Selection, Training and Mentoring of Cardiac Surgeons

  • Ross M. Ungerleider
  • George R. Verghese
  • Douglas G. Ririe
  • Jamie Dickey Ungerleider


This chapter explores the unique challenges of selecting, training and mentoring those who will become the next generation of pediatric cardiac care professionals. In addition to the published literature on selection, training and mentoring, we provide new data from the Congenital Heart Surgeons Society and the European Association for Congenital Heart Surgery elucidating the elements deemed most important to the training and professional development of healthcare providers devoted to pediatric cardiac care.


Training Mentoring Education 


  1. 1.
    Ungerleider RM. Whom does the grail serve? Ann Thorac Surg. 2007;83:1927–33.PubMedGoogle Scholar
  2. 2.
    Bennekom FC. Customer surveying. Bolton: Customer Service Press; 2002.Google Scholar
  3. 3.
    Curtin R, Presser S, Singer E. The effects of response rate changes on the index of consumer sentiment. Public Opin Q. 2000;64(4):413–28.PubMedGoogle Scholar
  4. 4.
    Keeter S, Kennedy C, Dimock M, Best J, Craighill P. Gauging the impact of growing nonresponse on estimates from a national RDD telephone survey. Public Opin Q. 2006;70:759–79.Google Scholar
  5. 5.
    Visser PS, Krosnick JA, Marquette J, Curtin M. Mail surveys for election forecasting? And evaluation of the Colombia dispatch poll. Public Opin Q. 1996;60:181–227.Google Scholar
  6. 6.
    Lillehei CW, Varco RL, Cohen M, Warden HE, Patton C, Moller JH. The first open-heart repairs of ventricular septal defect, atrioventricular communis, and tetralogy of fallot using extracorporeal circulation by cross-circulation: a 30-year follow-up. Ann Thorac Surg. 1986;41:4–21.PubMedGoogle Scholar
  7. 7.
    Bell JG, Kanellitsas I, Schaffer L. Selection of obstetrics and gynecology residents on the basis of medical school performance. Am J Obstet Gynecol. 2002;186(5):1091–4.PubMedGoogle Scholar
  8. 8.
    Callahan CA, Mohammadreza H, Veloski J, Erdmann JB, Gonnella JS. The predictive validity of three vesions of the MCAT in relation to performance in medical school, residency, and licensing examinations: a longitudinal study of 36 classes of Jefferson Medical College. Acad Med. 2010;85:980–7.PubMedGoogle Scholar
  9. 9.
    Guffey RC, Rusin K, Chidiac EJ, Marsh HM. The utility of pre-residency standardized tests for anesthesiology resident selection: the place of United States Medical Licensing Examination scores. Anesth Analg. 2011;112(1):201–6.PubMedGoogle Scholar
  10. 10.
    Kim PY, Wallace DA, Allbritton DW, Altose MD. Predictors of success on the written anesthesiology board certification examination. Int J Med Educ. 2012;3:225–35.Google Scholar
  11. 11.
    Thundiyil JG, Modica RF, Silvestri S, Papa L. Do United States Medical Licensing Examination (USMLE) scores predict in-training test performance for emergency medicine residents? J Emerg Med. 2010;38:65–9.PubMedGoogle Scholar
  12. 12.
    McGaghie WC, Cohen ER, Wayne DB. Are United States Medical Licensing Exam Step 1 and 2 scores valid measures for postgraduate medical residency selection decisions? Acad Med. 2011;86:48–52.PubMedGoogle Scholar
  13. 13.
    Spurlock Jr DR, Holden C, Hartranft T. Using United States Medical Licensing Examination (USMLE) examination results to predict later in-training examination performance among general surgery residents. J Surg Educ. 2010;67(6):452–6.PubMedGoogle Scholar
  14. 14.
    Wadowski S, Mody R. Relationships between USMLE scores, clinical performance scores and in-training examination results in pediatric residents with and without Prior Clinical Training. Pediatr Res. 1998;43:329.Google Scholar
  15. 15.
    Ogunyemi D, De Taylor-Harris S. NBME Obstetrics and Gynecology clerkship final examination scores: predictive value of standardized tests and demographic factors. J Reprod Med. 2004;49:978–82.PubMedGoogle Scholar
  16. 16.
