Duke University Hospital Program

The Thoracic Surgery Residency Program at Duke University Hospital provides comprehensive training in the field of thoracic surgery through a structured curriculum. The residents will undergo an intensive learning period spanning six years, consisting of substantial exposure to general, vascular, and cardiothoracic surgery, as well as critical care, cardiac anesthesia, and catheterization.

The training is designed to take place at three primary locations: Duke University Hospital, Durham VA Medical Center, and Duke Regional Hospital. Throughout the first three years (PGY 1-3), residents will participate in balanced and broad training which serves to develop foundational skills required in the field of general surgery and vascular surgery—a critical aspect of thoracic surgical training. After the initial three years, the program pivots to a specialty-focused approach during the PGY 4-6 years, emphasizing general thoracic, congenital, adult cardiac, and aortic surgery.

The curriculum of the program is uniquely designed to bolster surgical experience through structured educational programs, including weekly didactic conferences, attending rounds, and Grand Rounds that align with the Thoracic Surgery Directors Association (TSDA) standards. This robust academic framework is complemented by clinical conferences that explore multidisciplinary approaches to thoracic oncology, heart and lung transplants, and congenital heart surgery, fostering a collaborative learning environment 1.

Training Locations

Residents will participate in rotations across multiple esteemed facilities—Durham VA Medical Center, which serves as a Deans' Committed Veterans Affairs Medical Center, and Duke Regional Hospital. At the Durham VA, there exists a diverse array of clinical experiences that encompass cardiovascular and thoracic surgery, general surgery, and vascular surgery, all delivered under the mentorship of accomplished academic faculty from Duke University Medical Center. In contrast, rotations at Duke Regional Hospital focus on the dynamics present in a community hospital setting and provide opportunities to engage in advanced laparoscopic procedures, further broadening residents’ surgical expertise 2.

Policies and Professional Development

All residents are expected to comply with policies outlined in the Graduate Medical Education (GME) Trainee Manual and Benefit Guide, which dictate compensation based on the training level and mandate licensure requirements, including a full North Carolina State Medical License or a Residence Training License registered with the North Carolina Medical Board 3. Each resident will select an advisor/mentor upon entry into the program, ensuring dedicated guidance throughout clinical and academic endeavors. This relationship is pivotal for fostering a productive and enriching learning atmosphere.

The program emphasizes the importance of mental and physical well-being, recognizing that trainees are at risk for a multitude of health problems prevalent within the general population. Policies and procedures are established to address issues of impairment, ensuring support for medical, behavioral, and mental health challenges. Duke offers a Personal Assistance Service that provides counseling and resources, helping residents manage stress and maintain their health throughout the rigorous training process 3.

Leave and Vacation Policies

The residency program has structured leave policies that allow for Family Medical Leave (FMLA), military leave, and vacation time. The vacation allotment is designed to accommodate the intense workload, providing residents with necessary time off. Trainees receive two weeks of vacation during their intern year and, during the subsequent years, are granted additional vacation periods, ensuring a balanced work-life ratio is maintained throughout training. This consideration for resident well-being minimizes fatigue and maximizes productivity and learning opportunities 3.

Academic Development and Conferences

Residents are supported in their academic endeavors and are provided resources to attend major academic meetings annually, covering expenses related to travel and conference participation. This encourages residents to stay updated with the latest advancements in thoracic surgery and to engage with professional communities 3. Opportunities for international engagement are also available, allowing residents to present at global conferences, provided they obtain necessary approvals.

Visa Support and Special Application Requirements

The program is dedicated to supporting international medical graduates (IMGs) and may offer visa sponsorship for J-1 and H-1B visas. The program is considered competitive, and applicants are encouraged to review specific requirements such as limits on failed examinations, and the acceptable year of graduation to ensure eligibility for selection.