Cardiothoracic Fellowship

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The department offers one cardiothoracic fellowship position per academic year, typically to run from July through June. The cardiac surgery service provides approximately 900 heart cases per year, with the usual challenging cases that are referred to a tertiary care center. Approximately 1/3 of these cases are pediatric, including neonatal heart transplants, which our facility helped to pioneer. In addition, several hundred thoracotomies are performed each year for pulmonary and esophageal procedures. We have a very active cath lab which performs a variety of intravascular procedures covering neonates to geriatrics, including pacemaker and AICD placements, EPS/ablations, and septal defect closures.

Our cardiothoracic attendings are proficient in intraoperative transesophageal echocardiography (TEE); most have achieved testamur status and many have also received board certification. Active collaboration is an ongoing experience with cardiology for learning TEE. Opportunities are also present for different areas of research. However, the strength of our program is centered on a broad based clinical teaching experience with advanced pediatric and adult experience.

The curricula for the first six months is explained below:
  • Initial three months of clinical rotations in the operating room devoted to cardiac or thoracic procedures doing cases with supervision by an anesthesiology attending.
  • Two months rotation of Cardiology echocardiography with assignment to transesophageal procedures inside and outside of the operating room.
  • One month rotation on the Cardiothoracic ICU for postoperative care of patients. This may involve adult or pediatric units. This rotation is optional depending on the level of interest and who is on the unit.

There are two options for the remaining six months:
  • A clinical pathway with a research project with ongoing supervision of residents who are doing cases in the operating room.
  • An animal basic research option with a three month period of laboratory research and three months in the operating room.

Other items of interest include the following:
  • Opportunity may arise for a two week trip with the Loma Linda Overseas Heart Surgery Team to provide anesthesia in various locales.
  • Scheduling during clinical activities would obviously include call but one day per week for an office day will be scheduled.
  • During the academic year the fellow will be involved in a monthly to bimonthly teaching and literature review geared primarily to the residents.
Information on the Process (from the SCA)
The Fellowship Match for the Adult Cardiothoracic Anesthesiology (ACTA) was established in 2012. The Society of Cardiovascular Anesthesiologists (SCA) sponsors the matching process and is responsible for enforcement of applicable rules. The Matching office does not sponsor or approve any of the participating programs. The function of the Matching Program is strictly limited to processing of the match. Listing or not listing of any program in the directory does not imply any form of approval, disapproval or endorsement. The decision to be listed or not rests solely with each individual Program Director.

The Match takes place in June and will be used to process all applicants who want to start their fellowship training in July of the following year. There is $50 non-refundable registration fee that covers registration and matching. To register for the Match, click on the "Login/Register" button on the left-hand side menu. Once registered you will gain access to view the Program Directory and make your program selections. Visit the "Steps" page on SCAHQ’s website for more information. There is no Centralized Application Service available for Adult Cardiothoracic Anesthesiology. Applicants should contact each program individually for application materials and procedures.
Candidates interested in the Cardiothoracic Anesthesia Fellowship at LLUMC should begin the process by downloading the Application for Graduate Medical Education. The Cardiothoracic Fellowship is directed by Stanley Brauer, MD; the Associate Director is Jason Gatling, MD. For more information, please contact the Coordinator, Bekki Wharton.