    Dillon GF, Clauser BE, Melnick DE. The role of USMLE scores in selecting residents. Acad Med. 2011;86(7):793.PubMedGoogle Scholar
  17. 17.
    Maschuw K, Schlosser K, Kupietz E, Slater EP, Weyers P, Hassan I. Do soft skills predict surgical performance?: a single-center randomized controlled trial evaluating predictors of skill acquisition in virtual reality laparoscopy. World J Surg. 2011;35(3):480–6.PubMedGoogle Scholar
  18. 18.
    Goldberg AE, Neifeld JP, Wolfe LG, Goldberg SR. Correlation of manual dexterity with USMLE scores and medical student class rank. J Surg Res. 2008;147(2):212–5.PubMedGoogle Scholar
  19. 19.
    Rifkin WD, Rifkin A. Correlation between housestaff performance on the United States Medical Licensing Examination and standardized patient encounters. Mt Sinai J Med. 2005;72:47–9.PubMedGoogle Scholar
  20. 20.
    Stohl HE, Hueppchen NA, Bienstock JL. Can medical school performance predict residency performance? Resident selection and predictors of successful performance in obstetrics and gynecology. J Grad Med Educ. 2010;2(3):322–6.PubMedCentralPubMedGoogle Scholar
  21. 21.
    Dirschl DR, Dahners LE, Adams GL, Crouch JH, Wilson FC. Correlating selection criteria with subsequent performance as residents. Clin Orthop Relat Res. 2002;(399):265–71.Google Scholar
  22. 22.
    Fening K, Vander Horst A, Zirwas M. Correlation of USMLE step 1 scores with performance on dermatology in-training examinations. J Am Acad Dermatol. 2011;64:102–6.PubMedGoogle Scholar
  23. 23.
    Dunnington GH, Pelletier MP. The future of cardiac surgery training programs (letter to the editor). Ann Thorac Surg. 2006;81:1179–80.PubMedGoogle Scholar
  24. 24.
    Ward ST, Smith D, Andrei AC, et al. Comparison of cardiothoracic training curricula: integrated six-year versus traditional programs. Ann Thorac Surg. 2013;95(6):2051–6.PubMedGoogle Scholar
  25. 25.
    Gasparri MG, Tisol WB, Masroor S. Impact of a six-year integrated thoracic surgery training program at the Medical College of Wisconsin. Ann Thorac Surg. 2012;93:592–7.PubMedGoogle Scholar
  26. 26.
    Sainathan S. Integrated thoracic residency: the only pathway of thoracic surgery training in the future? Ann Thorac Surg. 2012;94:1374.PubMedGoogle Scholar
  27. 27.
    Chikwe J, Brewer Z, Goldstone AB, Adams DH. Integrated thoracic residency program applicants: the best and the brightest? Ann Thorac Surg. 2011;92:1586–92.PubMedGoogle Scholar
  28. 28.
    Sanford EL. Pediatric anesthesia combined residency training: an applicant’s perspective. Anesthesiology. 2013;116(6):1387–8.Google Scholar
  29. 29.
    Moodie D. Pediatric cardiology fellowship–the future. Congenit Heart Dis. 2013;8:181.PubMedGoogle Scholar
  30. 30.
    Goleman D. Emotional intelligence. New York: Bantam Books; 1994.Google Scholar
  31. 31.
    Goleman D. Working with emotional intelligence. New York: Bantam Books; 1998.Google Scholar
  32. 32.
    Goleman D. Social intelligence. New York: Bantam Books; 2006.Google Scholar
  33. 33.
    Arbinger I. Leadership and self deception. San Francisco: Berrett-Koehler; 2000.Google Scholar
  34. 34.
    Cherniss C, Goleman D. Bringing emotional intelligence to the workplace. 1998.
  35. 35.
    Coulehan J. On humility. Ann Intern Med. 2010;153:200–1.PubMedGoogle Scholar
  36. 36.
    Covey SR. The 8th habit. New York: Free Press; 2004.Google Scholar
  37. 37.
    Coyle D. The talent code: greatness isn’t born. It’s grown. Here’s how. New York: Bantam; 2009.Google Scholar
  38. 38.
    Drucker PF. Managing oneself. In: Harvard Business Review: Boston, MA, the HMU guide to managing people, vol 2. 2004.Google Scholar
  39. 39.
    Feldman MD. Becoming an emotionally intelligent physician. West J Med. 2001;175:98.PubMedCentralPubMedGoogle Scholar
  40. 40.
