The fellow in adult cardiovascular anesthesiology will gain significant clinical and supervisory experience. In addition, the fellow will teach and supervise core residents and other anesthesia providers in preparation for future supervisory roles. The clinical program follows the course of study outlined by the ACGME Adult Cardiothoracic Anesthesia Fellowship criteria, as follows:
- Six months of clinical cardiothoracic anesthesia, including experience providing anesthesia for cardiac, non-cardiothoracic, and intrathoracic vascular surgical procedures, as well as anesthesia for non-operative diagnostic and interventional cardiac and thoracic procedures outside of the operating room. In addition, training involves experience in preanesthesia preparation and postanesthesia care, pain management, and advanced cardiac life support, as well as:
- 70 Surgical Procedures (Cardio Pulmonary Bypass).
- 40 Value Repair or Replacement.
- 50 Revascularization.
- Additional clinical experience within the full one-year fellowship involves successful completion of advanced perioperative echocardiography education according to the training objectives from the American Society of Echocardiography and the Society of Cardiovascular Anesthesiologists “Guidelines for Training in Perioperative Echocardiography.” This includes the study of 300 complete perioperative echocardiographic examinations, of which at least 150 are comprehensive intraoperative TEE examinations performed, interpreted, and reported by the fellow.
- Additional required clinical experience within the full one-year fellowship entails at least one month of anesthetic management of patients undergoing non-cardiac thoracic surgery.
- The fellow is required to have a one-month experience managing adult cardiothoracic surgical patients in a critical care (ICU setting).
- Two months of elective rotations (none fewer than 2 weeks in duration) from the following categories:
- Inpatient or outpatient cardiology and invasive cardiology.
- Surgical critical care.
- Extracorporeal perfusion technology.
- One or two months devoted to a research project in cardiothoracic anesthesiology may be substituted for the clinical elective rotations.
