Annual Report 2010 - 2011
DEPARTMENT OF CARDIOTHORACIC SURGERY
CLINICAL: For fiscal year 2011 the Department of Cardiothoracic Surgery performed 1,017 surgical procedures, an increase of 8% from last year. The total number of clinic visits decreased by 3.6% at a total of 2,408, with work RVUs at 50,000 which represents a 4% decrease from FY10. The reduction in wRVUs was associated with the departure of Dr. Hines, resulting in the transfer of the ECMO wRVUs out of Cardiothoracic Surgery.
The department plans to continue its relationship with the VA Medical Center in Salisbury by having Dr. Adrian Lata here two days per week. This will continue to provide increased numbers of thoracic mediastinoscopies and esophageal endoscopy procedures as required by the American Board of Thoracic Surgery to satisfy the resident's board eligibility. Dr. Lata's practice will consist of non-cardiac thoracic and adult cardiac.
An expansion of the Thoracic Oncology Program, the region's only multidisciplinary thoracic oncology clinic, is planned with the recruitment of a lead surgeon in Thoracic Surgical Oncology. The goal is to facilitate communication between physicians to provide the highest level of care for patients with common as well as rare malignancies of the chest. Due to the growth of the Heart Failure Program, there are also plans to recruit a thoracic surgeon in April, 2012 to serve as the Director of the VAD Program.
Wake Forest Baptist was chosen as one of forty centers to participate in the Medtronic Core Valve US Pivotal Trial (01/19/11 - 01/19/17) and the Co-PIs are Drs. Neal D. Kon and Robert B. Applegate. The goal of this clinical trial is to test the efficacy of the transcatheter aortic valve replacement device. To date this center has performed 12 procedures.
Dr. Edward Kincaid, PI continues to enroll subjects in his NIH Grant entitled "Improving Neurologic Outcomes in Diabetics Undergoing Cardiac Surgery" (Grant Number 5R01HL89115-5) that was awarded for the project period of 02/15/08 - 01/31/13. He anticipates determining if intensive management of diabetes can improve neuropsychologic outcomes in diabetic patients undergoing cardiopulmonary bypass surgery.
ACADEMIC: For fiscal year 2012, The Department of Cardiothoracic Surgery has 2 fellows. The Cardiothoracic Surgery Residency Core Program is currently a two year program and the most recent site visit was conducted by the ACGME on 8/23/11. The department participates in the Thoracic Surgery Match and accepts 1 resident each year. Due to the decrease in the number of applicants, the Program Director and faculty decided to submit an application for a 6-Year Integrated Residency Program on 05/06/2011. With the approval and support of the Director, Division of Surgical Sciences the application was submitted and the ACGME conducted the initial site visit for the new integrated program on August 23, 2011. Following approval of the integrated program an additional resident will be added for the next four years and institutional funding of these positions has been approved.
Dr. John Hammon directs a Cardiothoracic Surgery Interest Group which consists of mostly first and second year medical students. The focus of this interest group is to provide a glimpse of cardiothoracic surgery that is otherwise not available until much later. Knot tying and suturing tutorials are taught as a part of the curriculum for this group.
Dr. James Jordan has made significant strides to increase the academic missions of Cardiothoracic Surgery. Dr. Jordan directs the Medical Student Research Program and creates a summer research experience for first year medical students with 4 participants in the last 3 years who were awarded a Summer Research Scholarship by the American Association for Thoracic Surgery. Annually, there are only 20 recipients of this scholarship award nationally.
Dr. Jordan has served as Chairman of the Division of Surgical Sciences Resident's and Fellow's Research Day for three years and has increased the number of poster presentations from 79 in 2008 to 137 in 2010.
The Cardiothoracic Surgery Simulator Program is being developed for the transition to a 6-Year Integrated Residency Program under the direction of Drs. John Hammon, James Jordan and Ross Ungerleider. The focus of this program will combine didactic and hands-on-training while utilizing inanimate simulators, tissue preparations and live-animal training.
Drs. James E. Jordan and Edward H. Kincaid recently received a WFBH IEI SPARK Commercialization Pathway Grant (organizing for possible SBIR/STTR submission) in the amount of $25,000. Other collaborators on this project are Jeff Sites (PreClinical Surgical Services), Bryon Rubery (Cardiology) and James Campbell (MEDesign). This project aims to further develop and test the efficacy of an epicardial pacing device (IP: Dr. Kincaid) for the treatment of left bundle branch block and ventricular dyssynchrony. KECS: The Kincaid Epicardial Stimulator.