Thoracic Surgery Integrated Residency Program
The six-year Thoracic Surgery Integrated Residency Program was initially approved by the ACGME Residency Review Committee for Thoracic Surgery in 2010 and accepted its first resident in 2011. This makes Northwestern one of the earlier programs of this type in the country. The goal of the program is to produce excellent cardiac and thoracic surgeons by combining intensive experience in cardiac and thoracic surgery with carefully selected experiences in general surgery and related disciplines.
The first three years of the program comprise the core surgery experience. During that time, residents rotate in a variety of general surgical specialties aimed at providing education in the care of routine and critically ill patients as well as early operative experience. Rotations include trauma surgery, vascular surgery, minimally invasive gastrointestinal surgery, surgical intensive care, transplant surgery, plastic surgery and several community general surgery experiences. Additionally, residents will spend five months in general thoracic surgery and five months in cardiac surgery during the first three years. Focused rotations in related specialties include cardiology critical care, cardiac anesthesia and interventional cardiology/cath lab. Throughout the entire core experience, residents remain firmly connected to the thoracic program by participating in all weekly didactic sessions, direct mentoring with thoracic faculty and ongoing clinical research projects.
The final three years of the program are equivalent to the classical thoracic surgery fellowship with rotations in thoracic surgery, cardiac surgery and congenital heart surgery. Residents take on graduated responsibility for increasingly complex patients and operations and learn to manage a busy and complicated practice in preparation independent practice after graduation. The thoracic surgery rotations focus on the diagnosis and treatment of common and complex pathologies of the lung, airway, esophagus, chest wall and mediastinum. The Robert H. Lurie Comprehensive Cancer Center of Northwestern University provides a wide range of experience in malignant lung and esophagus tumors as well as metastatic disease to the chest, malignant pleural disease, mediastinal tumors and chest wall masses. There is extensive multidisciplinary collaboration establishing a model for patient-centered care. Close relationships with Pulmonary Medicine and primary care practices ensure residents are well versed in the diagnostic and therapeutic techniques for benign lung, airway and pleural disease as well. The newly opened lung transplant program extends these experiences to include treatment of advanced end-stage lung disease via lung volume reduction and single and bilateral lung transplant. Finally, our service is intimately involved with the Gastroenterology Esophageal Motility Disorders Center at Northwestern, which sees a large volume of patients with complex benign esophageal disease, including failed anti-reflux procedures and end-stage achalasia.
The adult cardiac surgery rotations in the early portion of training focus on use of cardiopulmonary bypass to treat straightforward ischemic and valvular disease. As residents become comfortable with the basic skills and concepts, they take on graduated responsibility for increasingly complex patients and operations and learn to manage a busy and complicated service. During the fifth year, the residents spend one month in the cardiac cath lab to learn advanced wire skills in preparation for performing endovascular aortic and valvular procedures. The cardiac experience culminates in the cardiac surgery chief position for six months in the final year, during which the resident runs all of the day-to-day activities of the service.
The congenital heart disease rotation occurs near the end of the fifth year at Ann & Robert H. Lurie Children’s Hospital of Chicago, located across the street from Northwestern Memorial Hospital. This experience is designed to provide residents with an appreciation of the spectrum of congenital heart disease as well as an enhanced understanding of cardiac hemodynamics, which can be applied to adult disease. Certification in congenital heart disease does require an additional year of training. However, for those with an interest in congenital surgery, additional time can be spent at Lurie Children’s during their final year. Three months of elective time in the final year is designed to allow residents to focus in an area of specific professional interest. This may include heart failure, congenital heart disease, great vessel disease, lung transplant, minimally invasive thoracic surgery or other areas.
