They are in the first week up to around week 3–5.

Learning setup and priming (need assistance from preceptor on this task perhaps).

Still needing to complete observations of some surgeons and could do this as secondary cases (might need to forgo clean up on the first case to accomplish this).

EPIC interaction is limited to simple tasks of basic buttons and documentation of items with help from preceptor (EPIC should be the last item to have a student at this level focus on).

Assigned to normally straightforward CABGs, valve, cases over this level should be considered observational, or a case that will need a large amount of preceptor interaction.

Assistance from the preceptor in setup and tear down in the OR is needed.

If here for pediatric cases they can start those after week 2.

This would be in the range of a week 4/6 to week 8/10 student.

Completed observations with all surgeons.

Full ability to setup and prime effectively (may have a 630 start time instead of 600 start time at this point on Monday 700 start time).

If here for pediatric cases then should be getting into the halfway point of pediatric cases needed.

EPIC interactions can increase to charting most of the timers, notifications, cardioplegia, and drug administration on CPB and I/O area after CPB.

Assigned to straightforward and move difficult cases including LVAD insertions, redo cases with multiple procedures needed (this may include hemi arch cases with a fair amount of assistance from the preceptor).

Some assistance with regard to OR setup and teardown.

This would be in the range of students over week 7–11 (depending on pervious number of rotations).

Full ability to setup with a 630 start time 700 on Mondays.

Finishing pediatric cases/observations.

Normally assigned two weeks of ICU time with ECMO and VAD patients.

Given a choice week to pick cases and work with the perfusionist assigned to that case (if certain cases or preceptors are desired then discuss with the Program Director and charge perfusionist).

Minimal or no assistance with regard to OR setup.

EPIC use during the case can be done with limited assistance from the preceptor (perhaps some help with medication documentation) (making sure that prime, checklists, staff, and billing are always the preceptor’s responsibility).

Cases may include most all cases and may include the most complex cases (i.e., total arch cases, TAA cases, and may include high-risk patients (depending on the students’ previous amount of experience). Early rotation students might not make it to this level of case ability, but students close to graduation at Level 3 should be able to do complex cases with limited assistance from the preceptor.