Adult Cardiothoracic Anesthesia Fellowship
The Adult Cardiothoracic Anesthesia Fellowship at Massachusetts General Hospital is a 12-month training program that prepares individuals to become highly skilled in the anesthetic care of cardiothoracic patients.
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In 2007, Massachusetts General Hospital’s Adult Cardiothoracic Anesthesia Fellowship was one of the first programs in the country to achieve certification by the Accreditation Council for Graduate Medical Education (ACGME).
Our one-year program is accredited for six fellowship positions in adult cardiothoracic anesthesiology. The Department of Anesthesia, Critical Care and Pain Medicine and our Cardiac Anesthesia Group consider the training of fellows as one of our primary missions along with patient care and safety. We recognize that a strong combination of didactic education and clinical training, with progressive responsibility and independence, leads to strong clinicians and patient care.
The Adult Cardiothoracic Anesthesia Fellowship is a 12-month program begun after successful completion of an ACGME-accredited anesthesiology residency program.
The Department of Anesthesia, Critical Care and Pain Medicine follows all minimum selection criteria as delineated in the Institutional Policy on Selection (PDF). As a prerequisite for entry, all applicants for the fellowship must be a graduate of one of the following:
- Liaison Committee on Medical Education (LCME)-accredited medical school
- American Osteopathic Association (AOA)-accredited medical school
- Medical school listed in the World Health Organization Directory of Medical Schools
Applicants must have also completed an anesthesia residency program accredited by one of the following:
- Accreditation Council for Graduate Medical Education (ACGME)
- Royal College of Physicians and Surgeons of Canada (RCPSC)
All residents, clinical fellows, research fellows and staff who are not United States citizens and do not have a green card must have the appropriate visa in order to receive a Mass General appointment.
For questions regarding a J-1 visa, please call the Mass General Registrar/Credentialing Office at 617-726-5316. Questions on all other types of visas should be directed to the Partners International Office at 617-726-9211.
Grand Rounds presentation at the Mass General Simches Research Center
The Adult Cardiothoracic Anesthesiology Fellowship at Massachusetts General Hospital prides itself on the education of fellows both in the operating room and lecture room setting. The didactic curriculum includes:
- Cardiac anesthesia lecture series
- Cardiac anesthesia Journal Club
- Transesophageal echocardiography (TEE) lecture series
- Perioperative TEE
- Echocardiography (Echo) training
- Echo boards review
- Boston Area Combined Echo Conference
- Interdisciplinary Cardiac Morbidity and Mortality (M&M) Conference
- Thoracic Aortic Rounds
- Anesthesia Grand Rounds
The Adult Cardiothoracic Anesthesia Fellowship at Massachusetts General Hospital provides fellows with hands-on clinical experience in the operating room, cardiac catheterization suite, electrophysiology suite and Cardiac Surgical Intensive Care Unit (CSICU).
The Cardiac Anesthesia Group covers four dedicated cardiac operating rooms. More than 1,200 cases are performed each year. Fellows perform a variety of challenging procedures including revascularization, valve replacement, adult congenital heart repairs, heart transplants, ventricular-assisted device placements, thoracic aortic repairs, extracorporeal membrane oxygenation and excision of cardiac masses.
All fellows rotate for a one-month intensive experience in the care of patients undergoing non-cardiac thoracic surgery. Fellows work under the guidance of an attending anesthesiologist who is trained in adult thoracic anesthesia. Cases include lung transplantation and airway surgery. Fellows perform pre- and post-operative evaluation of patients receiving thoracic surgery. Fellows also perform thoracic anesthesia.
The Mass General Corrigan Minehan Heart Center provides echocardiography services. Fellows will spend 2-4 weeks observing sonographers perform transthoracic echocardiograms during the morning and will be given directed scanning experience during the afternoon. Fellows are also given the opportunity to read exams with the cardiologists.
Electrophysiology and Catheterization
The Cardiac Anesthesia Group provides anesthesia coverage in the Knight Center for Interventional Cardiovascular Therapy at Mass General. The fellow will have a chance to provide anesthetic coverage for percutaneous closure of atrial and ventricular defects and percutaneous aortic and mitral valvuloplasty. The Knight Center is one of the leading centers for transcatheter aortic valve replacement. The electrophysiology suite places nearly 1,000 devices for pacing and defibrillation annually in addition to performing pulmonary vein isolation, ablation of ventricular tachycardia and placement of devices to exclude the atrial appendage.
Cardiothoracic Surgical Intensive Care Unit (CSICU)
Fellows rotate through the Mass General CSICU for a one-month experience in the perioperative care of heart patients. The Blake 8 CSICU is an 18-bed unit devoted to the pre- and post-operative care of cardiac surgical patients. More than 1,000 patients are admitted annually. The patient population includes individuals who have undergone coronary artery bypass grafting, valve repair/replacement, thoracic aortic repair, heart transplantation, ventricular assist device placement, repair of adult congenital heart defects, surgical management of endocarditis and surgical management of traumatic injury of the heart.
Echo is being used more frequently for non-cardiac cases, including organ transplantation, vascular surgery and trauma. Expertise in echo is an important component to the success of a cardiothoracic anesthesiologist. Mass General fellows easily meet the 300 examinations interpreted and 150 examinations performed as required for certification by the National Board of Echocardiography.
The ACGME encourages fellows to pursue additional expertise in other disciplines of heart surgery. We have established electives in:
- Extracorporeal technology
- Pediatric cardiac surgery at Boston Children's Hospital
- Interventional cardiology
- Blood bank
Adult Cardiothoracic Anesthesia Fellowship Application
Selection to the fellowship is highly competitive. Only completed applications are reviewed.
Please submit the following documents electronically:
- Personal statement describing your interest in the Adult Cardiothoracic Anesthesia Fellowship and your plans after completion of the fellowship
- Completed application
- A current curriculum vitae
- Three letters of recommendation. One letter must be from your residency program director or chief of service. Letters should be sent from the letter writer’s email or his/her assistant’s email
- A copy of your medical school transcript
- A copy of your USMLE scores
All documents should be submitted electronically to firstname.lastname@example.org to the attention of:
Michael Andrawes, MD, fellowship director
c/o Tina Toland, MHA, program manager
Department of Anesthesia, Critical Care and Pain Medicine
Massachusetts General Hospital
Applicants should use the following naming convention (first five letters of last name, first initial, document type):
The deadline for completed applications is April 30. Interviews will be conducted from December to the end of May.
The Mass General Adult Cardiothoracic Anesthesia Fellowship is participating in the SF Match. Registration information for the 2016-2017 academic year will be available soon.
Adult Cardiothoracic Anesthesia FellowshipMichael Andrawes, MD, fellowship director
c/o Tina Toland, MHA, program manager
55 Fruit Street, White 437
Boston, MA 02114
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