Minimially Invasive Thoracic Surgery Fellow

Brigham and Women's Hospital
Date Posted: September 18, 2018

This is a comprehensive training program in advanced non-cardiac thoracic surgery, intended for those who have graduated from or intend to complete an ACGME cardiothoracic residency. Foreign medical graduates who do not plan to practice in the United States are also eligible. It is not intended as an alternative path to thoracic credentialing, but rather as an enhancement for specialized training in minimally invasive and robotic techniques, multidisciplinary thoracic and foregut oncology, and benign and malignant foregut surgery. The start date is 8/1/2019. The Division of Thoracic Surgery at Brigham and Women's Hospital and Harvard Medical School offers an advanced one-year fellowship in minimally invasive general thoracic surgery for individuals who have completed their American Board of Thoracic Surgery requirements or their equivalence. Fellowships are also available for board certified cardiothoracic surgeons wishing to retool in general thoracic surgery and in minimally invasive thoracic surgery with emphasis on esophageal and lung surgery. Outpatient, operative and postoperative management of the entire spectrum of minimally invasive general thoracic surgical cases is provided including endoscopic surgery, laparoscopic surgery, minimally invasive thoracoscopic and robotic surgery. In addition, there is expected access to both simulation and animal work as well as research. There are eighteen general thoracic surgeons staffing the Division of Thoracic Surgery at BWH, performing over 3,000 procedures in the last academic year. The fellows will work alongside residents enrolled in the accredited Thoracic Surgery program at BWH and actively participate in all educational conferences and activities. There is also an opportunity for clinical research. We use an apprenticeship model whereby each minimally invasive thoracic fellow is assigned to surgeons two months at a time to gain exposure to the breadth and depth of minimally invasive practice The focus changes from lung surgery to esophageal surgery based on the surgeon. The fellow is the primary resident with the assigned surgeon so that there is no competition with the accredited residents. The case volume is more than sufficient to accommodate all residents and fellows. This is one of the busiest Thoracic surgery program in the country. The fellows are primarily at Brigham and Women's Hospital where over 3,000 cases are performed each year. In addition, our surgeons operate at 5 additional satellite hospitals (South Shore Hospital, VA Medical Center West Roxbury, Faulkner Hospital, Milford Hospital and Kent Hospital) where fellows may occasionally rotate to supplement fellow interests. We also have one of the largest practices of esophageal cases with nearly 200 laparoscopic fundoplication per year (including first time lap nissens, redo nissens/ Collis nissens, heller myotomy, giant paraesophageal hernias, diverticulae, etc.). We also perform over 100 esophagectomy cases a year, mostly minimally invasively, and evenly divided between anastomoses in the neck and chest. Finally, we incorporate esophageal and laparoscopic staging routinely for esophageal and gastric cancer staging. On the lung side, we perform over 150 lobectomies and segementectomies per year many using complete minimally invasive techniques. In addition, approximately 250 Video thoracoscopic lung wedge resection are performed per year as well as many other miscellaneous video thoracoscopic cases such as sympatectomy, thymectomy, resection of all types of mediastinal and pleural masses etc. We are performing robotic surgery for the lung and esophagus, and endoscopic therapies like POEM. We also perform hundreds of therapeutic and diagnostic endoscopies and bronchoscopies using EUS, EBUS, laser, PDT and stents. Surgeons on our staff have trained in many institutions and bring multiple techniques to their students.

How To Apply

All applications to be submitted via the Fellowship Council Website- https://fellowshipcouncil.org/directory-of-fellowships/display-listing/?match=2&pid=1330

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