    George B, Sims P, McLean AN, Mayer D. Discovering your authentic leadership. Harv Bus Rev. 2007;85:129–37.PubMedGoogle Scholar
  41. 41.
    Siegel DJ. The mindful therapist. New York: W.W. Norton; 2010.Google Scholar
  42. 42.
    Sotile W, Sotile M. The resilient physician. Chicago: American Medical Association; 2002.Google Scholar
  43. 43.
    de Oliveira GSJ, Akikwala T, Kendall MC, et al. Factors affecting admission to anesthesiology residency in the United States: choosing the future of our specialty. Anesthesiology. 2012;117(2):243–51.PubMedGoogle Scholar
  44. 44.
    Antiel RM, Reed DA, Van Arendonk KJ, et al. Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns. JAMA Surg. 2013;148(5):448–55.PubMedGoogle Scholar
  45. 45.
    Barden CB, Specht MC, McCarter MD, Daly JM, Fahey III TJ. Effects of limited work hours on surgical training. J Am Coll Surg. 2002;195(4):531–8.PubMedGoogle Scholar
  46. 46.
    Damadi A, Davis AT, Saxe A, Apelgren K. ACGME duty-hour restrictions decrease resident operative volume: a 5-year comparison at an ACGME-accredited university general surgery residency. J Surg Educ. 2007;64(5):256–9.PubMedGoogle Scholar
  47. 47.
    Fairfax LM, Christmas AB, Green JM, Miles WS, Sing RF. Operative experience in the era of duty hour restrictions: is broad-based general surgery training coming to an end? Am Surg. 2010;76(6):578–82.PubMedGoogle Scholar
  48. 48.
    Simien D, Holt KD, Richter TH. The impact of ACGME work-hour reforms on the operative experience of fellows in surgical subspecialty programs. J Grad Med Educ. 2011;3(1):111–7.PubMedCentralPubMedGoogle Scholar
  49. 49.
    Spencer AU, Teitelbaum DH. Impact of work-hour restrictions on residents’ operative volume on a subspecialty surgical service. J Am Coll Surg. 2005;200(5):670–6.PubMedGoogle Scholar
  50. 50.
    Lee DY, Myers EA, Rehmani SS, et al. Surgical residents’ perception of the 16-hour work day restriction: concern for negative impact on resident education and patient care. J Am Coll Surg. 2012;215(6):868–77.PubMedGoogle Scholar
  51. 51.
    Typpo KV, Tcharmtchi MH, Thomas EJ, Kelly PA, Castillo LD, Singh H. Impact of resident duty hour limits on safety in the intensive care unit: a national survey of pediatric and neonatal intensivists. Pediatr Crit Care Med. 2012;13(5):578–82.PubMedCentralPubMedGoogle Scholar
  52. 52.
    Drolet BC, Christopher DA, Fischer SA. Residents response to duty-hour regulations–a follow-up national survey. N Engl J Med. 2012;366(24):e35.PubMedGoogle Scholar
  53. 53.
    Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22):2595–600.PubMedGoogle Scholar
  54. 54.
    Weatherby BA, Rudd JN, Ervin TB, Stafford PR, Norris BL. The effect of resident work hour regulations on orthopaedic surgical education. J Surg Orthop Adv. 2007;16(1):19–22.PubMedGoogle Scholar
  55. 55.
    West CP, Tan AD, Haermann TM, Sloan JA, Shanafelt TD. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294–300.PubMedGoogle Scholar
  56. 56.
    Blum AB, Shea S, Czeisler CA, Landrigan CP, Leape L. Implementing the 2009 Institute of Medicine Recommendations on resident physician work hours, supervision safety. Nat Sci Sleep. 2011;3:47–85.PubMedCentralPubMedGoogle Scholar
  57. 57.
    Institute of Medicine. Resident duty hours: enhancing sleep, supervision and safety. Washington, DC: National Academy Press; 2009.Google Scholar
  58. 58.
    Landrigan CP, Rothschild JM, Cronin JW, et al. Effect of reducing interns work hours on serious medical errors in intensive care units. N Engl J Med. 2004;351(18):1838–48.PubMedGoogle Scholar
  59. 59.
    Landrigan CP, Lockley SW, Czeisler CA. Effect of intern’s consecutive work hours on safety, medical education and professionalism. Crit Care. 2005;9(5):528–30.PubMedCentralPubMedGoogle Scholar
  60. 60.
    Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043–53.PubMedCentralPubMedGoogle Scholar
  61. 61.
    Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns’ weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829–37.PubMedGoogle Scholar
  62. 62.
    Lockley SW, Barger LK, Ayas NT, Rothschild JM, Czeisler CA, Landrigan CP. Effects of health care provider work hours and sleep deprivation on safety and performance. Jt Comm J Qual Patient Saf. 2007;33(11 Suppl):7–18.PubMedGoogle Scholar
  63. 63.
    McCormick F, Kadzielski J, Landrigan CP, Evans B, Herndon JH, Rubash HE. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. Arch Surg. 2012;147(5):430–5.PubMedGoogle Scholar
  64. 64.
    Institute of Medicine. To err is human. Washington, DC: National Academy Press; 1999.Google Scholar
  65. 65.
    Institute of Medicine. Crossing the quality chasm: a new health system for the 21st century. Washington, DC: National Academy Press; 2001.Google Scholar
  66. 66.
    Institute of Medicine. Health professionals education; the bridge to quality. Washington, DC: National Academy Press; 2003.Google Scholar
  67. 67.
    Institute of Medicine. Patient safety. Washington, DC: National Academy Press; 2004.Google Scholar
  68. 68.
    Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons. Arch Surg. 2009;144:371–6.PubMedGoogle Scholar
  69. 69.
    Gundersen L. Physician burnout. Ann Intern Med. 2001;135:145–8.PubMedGoogle Scholar
  70. 70.
    Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and career satisfaction among American surgeons. Ann Surg. 2009;250:463–71.PubMedGoogle Scholar
  71. 71.
    Shanafelt TD, Balch CM, Bechamps GJ, et al. Burnout and medical errors among American surgeons. Ann Surg. 2010;251:995–1000.PubMedGoogle Scholar
  72. 72.
    Ungerleider JD, Ungerleider RM. Improved quality and outcomes through congruent leadership. Teamwork and life choices. Prog Pediatr Cardiol. 2011;32:75–83.Google Scholar
  73. 73.
    Boyatizis R, McKee A. Resonant leadership. Boston: Harvard Business School Press; 2005.Google Scholar
  74. 74.
    Dickey J, Damiano R, Ungerleider RM. Our surgical culture of blame: a time for change. J Thorac Cardiovasc Surg. 2003;126:1259–60.PubMedGoogle Scholar
  75. 75.
    Dickey J, Ungerleider RM. Teamwork: a systems-based practice. In: Gravlee GP, Davis RF, Stammers AH, Ungerleider RM, editors. Cardiopulmonary bypass: principles and practice. Philadelphia: Lippincott, Williams and Wilkins; 2007. p. 572–88.Google Scholar
  76. 76.
    Dweck CS. Mindset: the new psychology of success. New York: Bantam Books; 2008.Google Scholar
  77. 77.
    Gottman JM. The science of trust. New York: W. W. Norton; 2011.Google Scholar
  78. 78.
    Quinn RE. Deep change: discovering the leader within. San Francisco: Jossey-Bass; 1996.Google Scholar
  79. 79.
    Siegel DJ. Mindsight. New York: Random House Bantam Books; 2010.Google Scholar
  80. 80.
    Brown B. The gifts of imperfection. Center City: Hazelden; 2010.Google Scholar
  81. 81.
    Dickey J, Ungerleider RM. Professionalism and balance for thoracic surgeons. Ann Thorac Surg. 2004;77:1145–8.PubMedGoogle Scholar
  82. 82.
    Dickey J, Ungerleider RM. Managing the demands of professional life. Cardiol Young. 2007;17:138–44.PubMedGoogle Scholar
  83. 83.
    Kegan R, Lahey LL. How the way we talk can change the way we work. San Francisco: Jossey-Bass; 2001.Google Scholar
  84. 84.
    Leary MR, Tate EB, Adams CE, Hancock J. Self-compassion and reactions to unpleasant self-relevant events: the implications of treating oneself kindly. J Pers Soc Psychol. 2007;92:887–904.PubMedGoogle Scholar
  85. 85.
    Neff K. Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self Identity. 2003;2:85–102.Google Scholar
  86. 86.
    Rosenberg MB. Nonviolent communication: a language of life. Encinitas: PuddleDancer Press; 2003.Google Scholar
  87. 87.
