Kasturi Srikanth
Department of Cardiothoracic Surgery, Narayana Institute of Cardiac Sciences, 258/A, Hosur Road, Bommasandra Industrial Area, Anekal Taluk, Bengaluru, Karnataka 560099 India.
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(1):114-117. doi: 10.1007/s12055-020-01033-9. Epub 2020 Sep 9.
Cardiothoracic surgery is on the verge of undergoing a major metamorphosis from being a conventional surgical branch to a technologically powered specialty with plenty of emphasis on learning the minimally invasive techniques, and a step forward is the advent of interventional techniques to treat most of the major cardiac ailments. Though the world of interventions has been traditionally dominated by the physicians, it is time we surgeons get ourselves actively involved in learning and performing these interventional procedures to stay relevant. This is not an attempt to disrupt the physician-surgeon harmony but to nurture a symbiotic relationship between the two specialties for advancement in cardiac science and technological growth, ultimately to benefit the patient. In this article, we discuss the Indian and the global scenario of the role of surgeons in the interventional arena and various training modalities available for surgeons to learn the art of cardiac interventions. We tried to understand the impediments in implementing interventional training for surgeons and also propose certain amendments to the way the future cardiothoracic surgeons are trained.
心胸外科正处于从传统外科分支向技术驱动型专业的重大转变边缘,该专业非常注重学习微创技术,而介入技术的出现是治疗大多数主要心脏疾病的一大进步。尽管传统上介入领域一直由内科医生主导,但现在是我们外科医生积极参与学习和实施这些介入手术以跟上时代的时候了。这并非试图破坏内科医生与外科医生之间的和谐关系,而是为了培育这两个专业之间的共生关系,以推动心脏科学的发展和技术进步,最终造福患者。在本文中,我们讨论了印度和全球范围内外科医生在介入领域的角色情况,以及可供外科医生学习心脏介入技术的各种培训模式。我们试图了解对外科医生实施介入培训的障碍,并对未来心胸外科医生的培训方式提出一些改进建议。