The Adult Cardiothoracic Anesthesiology Fellowship at UT Southwestern is a comprehensive 12-month specialized training experience that can be tailored to meet the individual’s training goals. The fellows have access to a variety of clinical settings ranging from a University hospital to a private institution, children’s medical center and veterans affairs hospital. The caseloads at these hospitals exceeds 3,500 cases annually and includes a wide variety of adult cardiac, heart and lung transplantation, child and adult congenital surgical procedures.

PRIMARY TRAINING HOSPITAL:

• St Paul University Hospital

Affiliated Training Hospitals:

• Baylor University Medical Center
• Dallas VA Medical Center
• Children’s Medical Center Dallas

CLINICAL OPPORTUNITIES INCLUDE:

• 550 Adult Cardiac Cases requiring CPB 50% CABG; 30% Valves; 5% adult Congenital; 15% other
• 30 Adult Heart, Lung and Heart-Lung Transplantations
• 20 Deep hypothermic circulatory arrest (DHCA), LVADs
• 500 Major Thoracic cases
• 80 Thoracic aorta cases

TRANSESOPHAGEAL ECHOCARDIOGRAPHY (TEE) EXPERIENCE:

• 90% of cardiac cases have TEE exams performed
• All cardiac rooms equipped with Philip’s machines including 3D TEE
• Xcelera digital archiving and reporting systems
• 1 month rotation with Cardiology

EXPOSURE TO STATE-OF–THE-ART MONITORING TECHNOLOGY:

• Sonosite for ultrasound-guided vascular access
• Cerebral oximetry (INVOS 5100)
• LiDCO (continuous CO, systolic pressure variability)
• Intrathecal pressure monitoring and CSF drainage (“spinal drains”)
• “Real-time” Thromboelastrography (TEG) in operating room

EDUCATIONAL/RESEARCH OPPORTUNITIES INCLUDE:

• Weekly conferences (TEE interesting case, grand rounds, journal club)
• Funding for educational material and ALL poster presentations with Chair’s approval
• Mentored projects (SCA Newsletter, A&A, ECHO Rounds, Case Reports)

PROGRAM ACCOMPLISHMENTS INCLUDE:

• All CT faculty are Diplomates of the National Board of Echocardiography
• 10 publications/presentations co-authored by CT Fellows over past 3yrs

ADDITIONAL PROGRAM DETAILS:

• 3 months of electives (pediatric hearts, echo, ICU, clinical research)
• Non-clinical time available as needed