Survey of resident training in beating heart operations

Training residents in off-pump coronary artery bypass surgery: A 14-year experience

“…In 2000, a survey from several cardiothoracic training centers in the United States demonstrated that only 22% of residents had performed 20 or more OPCAB procedures during their training, and only 12% had performed 20 or more complete myocardial revascularizations with OPCAB techniques. 15 We have previously reported our early experience in teaching OPCAB, with no difference in clinical outcome when the surgery was performed by senior surgeons or cardiothoracic trainees. 3,[8][9][10] We have also provided evidence in the early phase of our program with 4 trainees and the senior surgeon who developed the OPCAB technique at our institution (G.D.A.)…”

Characterizing the Operative Experience of Cardiac Surgical Trainees: What Are Residents Really Doing in the Operating Room?

“…Presented at the Sixty-second Annual Meeting of the Southern Thoracic Surgical Association, Orlando, FL, November 4-7, 2015. assistant surgeon [1]. Another study showed 16% of residents never performed an off-pump coronary artery bypass grafting (CABG) procedure during residency, although 88% of them intended on doing so in practice [2]. Finally, it has been shown that 12% of residents inaccurately log operations to meet minimum operation requirements [3], further raising concerns about the development of operative autonomy.…”

Does Off-Pump Coronary Artery Bypass Grafting Negatively Impact Long-Term Survival and Freedom from Reintervention?

“…Exposure to OPCAB techniques during training is infrequent and the acquisition of proficiency even less so. In a study of residents undergoing cardiothoracic training in the United States, only 22% of residents had performed 20 or more OPCAB procedures during their training [34]. Of these, only 4% had performed OPCAB circumflex coronary artery revascularization.…”