Intermediate (II)
Intermediate Stage Overview
Clinical placements during the intermediate stage (ST3-6) will be purely in Cardiothoracic Surgery. The purpose of the intermediate stage is to allow the trainee to develop further the skills necessary for independent cardiothoracic practice. These will include skills in general cardiothoracic surgery and in emergency cardiothoracic surgery. They will also be an introduction to some specialist areas of Cardiothoracic Surgery.
Entry into ST3
Entry into ST3 will usually involve a competitive selection process. The current person specifications for entry into ST3 in Cardiothoracic Surgery are shown on the Modernising Medical Careers website. The essential components are completion of the common component of the core surgical training programme (as evidenced by successful ARCP, WPBA and completion of the MRCS examination) and completion of the cardiothoracic specific components of the early years training as evidenced by a successful ARCP and completion of the appropriate WPBA.
Intermediate (I) Phase of training (ST3 &ST4)
The intermediate (I) phase of training will consist of an indicative period of two years. These two years should in turn consist of four modules, each of 6 months. Trainees will be expected to have completed at least one module in cardiac surgery and one module in thoracic surgery by the end of this phase.
The purpose of this stage is to acquire and develop experience and competence in the generality of cardiothoracic surgery.
The curriculum for each of the modules is defined (see syllabus). Aims and levels of competence to be attained within each module by the end of this stage are identified.
Intermediate (1) modules:
- Critical Care and Postoperative Management
- Cardiopulmonary Bypass
- Myocardial Protection
- Circulatory Support
- Ischaemic Heart Disease
- Heart Valve Disease
- Aortovascular Disease
- Cardiothoracic Trauma
- General Management of a Patient Undergoing Thoracic Surgery
- Neoplasms of the Lung
- Disorders of the Pleura
- Disorders of the Chest Wall
- Disorders of the Diaphragm
- Emphysema and Bullae
- Disorders of the Pericardium
- Disorders of the Mediastinum
- Disorders of the Airway
- Congenital Heart Disease
- Intrathoracic transplantation and surgery for heart failure
- Management of Benign Oesophageal Disorders
- Management of Oesophageal Neoplasia
Click on Workplace Based Assessments to view the assessment forms including DOPS and PBAs
Intermediate (II) Phase of training (ST5 &ST6)
The intermediate (II) phase of training will consist of an indicative period of two years. These two years should in turn consist of four modules, each of 6 months. By the end of this phase trainees will be expected to have completed at least one year in cardiac surgery and one year in thoracic surgery.
Whilst the emphasis remains on gaining experience and competence in the generality of cardiothoracic surgery, trainees may be starting to develop subspecialty interests and undertaking modules relevant to this.
The curriculum for each of the modules is defined (see syllabus). Aims and levels of competence to be attained within each module by the end of this stage are identified.
Intermediate (ll) modules:
- Critical Care and Postoperative Management
- Cardiopulmonary Bypass
- Myocardial Protection
- Circulatory Support
- Ischaemic Heart Disease
- Heart Valve Disease
- Aortovascular Disease
- Cardiothoracic Trauma
- General Management of a Patient Undergoing Thoracic Surgery
- Neoplasms of the Lung
- Disorders of the Pleura
- Disorders of the Chest Wall
- Disorders of the Diaphragm
- Emphysema and Bullae
- Disorders of the Pericardium
- Disorders of the Mediastinum
- Disorders of the Airway
- Congenital Heart Disease
- Intrathoracic transplantation and surgery for heart failure
- Management of Benign Oesophageal Disorders
- Management of Oesophageal Neoplasia
Click on Workplace Based Assessments to view the assessment forms including DOPS and PBAs