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January 2000 TSDANews

Letter from the President
2000 TSDA Meeting - Ft Lauderdale, FL
Resident Match Program
Application Process
TSDA Resident Research Award
Announcements

Application for Boards
Chicago 2000
Survey Forms

Update on TSRA
Standing Committee Reports
Results of 2000 NRMP Match Program
Clearinghouse Activities
1999/2000 Faculty & Fellowship Positions

Letter from President Gordon Olinger, MD

The year 2000 has all sorts of implications, not the least of which is the potential for the hugest hangover in collective memory. Hopefully, the hangovers will have worn off by the time we meet in Ft. Lauderdale on Saturday before the Society of Thoracic Surgeons meeting. We have a lot to do!

The prospect for change in education of thoracic surgery residents during the next decade is assured in two regards. First, the manner in which we evaluate resident education will necessarily include assessment of outcomes along the line of competencies. Dr. David Leach, Executive Director of the ACGME, will address the Directors on this subject as a feature speaker on Saturday. The broad concept of competence will be the subject of Dr. David Nahrwold's address that same day. Dr. Nahrwold is the chairman of the Task Force on Competence of the American Board of Medical Specialties. As your president, I will be forming an ad hoc task force among our Directors to prepare us to deal with these issues as they impact on the education and evaluation of our thoracic surgery residents.

Second, the American Board of Thoracic Surgery at its fall meeting continued deliberation relative to the possibility of making certification by the American Board of Surgery optional for certification in Thoracic Surgery. Dr. Fred Crawford, the current chairman of the American Board of Thoracic Surgery, will address the Directors during the business session on Saturday to explain the Board's position. A freestanding meeting of the TSDA is being planned for September 2000 to deliberate aggressively about this opportunity. In 2001, plans are being made for a joint meeting in the spring with the Association of Program Directors in Surgery, a further step in the evolution of what I believe to be inevitable changes in our educational format.

I hope all of you will attend the meeting in Ft. Lauderdale. Please bring your Associate Directors if they can come. I can't predict where we'll be at the end of the third millennium, but I can say with confidence that this will be a very dynamic beginning to the first decade of the third millennium. It will be a challenge to all of us.


January 2000
TSDA Meeting Schedule
Fort Lauderdale, Florida

TSDA Meeting
Saturday, January 29
1:45 - 5:00 p.m.
Radisson Bahia Mar Hotel
Ballroom West
Refreshments will be served

Curriculum Implementation Committee
Sunday, January 30
7:00 - 9:00 a.m.
Marriott Marina Hotel
Salon C Room
Continental breakfast will be served

Executive Committee
Monday, January 31
6:30 a.m.
Marriott Marina Hotel
Dolphin Room
Continental breakfast will be served

TSRA Meeting
Tuesday, February 1
6:00 - 8:00 p.m.
Marriott Marina Hotel
Dolphin Room

Prerequisite Committee
Monday, January 31
11:00 a.m. - 2:00 p.m.
Marriott Marina Hotel
Dolphin Room
Light lunch will be served


It's Time to Think About the 2001 Thoracic Surgery Resident Match Program

The Thoracic Surgery Speciality Match for 2001 has begun with an announcement from the National Resident Matching Program. The Universal Resident Application which was designed and approved by the TSDA in 1996 to simplify the application process for residents will continue to be used. Application forms are available from the NRMP office and are mailed to applicants when they register.

Application Process

October, 1999
Program and Applicant agreements are available from the NRMP at 202-828-0676.

February 9, 2000
Program and Applicant agreements must be submitted to the NRMP.

March 8, 2000
Programs and Applicants receive their rank order list forms.

April 7, 2000
All applications to programs must be received.

June 7, 2000
Final date for NRMP to receive rank order lists from Programs and Applicants. NOTE: No rank order lists, agreements, withdrawals, or changes will be accepted after this date.

June 28, 2000
Match results. NOTE: No action to fill empty positions is to be taken prior to 12:00 noon EST on this date.

June 28 - July 28, 2000
Program Directors send letters of appointment to matched applicants.

TSDA Resident Research Award

Each year the TSDA selects one outstanding research presentation sponsored by a thoracic surgery training program in the United States or Canada at the Society of Thoracic Surgery meeting. The best paper is selected by members of the TSDA Executive Committee. This award is generously supported by a grant from Medtronic, Inc. This year's winner is Evelio Rodriguez, MD, for his paper, entitled, "Smooth Muscle Cell Apoptosis Early After Saphenous Vein Grafting." Dr. Rodriguez is a resident at Thomas Jefferson University Hospital and Dr. Richard N. Edie is his Program Director.

Announcements

Thank you to the following doctors as they have recently been appointed as representatives of the TSDA to the Council of Academic Specialties: Richard Shemin, M.D. and to Antonio Laudito, M.D. and Jorge Salazar, M.D. as resident representatives. Also D. Glenn Pennington, M.D. has been appointed as the TSDA Representative to the Council of Medical Specialty Societies.

Universal Application for the Boards

The deadline for applications remains August 1. This year, if the application is not received by August 1, the resident will not be permitted to take the exam.

TSDA Chicago 2000

A TSDA stand alone program has been established for September 16 - 17, 2000. The meeting will take place at the Hyatt Regency O'Hare. The main focus of this meeting will address the ramifications of an ABTS decision on the prerequisite general surgery boards might have on curriculum and other aspects of thoracic fellowships.

Survey Forms

A handful of programs have not returned their updated Database Survey Form. If your form is still outstanding, please update and return it to the TSDA Headquarters Office immediately. Should you have any questions, please do not hesitate to contact the office at (703) 820-7400.