    Mavroudis C. A partnership in courage. Ann Thorac Surg. 2003;75(5):1366–71.PubMedGoogle Scholar
  88. 88.
    Buckingham M, Coffman C. First, break all the rules. New York: Simon and Schuster; 1999.Google Scholar
  89. 89.
    Pink DH. A whole new mind: why right-brainers will rule the future. New York: Riverhead Books; 2005.Google Scholar
  90. 90.
    Senge PM. The fifth discipline. New York: Doubleday; 1990.Google Scholar
  91. 91.
    Satir V, Banmen J, Gerber J, Gomori M. The satir model. Palo Alto: Science and Behavior Books, Inc.; 1991.Google Scholar
  92. 92.
    Neff K. The development and validation of a scale to measure self-compassion. Self Identity. 2003;2:223–50.Google Scholar
  93. 93.
    Neff KD, Vonk R. Self-compassion versus global self-esteem: two different ways of relating to oneself. J Pers. 2009;77:23–50.PubMedGoogle Scholar
  94. 94.
    Coleman PT. The five percent. New York: Public Affairs Press; 2011.Google Scholar
  95. 95.
    Rifkin J. The empathic civilization. New York: Penguin; 2009.Google Scholar
  96. 96.
    Tavris C, Aronson E. Mistakes were made. Orlando: Harcourt Books; 2007.Google Scholar
  97. 97.
    Goleman D, Boyatizis R, McKee A. Primal leadership. Boston: Harvard Business Press; 2002.Google Scholar
  98. 98.
    Weinberg GM. Becoming a technical leader. New York: Dorsett House; 1986.Google Scholar
  99. 99.
    Merrill WH. Who do you say you are? Ann Thorac Surg. 2013;96(1):1–6.PubMedGoogle Scholar
  100. 100.
    Patterson GA. Non solus–a leadership challenge. J Thorac Cardiovasc Surg. 2010;140:495–502.PubMedGoogle Scholar
  101. 101.
    Verrier ED. Who moved my heart? Adaptive responses to disruptive challenges. J Thorac Cardiovasc Surg. 2004;127(5):1235–44.PubMedGoogle Scholar
  102. 102.
    Colvin G. Talent is overrated: what really separates world-class performers from everybody else. New York: Penguin; 2008.Google Scholar
  103. 103.
    Gladwell M. Outliers. New York: Little, Brown and Co.; 2008.Google Scholar
  104. 104.
    Matveevskii A, Moore DL, Samuels PJ. Competency and professionalism in medicine. Clin Teach. 2012;9(2):75–9.PubMedGoogle Scholar
  105. 105.
    Palmer PJ. The courage to teach. San Francisco: Jossey Bass; 1998.Google Scholar
  106. 106.
    Brown B. Daring greatly. New York: Gotham Books; 2012.Google Scholar
  107. 107.
    Cuddy AJC, Kohut M, Neffinger J. Connect, then lead. Harvard Bus Rev. 2013:55–61.Google Scholar
  108. 108.
    Bosk CL. Forgive and remember: managing medical failure. Chicago: University of Chicago Press; 1979.Google Scholar
  109. 109.
    McLendon J, Weinberg GM. Beyond blaming: congruence in large systems development projects. IEEE Software. 1996:20–80 thru 20–89.Google Scholar
  110. 110.
    Lehrer J. How we decide. New York: Houghlin Mifflin Harcourt; 2009.Google Scholar
  111. 111.
    Alsoufi B, Al-Halees Z, Manlhiot C, et al. Mechanical valves versus the ross procedure for aortic valve replacement in children: propensity-adjusted comparison of long-term outcomes. J Thorac Cardiovasc Surg. 2009;137:362–70.PubMedGoogle Scholar
  112. 112.
    Karamlou T, Jang K, Williams WG, et al. Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis. Circulation. 2005;112:3462–9.PubMedGoogle Scholar
  113. 113.
    Nötzold A, Hüppe M, Schmidtke C, Blömer P, Uhlig T, Sievers H. Quality of life in aortic valve replacement: pulmonary autografts versus mechanical prostheses. J Am Coll Cardiol. 2001;37:1963–6.PubMedGoogle Scholar
  114. 114.
    Senge PM, Scharmer CO, Jaworski J, Flowers BS. Presence: human purpose and the field of the future. New York: Crown Business; 2004.Google Scholar
  115. 115.
