title: Comparison of cardiothoracic training curricula: integrated six-year versus traditional programs.
abstract: BACKGROUND
  Traditionally, cardiothoracic residency programs are 2 or 3 years in length and require the completion of a general surgery residency. Six-year integrated programs (IP) that directly match fourth-year medical students have been recently developed. Our objective was to examine the curricula of traditional 2-year (T2) and 3-year (T3) programs and compare them to the curricula of IP.
  
  
  METHODS
  We requested curricula from the directors of all IP, T2, and T3 programs participating in the 2011 to 2012 match. We compared the median number of months spent on a cardiothoracic (CT) rotation, an adult cardiac rotation, a thoracic rotation, and a congenital rotation, as well as time spent on "other" nonsurgical rotations. Traditional programs were categorized into 1 of 3 pathways: combined cardiothoracic (CCT), adult cardiac (AC), or general thoracic (GT).
  
  
  RESULTS
  Integrated programs spend more time on general thoracic rotations when compared with CCT-T2, CCT-T3, AC-T2, and AC-T3 pathways (p = 0.009, p = 0.046, p = 0.001 and p = 0.028, respectively). The IP spend a similar amount of time on CT, adult cardiac, and congenital rotations when compared when 2- and 3-year CCT, AC, and GT pathways. Of note, IP spend significantly more time on "other" nonsurgical rotations than all other pathways (p < 0.001 to 0.008).
  
  
  CONCLUSIONS
  Integrated programs should not be considered "cardiac pathways" as they spend a significant amount of time on thoracic rotations. Additional nonsurgical rotations provide an opportunity for residents in IP to develop unique skills not currently provided in traditional programs.
authors.affiliation: Division of Cardiac Surgery, Northwestern University, Feinberg School of Medicine, Bluhm Cardiovascular Institute at Northwestern Memorial Hospital, Chicago, Illinois, USA.
authors.forename: Sarah T
authors.initials: ST
authors.lastname: Ward
authors.forename: Danielle
authors.initials: D
authors.lastname: Smith
authors.forename: Adin-Cristian
authors.initials: AC
authors.lastname: Andrei
authors.forename: George L
authors.initials: GL
authors.lastname: Hicks
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Shemin
authors.forename: John H
authors.initials: JH
authors.lastname: Calhoon
authors.forename: Carolyn
authors.initials: C
authors.lastname: Reed
authors.forename: Edward D
authors.initials: ED
authors.lastname: Verrier
authors.forename: David A
authors.initials: DA
authors.lastname: Fullerton
authors.forename: Richard
authors.initials: R
authors.lastname: Lee
mesh_terms: D000328:Adult; D002983:Clinical Competence; D003430:Cross-Sectional Studies; D003479:Curriculum; D004503:Education, Medical, Graduate / Q000458:organization & administration; D004521:Educational Measurement; D005260:Female; D006801:Humans; D007396:Internship and Residency / Q000458:organization & administration*; D008297:Male; D016730:Program Development; D015397:Program Evaluation; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D013903:Thoracic Surgery / Q000193:education*; D013997:Time Factors; D014481:United States