 

Update on TSRA

The Thoracic Surgery Residents Association (TSRA), a national organization consisting of all thoracic surgery residents is well underway. The purpose of the TSRA is to provide a forum for exchange of ideas and information among the residents and to improve communication between the residents (the students) and the Program Directors (the teachers.) The Association has met on the Tuesday evenings in conjunction with the ACS, AATS and STS over the last year. The next meeting of the TSRA has been scheduled for Tuesday, February 1, at the Greater Fort Lauderdale/Broward County Convention in conjunction with our TSDA meeting at the STS. Please encourage any of your residents who will be attending the STS meeting to attend the TSRA meeting as well. For further information please contact the newly elected officers: Antonio Laudito, M.D., President at alaudito@surgery.ucsf.edu; (415) 614-0751 or Jorge Salazar, M.D., Secretary at jsalazar@welchlink.jhu.edu.

Standing Committee Reports

Curriculum Implementation Committee

Industry sponsored funding has allowed the TSDA to greatly enhance and expand its curriculum effort. The CIC has put an immense amount of time into the creation of an on-line, interactive curriculum. The committee has selected the following members to spearhead this project: William A. Baumgartner, MD and David Campbell, MD who receive much support from the following Section Editors: John H. Calhoon, MD - Congenital; Douglas J. Mathisen, MD - General; Richard J. Shemin, MD - Cardiac. As much of the content will be related or very similar to that of the Prerequisite Curriculum, the two committees are working closely to avoid any duplicative efforts. The Curriculum Implementation Committee has established an approximate release date of October, 2000 for this component of the curriculum.

The Prerequisite Curriculum Committee

Under the leadership of Dr. Jeffery Gold, the Prerequisite Curriculum Committee has made great strides in compiling and creating the Prerequisite Curriculum CD-Rom. The following individuals have been appointed as Section Editors for the CD Rom Curriculum: Verdi DiSesa, M.D., Eugene Grossi, M.D., Thomas Spray, M.D., Richard Whyte, M.D., David Wood, M.D. and Joe Zwischenberger, M.D. The committee has also completed the process of assigning authors to generate the various sub-sections of the curriculum. With the assistance of the recently filled web-editor position, Ms. Alethea Wieland, the instructions for the prerequisite contributing authors can now be found on the TSDA Webpage and the multimedia compilation of the already submitted individual sections has begun. Upon analysis of the prerequisite evaluations from the incoming residents and the collection of remaining sections from both the authors and section editors, a projected time frame for the release of the finish product has been set for July, 2000.

The Requisite Curriculum Committee

The Requisite Curriculum Committee has reviewed the 1994 Curriculum publication. Text changes have been submitted and a new submission addressing geriatrics is being considered.

Results of the Questionnaire from 2000 Appointments of the NRMP Match Program

We have compiled the edited comments made by residents who were sampled concerning the recent match. Of those 65 that responded, 58 (89%) felt that the Match was effective in achieving its goals; 5 (8%) felt that they had experienced undue pressure to commit outside of the Match; 30 (46%) would be interested in some sort of standard time or regionalization of the interview process; 30 (46%) did not prefer some sort of standard time or regionalization of the interview process. The number of Programs at which residents interviewed ranged from 1 to 20 (avg = 10). The total cost of these interviews to the applicants ranged from $0 to $10,000 (avg = $4,386).

As results indicated most programs actively participated within the rules and spirit of the match. Clearly there are a few programs which did not honor that spirit. You know who you are! The Executive Committee as well as the Ad Hoc Committee on Resident Match will continue to investigate ways to simplify this process for the residents as well as to make it more fair. We have elected to continue to use the National Resident Match Program for 2001.

TSDA Clearinghouse Activities

The TSDA has acted as a clearinghouse for thoracic surgery faculty positions and for fellowship positions within the United States. It has also attempted to match late or previously unmatched thoracic surgery applicants with unexpected openings in residency programs. There are presently 16 residency programs in the United States seeking a general thoracic surgery faculty member and 11 have indicated a need for more general thoracic faculty beginning in July, 2000. A list of these programs is available from the TSDA Headquarter office.

We believe tracking this information is important not only because it helps residents locate faculty positions but it is also helpful in determine trends in academic faculty manpower needs and the desirability of investing in resident research time.

TSDA Database Survey Results of Available Faculty & Fellowship positions - 1999/2000

Summary

General Thoracic Surgery Faculty Positions

Available 1999 (16)
Anticipated 2000 (11)

Cardiac Surgery Faculty Positions

Available 1999
Primarily Adult (15)
Primarily Congenital (4)

Anticipated 2000
Primarily Adult (10)
Primarily Congenital (1)

Research Faculty

Available 1999 (2)
Anticipated 2000 (3)

Clinical Fellowships Available - 1999

Congenital
Prior Completion of Thoracic Surgery Residency Required (5)
Completion Not Required (3)

General Thoracic
Prior Completion of Thoracic Surgery Residency Required (3)
Completion Not Required (2)

Transplant
Prior Completion of Thoracic Surgery Residency Required (7)
Completion Not Required (4)

Adult Cardiac
Prior Completion of Thoracic Surgery Residency Required (6)
Completion Not Required (8)

Research Fellowships Available - 1998

Funded (10)
Not Funded 14

 

TSDANews is a quarterly publication of the Thoracic Surgery Directors Association, 4900B South 31st Street, Arlington, VA 22206, (703) 820-7400.

TSDA Officers
President: Gordon N. Olinger, MD
President-Elect: Edward D. Verrier, MD
Secretary/Treasurer: Jeffrey P. Gold, MD
Councillor at-Large: Richard J. Shemin, MD
Councillor at-Large: D. Glenn Pennington, MD