Division of Respirology

Thoracic

St. Joseph’s Healthcare
As a Center of Excellence, there is the opportunity to assess and treat a large number and variety of thoracic surgical patients. The resident will learn to insert and manage chest tubes, and will be responsible for following the patients on the Thoracic Surgery ward. Skills to acquire during this rotation include fiber-optic and rigid bronchoscopy, pleuradesis and providing surgical assistance in the operating room. In the Thoracic Surgical clinic, new consults and post-operative patients will be assessed. The above activities will provide learning opportunities for diagnosis, staging and management of thoracic neoplasm. On the Thoracic rotation, the resident will take call for the Thoracic Surgery Service under the supervision of one of the Thoracic surgeons.

Medical Expert

  1. To learn about the indications for, contraindications to, and post-operative course of common thoracic surgical procedures and the management of patients in this setting.
  2. To develop proficiency in the insertion and care of chest tubes and knowledge regarding disorders of the pleural space.
  3. To obtain further experience in bronchoscopy, including techniques used in the operating room such as rigid bronchoscopy.
  4. To be able to assess a patient suitability for thoracic surgery with respect to underlying cardiac and pulmonary status.
  5. To understand the role of thoracic surgery in the management and diagnosis of lung disorders, including lung cancer, pleural disease and interstitial lung disease.
  6. To assist the surgeon in a variety of procedures including mediastinoscopy, thoracoscopy and thoracotomy.
  7. To recognize and manage common surgical and non- surgical postoperative complications.

Communicator

To learn to communicate clearly with patients and families regarding general information related to thoracic surgical techniques.

Collaborator

To appreciate the importance of collaboration between the Thoracic Surgeon and the Respirologist in the management of pulmonary diseases.

Manager

To observe the surgeon as a manager who must often supervise the care of patients on the ward, in the office and in the Operating Room simultaneously.

Health Advocate

To recognize the need for transfer of care or mobilization of resources to serve the needs of patients who require thoracic surgical consultation but live in a non-academic center.

Scholar

To identify personal gaps in knowledge and skills in Thoracic Surgery as it applies to the practice of Respirology.

Professional

To understand and to respect the important contribution of the thoracic surgeon in the management of respiratory diseases.