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. Anesthesiology keywords review pdf how we celebrate our history, people and embraces the four-part mission of Mass General: patient care, education, research and community outreach.
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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. 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. Questions on all other types of visas should be directed to the Partners International Office at 617-726-9211. 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 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. 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. 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. 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. Selection to the fellowship is highly competitive. Only completed applications are reviewed. The deadline for completed applications is March 1, 2017. Interviews will be conducted from around March to the end of May.