E L E C T I V E S
DEPARTMENT OF
CARDIOTHORACIC SURGERY
A608 Clinical
Cardiothoracic Surgery
|
A609 Clinical
Cardiothoracic Critical Care |
A610 Combined
Clinical Cardiology and Cardiothoracic Surgery |
A611 General
Thoracic Surgery |
A612 The
Montefiore Cardiothoracic Surgery Program - MMC
The Department of Cardiothoracic Surgery offers different medical school
electives;
each student will be under the tutelage of a faculty member dedicated to
teaching both the clinical and basic science aspects of a service
performing a diverse selection of adult and pediatric cases. Teaching
rounds with attendings and fellows in the Cardiothoracic ICU occur twice
daily during the week, and the chairman conducts teaching rounds once a
week. Didactic conferences encompassing the Cardiothoracic surgery
curriculum, given by the chief resident of invited guests speakers, occur
once a week. Students are encouraged to participate in the clinical
aspects of the service as their experience grows, and to discuss research
interests.
Emphasis placed on
understanding the Pathophysiology of cardiac and thoracic disease,
and the rationale behind surgical treatment and postoperative care. The
student will spend time in the Cardiothoracic ICU, observe many different
types of procedures in the operating room, including anesthetic management
conduct of cardiopulmonary bypass, and will be expected to attend the
following conferences:
At Moses:
7:00 a.m. Daily: Attending teaching round in ICU (CT Surgery)
8:00 a.m.Daily: Rounds on step-down unit
9:00 a.m.Daily: Attending teaching round in ICU (Critical Care)
8:00
a.m.Monday:Didactic Cardiothoracic conference
9:00 a.m.Monday:Combined Pediatric Cardiothoracic and cardiology
conference
8:00 a.m.Saturday:Chairman's teaching rounds
At Weiler:
7:00 a.m.Thursday:Cardiothoracic Anesthesia Conference
8:00 a.m.Thursday:Thoracic Conference
8:00 a.m.Friday:Cath Conference
Dr. Jeffrey P.
Gold & Staff, MMC (920-7000)
All Modules 1 Student
Students should call Dr. Gold prior to outset date of elective for time
and place to meet.
The majority of the
student's time will be spent in the Cardiothoracic ICU which is staffed
daily by the Cardiothoracic resident and critical care fellow; both Cardiothoracic
and critical care attending rounds are given daily. The student will learn
Pathophysiology of homodynamic monitoring, as well as the principles of
cardiac and ventilatory support.
In addition to the above conference schedule, the student will have the
opportunity to attend several conferences a month, given by the critical
care department, concerning related topics.
At Moses:
7:00 a.m.Daily: Attending teaching round in ICU (CT Surgery)
8:00 a.m. Daily: Rounds on step-down unit
9:00 a.m.Daily: Attending teaching round in ICU (Critical Care)
8:00 a.m.Monday:
Didactic Cardiothoracic conference
9:00 a.m.Monday: Combined pediatric Cardiothoracic and cardiology
conference
8:00 a.m.Saturday:Chairman's teaching rounds
At Weiler:
7:00 a.m. Thursday:Cardiothoracic Anesthesia Conference
8:00 a.m.Thursday: Thoracic Conference
8:00 a.m.Friday: Cath Conference
Dr. Jeffrey P. Gold
& Staff , MMC (920-7000)
All Modules - 1 Student
Students should call Dr. Gold prior to outset date of elective for time
and place to meet.
This elective
provides a more in-depth understanding of the pathophysiology of cardiac
disease, and allows the student to follow several disease processes from
the point of diagnosis to the planned treatment. The rotation includes
exposure to the cardiac catherization laboratory, echocardiography, and
stress testing. The student is encouraged to participate in discussions
concerning patient selection for surgery, and plans for preoperative
assessment. In addition to the main conference schedule,
cardiology catherization conference and cardiology grand rounds occur
every Tuesday morning.
