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.