benign and malignant masses.
 
LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXIII - DISEASES OF THE PLEURA
UNIT OBJECTIVE:
At the end of this unit the resident understands the benign and malignant abnormalities of the pleura, pleura effusions, and the evalutation and treatment of pleural disease.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXIV - TRACHEA AND LARYNX

UNIT OBJECTIVE:
At the end of this unit the resident understands anatomy, physiology of the trachea and larynx, and applies finding of radiography and endoscopy to patient care; the resident also understands operative and non operative management of neoplasms affecting the trachea.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXV - ESOPHAGUS

UNIT OBJECTIVE:
At the end of this unit the resident understands the anatomy, physiology, and embryology of the esophagus and the diagnostic tests of normal and abnormal function; understands the types and causes of acquired abnormalities and the appropriate treatment; understands benign and malignant esophageal neoplasms and the various forms of treatment.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXVI - CHEST WALL

UNIT OBJECTIVE:
At the end of this unit the resident understands the anatomy of chest wall and congenital abnormalities, including those leading to thoracic outlet syndrome; the resident also understands acquired abnormalities and neoplasms of the chest wall, indication and operative approach for resection, various methods of reconstruction, and stabilization of the chest wall.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXVII - THORACIC TRAUMA

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXVIII - DIAPHRAGM

UNIT OBJECTIVE:
At the end of this unit the resident understands the anatomy, physiology and embryology of the diaphragm and its relationship to adjacent structures; the resident also understands congenital and acquired diaphragmatic anomalies, their pathologic effects, and the diagnosis and treatment of these conditions.

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

Unit XXXIX - ETHICS - PRACTICE - OUTCOME

LEARNER OBJECTIVES:
Upon completion of this unit the resident:

CONTENTS:

[European School for Cardio-Thoracic Surgery]


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