Washington University/B-JH/SLCH Consortium Program

The Thoracic Surgery Fellowship at Washington University, in collaboration with Barnes-Jewish Hospital and St. Louis Children’s Hospital, is an ACGME-accredited two-year program designed to prepare fellows for certification by the American Board of Thoracic Surgery. This fellowship is committed to delivering exceptional patient care, promoting innovative research, and cultivating future leaders in surgical education.

Program Structure

The fellowship comprises two primary years of training: the first year focuses on pediatric cardiothoracic surgery and general thoracic surgery, while the second year is dedicated to adult cardiac surgery. During the first year, fellows are engaged in open, minimally invasive (including VATS and robotic), and endoscopic procedures for various thoracic conditions, including lung, esophageal, mediastinal, and tracheal disorders. The second year emphasizes adult cardiac cases, such as heart failure surgery and cardiac transplantation. Fellows are expected to handle a substantial operative load, with an estimated 350 operations performed as the primary surgeon throughout the program, alongside involvement in cutting-edge programs like ventricular assist devices and artificial hearts

The faculty consists of renowned experts who leverage their extensive clinical experience to expose fellows to the full spectrum of thoracic diseases and therapies.

Curriculum and Experience

The curriculum adheres to the Thoracic Surgical Curriculum set by the Thoracic Surgery Directors Association (TSDA), ensuring that fellows are well-prepared for board examinations. Among the program's aims are to cultivate compassionate patient care, promote ongoing education, and ensure mastery of both operative and non-operative management of surgical conditions. The training environment emphasizes professionalism, ethical standards, and effective communication to optimize patient outcomes

Research Opportunities

The program strongly encourages research participation and offers a range of scholarly activities. Fellows may collaborate with world-class mentors on research focused on surgical education, global health, epidemiology, and advanced surgical techniques. Additional opportunities include obtaining advanced degrees, such as a Master's in Public Health, to further enhance their academic credentials. Significant funding and resources are allocated to support research endeavors, underscoring the program's commitment to academic excellence.

Competitiveness and Application Requirements

This fellowship program is highly competitive and welcomes diverse applicants, including DOs and international medical graduates (IMGs). Applicants typically must have completed an ACGME-accredited General Surgery residency and demonstrate strong clinical and academic records. During the application process, candidates submit a detailed ERAS application, including official transcripts, letters of recommendation, and a personal statement. A valid ECFMG certificate is required for international graduates. While there are no explicit maximums for STEP failures, strong performance on USMLE examinations enhances eligibility.

Visa Support

The program provides comprehensive visa support for international applicants. It can sponsor J-1 and H-1B visas, facilitating a smooth transition for qualified IMG candidates looking to pursue their fellowship in the United States.

Unique Aspects of the Program

Beyond the rigorous clinical and surgical training, the program emphasizes a supportive learning environment. Fellows engage in mentorship programs, receive access to advanced simulation labs, and benefit from robust wellness initiatives aimed at fostering a positive and healthy training experience in the vibrant city of St. Louis.

Living in St. Louis

Residents and fellows enjoy the advantages of living in St. Louis, a city known for its affordable cost of living, cultural activities, and community engagement opportunities. From sports events to artistic performances, fellows find a balance between their demanding training and personal enrichment. The program enforces inclusivity and diversity within its community, recognizing that this mindset fosters a richer educational environment.