7:30 SBRT conference (rad onc)
7:30 Cardiology grand rounds
7:30 TAVI conference
7:30 multidisciplinary heart failure conference
12:30 Sarcoma conference
4:00 GI oncology conference
5:00 Benign esophageal disease conference
7:30 Cardiac cath conference
7:45 Thoracic oncology conference
7:00 General surgery grand rounds
8:00 General surgery resident conference
9:00 PGY1/2 skills lab
7:00 Thoracic residents’ conference
Thoracic Sample Topics
- Lung Cancer, Part 1: Practice management; evaluating the solitary pulmonary nodule; staging - how to assess T, N, M; staging - treatment by stage, outcomes; errors in medicine; why is lobectomy the gold standard; evaluating the marginal patient; complications of lung resection
- Lung Cancer, Part 2: Role of segmentectomy; vascular anastomosis lab in NCASE simulation center; chemotherapy; adjuvant chemo for IB disease and stage II disease
Cardiac Sample Topics
- Critical Care: Vaspopressors; IABP; temporary pacemakers; M+M; managing postoperative bleeding; advanced ventilator management; on-call scenarios
- Heart Transplant: Bypass pump basics; vascular anastomosis lab in NCASE simulation center; M+M; heart transplant recipient selection/how the list works
All applications must be submitted via the Electronic Residency Application Service (ERAS).
The deadline for application is Oct. 30, 2019. Applications received after that date will not be reviewed.
A complete application includes the following:
- ERAS application
- Three letters of recommendation
- Personal statement
- USMLE transcript
- Medical school transcript
- Medical school performance evaluation (dean's letter)
- ECFMG certificate (if applicable)
Our application review committee considers the entire application. Therefore, we do not have any minimum score requirements.
Personal interviews are by invitation only and are required for acceptance to our program. Applicants who we wish to invite to interview will be notified via ERAS email. This year's interview date is Friday, Nov. 22, 2019.
International Medical Graduates
No previous U.S. clinical experience is required to apply to our program.
We do not have a minimum/maximum number of years from medical school graduation date requirement.
The preferred visa for training at the McGaw Medical Center of Northwestern University is the J-1 visa sponsored through the ECFMG for residency/fellowship training.
Applicants should be ECFMG-certified by the application deadline (Nov. 1).
Visiting Student Elective Rotations
S. Chris Malaisrie, MD
S. Chris Malaisrie, MD is a cardiac surgeon at Northwestern Medicine, associate director of the Center for Heart Valve Disease at Bluhm Cardiovascular Institute, co-director of the Marfan Syndrome and Related Disorders Program, co-director of the Thoracic Aortic Surgery Program, and Program Director of the Thoracic Surgery Residency Programs (Integrated and Traditional). He is an associate professor at Northwestern University Feinberg School of Medicine. Dr. Malaisrie’s special interests include Marfan syndrome and related connective tissue disorders, bicuspid aortic valve, aortic aneurysms / dissections, chronic thromboembolic pulmonary hypertension, and mitral valve disease. In addition to complex aortic surgery encompassing valve repair, valve-sparing aortic root replacement, aortic arch reconstruction, thoracoabdominal aortic repair and endovascular stent grafting, Dr. Malaisrie performs minimally-invasive valve repair, transcatheter valve replacement, and pulmonary thromboendarterectomy. Dr. Malaisrie is board certified by both the American Board of Surgery and the American Board of Thoracic Surgery. Dr. Malaisrie completed his thoracic residency at Baylor College of Medicine and completed his cardiac surgery fellowship at Stanford University.
Dr. McCarthy is the Heller-Sacks Professor of Surgery in the Feinberg School of Medicine at Northwestern University and Chief of the Division of Cardiac Surgery. Dr. McCarthy has achieved international recognition in complex adult cardiac surgery especially valve and atrial fibrillation surgery. He has performed over 10,000 heart operations. Dr. McCarthy has authored or co-authored more than 400 papers and 50 book chapters. He has been on the editorial board of eight medical journals and is an officer in numerous professional societies.
Graduate Research Resources
We offer a wide range of resources, mentorship opportunities and training to help our residents and fellows excel as physician-scientists. Explore all of the resources and hear from housestaff who are making research a major part of their career development plans.VISIT THE HOUSESTAFF RESEARCH PORTAL