Teaching surgery can be a very gratifying experience for those of us involv
ed in academic thoracic surgery. Fundamentals of a good residency program r
equire that patients should always be placed in the highest priority. Howev
er, the residency program should also be committed to teaching as a priorit
y. Creating the proper operating room environment is essential for optimal
conduct of the operation. This environment is similar to that of the airlin
e industry, which is known as crew or cockpit resource management. The desi
gn of a teaching program needs to have evaluation as one of its key element
s. In addition to resident evaluation, it is also important to have faculty
evaluation by the residents. The goal of any residency program should be t
o foster the development of the future lenders in our specialty. The inform
ation contained within this article represents the art and science of teach
ing thoracic surgery as applied by the faculty in the Division of Cardiac S
urgery at The Johns Hopkins Hospital.