It seems like you are bothered by “basic”; what about “advanced”? Basic=advanced for someone who wants robust cardiac training ...
Bothered isn’t the right word. I don’t do cardiac. Just find these discussions interesting. I think we probably agree about case mix. I’ve done enough cardiac as a resident to have seen some complications in cases that should’ve been mundane. I agree with PGG that it’s a numbers game requiring hours in the room to gain experience and react to complications in real time.
I would want short pump times to see more cases. Rare cases are interesting but if you’re not planning on doing heart transplants, lung transplants, pulmonary endarterectomies, or any other similarly rare procedure after residency, their value might be overstated in your education. These procedures simply are not going to all of the sudden become scalable and increasingly prevalent. Technology is going to continue to improve and get cheaper. Echo, transthoracic echo, 3D echo, and structural heart, on the other hand, are likely to become increasingly more important.