Since 1955, more than 1,000 anesthesiologists have received a portion of their training in this THI anesthesia program for cardiovascular surgery. The program now offers two one-year ACGME-accredited (CA-5 level) clinical fellowship opportunities. Candidates interested in acquiring training in both specialties may apply for dual training, resulting in a two year fellowship. These fellowship positions are available for graduates of accredited training programs.
Adult Cardiothoracic Anesthesia Fellowship
The Adult Cardiothoracic Anesthesia Fellowship offers further advanced training in anesthesia for cardiac, thoracic and vascular surgery including lung, heart, liver and kidney transplantation. Emphasis is placed on anesthetic management of adult patients for the entire spectrum of cardiovascular and transplant surgical care. Training in transesophageal echocardiogarph, supervision of cardiopulmonary bypass, consultation on non-surgical cardiac patients, coagulation management, and postoperative intensive care are also important elements of this fellowship training.
Anesthesia Critical Care Medicine Fellowship
The Anesthesia Critical Care Medicine Fellowship offers further advanced training in perioperative critical care medicine. The core program is centered in the surgical intensive care unit (SICU) and the medical intensive care unit (MICU). Emphasis in this fellowship is placed primarily on the anesthetic management of critically ill patients before and after cardiothoracic surgery, specifically instruction in the principals of cardiopulmonary physiology, pathophysiology and pharmacology related to elective or emergency care of patients. Training in the CV recovery room (CVRR) will include invasive and noninvasive monitoring techniques, respiratory care, mechanical ventilator management, hepatic and renal failure, coagulopathy, sepsis syndrome, multisystem organ failure as well as neurologic and cardiac diseases. Training in the anesthetic management of critically ill patients with comorbidities before and after cardiothoracic surgery is emphasized during the training period and fellows are offered TEE training as an elective. Rotations in the surgical intensive care unit and medical intensive care units provide Critical Care Medicine fellows training in the anesthetic management of critically ill patients with comorbidities before and after cardiothoracic surgery.