Forms

Important Residency Program Forms

Click the links below to download important and useful forms.

Thoracic Surgery Residency Program Interview Dates
Printable Version
Interactive Version

Thoracic Surgery Residency Available Position(s)
Printable Version
Interactive Version

Thoracic Surgery Resident Contact Information
Printable Version
Interactive Version

Resident Evaluation
Printable Version
Interactive Version

Faculty Evaluation
Printable Version
Interactive Version

Program Evaluation
Printable Version
Interactive Version

Vessel Anastomosis Simulation Module Assessment

Vessel Anastomosis Simulation Module Reorder Sheet (trainers, parts, and vessels)

ABTS Case Index Requirements (for cardiothoracic surgery residents who started after July 1, 2012)

Thoracic Surgical Curriculum Templates

Template 1: Two-year curriculum: 34 weeks cardiovascular surgery followed by 42 weeks of thoracic surgery; may reverse for thoracic surgery for 42 weeks and cardiovascular surgery for 34 weeks; congenital disease for 12 weeks is separate and covered while on congenital service.

Template 2: Two-year curriculum: Cardiovascular surgery (34 weeks) alternating with thoracic surgery; must cover both basic and advanced; congenital disease for 12 weeks is separate and covered while on congenital service.

Template 3: Two-year curriculum: Cardiovascular surgery (34 weeks) alternating with thoracic surgery (42 weeks) alternating with congenital disease (12 weeks); must cover both basic and advanced levels.

Template 4: Three-year curriculum: Cardiovascular surgery (34 topics) alternating with thoracic surgery (42 topics) over 114 weeks; for basic and advanced; congenital disease (12 topics) over 18 weeks is separate and covered while on congenital service.

Template 5: Three-year curriculum: Cardiovascular surgery alternating with thoracic surgery alternating with congenital disease; 88 topics over 132 weeks; must cover basic and advanced levels.

Template 6: Integrated six-year curriculum: Based on Template 4 above with basic level for PGY 1-3 and advanced level for PGY 4-6 ; congenital disease (12 topics) over 18 weeks is separate and covered while on congenital service.

Template 7: Integrated six-year curriculum: Based on Template 5 above with basic level for PGY 1-4 and advanced level for PGY 4-6.