Our Summary

In Germany, the training program for heart surgeons recently underwent some changes. Instead of focusing strictly on the amount of time spent in training, the new six-year program is more focused on acquiring specific skills. Once the trainees meet all the requirements of the program and pass an exam, they are given a license to practice as a specialized heart surgeon. Unlike some professions, once they get this license they don’t need to renew it throughout their career. This new training program was developed by the National Medical Chamber and the surgical societies, and approved by the German Medical Assembly.

FAQs

  1. What are the changes in the training program for heart surgeons in Germany?
  2. What is the duration of the new training program for heart surgeons in Germany?
  3. Who developed and approved the new training program for heart surgeons in Germany?

Doctor’s Tip

One helpful tip a doctor might tell a patient about cardiac surgery is to follow all pre-operative instructions given by your healthcare team, including medication management, dietary restrictions, and lifestyle changes. It is important to be well-prepared physically and mentally for the surgery to ensure the best possible outcome. Additionally, be sure to ask any questions or voice any concerns you may have before the procedure to alleviate any anxiety and fully understand the process.

Suitable For

Patients who are typically recommended for cardiac surgery include those with:

  1. Coronary artery disease
  2. Heart valve disease
  3. Congenital heart defects
  4. Aortic aneurysms
  5. Heart failure
  6. Arrhythmias

It is important for patients to undergo a thorough evaluation by a cardiologist and a cardiac surgeon to determine if they are suitable candidates for surgery. The decision to undergo cardiac surgery is based on the patient’s overall health, the severity of their condition, and the potential benefits of the surgery.

Timeline

Before cardiac surgery:

  1. Patient undergoes various diagnostic tests such as echocardiogram, stress test, and coronary angiography to determine the extent of heart disease.
  2. Patient meets with a cardiologist and cardiac surgeon to discuss treatment options and risks associated with surgery.
  3. Patient may undergo pre-operative procedures such as blood tests, chest x-ray, and electrocardiogram to ensure they are healthy enough for surgery.

After cardiac surgery:

  1. Patient is transferred to the intensive care unit immediately after surgery for monitoring and recovery.
  2. Patient may stay in the hospital for several days to a week, depending on the complexity of the surgery and their overall health.
  3. Patient undergoes physical therapy and cardiac rehabilitation to help with recovery and improve cardiovascular health.
  4. Patient may be prescribed medications to manage pain, prevent infection, and reduce the risk of blood clots.
  5. Patient follows up with their cardiologist and cardiac surgeon regularly to monitor their progress and adjust their treatment plan as needed.

What to Ask Your Doctor

  1. What type of cardiac surgery do I need and why?
  2. What are the potential risks and complications associated with the surgery?
  3. How experienced are you in performing this specific type of cardiac surgery?
  4. What is the expected outcome of the surgery and recovery process?
  5. What is the success rate of this type of surgery?
  6. What is the recovery time and rehabilitation process like?
  7. Are there any alternative treatment options to consider?
  8. What can I do to prepare for the surgery, both physically and mentally?
  9. What follow-up care will be needed after the surgery?
  10. Are there any lifestyle changes or medications I will need to take post-surgery?

Reference

Authors: Wick A, Beckmann A, Nemeth A, Conradi L, Schäfer A, Reichenspurner H, Schlensak C. Journal: J Thorac Cardiovasc Surg. 2020 Feb;159(2):579-587. doi: 10.1016/j.jtcvs.2019.08.020. Epub 2019 Sep 9. PMID: 31669027