Exercise for adults with congenital heart disease poses many unique challenges. In this presentation from August 12, 2021, Sherrin Gallagher, ACNP, AACC, reviews the importance of exercise and current guidelines for adults with congenital heart disease.
Explore This Fellowship Program
The Adult Cardiac Surgery Fellowship at the Massachusetts General Hospital Corrigan Minehan Heart Center is a one or two-year fellowship with one or two positions available per year. It is not accredited by the Accreditation Council for Graduate Medical Education (ACGME).
The cardiac fellow will become experienced in the oversight of a complex service. The fellow's primary responsibility will include the evaluation of emergency cases at night, both in the emergency room and in the catheterization lab. The fellow will:
- Gain experience in the operating room performing valve and coronary operations
- Become acquainted with the preoperative evaluation of emergent and elective patients
- Develop expertise in the postoperative care and resuscitation of critically ill patients
Requirements of the Adult Cardiac Surgery Fellowship include:
- Completion of general surgery training and at least one year of cardiothoracic surgery training
- Completion and passing of all three United States Medical Licensing Examination (USMLE) steps
- Visa eligibility for international applicants
- A valid Educational Commission for Foreign Medical Graduates (ECFMG) certificate for all international medical graduates
- A full or limited Massachusetts medical license (accepted applicants only)
Lectures and Conferences
The fellow will be an active participant in conferences and in the teaching activities for the cardiothoracic residents and general surgery residents. These include weekly case conferences and didactic lectures, monthly morbidity conferences and periodic invited speakers.
The fellow has the opportunity to attend one national meeting per year funded by the center.
One of the established tenets of the program is to separate cardiac and thoracic surgery into distinct teaching units. There are separate nursing units, intensive care units, operating rooms, faculty and conferences for each service. This allows the fellow to devote his or her effort entirely to the area of cardiac surgery, taught by individuals completely dedicated to the field.
The fellow will be supervised by the program director and the cardiac surgery faculty in accordance with the institution’s supervision policy, as well as the supervisory policy approved by the Surgical Coordinating Committee.
Evaluation and Feedback
Written evaluations will be done twice a year by the program director with the input of the faculty. The program director will also meet with the fellow at least twice a year to provide formal feedback, career counseling and obtain input from the trainee.
The cardiac fellow will assist the chief resident in the management of patients on the Cardiac Surgery Service. This involves the care of approximately 1,500 patients per year. The fellow will become experienced in the oversight of a complex service with primary responsibility for the evaluation of emergency cases at night, both in the emergency room and in the catheterization lab. Experiences in the operating room include:
- Opening and closing the chest
- Cannulating for cardiopulmonary bypass
- Mobilizing the mammary artery
- Performing valve and coronary operations
The fellow will become acquainted with the preoperative evaluation of emergent and elective patients and also gain expertise in the postoperative care and resuscitation of critically ill patients. The fellow should develop an in-depth knowledge of hemodynamic management and problem-solving ability in critical care. The fellow will become efficient in interpreting echocardiogram (ECHO), computed tomography (CT) and catheterization studies, and knowledgeable in the principles of management of coronary disease, valvular heart disease and diseases of the aorta.
The cardiac fellow may, at times, be responsible for the entire service when the chief resident is not available. This would entail organizing the schedule for the staff surgeons and arranging adequate coverage for all the procedures in the operating room. It also involves arranging patients consults when necessary.
Basic science instruction is primarily derived from lectures and rounds, as well as in the course of the cardiac surgery fellow’s clinical duties. Pathologic material is routinely reviewed at cardiac and thoracic surgical morbidity and mortality rounds. Numerous special conferences are also designed primarily for the instruction of cardiac and thoracic surgical residents and fellows. In addition, conferences in cardiology, pulmonary medicine and anesthesia are also open to the cardiac surgery fellow.
The cardiac surgical fellow is expected to take in-house calls in rotation with the first-year cardiothoracic residents. He or she will be expected to comply with work hour regulations.
How to Apply
We are currently accepting applications at this time with a start date of July 1, 2023.
Please submit the following materials via email:
- Curriculum vitae
- Personal statement
- Three letters of recommendation
- ECFMG certificate (if applicable)
All materials can be sent to:
Educational Program Coordinator
Learn more about the faculty of the Adult Cardiac Surgery Fellowship Program.
- Chief, Division of Cardiac Surgery
- Director, Corrigan Minehan Heart Center
- Co-director, Hypertrophic Cardiomyopathy Program
- Cardiac Surgery
- Department of Surgery
- Surgical Director, Heart Transplantation and Ventricular Assist Devices
- Member of Faculty, Harvard Medical School
- Assistant Professor of Surgery Harvard Medical School
- Cardiac Surgeon
- Co-Director, Heart Valve Program
- Vice President, Center for Quality and Safety
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