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Fellowship cts2012
1. EGYPTIAN FELLOWSHIP
OF CARDIOTHORACIC
SURGERY
EFCTS 2001-2012
SAMEH ELAMEEN M.D.
Consultant Cardiac Surgery National Heart Institute- Imbaba.
Program Director & Exam Organizer of
EBCTS
2. Fellowship of Cardio-Thoracic
Surgery
Major Cardiac Surgery
– 3 years cardiac / one year thoracic
Major Thoracic Surgery
– 3 years thoracic / one year cardiac
March 18, 2012 EFCTS 2001-2012 2
3. Training Centers
This training program which started in
September 2001, is carried out in high
volume centers, (national Heart
Institute, Nasser Institute and Omrania
Chest Hospital).
This is to ensure exposure of the
candidates to the vast majority of
clinical cases required to complete their
training program.
March 18, 2012 EFCTS 2001-2012 3
4. EFCTS: General Objective
To provide comprehensive cardio-thoracic
surgical training program at the completion of
which, the trainee can be regarded as
knowledgeable, competent, safe and practical
surgeon in the matters related to the
diagnosis, surgical treatment and post–
operative management of conditions
considered to within the realm of cardio-
thoracic surgery.
March 18, 2012 EFCTS 2001-2012 4
5. EFCTS: structure
Protocol
Curriculum
Trainers
Candidates
Program director
Exam Organizer
Higher council
March 18, 2012 EFCTS 2001-2012 5
6. Protocol and Curriculum
The theoretical part can be found in their
curriculum book which is derived from
the American and European boards and
modified by the Egyptian Professors of the
specialty. The practical part, volume of
surgical procedures, and other program
details are found in their protocol book.
March 18, 2012 EFCTS 2001-2012 6
7. The Logbook
Thirdly comes the logbook which is
the backbone of the evaluation
process. It includes their scientific
activities, meetings, lectures, special
training attendance, assistance, and
surgical procedures.
March 18, 2012 EFCTS 2001-2012 7
8. Supplementary Courses
A- Before starting the program:
– Medico-legal aspects of the specialty
– Time management
– Communication skills
– Basic Life support
March 18, 2012 EFCTS 2001-2012 8
9. Supplementary Courses
B- During the training
– Advanced life support
– How to make a research
– How to write a paper
– Clinical statistics
– Managerial Tasks
March 18, 2012 EFCTS 2001-2012 9
10. Supplementary Courses
C-Before the Exam
– Theoretical intensive course before the written
exam
– Mock Exam
– Open Book exam
– How to answer MCQ
– Clinical intensive course before the oral exam
March 18, 2012 EFCTS 2001-2012 10
11. EFCTS:
Evaluation How Frequent?
Year-to-year
Month-to-month
Week-to-week
Day-to-day
March 18, 2012 EFCTS 2001-2012 11
13. EFCTS:
What to Evaluate?
The evaluation process is very close, strict,
objective and periodical. All candidates are
subjected to evaluation in three main aspects:
(a) Knowledge,
(b) Skills and
(c) behavior and attitude,
according to which the candidate will be
eligible for final evaluation “final exam”.
March 18, 2012 EFCTS 2001-2012 13
14. EFCTS: What to Evaluate?
I-Attitude and Behavior:
Attitude and Behavior:
– With colleagues
– With consultants
– With patients
– With patients’ relatives
– With managers
– With nurses
March 18, 2012 EFCTS 2001-2012 14
15. EFCTS: What to Evaluate?
II-Knowledge
How to acquire knowledge
Main source of knowledge
Can he use and apply this knowledge?
Registration (filling the pt. file & sheet)
Computer skills
English language
Use of lay language
March 18, 2012 EFCTS 2001-2012 15
16. EFCTS: What to Evaluate?
II-Knowledge
Watching him in friendly scientific discussion
Presentation of surgical papers in the Journal
Club.
Direct questions
Mock Exam
Open book exam
Scientific research
Clinical rounds
March 18, 2012 EFCTS 2001-2012 16
17. EFCTS: III-Evaluation of Skills
Surgical skills
Diagnostic skills (eg tapping)
Bed side clinical skills
Wet Lab
March 18, 2012 EFCTS 2001-2012 17
39. Serious Evaluation
This process entails supervision,
guidance, evaluation and repeated
revision.
