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GENERAL THORACIC ROTATION
The objectives and goals of this rotation are that the resident:
- Understands the anatomy and physiology of the cutaneous, muscular, and bony components of the chest wall and their anatomic and physiologic relationships to adjacent structures.
- Understands the anatomy of the vascular, neural, muscular, and bony components of the thoracic outlet; knows all operative approaches to the chest wall.
- Knows the surgical anatomy, neural, vascular, and skeletal components of the chest wall, as well as the major musculocutaneous flaps.
- Recognizes the normal and abnormal anatomy of the chest wall; reads and interprets tests to diagnose chest wall abnormalities.
- Performs operations utilizing major chest wall flaps and the correct application of prosthetic materials.
- Understands clinical presentation and radiologic findings of tracheobronchial injury; understands the principles of airway management.
- Understands the bronchoscopic findings of tracheobronchial and pulmonary injury.
- Understands the injuries associated with tracheobronchial and pulmonary injury.
- Evaluates and manages patients with tracheobronchial trauma; manages the airway of patients with tracheobronchial injuries.
- Repairs tracheobronchial and associated injuries.
- Performs non-operative management of pulmonary contusion.
- Performs emergency operations to repair peripheral pulmonary and hilar injuries.
- Uses precautions to avoid air embolism in patients with penetrating and blunt injuries.
- Understands the indications, techniques, and complications of rigid and fiberoptic bronchoscopy of the larynx and tracheobronchial tree.
- Evaluates and manages patients requiring bronchoscopy; performs rigid and fiberoptic bronchoscopy using various anesthetic techniques.
- Obtains diagnostic material using various biopsy techniques; uses laser techniques via bronchoscopy; uses stents via bronchoscopy.
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