ROYAL AUSTRALASIAN COLLEGE OF SURGEONS
2011 Logbook
Summary of Operative Experience
CARDIOTHORACIC SURGERY
1. NAME:
___________________________________________________________
2.
1st
Term
SET Level
3.
Period of Training covered by this Summary
Day
Month
Year
From
4.
2nd
Term
Day
Month
Year
To
Tick appropriate box
NSW
NT
QLD
SA
TAS
VIC
WA
NZ
OTHER
5. Name of Supervisor: ________________________________________________________
6. Hospital for this Training Period: ________________________________________________
7. Signature of Trainee: __________________________________
Date: _____________
8. Signature of Supervisor: __________________________________
Date: _____________
CARDIOTHORACIC SURGICAL LOG BOOK SUMMARY
This logbook summary is a record of operative statistics compiled during
Specialist Training in Cardiothoracic Surgery. Operative procedures performed
during the General Surgical component of training should be recorded in the
format used for General Surgery trainees. Beginning in January 2003, the guide
to Specialist Cardiothoracic Training prescribes minimum numbers and case-mix
that needs to be achieved in a given year of Specialist training. The new logbook
summary reflects those pre-requisites (in the case of thoracic surgical training
those case figures are spread over a two year period).
The Cardiothoracic Board believes that trainees should be adequately supervised
for all operative procedures and this logbook recognises three levels of operative
assistance:
A.
Operation or component skill performed BY TRAINEE without the
surgeon in charge actually assisting with that operation or part of
the procedure. (The surgeon will decide the appropriate oversight
for that patient and trainee and may be in the operating room). The
operative procedure or skill in question may be only part of the main
procedure (e.g. cannulation for bypass or radial artery harvest).
B.
Trainee Assisted, by senior member e.g. Fellow or surgeon, to
perform a particular procedure.
C.
Trainee is the First assistant for the procedure.
Do not record procedures or operations where you are the 2 nd assistant.
This operative list is comprehensive but will not include every conceivable
cardiac procedure. Procedures not listed will be entered in the “OTHER”
category.
The trainee will present this summary of clinical experience, when advised, twice
each year for review by the entire Board at its meetings. The trainee will need to
keep all raw data regarding clinical experience in a form that would allow
verification of the caseload and casemix at a later date if that should be required.
The data should be kept in a fashion that is consistent with College guidelines
regarding patient privacy (identifier by MRN only).
This document must be signed before being submitted, by the
trainee and the Supervisor of Cardiothoracic Surgical Training and
as such indicates that this is an accurate record. Forms will not be
reviewed if they are not signed by both parties. Failure to submit an
appropriate record at the correct time may lead to time in
training not being recognised for that period.
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SUMMARY OF CARDIOTHORACIC OPERATIONS
COMPONENT PROCEDURES:
(only one per patient)
1.
2.
3.
4.
5.
6.
7.
8.
Saphenous vein harvest
Radial artery harvest
Median sternotomy
Internal mammary artery harvest
Cannulation for bypass
Insertion coronary sinus cannula
Aorto-coronary anastomosis
Other proximal anastomosis,
e.g. T graft.
