Virginia Commonwealth University Health System Program

Adult Cardiothoracic Anesthesiology Fellowship Overview

The Adult Cardiothoracic Anesthesiology Fellowship Program at Virginia Commonwealth University offers an advanced education and clinical experience for fellows in caring for patients undergoing both invasive and minimally invasive surgical procedures related to the cardiovascular and pulmonary systems. The program is structured as a 12-month fellowship, accommodating two fellows annually. It was established in 2004 and has since seen nearly 30 graduates, with all fellows gaining certification in perioperative echocardiography and practicing across various clinical settings, from private practice to academic institutions. The program emphasizes diverse surgical procedures and includes training in related fields such as cardiology, cardiac surgery, critical care, and perfusion.

Curriculum

The curriculum of the fellowship is centered around adult patients with cardiac, pulmonary, and vascular diseases. Didactic components include:

• Echocardiography conferences
• Journal clubs
• Grand rounds
• Quality improvement conferences
• Cardiothoracic case conferences

Fellows will spend six months providing anesthesia for cardiac surgery at VCU Medical Center, two months in clinical echocardiography, one month in thoracic surgery, and one month in critical care. Additionally, fellows have the opportunity to choose two months of electives in specialties like pediatric cardiothoracic anesthesiology, cardiac catheterization, interventional cardiology, electrophysiology, extricorporeal perfusion, and medical or surgical critical care.

Research and Clinical Exposure

Fellows in the program will actively participate in over 1,000 surgical procedures each year, gaining exposure to complex cases including:

• Cardiac transplantation
• Total artificial heart
• Transcatheter aortic valve implantation (TAVI)
• Ventricular assist device placement
• Major vascular interventions
• Thoracoscopic and interventional pulmonary procedures
• Minimally invasive surgeries

Research is highly encouraged and supported within the fellowship, with opportunities for fellows to engage in academic writing and presentations at national meetings.

Faculty and Mentorship

The fellowship is led by a dedicated team of faculty members who hold subspecialty experience in cardiothoracic anesthesia. The program aims to maintain a strong mentorship atmosphere, fostering a supportive learning environment with guidance from experienced faculty.

Competitive Admissions

The application process for the Adult Cardiothoracic Anesthesiology Fellowship is competitive, as it is a sought-after program within the VCU School of Medicine. Candidates must have successfully completed anesthesiology training at an ACGME accredited residency program. In particular, prospective fellows must apply through the SF Match system.

Visa Sponsorship and Employment

The program supports candidates requiring visa sponsorship, providing appropriate support for International Medical Graduates (IMGs) who wish to practice in the United States. The specific visa types that the program can sponsor are not explicitly detailed, but potential candidates should check eligibility and available options upon their application.

Special Application Requirements

While there are no specific details indicated on failed exam attempts or maximum years of graduation, it is generally standard for residency programs that candidates maintain strong academic and clinical performance throughout their residency. Therefore, candidates should come prepared with robust credentials reflecting their training and performance in anesthesiology.

Alumni and Networking Opportunities

Graduates of the fellowship program have historically benefited from strong networking opportunities, maintaining connections through alumni reunions and professional society engagement. This network aids career advancement and continuous education.