Handbook> Electives > General Surgery > ACE- A.I. in Acquired and Congenital Cardiac Surgery

Electives - General Surgery


Adult and Congenital Cardiac Surgery

Elective Number: 3017

Rotation Supervisor: Curt Tribble, MD

Coordinator: Diana Houchens

Duration: Maximum 4 weeks, Minimum 2 weeks

Available: all Rotations

Report to: Chief Administrative Fellow

Time to Report: 5:30 am

Place to Report: TCV PO or 4West

Typical day: 5:30 am - 5:00 pm

Attendance: A student may not take time off during an ACE.

Attendance at elective activities is mandatory.

  • Anyone who is ill or has a personal or family emergency must contact Student Affairs and the Attending on Service.
  • Students are allowed to take off up to 1 day per week to interview between November 1 and February 1.
    • Specific days missed must be approved by the Attending on Service.

Suggested preparatory reading: Bojar, Robert 2005 Manual of Perioperative Care in Cardiac Surgery (4th edition)

Rasmussen TE, Clouse WD, Tonnessen BH 2008 Handbook of patient care in Vascular Diseases (5th edition)

Lemmer, JH, Vlahakes GJ 2010 Handbook of patient care in Cardiac Surgery (2nd edition)

The House Officers Guide to ICU Care (3rd edition) - 2013 Elefteriades, Tribble, Geha, Siegel & Cohen

ICU Recall (3rd edition) - 2012 Tribble, Hobson & Thaemert

Kirklin's Cardiac Surgery - Chapter 5

Number of students per rotation: 2

Course Description: This experience exposes the students to the highest volume of surgical service in the hospital, under the supervision of the Chief Cardiothoracic Surgery Residents and the cardiac surgery attendings (Drs. Kron, Kern, Ghanta, Gangemi, Tribble, Yarboro and Ailawadi). On this service, the student will learn about pre and post operative care of the cardiac surgical patient, including management of arrhythmias, cardiac arrest, near cardiac arrest, re-exploration of chest, post pericardiotomy syndrome and anticoagulation regimens. The student will have opportunities to come to the OR and participate as a 2nd assistant in closing incisions (leg, chest), to participate in bedside procedures (i.e. removal of chest tubes, chest drains, temporary pacing wires, and central lines). The student on the service may be involved with transplantation service (adult and/or pediatric cardiac, lung, or heart/lung transplantation) in preoperative preparation, donor retrieval or post-operative transplantation management. The students will be expected to participate in both the pediatric and adult cardiac catheterization conferences, the cardiac surgery education conferences, and the TCV Surgery Morbidity/Mortality conferences. The students will spend time each week in the outpatient clinic setting where they will learn the preoperative cardiac surgery standards of practice and identify patients to follow from admission, surgery and through to discharge along with follow-up in the outpatient setting. The students will also participate in the consultation process of cardiac surgery; performing patient assessments, H&P exams, and daily follow-up as indicated. There is NO night or weekend call but occasional weekend rounds. The students are expected to teach and assist the 3rd year medical students on the service.

Learning Objectives beyond those listed above include:

improving patient encounter skills, physical assessment skills

participation and presentatiuon in teaching rounds including presentation of topic as assigned

improving interpersonal and communication skills

exposure to practice based improvements care

BACK to Electives at UVa Menu