Cardiothoracic Anesthesiology Fellowship

Our program offers a one-year Adult Cardiothoracic Anesthesiology Fellowship position for two fellows accredited by ACGME.

  • SF Match
  • Eligibility
  • Apply
  • SF Match

    The University of Minnesota Adult Cardiothoracic Anesthesiology Fellowship Program participates in the centralized Adult Cardiothoracic Anesthesiology Fellowship Match, organized by SF Match Fellowship Matching Services. For more information and to register as an applicant, visit the SF Match website.

  • Eligibility

    As per new ACGME requirements effective July 1, 2016, fellows must have successfully completed an ACGME accredited residency in anesthesiology or RCPSC/CFPC (Royal College of Physicians and Surgeons of Canada/College of Family Physicians of Canada) accredited training in Canada.

  • Apply

    You need to submit the following documents to the SF Match Centralized Application Service:

    1. Centralized Application Service (CAS) Application for Adult Cardiothoracic Anesthesiology fellowships provided at the SF Match website and below:

    Adult Cardiothoracic Anesthesiology Fellowship Central Application Service (CAS) Instruction Manual
    Central Application Service Adult Cardiothoracic Anesthesiology

    2. Three (3) letters of recommendation*

    3. Distribution list of programs

    4. Registration payment and fees

    *You may use the optional standardized recommendation letter form when applying for our fellowship.

    After all materials have been received and reviewed, you will be notified whether or not you will be invited to an interview. 


The Cardiothoracic Anesthesiology Division at the University of Minnesota currently consists of a dedicated team of 10 cardiac anesthesiologists. All cardiac faculty have completed a formal cardiothoracic anesthesiology fellowship program and are Diplomates of the Advanced Perioperative Transesophageal Echocardiography.

The University of Minnesota has a strong tradition in cardiac surgery with the first successful open-heart surgery and the first implant of an artificial heart valve happening here, as well as ongoing innovative relations with medical device companies. It is a top center for ventricular assist devices, heart and lung transplantation, minimally invasive cardiac surgery, transcatheter valve replacements and ECMO procedures. Our fellowship includes experience with new technologies as well as providing a solid base in a wide range of cardiothoracic anesthesia cases.

The goals of our program are to provide the most up-to-date training in the area of adult cardiothoracic anesthesiology and develop the clinical skills, confidence, expertise and collaborative approach needed for the perioperative care of complex cardiothoracic surgical procedures. During fellowship, we encourage trainees to acquire and develop skills and advanced knowledge in this highly-specialized area of anesthesia above and beyond what is obtained during general anesthesia training. The benefit of our institution is that the fellowship will be an important career point leading to further growth and skills in clinical care, education, high quality research and publications and networking with other departments.

The fellows will be under the direct supervision of, and work closely with, the cardiothoracic anesthesia attending during the clinical time in the operating room. The program provides experience with teaching and supervision that is consistent with proper patient care. The fellow will be supervised by the teaching faculty in such a way that he/she assumes progressively increasing responsibility and independence according to his or her level of training and ability with a specific clinical problem with regards to all aspects of perioperative care of the cardiothoracic patient including preoperative assessment, development of the anesthetic plan and intraoperative and postoperative management.

In addition, the fellows will interact closely with residents during their cardiac rotation, providing guidance and supervision. The fellows are expected to perform both in a supervisory and teaching role as well as gain autonomy through working with experienced faculty anesthesiologists. There are opportunities for clinical research and academic inquiry during the fellowship.

We strive to promote a positive open learning environment that is stimulating for the fellows who are encouraged to express their opinion, point of view, and rationale about perioperative anesthetic patient management based on supporting evidence.

Feedback is provided continuously in the process of faculty supervision of patient care and mentorship. Our goal is to have our fellows feel supported, encouraged, stimulated and confident in their skills.

Rotation Schedule

  • Adult Cardiac rotation: seven months total 
  • Adult Thoracic rotation: one month
  • Adult ICU rotation: one month
  • Adult Echocardiography rotation: one month

Teaching and Didactic Curriculum

We created an integrated didactic curriculum that meets the ACGME didactic program requirements for fellowship training in Adult Cardiothoracic Anesthesiology. Every month is devoted to an important theme in cardiac anesthesia, which is presented through various educational activities: core curriculum symposia (33/yr), echo conferences (22/yr), keyword conferences (44/yr), and cardiothoracic anesthesia journal clubs (6/yr). All educational activities occur on Thursday every week.

  1. Core curriculum symposia
    • This includes 11 mini symposia scheduled the first Thursday of each month. At each symposium, cardiac faculty present three 30-40 minute lectures on a related theme. These lectures are clinically focused and have separate echo conferences and keyword conferences on related themes every month.
  2. Echo Conferences
    • This includes two 45-60 min conferences per month the second and fourth Thursday of each month. The purpose is for the fellows and faculty to review the major topics of the current guidelines of the American Society of Echocardiography and present interesting echo cases from our clinical practice.
  3. Keyword Conference
    • This includes a weekly 20-30 min short session each Thursday alternating important cardiac anesthesia and echo keyword review presented through discussion and multiple-choice questions on topics not covered during core symposia
  4. Cardiothoracic Anesthesia Journal Club
    • This is a bimonthly interactive educational activity scheduled on the third Thursday of every other month. The goal is for the fellows and faculty to review, appraise and discuss two to three recently published articles in cardiothoracic anesthesia. The fellows organize the presentation under the mentorship of cardiac faculty.

Electives

You will have two months of your fellowship where you get to choose electives. Options are:

  • Pediatric Congenital Heart Disease: One month
  • Research: One month
  • Echocardiography: One additional month to the required month
  • ICU: One additional month to the required month
  • Cardiac Catheterization Laboratory: Two weeks
  • Extracorporeal Perfusion Rotation: Two weeks

Adult Cardiac Rotation at Minneapolis Heart Institute

We introduced a new training site at the Minneapolis Heart Institute (MHI) of Abbott Northwestern Hospital in 2017. Each fellow will spend three months of adult cardiac and echo training at the Minneapolis Heart Institute. The new site is committed to participate actively and collaborate in our educational activities by training fellows, collaborating in research and allocating resources for clinical and research efforts. The affiliation with the MHI will provide the cardiac anesthesia fellow an opportunity for significant professional growth and satisfaction in a high functioning/performing clinical practice setting.

The MHI has a dedicated team of 11 cardiac anesthesiologists, 6 of whom have completed a formal cardiac fellowship program and are certified in advanced perioperative TEE. The Minneapolis Heart Institute is located in Minneapolis within 5 miles from the University of Minnesota. The MHI was opened in 2005 and performs over 1,000 cases per year in four cardiac operating rooms, two hybrid rooms and 4 dedicated EP rooms. This new site will increase the depth and breadth of the fellow learning experience in a busy, high-volume private practice setting that has a dedicated cardiac anesthesiologist team. There are weekly multidisciplinary conferences in which the fellow is encouraged to participate during the rotation.

Echocardiography

The fellow is expected to complete the advanced perioperative echocardiography education according to the training objectives from the ASE/SCA and must meet NBE requirements for certification in advanced perioperative TEE. Extensive hands-on 2D and 3D TEE training is provided in the OR with the cardiac anesthesiologist or cardiology staff. The fellow is responsible for performing and reading all the transesophageal echocardiography studies in the cardiac operating rooms and participate in the echocardiographic studies performed in the echocardiography lab. Our transesophageal and transthoracic echocardiography simulator provides additional experience in echocardiography. Using the state-of-the-art simulator, the fellow will develop and practice ultrasound-imaging skills in recognizing normal physiology and cardiac pathology.