Reflections from Rohtak CME
The Indian Association of Cardiovascular-Thoracic Surgeons Cardiac Continuing Medical Education Program was held between 25 & 26 May 2019 at the Pt. B.D Sharma Post Graduate Institute of Medical Sciences (PGIMS), in the Vedic city of Rohtak, Haryana. The program designed for residents drew over 400 young bright minds training in cardiothoracic surgery, critical care, general surgery, orthopaedic surgery & undergraduates. The interest and inquisition were palpable from the enthusiasm of the candidates converging from across specialties of practices & demographics.
The unique summer teaching module drawn in conjunction with practical exposure and redressing crucial concepts for the development of a professional physician equipped with quality, integrity, constructivism, effectiveness and reflective applicability was supported with the attendance of over 100 faculty from across the length and breadth of the country.
The two-day CME saw in attendance, Prof. Dr. Vinod Paul, member of the NITI Aayog; Dr. Rashmi Kant Dave, Vice President & Executive Director- National Board of Examinations; Mr. Amit Jha, Addl. Chief Secretary- Medical Education & Research(Govt. of Haryana); Prof. Dr. O.P Kalra, Vice Chancellor(UHS, Rohtak) and Dr. Raja Babu Panwar, Vice Chancellor(RUHS, Rajasthan).
Teaching sessions focused on procedural methologies, handling imminent pitfalls often encountered by the young-questing surgeons. The didactic lectures revolved around the complexity of the anatomy in most lesions, that required a holistic effort & approach with modern technology & refined skill. The sessions were split and aptly categorised into the surgery for valvular heart diseases, minimally invasive surgery, congenital surgery, coronary care, aortic surgery, cardiac transplantation for heart failure and a session dedicated to trending technologies and newer paradigms in cardiothoracic surgery.
Discussions in the form of panel discussion and debates were organised to acquaint the residents with shifting paradigms in valvular & coronary surgery from conventional techniques to the adaptation of novel hybrid strategies involving a comprehensive heart team.
Latest and the most innovative trends and modalities in cardiothoracic surgery such as VADs, extra-corporeal support and the revolution around cardiac transplantation, with minimal invasive techniques and robot-assisted procedures were discussed and shown. Integrative strategies utilising more capable imaging modalities such as traditional trans-oesophageal echocardiography and three-dimensional echocardiography was of semblance to the audience comprising of residents majoring in anaesthesia, critical care and emergency medicine. The armamentarium of such trending modalities has enabled the effective strategies we see in cardiac surgery today.
A hands-on didactic session on Aortic valve cum root replacement for aneurysmal dilation of the aorta, with Bentall’s procedure was hosted for the perquisite of residents. The interactive practical session was conducted by Dr. C.S Hiremath and Dr. Prasanna Simha to enable trainees to understand the challenges in performing a complicated procedure, with additional perils in the management of cardiopulmonary bypass and minimising incidents for prudent outcomes. The session also revolved around effective root management in David’s procedure, and compatible coronary anastomoses.
A practical session on arterial anastomosis was conducted to acquaint residents from cardiothoracic, general and orthopaedic surgery with the essentials and skills involved in performing appreciable anastomosis. The session was conducted by Dr. K.N Bhonsle, Dr. Sudhir Mehta who guided the participants with the handling of instruments for the procedure and addressed on effective ways to achieving appreciable anastomosis of venous and arterial grafts. The novices of vascular anastomosis had plenty to take home.
In addition, a hands-on workshop on laparoscopic graft harvesting was conducted to demonstrate and enable residents to understand the basics of minimal access techniques, employed in cardiac surgery. The session by Dr. Manoj Pradhan covered issues on instrument medelling, methods to keep harvest simple and safe, tricks and tips for a good outcome.
The reciprocatory learning module with students and teachers has grown to bring in new and effective teaching methologies within the ambit of resident outreach. It has enabled to redefine and inculcate effective teaching strategies in post-graduate studies with renewed pedagogy. It reaffirms our faith to invest and develop on continuing medical education for the benefit of students and to keep-driving in this direction to establish teaching efforts in cardiothoracic surgery with more prudent techniques. The summer session hopes to come back with renewed fervor in this exciting endeavour.