It is done by several consultants and at
different levels, firstly the training
consultant, then by the program
director, then by the higher council of
the specialty.
March 18, 2012 EFCTS 2001-2012 39
40. Clinical research work
During these 4 years the candidate has
to prepare a clinical research work and
present it in a paper at the end of his
training program to gain access to the
final exam.
This paper is supervised by his training
consultant and subjected to discussion
by a three-member committee before
acceptance. EFCTS 2001-2012
March 18, 2012 40
41. Final Evaluation:
Eligibility for Exam
Finished 4 years training.
Satisfied his trainer Approval
Clinical research paper accepted by
judging committee.
Completed his surgical volume
Approval of the program director
March 18, 2012 EFCTS 2001-2012 41
42. Final Evaluation:
Exam
Written: MCQ & problem solving (2
papers)
Short Essays: 2 papers
Oral: fixed questions for all candidates &
all examiners
Model Answers are pre-written and given
to each examiner before test.
Marks are divided, and fixed over the
questions.
March 18, 2012 EFCTS 2001-2012 42
43. Examination Variants
A- The Question
B- The Examiner
C- The candidate
March 18, 2012 EFCTS 2001-2012 43
44. Examination Objectivity
For a fair, reliable exam we must fix the
first and second variables.
The only variant will be the candidate
and according to his knowledge, Skills
and behavior, he will be evaluated.
March 18, 2012 EFCTS 2001-2012 44
45. First Variant
I-The Question
– Clear
– Reliable
– Comprehensive
– Up to the standard
– Set time for the exam
– Structured question with structured
answer
March 18, 2012 EFCTS 2001-2012 45
46. The Examiner; 2nd Variant
1. Should know the exam technique
2. Should have the highest behavior.
3. should have no relation to the
candidate
March 18, 2012 EFCTS 2001-2012 46
47. OSCE Exam
How to set OSCE stations.
No. of OSCE stations.
What knowledge and skills best
evaluated in OSCE station (X-ray- MRI–
Angio-Instruments-ECG, etc..
How to chase material for OSCE
March 18, 2012 EFCTS 2001-2012 47
48. Close Marking System
Consists of 4 marks only: 8,9,10 &11
Equivalent to:
– 11= 80% or more
– 10= 60-80%
– 9 =50-60%
– 8 = < 50%
Passing Mark is 40, excellent is 42, failing
< 39, borderline to be revaluated (39)
March 18, 2012 EFCTS 2001-2012 48
49. External Examiner
Being the national board of the
country all Egyptian professors are
considered internal examiners
External examiner who is invited
from abroad
2008/2009 Prof. khaled Iskander
2010 Prof. Howeida Elquethamy
March 18, 2012 EFCTS 2001-2012 49
51. 10 Years outcome
During these 10 years, 56 candidates applied
for the Egyptian board,
Eleven only completed the full course and
were successfully graduated (19.6%)
Two did not pass their thoracic exam (3.5%)
Two were dismissed for misbehavior (3.5%)
Twelve did not withstand the strict program
and quit (21.5%)
Four left the program for the Gulf (7%)
March 18, 2012 EFCTS 2001-2012 51
52. 10 Years outcome
one failed the written exam 3 times and was
not allowed again before repeating his
training,
one finished his training but did not present
his research paper so he was not allowed for
the exam,
23 participating in the program at various
levels (41%) one of them is receiving training
in UK
March 18, 2012 EFCTS 2001-2012 52
53. Success Rate: 85%
Out of thirteen candidates who were
allowed to apply for the final Exam and
who have met the criteria for eligibility,
eleven succeeded and were graduated
making 85% success rate.
March 18, 2012 EFCTS 2001-2012 53
54. Members of the Egyptian
Board of Cardiothoracic
Surgery
Prof Magdy
Gomaa
Chief of
scientific
council of
EBCTS
(2007-Now)
March 18, 2012 EFCTS 2001-2012 54
55. Members of the Egyptian
Board of Cardiothoracic
Surgery
*Prof. Sayed AKL
*Prof. M. Abdel
Raouf
*Prof. Ahmed
Hassouna
*Prof. M. Elfikky
Prof. Adel Elbanna
March 18, 2012 EFCTS 2001-2012 55
56. Special dedication to the
professor Hussien Gaafar
Formal Chief of the EBCTS
(2001-2007)
March 18, 2012 EFCTS 2001-2012 56