    Kram KE, Hall DT. Mentoring as an antidote to stress during corporate trauma. Hum Resour Manage. 1989;24:493–510.Google Scholar
  116. 116.
    Jamal M. Relationship of job stress and Type-A behavior to employees’ job satisfaction, organizational commitment, psychosomatic health problems, and turnover motivation. Hum Relat. 1990;43:727–38.Google Scholar
  117. 117.
    Motowidlo SJ, Packard JS, Manning MR. Occupational stress: its causes and consequences for job performance. J Appl Psychol. 1986;71:618–29.PubMedGoogle Scholar
  118. 118.
    Johnson WB. The intentional mentor: strategies and guidelines for the practice of mentoring. Prof Psychol Res Pract. 2002;33:88–96.Google Scholar
  119. 119.
    Schein EH. Career dynamics: matching individual and organizational needs. Reading: Addison-Wesley; 1978.Google Scholar
  120. 120.
    Wilson JA, Elman NS. Organizational benefits of mentoring. Acad Manage Exec. 1990;4:88–93.Google Scholar
  121. 121.
    Burke RJ, McKenna CS, McKeen CA. How do mentorships differ from typical supervisory relationships? Psychol Rep. 1991;68:459–66.Google Scholar
  122. 122.
    Sosik JJ, Godshalk VM. Leadership styles, mentoring functions received, and job-related stress: a conceptual model and preliminary study. J Organ Behav. 2000;21:365–90.Google Scholar
  123. 123.
    Appelbaum SH, Ritchie S, Shapiro BT. Mentoring revisited: an organizational behaviour construct. Int J Career Manage. 1994;6:3–10.Google Scholar
  124. 124.
    Clark RA, Harden SL, Johnson WB. Mentor relationships in clinical psychology doctoral training: results of a national survey. Teach Psychol. 2000;27:262–8.Google Scholar
  125. 125.
    Kram KE. Mentoring at work: developmental relationships in organizational life. Glenview: Scott Foresman; 1985.Google Scholar
  126. 126.
    Ragins BR, Cotton JL. Mentor functions and outcomes: a comparison of men and women in formal and informal mentoring relationships. J Appl Psychol. 1999;84:529–50.PubMedGoogle Scholar
  127. 127.
    Russell JEA, Adams DM. The changing nature of mentoring in organizations: an introduction to the special issues on mentoring in organizations. J Vocat Behav. 1997;51:1–14.Google Scholar
  128. 128.
    Levinson DJ, Darrow CN, Klein EB, Levinson MH, McKee B. The seasons of a man’s life. New York: Ballentine; 1978.Google Scholar
  129. 129.
    Durrell S. Healing the fisher king: spiritual lessons with Parzival, Gump, the Grail, Tao and Star Wars. Miami: Art Tao Press; 2002.Google Scholar
  130. 130.
    Jaworski J. Synchronicity. San Francisco: Berrett-Koehler; 1996.Google Scholar
  131. 131.
    Johnson RA. He. New York: Harper and Row; 1989.Google Scholar
  132. 132.
    Whyte D. The heart aroused. New York: Doubleday; 2002.Google Scholar
  133. 133.
    Cohen MS, Jacobs JP, Quintessenza JA, et al. Mentorship, learning curves, and balance. Cardiol Young. 2007;17 Suppl 2:164–74.PubMedGoogle Scholar
  134. 134.
    Edmondson AC. Psychological safety and learning behavior in work teams. Adm Sci Q. 1999;44:350–83.Google Scholar

Copyright information

© Springer-Verlag London 2015

Authors and Affiliations

  • Ross M. Ungerleider
    • 1
  • George R. Verghese
    • 2
  • Douglas G. Ririe
    • 3
  • Jamie Dickey Ungerleider
    • 4
  1. 1.Pediatric Cardiac Surgery, Department of SurgeryBrenner Children’s Hospital at Wake Forest UniversityWinston SalemUSA
  2. 2.Pediatric Cardiology, Department of PediatricsBrenner Children’s Hospital at Wake Forest UniversityWinston SalemUSA
  3. 3.Pediatric Cardiac Anesthesiology, Department of AnesthesiologyBrenner Children’s Hospital at Wake Forest UniversityWinston SalemUSA
  4. 4.Psychiatry and Behavioral Medicine, Wake Forest School of MedicineWinston SalemUSA

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