PATACSI CASE TRACE FORM
PATACSI BOARD RESOLUTION 2020-04 : RESOLUTION TO AUGMENT THE TRAINING AND MEETING THE INDEX CASES OF TRACKED TCVS RESIDENTS-IN-TRAINING DURING THE TIME OF COVID-19 PANDEMIC IN THE PHILIPPINES
Let it be known that the 2020 Board of Directors of the Philippine Association of Thoracic, Cardiac, and Vascular Surgeons, Inc. (PATACSI) during its 5th Regular Board Meeting held at the Philippine Heart Center resolved the following:
Whereas, the SARS Cov-2 (Covid-19) pandemic has exacted its toll in the training of surgical residents in the Philippines relating to over-all cognitive, skills, and attitudinal development;
Whereas, the conversion of most general hospitals into Covid-19 hospitals has created a vacuum in the admission of elective, urgent and emergent Thoracic, Cardiac, and Vascular surgical cases;
Whereas, the 2019 Revised Accreditation Manual containing the prescribed number of index cases imperative to meet the requirements for acceptance for the TCVS Qualifying Board Examination (Tracking) is followed.
Now, therefore, based on the aforementioned, we, the undersigned Board of Directors of the Philippine Association of Thoracic, Cardiac, and Vascular Surgeons, Inc. (PATACSI), has resolved that there is a need to re-structure PATACSI’s index requirements to complete the required learning instructions during the time of Covid-19 pandemic in the Philippines.
We, also, resolved that after a meeting of PATACSI Training Committee and the Training Officers of the Five (5) training TCVS institutions, that in order to meet the prescribed number of index surgical cases re-structured learning opportunities must be implemented.
Be it further resolved that based on the Recommendations of the PATACSI Training Committee, we adopt the following changes during this time of Covid-19 pandemic in the Philippines, subject to re-evaluation after 5 months:
Sharing of Cases. Sharing of cases among institutions is encouraged particularly among senior graduating trainees; Rotation of trainees to different institutions is also encouraged.
Outside of Accredited Training Institution Experience. Cases done/ assisted by trainees (senior trainees prioritized) in institutions not accredited by PATACSI but done/ assisted by a PATACSI Fellow in good standing shall be credited for that trainee; likewise, the same shall be adopted for private cases. A registry form duly made for this purpose shall be created signed by both the trainee and consultant-Fellow and submitted within two (2) weeks after the procedure/ operation to the PATACSI Secretariat.
Distribution of Points on Private Cases and Cases Done in Hospitals Not Accredited by PATACSI. A 1:1 Case point assignment shall be given to Primary Surgeon. A 0.5:1 Case point assignment is given to a First Assistant. Determination of Primary Surgeon and First Assistant shall be made/ attested by the Consultant-Fellow present in the case managed.
Maximum Cases Done Outside of the Mother Institution. A fifty percent (50%) cap is given to all cases done outside of the mother institution (this is an increase from the existing 1/3 cap on cases done outside of the mother institution based on current guidelines).
Extension of Length of Training. Flexibility on extending length of training to meet the requirements is given to individual institutions subject to their existing policies.
These changes will effectively be beginning July 1, 2020 and shall be re-evaluated on November 30, 2020.
Done this June 18, 2020 at the Philippine Heart Center, Quezon City, Philippines.