RT Book, Section A2 Yuh, David D. A2 Vricella, Luca A. A2 Yang, Stephen C. A2 Doty, John R. SR Print(0) ID 1100633635 T1 Preface T2 Johns Hopkins Textbook of Cardiothoracic Surgery YR 2014 FD 2014 PB McGraw-Hill Education PP New York, NY SN 978-0-07-166350-2 LK accesssurgery.mhmedical.com/content.aspx?aid=1100633635 RD 2024/03/29 AB Much has changed since first edition of the Johns Hopkins Manual of Cardiothoracic Surgery was published in 2007. First, the tried and true Halstedian-based paradigm of cardiothoracic surgical residency training as an 8- to 10-year apprenticeship has been challenged by new duty hour restrictions, intense scrutiny of clinical outcomes, and a seemingly endless parade of evidence-based quality measures and documentation requirements. Whether one deems these changes as progress or not, it is clear that they have affected the environment in which today's residents must learn the craft of cardiothoracic surgery, placing a premium on the time during which they can develop and reinforce their knowledge base from real-life clinical scenarios. Second, the advent of new integrated cardiothoracic surgical residency programs, taking trainees right out of medical school, have made integrated, practical, and concise references with content readily accessible to uninitiated medical graduates even more valuable. Finally, tremendous advances in new technologies, including catheter-based valve delivery systems, less-invasive surgical techniques, new mechanical circulatory devices, and hybrid approaches in the treatment of cardiothoracic disease have added to the already considerable knowledge base that cardiothoracic trainees must assimilate.