Mr Pankaj Kumar
Training Programme Director

Mr Pankaj Kumar
Training Programme Director
The current Welsh Training Programme has gone from strength to strength since its reconfiguration in 2008, with the recruitment of its first trainee in 2009.
Cardiothoracic Surgery Training in Wales is delivered across two hospital sites. These are the University Hospital Wales in Cardiff and Morriston Hospital in Swansea.
In-line with SCTS/SAC and JCST training guidance, the Wales deanery runs cardiothoracic training through a run-through ST1-ST7 programme and is provided in accordance with the Wales Deanery Prospectus 2025.
Training Programme Director: Mr Pankaj Kumar (Consultant Cardiothoracic Surgeon)
Core Surgical Training Programme Director: Mr Daniel Hanratty (Consultant General Surgeon)
Head of School of Surgery: Prof Wyn Lewis (Consultant General Surgeon)
Under the umbrella of the Wales Deanery, training in Wales for cardiothoracic surgery offers a wide range of adult cardiac and thoracic services and training across two hospital sites: Cardiff and Swansea (located 42 miles apart with good transport link via M4). Beyond the routine adult cardiac and thoracic case mix, there is an opportunity to gain fantastic exposure and experience in mitral surgery, minimally invasive lung cancer resection, off-pump coronary surgery, major aortic surgery, chest wall surgery and many other sub-specialty interest in both cardiac and thoracic surgery.
In-line with SCTS/SAC and JCST training guidance, the Wales deanery runs cardiothoracic training through a run-through ST1-ST7 programme.
The early years of training, ST1 and ST2 are run in conjunction with the Welsh Deanery’s Core Surgical Training Programmes, giving the trainee core surgical competencies and qualifications on completion. The opportunity to attend all the educational sessions from the Core Programme will help in completing the MRCS (mandatory to progress to intermediate years).
In phases 2 and 3 of surgical training there is annual rotation between the two units supported by out of programme experiences and closely following the cardio-thoracic curriculum, allowing you to gain competencies in your chosen dominant and non-dominant specialities.
Fellowships later in the programme are actively encouraged. The deanery has excellent relationships with neighbouring and distant trusts which allows the undertaking of short and extended out of programme experiences, training and fellowships. Historically, we’ve had good links with Birmingham and Papworth if you wished to pursue interests in congenital or transplant surgery. We encourage trainees to develop a Personal Development Plan with their supervisor and use Educational Development Time in their schedule to focus on their interests and projects.

At the time of writing, ST1 is split across the 2 sites, with 6 months in Cardiff on the vascular/general surgery firm, followed by 6 months of cardiothoracic surgery at Morriston hospital in Swansea (this is currently under review).
From ST2 onwards, you’ll spend your remaining rotations in cardiothoracic surgery. ST2 is spent in Cardiff with 6 months in the thoracic rotation and 6 months in cardiac. The Welsh core surgical teaching programme is also available to support trainees who are yet to achieve MRCS.
ST3-ST7 rotations are subject to trainee’s preference, training needs as well as trainees interests where possible.
South Wales is a fantastic region to work and live. The two largest cities, Cardiff and Swansea, offer an endless host of daytime and evening activities in the city centres and the surrounding areas. The Principality Stadium in Cardiff makes it very easy to watch world class international rugby and the multiple arenas frequently host A-list music acts. The surrounding towns are also not to be missed with beautiful beaches in West Wales and the Mumbles, plus the Brecon Beacon and surrounding Mountains just north of Cardiff.

University Hospital Wales & University Hospital Llandough (Cardiff)

Morriston Hospital (Swansea)
The cardiothoracic department in Cardiff has historically been based at University Hospital Wales (The Heath). The Heath is a large, tertiary teaching hospital with a wide range of specialities, including paediatric surgery, covering a huge host of medical conditions. Shortly after the first COVID-19 pandemic lockdown, cardiothoracic services temporarily moved to University Hospital Llandough in order to continue operating in a “green” zone throughout the pandemic. As services continually return to normality, the department has now moved back to University Hospital Wales.
Scope of Practice – Thoracic Surgery
The Cardiff thoracic department offers a vast range of operative services including uni, bi and tri-portal VATS anatomical lung resection with infra-red and 3D endoscopy, endo-bronchial therapies, mediastinal resection, chest wall surgery including pectus and a large volume of chest trauma work in conjunction with the Cardiff Major Trauma Centre. Additionally, the department will soon be instituting a thoracic robotic programme and a navigational bronchoscopy service. Our department is also a recruitment centre for national RCTs for rib fixation, traumatic pneumothorax and LVRS procedures. This gives you good exposure to participating in trial recruitment and enhancing your research experience.
Consultants:
Scope of Practice – Cardiac Surgery
Cardiac surgery in Cardiff offers fantastic opportunities to learn and develop interests and skills in a variety of surgical subspecialties. Regular exposure to off-pump coronary surgery, major aortic work, mitral repair and minimally invasive aortic valve work will allow great depth and breadth in these essential and desirable topics and skills. The department has very good links with the interventional and conventional cardiology department with shared teaching available.
Consultants:
Morriston Hospital is also a large University teaching hospital with close links to Swansea University, which runs a fantastic postgraduate medicine programme. Situated on the M4, Morriston serves a large community from Bridgend to the far regions of West Wales. It offers tertiary services including cardiothoracic surgery, burns and plastics and max-facs amongst other specialist services
The cardiothoracic department consists of 6 adult cardiac surgeons and 3 thoracic surgeons:

The rotas in both Cardiff and Swansea follow a similar pattern of time in theatre and on-call responsibilities. We aim to have trainees in theatre 2-3 lists per weeks with the target of good training and educational value in all lists. Both hospitals run a trainee-specific rota to focus on providing high-yield learning environments in line with JCST quality indicators. The trainees have an approximate 1 in 10 on-call commitment for weekends and night shifts.
ITU/HDU cover, MDTs and clinics are all regularly included in clinical duties to give a well-rounded experience for junior trainees. There is great flexibility with study leave and annual leave requests. Additionally, during your ST2 year, you are given the opportunity to manage the SCP/SHO rota, giving you a great opportunity to develop managerial experience and an opportunity to optimise where you are placed based on your needs at that stage.

Regular consultant teaching takes place between the two hospitals for trainees and trust-appointed doctors. Monthly wet labs allow the development of essential skills in a safe environment and allow great progression of technical abilities.
Cadaveric operative course has also been started in 2024 enabling great learning opportunity.
Journal clubs and trainee-led teaching offers a great chance to develop critical appraisal skills and in-depth knowledge on subjects.
Several of the consultant surgeons are members of the SCTS and SAC and so offer great insight and help when preparing for exams and future consultant interviews.
Additionally, we have consultants and trainees on both the Royal College of Surgeons England and Royal Society of Medicine councils which offers great advantages from an educational perspective.
Progress to Consultant Appointments
Fellowships/Out of Programme Placement
Training Programme Director: Mr Pankaj Kumar (pankaj.kumar@wales.nhs.uk)
Trainee Representative: Mr Andrew Jones (andrew.l.jones@wales.nhs.uk)