At Moses:
7:00 a.m.Daily: Attending teaching round in ICU (CT Surgery)
8:00 a.m.Daily: Rounds on step-down unit
9:00 a.m.Daily: Attending teaching round in ICU (Critical Care)
8:00 a.m.Monday:
Didactic Cardiothoracic conference
9:00 a.m.Monday: Combined pediatric Cardiothoracic and cardiology
conference
8:00 a.m.Tuesday:
Cardiology Cath Conference
9:00 a.m.Tuesday: Cardiology Grand Rounds
8:00 a.m.Saturday:
Chairman's teaching rounds
At Weiler:
7:00 a.m.Thursday: Cardiothoracic Anesthesia Conference
8:00 a.m.Thursday: Thoracic Conference
8:00 a.m. Friday:
Cath Conference
Dr. Jeffrey P.
Gold & Staff, MMC (920-7000)
All Modules, 1 Student
Students should call Dr. Gold prior to outset date of elective for time
and place to meet.
Encompasses all
aspects of adult and pediatric non-cardiac thoracic surgery, including pathophysiology of thoracic disease, differential diagnoses of various
clinical presentations,
diagnostic procedures, preoperative assessment, surgical treatment and
postoperative care including homodynamic monitoring. Conferences, under direction of thoracic
surgery and pediatric surgery faculty, include:
At Moses:
7:00 a.m.Daily: Attending teaching round in ICU (CT Surgery)
8:00 a.m.Daily: Rounds on step-down unit
9:00 a.m.Daily: Attending teaching round in ICU (Critical Care)
8:00 a.m.Monday:
Didactic Cardiothoracic conference
9:00 a.m.Monday: Combined Pediatric Cardiothoracic and cardiology
conference
8:00 a.m.Saturday: Chairman's teaching rounds
At Weiler:
7:00 a.m.Thursday: Cardiothoracic Anesthesia Conference
8:00 a.m.Thursday: Thoracic Conference
8:00 a.m.Friday: Cath Conference
Dr. Jeffrey P.
Gold & Staff, MMC (920-7000)
All Modules, 1 Student
Students should call Dr. Gold prior to outset date of elective for time
and place to meet.
The Montefiore
Cardiothoracic Surgery Program is a preceptorship program aiming to
provide
young volunteers the opportunity to observe first-hand the full spectrum
of care of the Cardiothoracic patient as practiced in one of the premiere
heart centers of New York. It consists of care of the Cardiothoracic patient as practiced in one of the premiere heart centers of New York. It
consists of a three week period of lectures, meetings and conferences on
the theory, reinforced by actual observation and experience of the practice,
of Cardiothoracic surgical care.
The program is
designed for but not limited to high school and undergraduate students
with some experience in he life sciences and who may be considering a
career in the medical arts and sciences.
Objectives of the
Program
Community
Objectives:
To provide an opportunity for the youth of the surrounding neighborhoods
for social awareness and service involvement consistent with the call for
volunteerism.
Institutional Objectives:
To provide learning opportunities about the medical sciences and the
health industry particularly in the area of the practice of
medical-surgical care of the Cardiothoracic patient.
To educate on Cardiothoracic disease and its prevention.
To demonstrate institutional practice and leadership in community health
care in general and the care of the Cardiothoracic patient in particular.
Activities of the
Program
I. Lecture Series
A. Backgrounder/Orientation:
1. History of the Cardiothoracic surgery department and its
contributions in relation to the advancement of care of the Cardiothoracic
patient with the history of the community and Montefiore in the
background, leading to its present leadership and visions for the future.
2. Two-way exchange of Program expectations and requirement as
well as detailing of hospital regulations and standards.
B. Basic and
Clinical Science introductory lectures:
1. Chest and heart anatomy and physiology.
2. Pathophysiology of common chest and heart diseases.
3. Preventive management of common chest and heart diseases.
4. Diagnosis and management of common chest and heart
diseases.
C. Career
Paths in Cardiothoracic Surgery - emphasis on the team approach:
1. Surgery
2. Nonsurgery - Cardiology, Pulmonary, Critical Care,
Anesthesiology
3. PA, ICU RN, Perfusionist, OR RN
4. Rehabilitation Medicine, Social/Case Worker
5. Research
6. Administrative
II.
Hospital and Department Activities
A. Monday Conferences
B. Cardiac Surgical ICU rounds
C. Surgical Floor rounds
III.
Preceptorship Rotations
A. Outpatient clinics
B. Operating Room
1. Anesthesia
2. OR RN
3. Perfusion
4. Surgery
C. Cardiac Surgical ICU
D. Cardiac Cath Lab and Echo
E. Social/Case Work