9. Distal coronary anastomosis
10. Sternal closure
11. Re-Do sternotomy
CORONARY BYPASS SURGERY
LEVEL OF ASSISTANCE
A or B
Total
Total
this
Entire
Rotation training
∕100
∕50
∕150
∕75
∕50
∕50
∕75
∕75
∕100
∕10
A
B
C
Off Pump coronary bypass. (No. of
patients)
All coronary bypass surgery . (No. of
patients)
TOTAL (this rotation)
/5
∕10
TOTAL (entire training experience)
AORTIC VALVE SURGERY
1. Aortic Valve Replacement
Mechanical prosthesis
Stented bioprosthesis
Stentless valve
Homograft
*2. Aortic Valve Repair
TOTAL (this rotation)
A
TOTAL (entire training experience)
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∕60
B
∕400
C
∕10
∕80
AORTIC SURGERY
1. Ascending aorta (supracoronary)
** 2. Aortic valve plus supracoronary aorta
3. Bental/Cabrol/Valve Sparing Root*
4. Aortic arch replacement
5. Descending aorta procedure
6. Thoraco abdominal repair
7. Aortic Dissection:
TypeA
TypeB
8. Co-arctation repair
TOTAL (this rotation)
LEVEL OF ASSISTANCE
A
B
C
TOTAL (entire training experience)
MITRAL VALVE SURGERY
1. Mitral Valve Repair
2. Mitral Valve Replacement
Mechanical prosthesis
Bioprosthesis
TOTAL (this rotation)
/20
A
B
∕5
TOTAL (entire training experience)
OTHER VALVE SURGERY
1. Tricuspid Valve Procedure
2. Double Valve Procedure
3. Triple Valve Procedure
TOTAL (this rotation)
C
A
B
∕30
C
TOTAL (entire training experience)
/10
In combined cases e.g. AVR with CABG then each component will be recorded separately under
Aortic valve surgery and coronary artery bypass surgery.
*Aortic valve repair will include leaflet repairs, patches, decalcification and valve sparing root
replacement.
** This excludes General aortic valve replacement.
PACEMAKER AND DEFIBRILLATOR
INSERTIONS
Total Systems
Dual Chamber
Biventricular
Generator Change/Removal
TOTAL (this rotation)
A
TOTAL (entire training experience)
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B
C
∕20
OTHER MAJOR CARDIAC OPERATIONS
1. Infarct VSD/ rupture
2. Cardiac Tumors
Myxoma
Other
3. Cardiac transplantation
4. VAD insertion
5. Pulmonary embolectomy
6. Surgery for atrial fibrillation
7. Miscellaneous major procedures
TOTAL (this rotation)
LEVEL OF ASSISTANCE
A
B
C
TOTAL (entire training experience)
ADJUVANT
OPERATIONS/PROCEDURES
1. IABP insertion
2. Femoral cannulation (for bypass)
3. Axillary cannulation (for bypass)
4. Re-op for bleeding (intra-thoracic)
5. CVP/Swan Ganz insertion
TOTAL (this rotation)
/5
A
B
/5
/5
C
/10
/5
/10
/10
TOTAL (entire training experience)
Congenital Cardiac
Cases without cardiopulmonary bypass
Cases with cardiopulmonary bypass
Cases with circulatory arrest
TOTAL (this rotation)
TOTAL (entire training experience)
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A
B
C
/10
GENERAL THORACIC SURGERY
MAJOR PROCEDURES
1. Lobectomy
2. Pneumonectomy
3. Sleeve resection
4. Decortication
5. Mediastinal tumor
6. Lung volume reduction surgery
7. Transplantation - lung, combined
heart/lung
8. Other Thoracic Major, ie Pleurectomy
or
Chest Wall
9. Oesophageal resection
10. Other oesophageal procedures
TOTAL (this rotation)
LEVEL OF ASSISTANCE
A
B
C
∕30
TOTAL (entire training experience)
OTHER THORACIC
1. VATS diagnostic
2. VATS pleurodesis
3. VATS wedge resection
4. Other VATS
SUB TOTAL VATS for 1-4 (this
rotation)
A
B
∕50
C
TOTAL VATS for 1-4 (entire training
experience)
5. Mediastinoscopy
6. Bronchoscopy
-Flexible
-Rigid
-Therapeutic
(stent placement, laser therapy, etc.)
7. Oesophagoscopy -Flexible
-Rigid
-Therapeutic
(stent placement, laser therapy, etc.)
8. Other Thoracic Minor
SUB TOTAL (this rotation)
TOTAL (entire training experience)
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∕50
∕100
Longitudinal Training Requirements
ICU component completed……………………No ……. Yes  Date:……….….
Research component completed………
… No ……. Yes  Date:………..…
Trainees are requested to note that presentation at the ASCTS Meeting is a
compulsory training component. List below a cumulative record of ALL
Research Projects, Presentations or Publications undertaken during the entire
period of Specialist Cardiothoracic Surgical Training
Research/ Presentation/ Publication:
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